The next day!
Early in the morning.
Su Zhengnan got up early, washed up, and went to work at the hospital.
The Monday meeting was a must, and as the department head, Su Zhengnan naturally chaired the meeting immediately and discussed the upcoming work arrangements with everyone.
After discussing the work arrangements for the week.
Su Zhengnan smiled and said to all the chief physicians and head nurses present:
"Tomorrow is New Year's Day, and the country normally gives us three days off. However, as medical workers, we certainly don't have that much time off."
"Therefore, after the hospital's arrangement, the inpatient area will be closed tomorrow, the outpatient clinic will be closed the day after tomorrow, and the heads of all departments will be closed the day after that. Other outpatient clinic hours will be the same as the hospital's opening hours."
Doctors are human too, and they also need rest.
Therefore, outpatient clinics will naturally take holidays; it's impossible to sit there and consult patients all year round.
Of course, if there is an emergency, you can consult a doctor who is not on break.
"Alright, that concludes today's meeting. Meeting adjourned."
After announcing the New Year's Day holiday arrangements, Su Zhengnan ended the meeting and left the conference room.
Tap tap tap...
Liu Juan, chief physician of TCM gynecology, followed closely behind Su Zhengnan and called out, "Director Su, wait a moment, I have something I'd like to tell you."
"Hmm, what is it?"
Su Zhengnan stopped and looked at her.
Liu Juan said, "It's about that new mother. We gave her the medicine according to your prescription, and everything was fine until yesterday when she suddenly started gagging, sweating, and trembling."
"What happened? Take me to see this!"
Su Zhengnan's expression froze for a moment, and he suddenly realized that something was wrong with the woman in labor.
According to the previous diagnosis, there should have been no problem with taking the medicine he prescribed. Now, Dr. Liu is saying that the postpartum woman is experiencing symptoms such as dry heaving and night sweats.
This clearly indicates a change in the mother's condition, or perhaps there's a problem with the prescription she gave herself.
Then, Su Zhengnan followed Liu Juan and hurriedly went to the ward area on the third floor.
Pushing open the door to ward 21, Su Zhengnan saw the new mother resting on the bed, while her husband sat beside her, dozing off.
The new mother and her husband were both awakened by the sound of the door opening.
"Hello, Director Liu!"
The new mother sat up from the hospital bed and greeted Liu Juan with a smile.
Liu Juan smiled and nodded, then pointed to Su Zhengnan and introduced him: "This is Director Su from our department. It was Director Su who helped you save your child."
Upon hearing this, the new mother quickly thanked Su Zhengnan, saying, "Director Su, thank you so much, thank you so much."
The new mother's husband also came over, grasped Su Zhengnan's hand tightly, and thanked him:
"Director Su, thank you so much. If it weren't for you, I'm afraid my wife and child would have been lost."
As they spoke, the new mother's husband also felt a wave of fear.
Especially after listening to the head of the obstetrics and gynecology department of the Western medicine department recount the situation at the time, he suddenly realized how dangerous the situation was for his wife and child.
If Su Zhengnan hadn't intervened and made the decisive decision to have the child born prematurely...
It seems his wife will inevitably have to undergo surgery.
Moreover, given the circumstances at the time, even if his wife underwent a cesarean section, it was not certain that the baby's life could be saved.
Therefore, even Wang Lan, the director of the obstetrics and gynecology department of Western medicine, couldn't help but admire Su Zhengnan's medical skills after learning all the details.
She had never seen such exquisite traditional Chinese medicine obstetrics skills before.
"Treating the sick and saving lives is our duty as doctors, so you two don't need to be so polite with me."
Su Zhengnan said calmly, then walked to the bedside and glanced at the new mother's face, saying:
"Extend your hand, let me take your pulse."
"Okay, sure."
The new mother nodded and then extended her wrist.
While taking the other person's pulse, Su Zhengnan asked, "When did you start experiencing symptoms like dry heaving and cold sweats? Besides these sensations, are there any other discomforts?"
"It started shortly after I took the medicine last night. I didn't feel any other discomfort, just dry heaving and shivering all over."
The new mother thought for a moment and replied with a serious expression.
Upon hearing this, Su Zhengnan raised an eyebrow slightly, turned around, picked up the medical record hanging in front of the hospital bed, and looked at the medications recorded on it.
There's nothing wrong with the prescription I wrote myself!
The patient's pulse was similar to before, except that it had become weaker, which shouldn't have happened.
So where exactly does the problem lie?
Su Zhengnan pondered for a moment, then turned to Liu Juan and asked:
"Are you sure the medicine you gave the patient was the one I prescribed? Why don't you go to the pharmacy and bring me the dregs from the medicine you decocted for the patient last night?"
