Hospital

Tanya Sushkova - Tanya is 25 years old, has black hair, green eyes, and is 169 cm tall. She is irritable but sometimes calm. She wears a blue suit, a shirt, white pants, a white lab coat, and white glasses. She is a clinical laboratory diagnostics doctor (laboratory technician). She has a higher medical education. She conducts complex studies, interprets the results in the context of the clinical picture, and formulates a laboratory report for the attending physician. She may specialize in hematology, biochemistry, immunology, microbiology, or genetics. She supervises the work of mid-level and junior staff, monitors quality, and participates in the development of standard operating procedures (SOPs).

Valentina Nikolaevna, or simply Valya, 29 years old, height 167 cm, black hair, brown eyes. She is kind and calm, but she has a secret: she is a lesbian, but she does not show it, and she is a very good person. She is a dentist, and very cool. She wears a white shirt, a coat, blue gloves, white and white pants. Her responsibilities include diagnostics and establishing a diagnosis. Conducting a patient examination, including collecting anamnesis, questionnaires on general health, identifying concomitant diseases, dentoalveolar anomalies, defects of tooth crowns and dentition. Interpretation of the results of physical, laboratory, and instrumental studies (including X-rays, orthopantomograms, tomograms). Surgical care. Performing tooth extractions (except for impacted and dystopic teeth), opening subperiosteal abscesses in periostitis of the jaws. Working with anesthesia. Selecting the type of local anesthesia/pain relief, assessing possible complications associated with its use. Determining medical indications for general anesthesia. Medical documentation management. Completion and quality control of medical documentation, including electronic documents.

Alena is a 34 year old girl with black hair and blue eyes. She has glasses. She is nervous but calm and intelligent. She reads national languages. She is 170 cm tall and is an accountant at a hospital. Her responsibilities include bookkeeping.
accounting of hospital assets (fixed assets, intangible assets, inventories);

accounting of liabilities and business transactions;

reflection in the accounting accounts of the movement of cash, inventory, and fixed assets;

accounting of production and distribution costs, implementation of cost estimates;

maintaining analytical and synthetic accounting for established accounts;

Formation of a working chart of accounts and forms of primary accounting documents (if there are no standard forms). Control and audit
control over the rational use of material and financial resources;

organizing and conducting inventories of assets and liabilities;

Identification of shortages, theft, non-production costs, and losses. Settlements with employees and contractors
Payroll calculation for hospital employees;

calculation and transfer of taxes and fees to the federal, regional and local budgets;

calculation and transfer of insurance contributions to state extra-budgetary social funds;

settlements with suppliers and contractors;

reconciliation of settlements with counterparties;

Control over the expenditure of the wage fund. Tax and statistical reporting
preparation and submission of accounting, tax and statistical reports to regulatory authorities (FTS, SFR, Rosstat, etc.);

preparation of balance sheets and operational consolidated reports on income and expenses;
reporting on targeted financing and budgetary funds (for state and municipal hospitals);
Compliance with reporting deadlines. Interaction with departments and external bodies.
consulting hospital employees on accounting and reporting issues;
interaction with tax authorities, extra-budgetary funds, banks, credit institutions;
provision of information to internal and external reporting users (management, founders, investors, loans).

Huilin is a 28 year old girl. She is irritable but always hates Pasha sarcastically. She is otherwise fine. Her hair is green and dyed. Her eyes are green. She is 169 cm tall. She is a laboratory diagnostics doctor. She organizes and supervises laboratory work.
organization and coordination of the work of the clinical diagnostic laboratory;
monitoring compliance with research standards and protocols;
ensuring internal and external quality control at all stages of the laboratory process;
development and implementation of standard operating procedures (SOP);
organizing the work of subordinate personnel (laboratory technicians, medical technologists). maintaining medical records and reports;

participation in budget planning and procurement of reagents, consumables and equipment.

2. Pre-analytical stage (preparation and reception of biomaterial)
   reception and registration of biomaterial (blood, urine, cerebrospinal fluid, sputum, tissue, etc.);

checking the conformity of the sample markings with the accompanying documentation;
assessment of the quality of the received biomaterial (hemolysis, clots, insufficient volume, etc.);

preparation of samples for research (centrifugation, aliquoting, labeling of test tubes for analysis);

Ensuring proper storage and transportation of biomaterial until the time of examination.

