During the four-week internship in obstetrics and gynecology, 1 can strictly abide by the rules and regulations of the hospital, respect teachers and friends, unite colleagues, have no disciplinary behavior, be serious and responsible for the work, and work hard.
After practice in obstetrics and gynecology, I have basically mastered the collection of gynecological history, the writing of medical records and the filling of various forms. To master the methods of gynecological auxiliary examination and understand its clinical significance, such as leucorrhea examination, cervical smear, cervical biopsy and basal body temperature determination. Familiar with the role and significance of B-ultrasound, blood HCG, urine pregnancy test and fetal heart monitoring in the diagnosis and treatment of gynecological diseases.
Master the information of prenatal examination, labor observation and delivery steps, master the diagnosis basis and treatment principles of obstetric critical diseases such as pregnancy-induced hypertension syndrome, postpartum hemorrhage, uterine rupture, fetal distress, neonatal asphyxia and foreign body water embolism, and learn to suture perineal rupture. It can diagnose, differentiate and treat common and frequently-occurring diseases in obstetrics and gynecology. Familiar with the function, usage, dosage, indications and side effects of commonly used drugs such as uterine contraction, hormones, magnesium sulfate and birth control pills. Master the common sense, methods and operations of family planning. In my spare time as an intern, I study hard theoretical knowledge and accumulate clinical experience.
Although the learning process was not smooth sailing, every class took me to a higher level, and through my own efforts, I reached the requirements and goals of clinical practice in obstetrics and gynecology!
The one-month obstetric internship has ended. Looking back on these days, there are joys and sorrows, and there are joys and sorrows. I believe that everyone has their own taste in their hearts. They have been practicing in obstetrics and gynecology for nearly a month, and they have benefited a lot. They are about to change their major, but they have a lot to give up. For our internship, teachers in Corey attach great importance to it, and the weekly internship arrangement is also very orderly. Let us learn and grow step by step.
I especially remember the first day I came to obstetrics, standing in the nurse station trembling and listening to the teacher's introduction to obstetrics and gynecology. I didn't relax until I got familiar with the environment. Under the careful guidance of the teacher, I am familiar with the placement of various medical devices, drugs and other things, and slowly learn to do fetal heart monitoring and listen to fetal sounds. Obstetrics and gynecology is not too busy. Going to the delivery room to see the Qing palace operation, I was a little overwhelmed for the first few days. I think it's too cruel, but after a long time, I won't be surprised if I watch too much. I think it's better for girls to respect themselves, otherwise they will suffer. What I do in obstetrics every day are: morning care, injection, infusion, washing, consultation, fetal sound, fetal heart monitoring, abdominal microwave therapy, temperature measurement, blood pressure measurement, dispensing and taking medicine. Everything is going on in an orderly way. Although I am very tired, I feel full. Smile at every patient every day and patiently explain the problems they don't understand. And guide them how to take care of the baby, what to pay attention to and so on.
Obstetrics practice, you can see babies here, they are the cutest. Every time I hear them cry, I think they are cuter. Some wards have two or three babies. If one baby cries, the other baby will cry, just like a game. I still remember the first time I gave my baby a bath. At first I couldn't even hold the baby, but under the guidance of my senior sister, I finally learned to bathe the newborn. The baby is so likable, and the pink skin is so light to hold.
Obstetric practice is over, and the time is short, but it is enough for me to grow up. Now I'm full. Although I don't know what my future work will be like, I believe that with the help of teachers in various subjects and my own efforts, I will successfully complete my internship and become a qualified angels in white.
During my internship in your department, I respected teachers, cared about patients and United my classmates, which not only greatly improved my professional knowledge, but also improved my operational skills and gained a higher understanding in thought!
During my internship in the emergency department, the first thing I learned was that "time is life". The directors, doctors, head nurses and nurses here always keep a nervous attitude. All patients with "cerebral hemorrhage", "multiple injuries" and "taking pesticides by mistake" can get the fastest and best treatment in the emergency department!
Secondly, the nursing operation is more skillful, such as patients with respiratory and cardiac arrest, chest compression, tracheal intubation and establishment of venous access. Without skilled operation skills, it is possible to delay the rescue opportunity!
