Self-evaluation of nursing further education 1 I completed a one-year further education in XX Department of XX Hospital. During the study, I will abide by the rules and regulations of hospitals and departments, respect teachers, unite with colleagues, and be strict with myself, so as not to be late, leave early, be absent from work without reason, or leave my post without leave. I am kind to patients and have a good attitude. I try my best to apply my theoretical knowledge and basic skills to practice. In this process, I constantly sum up my learning methods and clinical experience, strive to improve my ability to think independently, solve problems independently and work independently, and constantly cultivate my lofty thoughts and good professional ethics of serving the people wholeheartedly. Through this study, I improved my level of writing related medical literature. Enhanced the ability of diagnosis and treatment of common and frequently-occurring diseases in internal medicine; Further mastered the treatment methods of dangerous, serious and urgent patients. During this period, I actively participated in the business study organized by learning units and departments, which made my study life more substantial and meaningful. Teachers attach great importance to the cultivation of the younger generation, and the first-line or senior doctors report the medical history first when making rounds; The superior doctor carefully inquired about the medical history, analyzed the possible causes, made further relevant examinations, made a diagnosis and determined the treatment plan. This will enable patients to get reasonable treatment systematically and systematically, and at the same time let young doctors know more. With the care and help of the director of internal medicine and the second-line teachers in all subjects, the rotation of each group was successfully completed. Through study, I have been able to master the diagnosis and treatment of common diseases in internal medicine, and I can independently complete routine operations in internal medicine, such as closed thoracic drainage and pleural biopsy.
A year's study and life is fleeting. In this short year, I was deeply impressed by the First Hospital of xi Jiaotong University, and I also had many feelings and gains. While broadening my horizons and enriching my professional knowledge, I also deeply realized the charm of medical career. I deeply felt the concept of "people-oriented" and advocated humanistic care.
Standardized medical management and workflow and strict rules and regulations are the basis of preventing medical accidents. The good service attitude of medical staff makes the doctor-patient relationship harmonious. On the basis of perfecting various rules and regulations, the hospital has truly achieved smiling service and thoughtful service. In the ward, medical staff contact patients more, understand their pain and thoughts, and try their best to help them solve problems. The system of ward rounds, discussion of difficult cases and major operations has been gradually implemented and improved. My study life is full and enjoyable, and with many new experiences and gains, my study life has been enriched.
In the days of further study, my professional knowledge has been consolidated and increased, and I have learned many advanced technologies and methods. While I am happy with my efforts and gains, I am determined to bring the knowledge and ideas I have learned back to my post, hoping to apply the new technologies and knowledge I have learned to clinic, such as closed thoracic drainage and pleural biopsy in respiratory department. For patients with massive pleural effusion or repeated pleural effusion, a thinner drainage tube such as central venous catheter can be used for closed thoracic drainage during hospitalization, which can not only reduce the pain caused by thoracic puncture every day, but also save the time and energy of clinicians and better serve other patients. Another example is pleural biopsy, which provides a strong pathological basis for the diagnosis of pulmonary tuberculosis, pleural tuberculosis and chest metastasis of lung cancer, and guides the next treatment well.
I feel very lucky to come to xx Hospital to study neonatal intensive care. At first, I was a stranger. Because this learning opportunity is very rare, it took the hospital more than half a year to get it. So before I come, I think I must seriously study their advanced nursing concepts and techniques, and make this trip to glad you came. But after coming to Hong Kong, I found that apart from studying, the most important thing is to experience the cultural differences between Hong Kong and the mainland. In just one month, I deeply felt the advanced hospital management mode, thoughtful occupational safety protection and many other places worth learning.
First, humanized management, first of all, good teamwork and diversified nursing staff echelon.
The nursing team in each ward is equipped with ward manager, head nurse, specialist nurse and clinical nurse. Everyone cooperates with each other while completing their own work to ensure the nursing quality of the ward. In addition, they also have an organic section chief who is responsible for the daily management, debugging, maintenance and repair of instruments and the purchase of spare parts. Health service assistant, responsible for the replacement, replenishment and storage of nursing supplies; Ward assistant, responsible for terminal disposal and going out to do chores; Medical secretary, responsible for the reception, internal and external communication, statistics, sorting and storage of medical documents; Hygienist, responsible for ward hygiene (spotless effect required). Through the careful arrangement of personnel, everyone performs their duties, so that patients have a sense of security after admission, and everything is under the care of medical staff.