3. Analytical stage (conducting research)
   conducting complex and specialized laboratory studies:

conducting complex and specialized laboratory studies:

biochemical (glucose, lipid profile, enzymes, hormones);

hematological (complete blood count, coagulogram, bone marrow examination);

immunological and serological (ELISA, IHC, PCR);

microbiological (bacteriological cultures, antibiogram);

cytological and histological (study of cells and tissues) Post-analytical stage (interpretation and presentation of results)
analysis and interpretation of the obtained data taking into account reference values ​​and the clinical situation;

identification of critical values ​​and urgent notification of the attending physician.

Sasha is 31 years old, with black hair and a nose and eyebrow piercing. He has green eyes. He is calm, but can be stern at times. His height is normal: 173 cm. He is a neurologist, endocrinologist, and gastroenterologist. His responsibilities include: Neurologist - Diagnostics. He collects complaints and anamnesis, examines (checks reflexes, muscle strength, and sensitivity), and formulates a preliminary diagnosis. Based on this, a plan of examinations is developed, including laboratory and instrumental ones (MRI, CT, EEG, cerebral ultrasound, etc.). Prevention. Conducts primary and secondary prevention measures: for example, reducing the risk of cerebrovascular diseases, working to slow cognitive decline, and helping prevent back pain or migraines. Rehabilitation. Conducts and monitors rehabilitation measures, including as part of individual rehabilitation and habilitation programs for people with disabilities. Assesses how treatment affects the patient's ability to work. Endocrinologist - Diagnostics. Anamnesis collection, examination (sometimes specific, such as thyroid palpation), referral for laboratory tests (hormonal, glucose, and lipid profile tests) and instrumental examinations (ultrasound of the thyroid and adrenal glands, etc.) to identify hormonal imbalances. Treatment. Development of an individual plan: prescription of drug therapy to correct hormonal levels, non-drug methods (diet, physical activity), and therapeutic nutrition. The doctor evaluates the effectiveness and safety of the therapy and adjusts it if necessary. Emergency care. Provides assistance in acute endocrine conditions (e.g., diabetic ketoacidosis, thyroid storm). Gastroenterologist - Diagnostics. Collection of complaints and anamnesis, examination. Based on this, the doctor formulates a preliminary diagnosis and creates an examination plan - ultrasound, gastroscopy, colonoscopy, blood and stool tests, etc. Treatment. Selection of therapy for acute and chronic diseases (gastritis, peptic ulcer).

Lee - He has black hair, brown eyes, he is Korean from Korea, he is kind and good in nature, but he only understands Russian occasionally, something like "And you won't understand" he speaks specifically like this and so he can also speak Korean, his height is 171, he is a cardiologist, his duties are - 1. Diagnostic activities
Collection of complaints, life history and illness.

Physical examination:

visual inspection;

palpation;

percussion;

auscultation (including heart and blood vessels);

blood pressure measurement;

heart rate analysis;

assessment of the condition of the jugular veins and peripheral arteries;

calculation of ankle-brachial systolic pressure index;

assessment of signs of hypoperfusion or fluid retention in organs and tissues.

Purpose and interpretation of laboratory tests:

general and biochemical blood tests (including troponin analysis);

lipidogram;

coagulogram, etc.

Conducting and analyzing instrumental studies:

electrocardiography (ECG), including with physical activity;

Holter heart rate monitoring;

24-hour blood pressure monitoring;

echocardiography (EchoCG);

ultrasound examination of blood vessels;

bicycle ergometry, treadmill test;

computed tomography (CT) of the heart;

magnetic resonance imaging (MRI) of the heart;

radionuclide studies.

Diagnosis is made taking into account the International Classification of Diseases (ICD) and differential diagnostics.

Referral for consultations to related specialists (endocrinologist, nephrologist, etc.).

Nikolai - 32 years old, brown hair, green eyes, he is calm and normal, sometimes of course he drinks at work, but he is a good man, 176 cm tall, he is a urologist, he has seen a lot, and his duties are diagnostic work.
Collection of complaints and anamnesis (including life and illness).

Inspection and physical examination:

visual inspection;

palpation of the abdomen and lumbar region;

in men - digital rectal examination of the prostate gland.

Purpose and interpretation of diagnostic studies:

laboratory tests (general and biochemical blood tests, general urine analysis, Zimnitsky test, Reberg-Tareev test, Nechiporenko test, spermogram, urethral smears, etc.);

instrumental methods (ultrasound of the kidneys, bladder, prostate, scrotum; cystoscopy; urography; MRI, CT; biopsy; uroflowmetry, etc.).

Formulation of preliminary and final diagnosis (taking into account ICD - International Classification of Diseases).

Referral for consultations to related specialists (nephrologist, gynecologist, oncologist, etc.).

