来自 心境 2019-07-12 16:27 的文章

面试热点:为救助者解除后顾之忧

  3月17日中午,有位姓陈的女医生,在乘坐柳州去南宁东的高铁时,听到车内的紧急广播,说有位乘客不舒服(腹痛、恶心、胸闷),需要医生帮助。陈医生便立刻前往,进行救治,仔细询问病史、查体、简单服药后,做了简单处理,病人症状得以缓解。随后,陈医生又给出了一些建议,这才准备返回自己的座位。

  本以为事情就这么顺利地结束了,病人得到救助,很完美的结局。但没想到当陈医生准备返回自己的车厢时,被列车乘务员叫停并要求出示医师执业证书。得知她并未携带,工作人员最终查看了她的身份证和车票并拍照。此外,陈医生还被迫亲笔写下一份情况说明,且签字画押并留下具体联系方式。

  而直到此时,陈医生才发现,就在她对那位乘客实施救治的过程中,冷静的工作人员已经默默地全程录了像。陈医生表示,以后再遇到这种情况,她应该是不会再出手了,“毕竟不是专科的,感觉好可怕。”

  3月19日 南宁客运段发布致歉说明,称当天D3563次3号车厢一男旅客突发疾病后,经陈医生第一时间积极救治转危为安,对此向陈医生及所属医院表示诚挚谢意,同时对长期以来在铁路车站、列车上积极救治突发疾病旅客的广大医务工作者表示衷心感谢。说明还介绍,出示医师资格证并非规定的程序,留存联系方式和现场救治情况主要是便于后续医院更好的救治。致歉说明中称,“但在处置过程中,列车工作人员未向陈医生作好沟通解释,造成了误解。反映出我们对突发状况考虑不周、处置方式欠妥的问题。对此,我们向积极参与救治的医生及广大医务工作者致歉!”

  这一事件经媒体传播后,引发网上热烈讨论。陈医生的担忧也演变成医生的群体顾虑,甚至有人疑惑,类似见义勇为的做法,会不会被追究“非法行医”,对此,你怎么看?

  陈医生在乘坐高铁期间听到广播救人的消息后,第一时间前往病人所在地,用其专业的医术进行救治,体现了她的人道主义和救死扶伤精神。她的这种行为犹如寒冬里的一根火柴,黑暗里的一支蜡烛,温暖着我们的内心。对于缓解医患矛盾以及树立医生的职业形象有着重要的作用。

  (1)铁路部门不是医师主管部门,因而列车员没有权力查看医师资格证,这本身是一种违规的操作。此种行为会让群众质疑高铁方的权限。(2)如果是为患者安全考虑,为救治效果考虑,查看医师身份也应该是在救治行为实施之前,而高铁人员却在救治之后查看证件,这暴露出铁路工作人员考虑不周,应急处理方式欠妥的情况。(3)陈医生救治病人时列车员在一旁录像,这给陈医生带来了担忧,也让很多医务工作者感到心寒。高铁工作人员的这一做法有规避风险的嫌疑,把可能产生的风险都推到热心救人的陈医生头上,这是一种极为不负责任的表现。

  事后,陈医生的表态,以及众多医生看到此事后的评论,很可能引发以后出现类似情况而无人敢施救的局面。其实列车、飞机上这种公共场所突发疾病,和医院的正规救治相比,有其独有的困难,比如病人不能明确表达意愿,不能自诉病情、病因,医疗环境和医疗手段均不如医院,救治效果很可能难以保证,这对病人、医生和高铁方都有较大风险,容易产生纠纷,这也是众多医生担忧,以及工作人员采取上述无奈行为的根源所在。之前有航空公司就遇到这样的案例,有乘客在飞机上突发疾病,机组工作人员也紧急召唤医生参与救治,但最终病人没能挽救回来,其后家属起诉航空公司索赔数十万。虽然法院裁定航空公司救治程序没问题,但这一事件说明,飞机或者列车上的紧急救助确实有发生纠纷的可能。因此遇到不同情形,如何让双方在合作中救治,以及如何划定医生和工作人员的免责界线.阐述具体对策。