Second, the advanced technical level of equipment, excellent service and scientific and effective equipment setting are obvious features of Queen Mary Hospital.
Third, rigorous work style.
In order to prevent mistakes and accidents, the hospital stipulates that the dose of medical treatment must be checked by the pharmacy and can only be used on patients after being checked by two nurses. Special treatments, such as blood transfusion and application of curosurf, must be examined by both doctors and nurses before being implemented by doctors; In treatment, you can take it orally, and don't use intravenous therapy. Most antibiotics use penicillin, so stop taking it as soon as possible. A month passed quickly. Here, I am very grateful to the hospital leaders for providing me with such a valuable learning opportunity, so that I can contact and learn the advanced medical technology and nursing concept of Queen Mary Hospital in Hong Kong and feel the civilization and advancement of Hong Kong. At present, Dushanzi is in a period of great development. In order to meet the needs of great development, hospitals have continuously sent medical staff to the mainland and Xinjiang to learn advanced management models and medical technologies. I believe that through the joint efforts of all medical staff, Dushanzi Hospital will definitely become a unique brand hospital in the Golden Triangle and better serve the people of Dushanzi!
Chapter III Self-evaluation of Continuing Nursing Education In June this year 165438+ 10, I continued my study in Dazu People's Hospital for more than a month. I am very grateful to the hospital leaders and nursing department for giving me this opportunity to learn. Through this study, I benefited a lot and felt deeply. What I saw and heard in my study is summarized as follows:
First, nurses are classified.
County People's Hospital divides nursing staff into assistant nurses, junior nurses, intermediate nurses and senior nurses. According to different grades, the requirements for nurses are different, and the number of patients in charge and the degree of illness are also different. The corresponding salary bonus is different from other corresponding rewards. Assistant nurses are new employees who finish their work under the guidance of superior nurses. The head nurse in charge has been employed for 1 to 3 years, and can basically master common nursing operations and solve common nursing problems. Intermediate competent nurses can master basic and specialized nursing skillfully, and can make nursing plans and organize their implementation according to patients' conditions. Senior responsible nurses are proficient in conventional and specialized nursing knowledge and operation, have rich clinical experience, can solve complex and difficult nursing problems, and have the ability to organize and guide teaching. In this way, the working ability of nurses is distinguished and nurses have a clear career plan. Nursing quality is closely related to nurses' professional quality and independent thinking ability. The classification of nurses has improved everyone's work enthusiasm, prompted us to study actively, accumulated more knowledge and information, and served patients better.
Second, quality nursing service.
The high-quality nursing service activities carried out by the county people's hospital have changed the nurses' taking the "doctor's advice" as the center to complete all nursing work, and changed the fragmented care of patients from different nurses to relatively fixed nurses who are responsible for the whole process from admission to discharge, and implemented the mode of 8 hours and 24 hours. In the past, the whole nursing work was simply summarized as functional nursing that dealt with several functions, such as doctor's advice, injection and medicine distribution, and changed into responsible nursing with small responsibility system. The nurse in charge has professional knowledge, can grasp the key points of observation, and closely observe the patient's condition while implementing life nursing. For example, taking a bath in bed, she will check whether the skin is damaged, pressure sores, bleeding spots, rashes, and contact the doctor to take measures if it is abnormal. When turning over for the patient, she will pay attention to protecting the catheter, prevent the catheter from slipping, guide the correct turning over method, protect the affected limb and avoid aggravating the patient's pain.
Through the development of high-quality nursing work and the implementation of small responsibility system, nurses have established the concept of "my patient", went deep into the ward, communicated effectively with patients, actively cared for patients, provided health knowledge related to diseases and implemented health education. Improve the quality of nursing. Provide continuous whole-course nursing service for patients in charge.
Third, specialized nursing.
