1 teaching objectives
Arrange special lectures and nursing rounds according to the objectives. Before practice, the theory and nursing technology operation examination were carried out. And asked to complete the internship summary. Before leaving the department, take the examination of management and nursing technology operation. And asked to complete the internship summary.
1. 1 The goal of professional knowledge is
① Grasp the precautions of intravenous infusion for tumor patients, the toxic and side effects of commonly used chemotherapy drugs and preventive measures; ② Nursing care of tumor patients before and after radiotherapy, prevention and treatment of radiotherapy reaction; ③ Master the confidential medical system, communicate effectively with tumor patients and understand the nursing requirements of dying patients; ④ Be familiar with the writing of various nursing records. Cooperate with the rescue and condition observation of critically ill patients; ⑤ Understand the computer program for handling doctor's orders.
1.2 skill operation objectives are
① Master the configuration concentration of intravenous infusion, subcutaneous injection and PICC sealing solution and the correct positive pressure sealing method; (2) be familiar with the order and time of infusion of chemotherapy drugs; ③ Familiar with the grading standard of radiation skin injury; ④ Understand PICC puncture technique and the use of chronochemotherapy pump.
2 teaching methods
2. 1 Warm reception
Most students, from students to nurses, can't adapt to the new role. Teachers should help them overcome psychological barriers, communicate with students in time, establish a good relationship between teachers and students, and study easily and happily. Therefore, on the day of 1 when the nursing students entered the department, the teachers warmly received them, introduced the general situation of the undergraduate course, and became familiar with the ward environment, layout, goods placement, rules and regulations of the undergraduate course, as well as the responsibilities of several classes and personnel at all levels, so as to eliminate the strangeness.
2.2 Division of responsibility areas
Each student is responsible for 5-6 patients. On the basis of completing the class duties, they take care of the patients in charge as a whole, make nursing plans for key patients, and the teachers will carefully check and guide them.
2.3 Professional theoretical training
Generally, the head nurse and nurses with college education or above are responsible for lectures, mainly in the form of nursing rounds and small lectures. Let nursing students know the etiology, clinical manifestations, indications of radiotherapy and chemotherapy and nursing points. It is required to master the toxic and side effects of commonly used chemotherapy drugs and preventive measures, such as observation, prevention and dietary guidance of digestive tract reactions of chemotherapy patients. It is helpful for nursing students to master the care of patients with tumor radiotherapy by leading them to visit the radiotherapy machinery and equipment and the radiotherapy process and explaining the matters needing attention before and after radiotherapy. Guide nursing students to combine professional theoretical knowledge with clinical practice and quickly improve their professional theoretical level.
2.4 Professional and technical training
Let nursing students know the importance of protecting veins for chemotherapy patients. Treatment principle of extravasation of chemotherapy drugs, prevention and treatment of phlebitis, familiarity with chemotherapy solvents, drip sequence and drip time of drugs in various chemotherapy schemes, configuration concentration of PICC vein sealing solution, and correct positive pressure sealing method. Under the guidance of the teacher, independently cooperate with the teaching teacher to complete PICC venipuncture and other professional operations. Strictly implement the inspection system and various operating procedures at work to prevent mistakes and accidents.
2.5 master communication skills
Master the use of confidential medical system and communicate effectively with tumor patients. Select the competent nurse who communicates well with patients in the department, focusing on the communication skills of admission propaganda, health education and discharge guidance, the problems that should be paid attention to in communication, how to communicate with patients' families, and strengthen the language expression ability and communication skills of nursing students through special lectures, nursing rounds and empathy, so as to gain the trust and cooperation of patients.
2.6 Strictly pass the exam.
Final assessment in the last week: At the end of the internship, the nursing students were assessed on basic technical operation and holistic nursing theory, including theoretical knowledge of oncology and common nursing operation techniques. The results are recorded in the nursing student appraisal form, and the teaching teacher carefully fills in the internship appraisal to make a comprehensive evaluation of the nursing students.
2.7 Evaluation of teaching quality, summing up experience and shortcomings.
After the nursing students' internship, they should convene a summary meeting, and the teachers should dare to face the evaluation of the nursing students. At the same time, as friends, let the nursing students point out the problems in teaching and comment on the performance during the internship.
2.8 stage summary
After each round of nursing leave the department, the teaching teacher should conscientiously sum up the experience and shortcomings of this round of teaching work, at the same time listen to the students' opinions and suggestions on teaching work, find problems, put forward targeted and constructive opinions, sum up achievements and give encouragement in time.
3 experience
Malignant tumor is a kind of disease that seriously endangers human life, and its incidence rate is increasing year by year. During the school study, oncology nursing is not explained independently and systematically, but is a part of internal and surgical nursing. The application of various chemotherapy schemes, the treatment of extravasation of chemotherapy drugs, the application of radiotherapy equipment, the matters needing attention before and after radiotherapy and the treatment of radiotherapy reaction are not systematically explained. Professional and abstract, it is difficult to understand and remember, which makes students have more doubts, and the teaching content is seriously out of touch with clinical practice. In view of this situation, we require teachers not only to have solid theoretical knowledge, but also to have rich clinical experience. By making practical practice plans and adopting phased learning methods and measures, nursing students can be familiar with the working environment of undergraduate courses in a short time and master strict operation techniques and routine nursing in oncology department. Using the above scientific teaching methods, our clinical teaching quality has been significantly improved, and the department has been rated as an excellent teaching department by the school for many times.