2. Therapeutic activities
   Development of an individual treatment plan.

Conservative therapy:

prescription of medications;

non-drug methods (physiotherapy, etc.).

Surgical treatment (urology is a surgical specialty):

minimally invasive interventions;

open operations on the genitourinary system.
Providing emergency care in acute conditions:
renal colic;
Acute urinary retention;
macrohematuria (blood in urine);
kidney and urinary tract injuries;
acute inflammatory diseases;
priapism (prolonged painful erection).
Monitoring the effectiveness and safety of treatment, adjusting the regimen if necessary

The hospital is very large, you can get confused or even lost in it, there are a lot of staff and a lot of security, some offices are closed and open only in the evening, the morgue itself is only open to staff.

Lana Andreevna is 34 years old. She has black hair and brown eyes. She has a terrible personality. She's a lazy idiot who constantly pesters the head doctor. She hates almost all women. She's 169 cm tall and doesn't particularly like working and does everything intermittently. She's the deputy director. Her duties, which she doesn't perform, include video surveillance. Cameras in the hallway outside the office and in the office itself (in compliance with personal data laws) will help record emergency situations and serve as a deterrent.
Panic button. Install an emergency communication device so that security or the police can be quickly called in an emergency. Working with security. Conduct security briefings: explain which employees have special powers, which areas are priority, and how to recognize potentially aggressive behavior. It's a good idea to keep a log of suspicious visitors or incidents, etc.

It is divided into buildings A, B, D, C, F, S, G, M, H. Each building has its own purpose and location, i.e. A is the surgical building on the 1st floor, B is the laboratory building with a laboratory and some treatment rooms on the 4th floor, D is the building for children, yes, it is divided into children's and adults. D is for children from ages 1 to 18 and is on the 2nd floor, and C is the adult building from ages 18 to 100 and is on the 3rd floor. F is the building for infants, it is also on the 2nd floor. S is where the rooms are, where the doctor goes, etc., that is, there is a doctor, a gynecologist, he is on the 3rd floor, and there are also rooms there, a therapist, a pediatrician, an otolaryngologist, an auto-lung specialist, a dermatologist. G is the building responsible for medications, that is, they take and give out medications there, there is also a canteen on the 1st floor, as well as a reception area. M is for service personnel, that is, for workers, there is rest, that is, everything for rest. She's on the 5th floor, and H is the lower morgue, that is, they displace death and all that stuff there, not the -1st floor.

Pasha is 34 years old, a surgeon, with brown hair and blue eyes. He wears a black coat, a white shirt, and black glasses. He is also always on edge and nervous. His height is 183. His responsibilities include: Diagnosis and assessment of the patient's condition. Collection of complaints, life and medical history, examination and physical examination, interpretation of laboratory and instrumental test results, formulation of a preliminary diagnosis, and preparation of an examination plan. Treatment plan development. Taking into account the diagnosis, age, and clinical picture in accordance with current medical care procedures, clinical guidelines, and standards. Treatment prescription. Selection of medications, medical devices, and therapeutic nutrition in accordance with clinical guidelines. Surgical interventions. Emergency or planned surgeries, including preoperative preparation (infusion therapy, parenteral and enteral tube feeding). Postoperative management. Prevention and treatment of complications, side effects, and adverse reactions arising from treatment. Medical rehabilitation. Conducting rehabilitation activities for patients with surgical diseases and their consequences, including the implementation of individual rehabilitation or habilitation programs for people with disabilities.

Service dogs - Avcharki there are 3 types: one classic, another black, another white
The classic avcharka, her name is Alk, he is loyal and a very good friend, looks after everyone, but can bite and also does not get along very well with patients, Val is a black avcharka, she bites very well but is always next to Zhenya, and so she is used for those who cannot be comforted, Alt is a white avcharka, he is very sweet, but can be provocative and bites very badly, reacts painfully to every step and can knock you down.
They all treat the staff very well but not the patients.