My major is surgery, and they attach great importance to the development of specialty characteristics. The atlas of health education distributed according to common diseases in the department is hung in the corridor of the department, which is very specific, comprehensive and easy to understand, so that patients can have a complete understanding of their diseases. Standardize and standardize specialized nursing operation. After the patient is admitted to the hospital, the responsible nurse should know eight things about the patient, namely, bed number, name, diagnosis, illness, treatment, nursing, diet and positive signs. From admission to discharge, there will be full health education and postoperative recovery guidance. According to the characteristics of the specialty and the characteristics of the surgical site, the hospital gown is not only convenient for dressing change and condition observation, but also fully convenient for patients. The pillow made makes the patient's affected limb more comfortable, and the use of bedsore pad can effectively prevent and reduce the occurrence of bedsore and relieve the patient's pain.
In short, with the improvement of people's living standards, the requirements for medical care are also constantly improving. Nursing service is not limited to simple nursing work such as injection, infusion and medicine distribution, and more and more attention is paid to providing patients with all-round and all-round quality nursing services. Through this study, my awareness of nursing service and nursing level have been greatly improved. Finally, I am very grateful to the hospital leaders for giving me this opportunity to learn and improve. I will consolidate the knowledge and skills I have learned and apply them to practical work to better serve patients and contribute to the rapid development of the hospital.
Self-evaluation of nursing continuing education Part IV Six months of continuing education has just ended, and I have returned to my familiar post. First of all, I want to thank the hospital leaders for giving me this precious opportunity to study and exercise, and all my colleagues. Because of your efforts and support, I can finish my studies with peace of mind.
First of all, introduce the unit I am studying and the learning objectives.
I study in the Department of Pediatrics of Xunxian People's Hospital. It is said to be the hospital with the largest number of pediatric patients in Hebi City. The teachers there are very dedicated and capable, including the director of the inpatient department and seven clinicians, during which about 60-200 patients were hospitalized. Common diseases include: common cold, herpetic angina, tonsillitis, lymphadenitis, ulcerative stomatitis, tracheitis, bronchitis, bronchopneumonia, mycoplasma pneumonia, lobar pneumonia, viral myocarditis, bacterial or viral enteritis, acute gastritis, mesenteric lymphadenitis, acute glomerulonephritis, allergic purpura, encephalitis, hand, foot and mouth disease, anemia and rickets. I am honored to be trusted and valued by the leaders, and I especially cherish this learning opportunity, so I must be strict with myself. During the study period, I will strictly abide by the rules and regulations of hospitals and departments, earnestly perform the duties of doctors, respect teachers, unite colleagues, work hard and correctly handle the doctor-patient relationship. At the same time, I try to apply my theoretical knowledge and basic skills to practice.
Constantly sum up learning methods and clinical experience, strive to improve the ability of independent thinking, independent problem solving and independent work, and constantly cultivate their lofty thoughts and good professional ethics of serving patients wholeheartedly.
Second, my harvest and experience.
1. basically mastered the writing skills and norms of medical documents such as course records, consultation records and discharge records;
2. Mastered the clinical characteristics of pediatrics and the diagnosis and treatment of common and frequently-occurring diseases in pediatrics;
3. Master the normal values and clinical significance of common tests and inspections;
4. Master the preliminary treatment methods of various common dangerous, severe and urgent patients;
Pediatrics is a unique department, facing a fragile little life. This made me realize that doctors should not only be highly skilled, but also know how to communicate with them. Be kind to children and have a good attitude. Although sometimes we will meet many anxious family members who won't say anything, all we medical staff can do is be tolerant. We can understand their feelings. When a child is ill, everyone is extremely anxious. It is understandable to say something hurtful. What we can do is to put ourselves in the patient's shoes and try our best. I come into contact with many children and their relatives every day. I understand that the greatest wealth in life is not money, but life. Through contact with children, I gradually like this profession more.
Third, the direction and plan of future efforts.