  (1)乘务人员在取证过程中,应注意沟通技巧及专业素养的提升,以免给救助人员造成担忧,影响救助的积极性。

  (2)铁路部门应该进一步提升应急处理流程,优化服务,规范列车救人的相应操作,不定期组织工作人员进行应急情况以及紧急救助的培训工作。

  (3)相关部门应尽快明确相应紧急救治制度,划定医生和工作人员的免责界线。在制度上先行明确,保证各方没有后顾之忧,进而让医生的善意出手得到保护和肯定。

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t=e.$,n=立即登录,r=e.ERROR={REALNAME_EMPTY:{errno:204,errmsg:请输入您的真实姓名},REALNAME_INVALID:{errno:227,errmsg:请确认您输入的真实姓名是否有误},ACCOUNT_EMPTY:{errno:1030,errmsg:请输入360帐号},ACCOUNT_INVALID:{errno:1035,errmsg:请确认您的帐号输入是否有误},ACCOUNT_DUPLICATE:{errno:1037,errmsg:该帐号已经注册,+n},USERNAME_DUPLICATE:{errno:213,errmsg:用户名已经被使用,+n},USERNAME_EMPTY:{errno:215,errmsg:请输入用户名},USERNAME_INAPPROPRIATE:{errno:225,ermsg:用户名包含不适当内容},USERNAME_INVALID:{errno:199,errmsg:用户名应为2-14个字符,支持中英文、数字或_},USERNAME_NUMBER:{errno:200,errmsg:用户名不能全为数字},NICKNAME_EMPTY:{errno:205,errmsg:请输入昵称},NICKNAME_DUPLICATE:{errno:260,errmsg:昵称已经被使用},NICKNAME_INAPPROPRIATE:{errno:226,errmsg:昵称包含不适当内容},NICKNAME_NUMBER:{errno:262,errmsg:昵称不能全部是数字},NICKNAME_INVALID:{errno:15e3,errmsg:昵称应为2-14个字符,支持中英文、数字、_或.},EMAIL_EMPTY:{errno:203,errmsg:请输入邮箱},EMAIL_INVALID:{errno:1532,errmsg:邮箱格式有误},EMAIL_NOT_ACTIVATED:{errno:2e4},MOBILE_EMPTY:{errno:1107,errmsg:请输入手机号},MOBILE_INVALID:{errno:1100,errmsg:手机号格式有误},MOBILE_DUPLICATE:{errno:1106,errmsg:该手机号已经注册,+n},CAPTCHA_INVALID:{errno:78e3,errmsg:验证码错误请重新输入},CAPTCHA_INVALID_OLD:{errno:1670,errmsg:验证码错误请重新输入},CAPTCHA_EMPTY:{errno:78002,errmsg:请输入验证码},CAPTCHA_APPID_INVALID:{errno:1300,errmsg:验证码格式有误},SMS_TOKEN_EMPTY:{errno:1350,errmsg:请输入校验码},SMS_TOKEN_INCORRECT:{errno:1351,errmsg:校验码输入有误},PASSWORD_EMPTY:{errno:211,errmsg:请输入密码},PASSWORD_INVALID:{errno:1065,errmsg:密码长度应为6-20个字符},PASSWORD_LEVEL_LOW:{errno:54999,errmsg:密码安全级别过低},PASSWORD_WEAK:{errno:54999,errmsg:密码弱,有风险,请重新输入},PASSWORD_ORDERED:{errno:54999,errmsg:密码不能为连续字符},PASSWORD_CHAR_REPEAT:{errno:54999,errmsg:密码不能全为相同字符},PASSWORD_WRONG:{errno:220,errmsg:登录密码错误,请重新输入},PASSWORD_NOT_MATCH:{errno:1091,errmsg:两次密码输入不一致},PASSWORD_FULL_SHARP:{errno:54e3,errmsg:密码不能包含中文字符,请重新设置},IDENTIFY_EXPIRE:{errno:153e3},NOT_SIGNED_IN:{errno:1501,errmsg:用户未登陆},UNKNOWN_ERROR:{errno:999999,errmsg:未知错误},SUCCESS:{errno:0,errmsg:操作成功},TIME_OUT:{errno:1,errmsg:网络超时}},i=e.utils=e.utils{},s={1105:该手机号未注册360帐号,1402:手机号当天发送短信次数超限,201:该邮箱已经注册,+n,3e4:该手机号已经注册,请直接用手机号登录,30007:该手机号已经注册,请直接用手机号登录,65002:该帐号未开启短信登录功能,立即开启,65001:该帐号只能通过短信登录,关闭此功能,221:帐号被封禁,点此联系客服,78001:提交过于频繁,请稍后重试};t.each(r,function(e,t){t.errmsg&&t.errmsg.length>

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