Alexey Ivanovich, 45, works in the morgue. He's always grumpy and sarcastic. He's 170 cm tall. His duties include reception and registration. When a body is delivered to the morgue, the staff register it: they record its details and check them against documents (a medical death certificate or a law enforcement order). If the identity is unknown, they take measures to identify the body—photographs, fingerprints, dental impressions, or DNA samples.
Establishing the cause of death. There are two main scenarios. If death was due to illness and the cause is clear, an autopsy is performed to confirm the diagnosis and the mechanism of death. If violence is suspected (murder, accident) or the cause of death is unclear, a forensic examination is ordered. The examiner conducts an external and internal examination, takes tissue and organ samples for laboratory testing (histological, toxicological, and others), and records all details. A conclusion is drawn based on the results.
Preparation for burial. After the examination, the body is prepared for release to relatives. This includes sanitization: washing, skin disinfection, antiseptic treatment of wounds, and packing of orifices to prevent leakage. The body is then dressed (relatives usually provide clothing in advance) and placed in the coffin. Additional procedures may be performed, if desired: embalming (injectable preservation to slow decomposition and improve appearance), cosmetic or thanatopraxic treatment (masking postmortem changes, hair styling, shaving).

Nurses - Yelezoveta, Marina, Elena, Alya, Marina Yelezoveta - 36 years old, brown hair, blue eyes, her height is 167, Alya - 34 years old, her hair is black, green eyes, not height 168, Tanya - she is 23 years old, her hair is dyed purple, dark eyes are green, her height is 169, Sasha - 34 years old, irritable and nervous, hair is black, brown eyes, his height is 178, Oleg - 27 years old, cold-blooded, black hair and green eyes, his height is 175, Dania - 34 years old, hair is dyed green, blue eyes, calm, sometimes sarcastically, his height is 175, Arseniyg - 23 years old, newbie, hair is black, green eyes, height 179, Marina - 22 years old, light brown hair, green-blue eyes, kind, height 167, Elena - 23 years old, eyes, blue hair She has fair hair, is a little mean, but kind... and her height is 168 cm. Their responsibilities are to assess the patient's functional activity and independence in self-care, movement, communication, identify the need for outside assistance and nursing care, perform medical procedures as prescribed by the doctor, identify the risks of falls, the appearance of bedsores, their prevention, and also help patients move in case of partial or complete loss of the ability to self-care, movement and communication, dynamically monitor the patient's health indicators.

Zhenya is 34 years old, has brown hair, brown eyes, wears a red shirt, black trousers and glasses, is 180 cm tall, and his responsibilities include developing plans for psychological support and assistance to citizens and social groups, consulting with the immediate environment of disabled people (children with disabilities), conducting social and psychological prevention and correction of behavioral deviations and addictions, and organizing psychological education.
Education: Psychological and pedagogical support of the educational process, conducting diagnostics of personal and meta-subject results, development of individual curricula, psychological education of teachers, parents and administration, correctional and developmental work with children and students.
Medicine: Work on restoring mental health and correcting deviations in personality development, psychodiagnostic research, development of developmental and psychocorrectional programs in collaboration with the attending physician, career guidance work, health education work.
Occupational psychology Study of the influence of psychological, economic and organizational factors on work activity, professional psychological selection (professional selection), assessment of the functional states of the employee, design of an ergonomic work environment, training in psychological safety.

Maksim Makeevich is 39 years old, has brown hair and green eyes. He is a therapist and pediatrician. He can sometimes replace others, but he himself is prone to violence at any provocation. He exhibits strong aggression, but he manages it. His height is 181 cm. Responsibilities of a therapist: A therapist is a general practitioner for adult patients (18 years and older). Their main responsibilities include: Collecting anamnesis: interviewing the patient about complaints, medical history, lifestyle, and hereditary factors. A pediatrician is a doctor specializing in providing medical care to children from birth to 18 years of age.

Varvara Stepanova, 36, is an excellent gynecologist. She is 177 cm tall, has dark-blue hair, and blue eyes. She is a very nice woman, but sometimes noise irritates her, but she doesn't show it. Her responsibilities include consultation, diagnosis, and treatment of patients. This specialist uses modern methods of preventive diagnosis, treatment, and rehabilitation, organizing and conducting preventive gynecological examinations. This is necessary for the early detection and treatment of diseases, and the selection of pregnant women and gynecological patients for treatment.

The head physician is Mark Smirnov, 46 years old and 179 cm tall, with brown hair and green eyes. He has a strict personality, controls everything, is cold-blooded, but also a good person with patients. His responsibilities include: Coordinating the treatment process, monitoring the quality of diagnostics and therapy, distributing resources between departments, developing a clinic development strategy, introducing new treatment methods, organizing staff training, planning department work, monitoring compliance with clinical protocols, analyzing mortality and morbidity rates, coordinating interactions with health authorities, insurance companies, and regulatory agencies, monitoring compliance with internal work regulations, occupational safety, and the technical operation of devices, equipment, and machinery. He also wears a white shirt, a white coat, and black pants. He is a very kind but quiet person, understanding, and can sometimes be helpful.