- Alexander Pavlovich, tell us what criteria for the selection of experts exist in your clinic?
- In medicine, like in one other specialty, the life of the patient will directly depend on the quality of the service, as far as it is professionally rendered and at what speed. Therefore, such a concept as a single spirit of the team should not exist in words, but in practice.
In plastic surgery between doctors it is very important.
- How many years do you need to learn to become a plastic surgeon and to obtain legal right to operate?
- We studied 6 years at the Institute, 2 years in the ordinature and 3 years in graduate school. It took 11 years of study before we received the legal right to conduct operations. But still to this day we continue to learn.
We go 2-3 times a year to the congresses of plastic surgery, in order to see new technologies and new methods, learn about modern equipment and modern materials. Famous world doctors come to the congress, from America, Europe, Brazil and is always very interesting to listen to Americans who are engines in the development of plastic surgery. To compare with America, they have more stringent working conditions than we have justified.
In Russia in plastic surgery, there are a lot of so-called doctors, who studied two weeks, received a Cosmetologist-Surgeon certificate and took a scalpel in hand.
- How can this happen?
- Unfortunately, it exists legislatively. If this is an experienced doctor, it will come to the case with a certain understanding and will be gaining experience with caution, to assist a lot. But we see a lot of complications in patients after such surgeons.
In plastic surgery, as in no other, there is no single standard. What is considered a common indicator? How do the work of the colleague or how do you like the work of the surgeon to the patient? It seems to me that first of all - how to like the patient. I am always in consultation to patients say that they, before deciding, went to other plastic surgeons. Plastic surgery in Russia is now only in the formation stage. And, I repeat, in order to become a plastic surgeon in America, you need to take a minimum of 12 years and only then the doctor receives a license of a practitioner specialist. This is formed not at lectures, but years, experience, practice. And we have enough for the scalpel, six months of study. Therefore, my advice is before lying under the knife, collect information about the doctor. Ask, former patients. If someone has a bad operation, do not think that you are lucky. Not lucky and you.
- What else do specialists need for surgery, except for a surgeon, nurses?
- The second doctor is a anesthesiologist and a good anesthesiologist, it is archival. Plastic surgery is not done according to the testimony, but at the request of the patient. Anesthetic support should be adequate to not have any complications.
Unfortunately, all emerging problems are associated with anesthesia, so the level of anesthesia during the operation should be modern, global. There is a so-called concept - office anesthesiology. This is when the drug is used, which acts as a medical sleep. A person after surgery should feel easily, not to remember any pain during the operation, and most importantly - there should be no nausea, vomiting, seizure.
Soviet anesthesiological school could not provide this for a long time. We had no necessary education, equipment and drugs. And when we brought the technology from congresses that were practiced in America, in Europe, in Russia it met a powerful resistance. Anesthesiologists who worked for 20-30 years, believed that the most important thing is the patient must be immobilized, should be in a serious depth of anesthesia. And nausea, convulsions, vomiting after anesthesia are normal manifestations of anesthesia. But it was possible to prove that most European and world doctors believe that it is impossible to work. The modern level of anesthesiology denies the so-called heavy "waste". We had to go back to our many doctors and start using new drugs.
- What qualities should the nurses have to work in such clinics?
- The operating and older nurse should have a very high level of professionalism, because they are often assisted during surgery. The nurse holds hooks, sometimes sewers.
She should know when and at what point the seam will be imposed and which tool should be applied on time. No need to wait when the surgeon says, she must have everything ready. The surgeon, naturally, feels comfortable, it is not annoyed, not distracted, the quality of the operation increases. The emotional state of the surgeon is very important, he in no way should make a comment during the nurse's work.
The perfect clinic is when all the staff is working in the state, there are no incoming doctors, everyone is one team and there is mutual understanding. Always find out before the operation, experts work for a long time.
- But if the doctors are experienced, but from the different clinics, what can such happen?
