The test doctor is not a clinical supporting role

The test doctor is not a clinical supporting role
The test doctor is not a clinical supporting role
Cub reporter staff reporter Yan ShaoWei and Li TianShu The test doctor helps and solves wondering clinically " this patient's pancreas inflammation is not very obvious, is it so high why measure the biochemical index urine amylase of this disease? " Not long ago, doctors of Beijing Xuanwu Hospital met a difficult problem like this in diagnosis. Test doctor Zhang YunXiu making the rounds of the wards together is after confirm measuring the result errorlessly, tell the attending physician: "The amylase is not only a biochemical index of measuring pancreatitis, can measure parotitis at the same time. " Inquire finding previously, this patient has suffered from parotitis one week before after the medical history of the patient again. The doctor often meets the situations of some detection indexes not in conformity with clinical symptom in the course of making a diagnosis. How to explain the result rationally? How to utilize the laboratory to check and guide the clinical treatment better? Last October, the clinical laboratory of Xuanwu Hospital of Beijing set up and examined the doctor post, Zhang YunXiu is a member among them. She makes the rounds of the wards, makes a round of visits and participates in the discussion of case with the doctor regularly every week. At present, there are two of Yao Jie and Zhang YunXiu to examine a doctor and answer questions and explain the puzzle Beijing Xuanwu Hospital for the clinician and verify the survey report. Nowadays, the doctor of every department of the hospital has already been used to examining a doctor and participating in making the rounds of the wards, the doctor not only accepts an inspection on the doctor's suggestion modestly,but also every subject doctor still often invites and examines a doctor to participate in holding a consultation voluntarily, and solve some problems met while holding a consultation. The test technician is blood coagulation of clinical laboratory of Xuanwu Hospital of Beijing and test doctor of the professional group of blood rheology instead of examining doctor Yao Jie. She says, while treating the thrombus patient, needs to use the medicine against blood coagulation clinically, but the administration must be just right, if give too many medicines, the patient is apt to bleed, medicine amount is not enough for and can not reach the result again. How to get hold of the dosage of the medicine? The part that biochemistry examines activates thrombese time experiment and happens to be used in the patient to monitor, make the doctor adjust the amount of medicine given according to the inspection result. Not long ago, Bing Chen, head of the department of surgery of blood vessel, find Jie Yao, say, find one patient give medicine twice quantity pretty much the same, but the patient's physical sign differs significantly. Jie Yao individual difference give medicine time, give medicine twice, in patient influence factor sift and check first, and then measure the network analysis of the data respect from the experiment, find that the difference problem in the daytime, among time of using medicine exists in the middle of this. Chinese Medical Association examines Cong YuLong, General Board of branch, to say: "On clinic, the result that often sample of the same patient, different batch detects differs greatly. This no doubt has influence that patient's condition changes, there is quite a few of interference because of various factors in detection procedure too. This makes to examine personnel's control on quality to no longer only confine to the sample and measure, but range that control extend forward, expand to the intersection of patient and plan, the intersection of sample and the intersection of gather, drug use,etc. and quality control analyze, in order to get the qualified sample. Quality control extended towards the clinical one before analyzing, needed to examine a doctor and strengthening the cooperation with doctor, nurse. Use the respect in antibiotic of infective disease, examining a doctor will test medicine quickly, it is able to bear the suggestion that medicine testing and such results as the blood is trained put forward especially multiple, to instructing the doctor rational administration is very important. The work examined what a technical staff can not replace originally. " Some has doctors to find to examine doctor's enthusiasm in the course of holding a consultation to influence, though it is capable to examine a doctor, a duty participates in making the rounds of the wards, making a round of visits, case and discusses, but it is not enough that their function performs. Some examine a doctor and follow doctor and go through the motions while making the rounds of the wards, the case seldom expresses an opinion while discussing. To a certain extent is a kind of wasteful use of resources here. The southern southern hospital of medical university is that our country examines one of doctor's medical organizations with relatively abundant working experience. This institute examines Zheng Lei, Deputy Director of medical center, to tell reporters, the strengths of departments such as pathology, image,etc. are divided into technician and doctor clearly, and test doctor and technician of the blood screening test lab are the same establishment in most hospitals. Beijing the intersection of Xuanwu Hospital and PeiChang Wang, person in charge of blood screening test lab, think, examine doctor should account for the intersection of blood screening test lab and 5%~10% of number, should be up to 3 people in the general hospital of the first, second and third 5 people, but can not reach now. Though the training examining the doctor at home has several kinds of different modes, it but walk inside each it examine by training of doctor, take 8 year (5 -year system at school usually, in front of hillock on the 3 year or 8 -year system getting at more school all) ,Later the corresponding system of checking and rating the system, promoting the professional title etc. did not form a complete set, have influenced and examined the doctor's quality of source of students and enthusiasm of the work. The speciality that Yao Jie and Zhang YunXiu two people study is clinical, have doctor's qualifications at the beginning graduating, that wrote in the professional title certificate is to examine technicians nowadays. They hope to have a standard of clear performance examination and promotion. Next chapter 4


|