Since there is no problem with the prescription and the patient's pulse is also normal.
Therefore, the problem must lie with the medicinal herbs.
Liu Juan was stunned for a moment, and said in disbelief, "Director Su, you don't suspect that there's something wrong with the medicine in the prescription, do you?"
Su Zhengnan frowned and said, "Whether it's a problem with the medicinal herbs or not, we'll only know after we see them. Go and get them for me to take a look."
"Well... okay!"
Liu Juan nodded, but finally turned around and went to the traditional Chinese medicine pharmacy.
In large hospitals, even if the pharmacy is preparing medicine for a patient before the patient is discharged, some dregs will be left as evidence.
Sometimes the health department also conducts spot checks.
When Liu Juan arrived at the traditional Chinese medicine pharmacy to inquire, they were just preparing to decoct the medicine for the patient that day.
So Liu Juan didn't need to get any medicine residue anymore. She just took the medicine prepared by the pharmacy and returned to the ward, then handed it to Su Zhengnan.
"Director Su, this is the medicine that their pharmacy prepared according to your prescription. They were just about to decoct it when I brought it over."
"Hmm, let me see."
Su Zhengnan took the bag handed to him and began to examine the medicines inside.
Fortunately, the prescription he had given to the new mother did not contain many ingredients, less than nine.
Oyster shell, prepared licorice root, Solomon's seal rhizome, Platycodon grandiflorus, Inula japonica...
Su Zhengnan picked up the medicinal herbs one by one and examined them. The first few herbs were fine, until he took out the Inula japonica.
Looking at the withered yellow flowers, Su Zhengnan frowned slightly, brought them to his nose to smell, then put one in his mouth to taste, and his expression immediately changed.
"This isn't Inula japonica, it's Sheep's Eye Flower!"
"What? Isn't this the Inula japonica you grew, Director Su?"
Liu Juan's eyes widened immediately. She quickly took out a flower from the medicine bag and examined it, but she couldn't see anything wrong with the medicine.
Su Zhengnan couldn't help but sigh and said, "Both Inula japonica and Ephedra sinica belong to the Asteraceae family, and their shapes and colors are very similar. Their medicinal effects are also very similar, but when used to complement other medicines, they can produce different effects."
"You should know that every medicine has three parts poison, but using the wrong medicine can have eight parts poison."
"As the saying goes, an orange grown south of the Huai River is an orange, but grown north of the Huai River it becomes a trifoliate orange. Traditional Chinese medicine emphasizes that medicine and medicine are inseparable, in order to avoid doctors prescribing medicines without knowing the medicines, which could lead to an irreversible situation."
At this point, Su Zhengnan paused for a moment and said:
"This is still a problem with the pharmacy. It seems the pharmacist made a mistake while dispensing the medicine. It seems it's time to reorganize this pharmacy."
"Also, have the pharmacy re-prepare this prescription, and explain it to the new mother."
After saying that, Su Zhengnan walked out with a gloomy face, then took out his phone and made a call to Feng Xuegong.
"Director Feng, please convene a meeting with the pharmacists and decoction preparers of the Chinese medicine pharmacy immediately. I have something to say."
"Oh, okay, Director Su, I'll arrange it right away."
Feng Xuegong nodded in agreement, and then summoned the pharmacists and decoction preparers of the Chinese medicine pharmacy to prepare for a meeting.
Although he didn't know why Su Zhengnan suddenly called a meeting with the people from the Chinese medicine pharmacy.
However, Feng Xuegong still completed the tasks assigned by Su Zhengnan without any compromise.
Half an hour later.
Su Zhengnan walked into the conference room with a gloomy face.
The pharmacists and herbal decoction workers in the traditional Chinese medicine pharmacy exchanged glances, none of them knowing what had happened.
At this moment, Su Zhengnan's cold voice rang out.
"Do you know why I called you here for a meeting? It's because some of you got the wrong medicine, mistaking Inula japonica for Evodia rutaecarpa. This is an absolutely unacceptable mistake."
Hearing what the new director said...
Immediately, the pharmacists and medicine preparers present looked at each other in surprise and unease.
"What happened? Did someone at our pharmacy dispense the wrong medication? Really?"
"Who dispensed the wrong medicine?"
The group exchanged glances.
Then, an older pharmacist stood up and said, "Director Su, we've been working in this pharmacy for seven or eight years and we've never seen anyone make a mistake with the prescription. Director Su, you haven't made a mistake, have you?"
"I made a mistake? Then tell me, what kind of medicine is this?"