- The surgeon perfectly makes an operation, but the nurse may be inexperienced. It can be frightened, improperly apply anesthetic solution. Add more adrenaline and there will be a serious violation in the reduction of vessels. Skin necrosis can happen, unfortunately, such cases were observed in other clinics. This is due to the fact that the team was incorrectly formed. Professional team is formed by years. If the patient knows that anesthesiologist works in the state, the surgeon does not run along clinics, nurses are constant - this is a fundamental factor in order to think that this clinic will make a high-quality operation.
- Do you have age restrictions for nurses and what is the quality needed?
- There is no age limit. But I treat young nurses with a big doubt and I do not remember that we take a nurse after the school, because the level of education dropped. Young nurses do not know how to properly divorce Lidocaine, they do not know the tools. Having finished the honeycomb, they do not know what deontology is. And this is a relationship between middle personnel and doctors, when all psychological aspects are taken into account. Hierarchy, subordination, now they teach badly and professional level is very weak. Many nurses do not like this profession, and we noticed it. We give preference to those who are 30-40 years old. But it should be very smart, a distiller nurse who wants to learn and work. Senior nurse for us is a very important person. I have to trust it as myself. We form certain qualities, one of them is to love your profession. A sister who loves medicine is a man with burning eyes, she is ready to constantly learn. Not "inflated cheeks" and does not say that she knows everything.
There should also be empathy to the patient. If I left the institution, it does not mean that I forgot about the patient. I think about him, I empathize him.
The sister should react to each rustle and the patient should feel care for himself, in order for him, he did not have a doubt why he made an operation. And just the level of service smoothes the feeling of guilt in a patient in front of him, they say, why did I hurt myself with myself. It creates an emotional positive background, and healing on this background is faster.
- Have you had dismissal cases and for what?
- I'll tell you the case. We worked with us one nurse, like an experienced, everything makes it right, we were satisfied with her. Once I do an inspection, I open the ward and see that she lies on the patient's bed and watching TV. I made her a remark, she reluctantly got up. Naturally, the next day, this man was fired.
In my head does not fit, how is this nurse during working hours, can not find a job? It means it is a non-professional. You can wipe and collect tools once again, fill the magazine. Even when there is no patient, there is always a job.
Another case - the nurse was and smart and burning eyes, but the procedures behaved disgusting. During the procedures, it is necessary to talk to the patient, listen, sympathize, it matters. But during the hour procedure, the patient found out what children she had, how they hurt, how many husbands had her. The patient came out and said that so tired of the nurse, which is unlikely to come to the procedure. I had to part with a nurse, because the opinion of our regular customers is important for us. The nurse "downloaded" her with his problems that she came out in an emotionally oppressed state, and this is unacceptable for our clinic.
- What other specialists are required?
- The face of any clinic is administrators who meet and accompany customers. The main rule - they should build, smile, say hello.
If the administrator came to this work, he must love communication with patients, and not just sit, respond to calls and stretched smiling a couple of times. When you love to communicate with visitors, just then to argue work. Therefore, for administrators, the main criteria are people with constantly positive emotions. People phlegmatic will not work with us. When the patient leaves the branch, he immediately speaks thanks to the nurse and administrator.
Surgeon speaks thanks in two weeks, after the operation, when it becomes, the result is visible.
A smile from nurses and administrators on the first consultation is of great importance. After all, the client has so many doubts and experiences, about: "Why did I come here? Do I really need this operation? " In order for a person to feel comfortable, the administrator must have the right information.
It is very important that she can calm the patient before the arrival of the doctor. The high-quality administrator should know what patient loves coffee, tea or mineral water. Very important quality of a good administrator - remembrance, it affects the emotional state of the patient.
- Is there any very important quality for personnel, except professionalism, empathy, which will be crucial for employment?
- You know, this is enough in order to get a good job in a good clinic. But the most important thing is still to love your profession. And do everything so that no "burnouts" does not happen. This happens when the specialist begins to think that he knows everything, he becomes bored to go to work, he tries to shift his duties to another. And when it starts to occur in the team, the head must be taken on time.