第71章（第2页）
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陆洋的语气有些不好，这种事情遇上了也很难克制住脾气。
“口头医嘱？当时你是在抢救吗？还是在手术中，如果都不是，你下什么口头医嘱？”
估计是临近交接班时间，或者是急着吃晚饭，所以才跳过了录入。
“我有没有跟你们说过及时记录！不要想着等明天，等吃完饭，除了紧急抢救可以通融到两小时内补上，那好，补开的医嘱用药签字的单子呢？”
“还还没补，想着等早上”
牛逼啊，简直要气笑了，陆洋满腹的无语，“之前左心室破了闹到医调委，律师都来了，你们都不当一回事儿是吗？”
小余低着头有些心虚也不敢回应。
江述宁一直沉默的皱着眉头，没有开口，毕竟科室的住院医管理和带教是作为住院总的陆洋在负责，现在陆洋发着脾气，他也不好插嘴。
关珩却在这时候推拉开门走进来，脸色铁青明显是带着怒气。
手上夹着病床记录的文件板就往会议室桌子上重重一拍，关珩的语气是少见的严肃和凛冽。
“人家小姑娘刚毕业过来不懂规矩，都知道下口头医嘱不合适，问了你两次你急着去拿外卖都不理，还有你口头医嘱根本就没说要缓慢推注，更没有具体多久完成静脉推注，中间间隔时间也没有交代，到底怎么回事？”
“我我我我说了的！真的！我真的有说。”
扶额。
陆洋有些头痛。
江述宁开口。
“等林主任来了，再来处理这件事吧。”
药开得并没有问题，但是洋地黄类强心苷药物，在使用上从药剂量，与生理盐水，葡萄糖之类的配比，推注或者滴注的选择和方式都是必须非常严格谨慎的。
药物能救人也能害人，全看作为医生如何使用。
所以从开出医嘱到护士执行，都必须遵循严格的操作规定，规范的每一步才能保证责任严格落实。正常来说，医生在系统里开出医嘱记录，到护士确认执行都有道道审核关卡，首先系统会先判定用药量对于身体是否有危险，然后再是护士人为核对。对于抢救和术中的特殊情况也有流程，事后也要保留安瓿瓶作为凭据核对，补上用药医嘱记录。
但是有的时候如果没有按照定好的步骤做事，出了意外，在责任界定上就很容易起摩擦。
“他们这些规培住院医，不就是上手术被手术室的护士老师或者是平时被这科里有资历的陈姐她们训过骂过使唤过，没地儿撒气把火撒新人小姑娘身上嘛！”
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