Once again, the correct service attitude, emergency department is the window department of the hospital, no matter how busy, no matter how annoying, we should always treat every patient with the right attitude, emergency department often meets many patients with drunk trauma. If you don't keep a heart of serving patients, it is easy to have conflicts with patients or their families, which will affect the image of departments and hospitals!
In short, the emergency department is a department full of knowledge, and the short study time can't satisfy my studious heart! According to the different construction of hospital emergency department, we can adjust ourselves according to this model, hoping to adopt it as the essence knowledge!
One morning in 20XX 10, I came to the first stop of my internship with excitement, excitement and a little anxiety. The head nurse received us warmly. Considering that we just came to the hospital, I am very moved and grateful for the detailed introduction of the department environment, common obstetric diseases and practice methods. Unconsciously, I have been practicing in obstetrics for nearly four weeks. During this time, I work hard, abide by the law, respect teachers, unite with my classmates, be strict with myself, be not late, leave early, be kind to patients and have a good attitude. I gradually transitioned from the role of a student in school to the role of an intern nurse, and I grew a lot as a whole.
During the four weeks of obstetric practice, I basically completed the internship task and gained a lot. First, familiar with the environment of hospitals and departments, familiar with the workflow and main tasks of clinical nurses, and familiar with the admission process and nursing of patients. Secondly, under the guidance of the teacher, I have basically mastered the characteristics and nursing care of some common obstetric diseases, such as premature delivery, premature rupture of membranes, pregnancy-induced hypertension syndrome, postpartum hemorrhage, pregnancy complicated with diabetes, etc. And master the usage, adverse reactions and observation points of commonly used obstetric drugs magnesium sulfate and oxytocin.
Third, personally observe and participate in the nursing of pregnant women during childbirth and puerperium, participate in the midwifery process of pregnant women, feel the characteristics of the three stages of labor and the physiological and psychological changes of pregnant women, and focus on explaining the contents and key points of postpartum nursing for 2 hours. Fourthly, I practiced nursing operations such as admission health education, fetal heart auscultation, electronic fetal heart monitoring, uterine contraction palpation, perineal scrubbing, wet and hot compress, abdominal palpation, and breastfeeding guidance. And wait for the parturient's anal examination, drawing the labor chart, scientific delivery, labor analgesia, vaginal incision, vaginal midwifery, neonatal treatment and vaccination, neonatal bathing, etc.
Through continuous clinical observation and study, I have deepened my understanding and memory of book knowledge, such as what is uterine contraction and its characteristics, how to touch uterine contraction and so on. Similarly, I try to apply what I have learned in books to practice. I understand that clinical work is not simple, especially the need for observation, flexibility and experience accumulation. Just come to practice, we should start from bit by bit, observe more, operate more and accumulate more experience.
I feel that internship is a simple and complicated life. I have to learn to do things as well as to be a man. Doing things enriches theory and operation; As a man, it is very important to handle the relationship with colleagues, teachers, head nurses, doctors, patients and their families, especially to establish a good nurse-patient relationship. In obstetrics, it is easier to establish a good nurse-patient relationship with parturient and their families. Through communication with them, we can not only help them solve some problems, but also get satisfaction at work. Learning to communicate with patients is an important part of practice.
10, went to Urumqi Maternal and Child Health Hospital for further study. Maternal and Child Health Hospital is the first baby-friendly hospital in Xinjiang, with the most prominent features of prevention, medical treatment, teaching and training.
The Maternal and Child Health Hospital was established in 195 1 year. It is a newly established medical and health care institution named "Maternal and Child Health Station" and was expanded to "Municipal Maternal and Child Health Hospital" in 1984. The level of maternal and child health care has been greatly improved in 20xx, and all indicators are the best in Xinjiang. After more than 50 years of experience, in 20xx.
The brand of "maternity hospital" is used for maternal and child health care. Now it has become the largest and only specialized hospital in Xinjiang, which integrates maternal and child health hospital and maternity hospital.