In the future, under the leadership of the hospital leaders and department directors, I will continue to actively carry out the pediatric work in our hospital with the attitude of "enthusiasm, pragmatism and due diligence", the attitude of active learning, continuous learning, pioneering and innovation, and the pursuit of transcendence, and strive to create more achievements for our hospital. In order to better carry out pediatric work, the following points are summarized:
1. Correct work attitude and standardize work content;
2. Enthusiastic service for patients, respect for patients' "right to know, right to choose and right to privacy", empathy, thinking of patients' thoughts and urgency;
3. Strengthen communication between doctors and patients, and "smile more, care more and explain more" to patients;
4. Strictly implement the principle of patients knowing, strengthen communication between doctors and patients, and reduce disputes between doctors and patients;
5. Insist on studying in a planned way every day, constantly absorb nutrition, strive to improve the technical professional level and enrich their clinical experience;
6. Strictly implement the system of three-level doctor rounds, truthfully record the opinions of superior doctors, and do not change the doctor's orders without permission. In case of difficult cases, ask the superior doctors for instructions in time, and report to the dean and hospital leaders in time in case of special circumstances;
7. Be modest and prudent, and have the courage to ask the superior doctor for questions you don't understand;
8. Seriously and timely complete hospitalization cases;
9. Closely observe the changes of patients' condition and do not slack off;
10. Strictly implement the new rural cooperative medical system and urban medical insurance system, grasp the indications of drug use, avoid the waste of medical resources and unnecessary expenses of patients, and reduce the per capita expenses of pediatric inpatients;
1 1. Be strict with yourself, respect leaders, unite colleagues, actively cooperate with hospital leaders and department directors, unite and cooperate, and strive to create better work results for our hospital.
The above is my self-evaluation of further study, and I urge leaders and colleagues to give positive guidance.
How time flies! I completed my advanced study in the Neonatal Department of the Second Affiliated Hospital of Jilin University. I am very grateful to the hospital leaders for giving me this rare opportunity. In a short period of three months, under the careful guidance of the head nurse and teaching teacher in neonatology department, I have learned valuable knowledge and clinical operation that I have never encountered in my usual work. Let me introduce my study experience. On the first day of work, the most direct impression was that the neonatal room was very busy, and the nurses shuttled between neonatal incubators all the time. In my observation, intravenous infusion and premature feeding are the busiest parts. Newborns have a nurse and an assistant in each room, and they work together to complete the work of this class. Everyone in each shift must finish the work, hand over the shift clearly and easily, and get off work easily. During the shift change, every newborn is handed over to the bedside one by one, which is by no means a form, but a kind of seriousness. Each shift should check the whole body skin condition, color, rash, erythema, whether there is skin ulceration and whether it needs treatment. Before infusion every day, the nurse should check whether the indwelling needle is intact, whether there is blood return, whether there is leakage, and whether there is redness and swelling in the local skin.
The neonatal ward has good disinfection and isolation measures. Before entering the neonatal ward, the staff should change clothes and shoes. Every day, there are special staff to wipe and disinfect the warm box used by children, and the children will be disinfected after leaving the box. Each ward has a sink and hand sanitizer, and each incubator is equipped with hand sanitizer. Every day when the doctor comes to make rounds, the first thing to do is to wash your hands. When they see a child touching another child, they will definitely wash their hands first and then wipe them with special paper towels. Needless to say, nurses wash their hands before each operation. Although they are busy with their work, they will not omit this link. Hand washing has become everyone's habit, because everyone has deeply realized that hand washing is the cheapest measure to prevent hospital feeling, but it is the most effective.
In the work, I learned the knowledge of premature infant arterial blood sampling, neonatal indwelling gastric tube, neonatal gastric lavage, blue light therapy, premature infant intravenous nutrition and scientific feeding. For example, for premature infants, blood vessels should be selected first. For newborns, radial artery and brachial artery are the most important, while femoral artery is rarely selected. Because the femoral artery is thick, but the position is not fixed well and the trauma is great, then feel the pulse by hand to determine the position of the blood vessel, and determine the angle of needle insertion according to the child's fat and thin, and the action should be stable, accurate and fast. These are the main points of work, which need you to practice and ponder in your work. Although blue light therapy is simple, nursing work is also very important. Newborns are prone to crying and sweating when they come into contact with the strange environment of phototherapy box for the first time. It is necessary to dry the baby's sweat in time, keep the skin clean and dry, and avoid catching cold. Feed the baby some warm water during exposure. After phototherapy, the newborn's stool is mostly dark green paste. Pay attention to cleaning the buttocks to prevent red buttocks. After phototherapy, keep warm.