Su Zhengnan looked at them sternly and then threw the bag of Chinese medicinal herbs he was holding onto the conference table.
With a whoosh!
The bags of Chinese medicinal herbs were scattered on the conference table.
Several pharmacists looked at it, each picked up a dried yellow flower, examined it in their palms, smelled it, and took a bite.
"This...this is a sheep's eye!"
One of the pharmacists' eyes widened in surprise.
"This is the prescription I wrote. Take a look and see which medicinal herbs are in it."
Su Zhengnan handed the prescription he had written to the first pharmacist with great displeasure, and said with a serious expression:
"Ladies and gentlemen, we are doctors. I don't need to elaborate on the consequences of dispensing the wrong medication, do I? Fortunately, it was discovered in time this time, preventing a major disaster, but what about next time? Can you guarantee that you won't make a mistake every time?"
Several pharmacists passed around the prescription written by Su Zhengnan, and one by one they didn't know how to respond.
Clearly, the prescription calls for Inula japonica, but the herb used in the final decoction is actually Evodia rutaecarpa.
This is an absolutely unforgivable mistake.
Someone has to step up and take responsibility.
At this moment, even without Su Zhengnan saying a word, they all knew who had given the wrong medicine.
Because there are only a few people in the entire Chinese medicine pharmacy, and everyone knows each other well, such mistakes are generally unlikely to occur.
However... there are always unexpected events.
It just so happens that Pharmacist Li from the traditional Chinese medicine pharmacy had a few drinks before his shift last night, so...
Several pharmacists turned to look at one of them. They all knew what was going on, but no one said it out loud.
Su Zhengnan wasn't very familiar with these pharmacists either, as he had previously been preoccupied with managing the outpatient department and inpatient ward of his department.
After thinking for a moment, Su Zhengnan continued:
“Starting today, pharmacies must undergo a complete overhaul, strictly implement the procedures for purchasing and dispensing medicines, and ensure that similar incidents do not happen again. I hope that you will all remember your responsibilities as medical workers and prevent such incidents from happening again.”
As he spoke, Su Zhengnan looked around at everyone and continued in a deep voice:
"I hope you can step forward and tell me who is at fault in this matter. Don't make me waste my energy investigating; it's not good for anyone."
"I'm sorry, Director Su, this was my fault."
Su Zhengnan had just finished speaking.
Pharmacist Li then stood up and looked at Su Zhengnan earnestly, admitting his mistake:
“I had a few drinks before my shift last night, which caused this mistake. I apologize and take responsibility for dispensing the wrong medicine.”
This pharmacist, whose full name is Li Dongshen, is almost forty years old and has been working here as a pharmacist for almost ten years. His usual hobby is to drink a little wine.
He has prescribed the wrong medicine before.
But everyone had turned a blind eye before, and even Director Rao hadn't pursued the matter too much.
Even if the wrong medication is prescribed, as long as it doesn't worsen the patient's condition, the hospital still has the right to interpret the prescription.
They didn't take this matter to heart at all.
At worst, we can just correct it after we find out we've given the wrong medicine.
Su Zhengnan looked at the other person with a gloomy face and said seriously:
“Pharmacist Li, you’ve been a senior member of our Chinese medicine pharmacy for a long time. I won’t say much more. Just compensate the patient according to the normal procedures, and write a self-criticism. Your bonus for this month is off.”
"Okay, I accept the punishment from the hospital."
Li Dong nodded in agreement.
Su Zhengnan glanced at him, then continued speaking to the crowd:
"I don't want anything like this to happen again. We are responsible for the lives and health of our patients. Any negligence could lead to irreversible consequences. I hope everyone will take this as a warning."
"Yes, Director Su, we guarantee that this will never happen again in the pharmacy."
Several pharmacists and herbal decoction preparers responded in unison.
"Alright, the meeting is adjourned. I'm going to talk to the dean."
With that, Su Zhengnan got up and left the conference room, heading straight for Dean Feng's office.
The pharmacy in the Traditional Chinese Medicine department dispensed the wrong medicine.
We must take the initiative to talk to the hospital leadership about this matter, otherwise it will become a problem for the department head.
At the same time, Su Zhengnan also realized that he had not paid enough attention to the management of the pharmacy before and that he would need to strengthen supervision in the future.
Back when he was the school doctor at the Beijing Film Academy.
He personally inspected all the Chinese herbal medicines in the school clinic to ensure that there were no problems with the herbs.
However, working in this large hospital, he didn't have as much energy to oversee the pharmacy's drug procurement and whether the pharmacists were dispensing the drugs correctly.
Therefore, strict rules and regulations are still needed to supervise the management of pharmacies.
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