The further education department is the delivery room. The delivery room has a fast pace of work, saves many patients and is highly concentrated. In the process of midwifery, it is not only high-intensity physical labor, but also high-energy mental labor. The delivery process requires patience. Observe uterine contraction, cervical dilatation, decreased presentation and changes of fetal heart rate. Persuade and explain the uncooperative parturient patiently. The work in the delivery room needs great love, and the process of delivery is the most unforgettable moment in a woman's life. At this time, care is the confidence and motivation of the parturient to give birth smoothly. Even a sip of water, a bite of rice and a pair of supporting hands. It is extremely important to observe closely at work and carefully discover abnormal situations. A high sense of responsibility, each class does its job well. Understand that no matter how good the service attitude is, it is absolutely impossible without excellent technology; Only through constant practice can we improve and enrich ourselves.
Every day's work is full and busy. After a class, I feel that I have no time to sit and rest, and there are no doctors and nurses to drink tea and chat. Only when writing medical records, record sheets and computer entry can we have time to sit down. There are more than 600 newborns born in 10 month, and more than 500 newborns born in10 month, which is a heavy workload; There are only three nurses and one obstetrician in each class, which cooperate with each other. In our work, we carry forward the spirit of ownership, strive for internal self-improvement, do things seriously, standardize our words and deeds everywhere, try to do everything right, and do things well and carefully as much as possible. Check the leaks and fill the gaps in each class, serve in advance, and cultivate your vision, thinking and advanced consciousness. In addition to taking the initiative to work in the delivery room, if you do a lot of things, you will feel touched, inspired and experienced; Experience must be constantly identified, reflected and sorted out, which is of great practical significance to practice.
As the saying goes: a solitary sail is a leaf; Together, we can ride the wind and waves. Now is the era of win-win cooperation. Whoever has an efficient team will have the competitiveness and fighting capacity in the era of knowledge economy. A department needs a kind of "thought" to guide and integrate people with different experiences, experiences, academic qualifications and specialties. This kind of "thought", that is, the team concept, can maximize the strength of the team and create a team home that is positive, United, hard-working and * * * achieves its goals.
Two months passed quickly, and I am grateful for this precious learning opportunity. At present, Dushanzi is in a stage of great development. "I don't want to be omnipotent, but I want to do my best." As a grass-roots medical staff, only doing their job well is the best interpretation of Dushanzi's great development.
Self-identity of the subject 6 "I think it's an armchair strategist, and I don't know if it should be done." This summer training made me fully realize the importance of social practice. During the obstetric internship, time passed quickly. I think my two-week summer internship at Rongxian People's Hospital in Yulin City has ended. Looking back on my internship experience in the past half a month, I am both cautious and full.
In the past half month's clinical practice, I have contacted many teachers, including professors, residents and nurses. Although their positions are different, their persistence and enthusiasm for work and their attitude of being responsible for patients are the same and persistent. Every teacher left a deep impression on me, and their serious working attitude. Although obstetricians are mostly pregnant women, it seems simple, but it is not that simple, and there is no room for carelessness. Obstetrics is a high-risk department and a very special department, facing expectant mothers who need patience and care and witnessing the arrival of a little life. As a doctor's assistant, I always remember to treat pregnant women with "patience, love, care and responsibility", and try my best to relieve their anxiety and childbirth pain and bring them peace of mind and new hope.
The department I reported to is obstetrics. Under the arrangement of Director Su, I have a designated teacher. The first day I went to the department, I was dumbfounded. Obstetric inpatient department is not as easy as I thought, only doctors and nurses are busy coming and going. As a newcomer, I have been standing all day, and I don't know what to do, because I don't have any obstetric experience. All I see are pictures of obstetricians busy with pregnant women. As the saying goes, "Newborn calves are not afraid of tigers."
Gradually, under the careful guidance of Teacher Li, I became familiar with the use of various commonly used medical instruments (such as curettage bags, induction needles, dressing change bags, etc.). ) and related uses of routine medication for pregnant women (such as ethacridine hydrochloride, iodophor, kaiselu, magnesium sulfate, ceftazidime, etc. ), and I also deeply realized the importance of aseptic concept (aseptic operation dare not slack off); Every time the accompanying teacher enters the operating room to watch the operation, he should honestly put on visiting clothes, disposable hats and masks, learn from the teacher to practice the "seven-step washing method" of the operation, and then thoroughly wipe the disinfectant to ensure the aseptic effect. It can be seen that doctors are meticulous in their work and strive to do every detail, which contains a high sense of responsibility for patients' lives and health. At the same time, Teacher Li slowly taught me how to carry out routine maternal examination (such as four-step palpation), dressing change after operation, and screening for neonatal diseases (such as syphilis, hepatitis B, HIV, phenylketonuria, G-6-P deficiency, etc.).