At the same time, during these three months, I deeply felt that the medical staff here not only have good knowledge and technology, but also have humanized management, good teamwork, advanced equipment and technical level and excellent service in the department, which is also part of my learning content. They don't pay lip service to humanized service, but actually do it, and truly care for children. If you use CAPA, you will use gauze pads on both sides of your head to prevent squeezing. When tearing the tape on your face, lubricate it with paraffin oil before tearing it. The action is very gentle. The children here will insert the stomach tube from the mouth, not the nasal cavity, because they don't want to lose a nasal cavity because of the stomach tube, which will aggravate the difficulty in breathing. For premature infants, the environment is relatively quiet, and the sound and operation are as light as possible to reduce the stimulation of sound. Moreover, there is a cover on the incubator, and all treatments are focused on reducing light and external stimuli.
In terms of nursing documents, their various nursing records are required to be recorded accurately according to time and requirements, and each record should be signed in full name after filling in. Newborns should be weighed every time they urinate and defecate, and recorded accurately. Some critically ill newborns are often in a state of near death, such as abnormal heart rate, oxygen saturation and apnea. It is necessary to make good records, including clinical observation, continuous monitoring of life information and illness changes by various monitors, and timely record a large number of collected data in neonatal nursing records, so as to understand the dynamic changes of illness and notify doctors in time if abnormalities are found.
Because most of them are premature babies, the condition changes very quickly. I remember once, my teacher and I were inserting an intravenous indwelling needle into a newborn who had just been admitted to the hospital. There is a premature baby who has been hospitalized for many days and his condition is relatively stable. Suddenly, his blood oxygen dropped sharply, and his face and lips turned blue. We immediately found out the reason and increased the oxygen flow. It turned out that there was phlegm blocking the airway and he couldn't breathe. We immediately sucked sputum and cleaned the respiratory secretions in time, and the child's face became rosy. Therefore, in the neonatal department, we should not take it lightly at any time. We should always observe the changes of the child's condition and deal with it in time. In a word, my skills and thoughts have been improved obviously through my study in the Second Hospital. As a newborn nurse, we should not only have high skills, but also have advanced nursing concepts to improve the quality of personnel. We should have a sense of responsibility, love and conscience, do every job well, strictly abide by the aseptic operation and disinfection and isolation system, avoid cross-infection, improve the quality of nursing, and be the protective angel of every child.
I think, if everyone can enjoy work as a life, then the motivation, enthusiasm and sincerity of work are there, and the realistic environment requires us to work with incomparable enthusiasm. Finally, I want to thank the hospital leaders again for giving me this precious learning opportunity, which has given me a lot of experiences and insights. I have more thoughts about my life and work, and I hope it can penetrate into my mind and bring new ideas to my life. I will constantly absorb new ideas and technologies and move forward forever.
Self-evaluation of nursing further education 6. I completed a one-year further education in XX Department of XX Hospital. During the study period, I will abide by the rules and regulations of hospitals and departments, respect teachers, unite colleagues, and be strict with myself, so as not to be late, leave early, be absent from work without reason, and leave my post without authorization. I am kind to patients and have a good attitude. I try my best to apply my theoretical knowledge and basic skills to practice. In this process, I constantly sum up my learning methods and clinical experience, strive to improve my ability to think independently, solve problems independently and work independently, and constantly cultivate my lofty thoughts and good professional ethics of serving the people wholeheartedly. Through this study, I improved my level of writing related medical literature. Enhanced the ability of diagnosis and treatment of common and frequently-occurring diseases in internal medicine; Further mastered the treatment methods of dangerous, serious and urgent patients. During this period, I actively participated in the business study organized by learning units and departments, which made my study life more substantial and meaningful. Teachers attach great importance to the cultivation of the younger generation, and the first-line or senior doctors report the medical history first when making rounds; The superior doctor carefully inquired about the medical history, analyzed the possible causes, made further relevant examinations, made a diagnosis and determined the treatment plan. This will enable patients to get reasonable treatment systematically and systematically, and at the same time let young doctors know more. With the care and help of the director of internal medicine and the second-line teachers in all subjects, the rotation of each group was successfully completed. Through study, I have been able to master the diagnosis and treatment of common diseases in internal medicine, and I can independently complete routine operations in internal medicine, such as closed thoracic drainage and pleural biopsy.