According to official national statistics, 4-5 babies are born every second in the world, among which China children account for 1-2. It is precisely because of the steady stream of pregnant women giving birth in hospitals that obstetricians seem to have only endless work to do. In obstetrics, what teachers often do every day are: morning rounds, dressing changes, listening to fetal sounds, fetal heart monitoring, abdominal microwave therapy, obstetric surgery, adjusting doctor's orders, prescribing prescriptions, perfecting cases, recording labor process and leaving the hospital. Shocking. It can be said that the busiest department is obstetrics.
Obstetricians are very busy. Every day, all these things are going on in an orderly way, and so on. Under the daily listening and reading in obstetrics, I also learned to smile at every pregnant woman every day and patiently explain some details that need attention during labor (such as urging them to lie on their left side and counting fetal movements every day). ), and told them to seek medical attention in case of emergency (such as sudden and large vaginal discharge, vaginal bleeding, sudden dizziness, vomiting, abdominal pain, etc.). ). I report to the department on time every day and put on my white coat. I always put a small notebook in my white coat pocket and take some notes from time to time. Before I knew it, my little notebook was full of things. There are strange doctor's orders, syndromes, drug names and usage, stage summaries to be written on the laboratory sheet to be opened in today's consultation, and various telephone calls.
Looking back now, these transcripts have just become the testimony of my internship, which is full of my excitement, admiration and doubts (I still can't bear to throw them away). After a period of probation, I also learned to deal with various interpersonal relationships. In the department, the relationship between doctors and nurses, the relationship between doctors, the relationship between doctors and patients and their families, and the relationship between doctors at lower levels and doctors at higher levels ... The biggest experience is to keep a low profile-don't take yourself too seriously. The so-called "threesome, there must be my teacher." Needless to say, doctors, nurses and teachers are quite good. The patient is also respectable and needs our care. Only by mutual respect and trust can we defeat our common enemy-disease.
In obstetrics, you can often see touching scenes of calf. Here you can see the lovely and shy baby and the loving eyes of your mother. I still remember the feeling of having butterflies in my stomach when I first held my baby. I didn't know how to hug at that time, and I was very nervous, but the teacher who taught me by hand made me feel much better. It's lovely to look at the babies. Their pink and ruddy skin is so soft and warm to hold. In addition, under the patient guidance of the teacher, I learned how to judge whether the newborn is healthy and needs further observation or transfer to pediatrics for further treatment by checking whether the newborn's skin is yellow, whether the anterior fontanel is not long and whether the umbilical cord mouth is swollen. And by observing the postpartum uterine involution, perineal lateral incision and postoperative incision exudation, we can know whether there is infection in perinatal period and how to prevent it. Through such close and meticulous observation, we can ensure the health and happiness of mother and baby.
Time flies, and the obstetric practice will be over in a blink of an eye. In this short period of half a month, I have gradually grown from a medical student with no obstetric experience to a little assistant who takes care of pregnant women, takes them to take color Doppler ultrasound, makes a civilized checklist, changes the dressing for pregnant women after operation, hangs water and fills in the questionnaire of pregnant women's cases. Originally confused, I returned home with a full load, and my heart strengthened my lofty belief of trying to be a doctor to heal the wounded and rescue the dying in the future, and I will contribute my enthusiasm and sweat to the medical and health undertakings in China in the future! At this point, I eagerly read the oath of medical students:
"Health depends on life."
When I entered the sacred medical school, I solemnly swore:
I am willing to devote myself to medicine, love my motherland, be loyal to the people, abide by medical ethics, respect teachers and attach importance to teaching, study hard, be tireless, strive for perfection and develop in an all-round way.
I am determined to try my best to get rid of human diseases, help improve health, safeguard the sanctity and honor of medical skills, heal the wounded and rescue the dying, work tirelessly and persistently, and strive for the development of medical and health undertakings in the motherland and the physical and mental health of mankind for life. "