A year's study and life is fleeting. In this short year, I was deeply impressed by the First Hospital of xi Jiaotong University, and I also had many feelings and gains. While broadening my horizons and enriching my professional knowledge, I also deeply realized the charm of medical career. I deeply felt the concept of "people-oriented" and advocated humanistic care.
Standardized medical management and workflow and strict rules and regulations are the basis for preventing medical accidents. The good service attitude of medical staff makes the doctor-patient relationship harmonious. On the basis of perfecting various rules and regulations, the hospital has truly achieved smiling service and thoughtful service. In the ward, medical staff contact patients more, understand their pain and thoughts, and try their best to help them solve problems. The system of ward rounds, discussion of difficult cases and major operations has been gradually implemented and improved. My study life is full and enjoyable, and with many new experiences and gains, my study life has been enriched.
In the days of further study, my professional knowledge has been consolidated and increased, and I have learned many advanced technologies and methods. While I am happy with my efforts and gains, I am determined to bring the knowledge and ideas I have learned back to my post, hoping to apply the new technologies and knowledge I have learned to clinic, such as closed thoracic drainage and pleural biopsy in respiratory department. For patients with massive pleural effusion or repeated pleural effusion, a thinner drainage tube such as central venous catheter can be used for closed thoracic drainage during hospitalization, which can not only reduce the pain caused by thoracic puncture every day, but also save the time and energy of clinicians and better serve other patients. Another example is pleural biopsy, which provides a strong pathological basis for the diagnosis of pulmonary tuberculosis, pleural tuberculosis and chest metastasis of lung cancer, and guides the next treatment well.
In a word, I am satisfied with my further study and full of confidence in my future work. I sincerely hope that you will give me more valuable opinions and suggestions to help me make greater progress!
Self-evaluation of continuing nursing education Article 7 After graduating from technical secondary school, I worked as a nurse in the college for several years, repeating the same job every day. In the past few years, I have been devoted to my study and work with rigor and enthusiasm. During this period, I have both the joy and the bitterness of failure. Working experience made me realize that there is a gap between clinical nursing and theoretical knowledge in books. It is also soberly realized that only with excellent professional skills and ideological and political consciousness can we occupy a place in the society with rapid development of high technology. So, I took a full-time junior college course in medical university for two years, which improved my theoretical knowledge qualitatively.
At work, my colleagues and I, doctor's advice and nursing technical operating rules, basic nursing, aseptic operation and three checks and seven pairs system. Problems, reports, solutions. Be able to theorize at work, ask head nurses and senior teachers if you don't understand, and do your best. Treat patients with civilized and polite service, behave in a civilized and kind manner, be anxious about patients' worries and think about patients' thoughts. Communicate with patients and have good psychology, so that patients can receive treatment and health education.
In learning, it is required to study hard, be studious, have a correct attitude, acquire professional knowledge and operation skills, master professional knowledge and specialized nursing operation, and make a theory with the strong pursuit of angels in white. In addition to learning professional knowledge, we also pay attention to the expansion of various knowledge and dabble in subject knowledge, thus improving our ideological and cultural quality.
Be a man, follow the Party, the Four Principles, and study ideas. Require progress, love the motherland, love and support the production of * * *, support the principles and policies, abide by laws and regulations and rules and regulations close to the party organization; Self-motivated, brave in criticism and self-criticism, and the outlook on life and values is completely new. Abide by hospital rules and regulations, participate in activities organized by hospitals and departments, and respect and unite colleagues.
In my life, I have developed good living habits, lived a full and orderly life, and managed every day with a rigorous and progressive life. I am warm and generous, honest and trustworthy, helpful and balanced. You can get along well with your colleagues and participate in extracurricular activities, so as to gain new work experience and life.