During my surgical internship, I observed the rules and regulations of hospitals and departments, respected teachers and worked hard. Familiar with surgical aseptic operation, preoperative skin preparation, preoperative and postoperative care, familiar with dressing change, suture removal, dressing change, the use and devices of various drainage tubes and gastrointestinal decompression, and master the cleaning and disinfection of common surgical instruments and articles and the treatment of contaminated dressings. I hope to learn more knowledge and improve my ability in the next department.
After entering the clinic, surgery is often the main task, while theoretical study and clinical thinking training are relaxed, especially in thoracic and cardiac surgery. There are many kinds of diseases and operations in thoracic and cardiac surgery, so it is easy for me to focus all my attention on the operation. So I take doing more surgery and practicing my hands as the main purpose of my internship. The pathophysiology will change greatly after the operation. I must comprehensively and accurately consider the medical history, signs, degree of illness, surgical methods and other aspects, in order to accurately grasp the key points, see the essence, understand the impact of surgery on patients, and formulate correct treatment measures. Only by letting them know more about why can they gradually improve their ability to analyze and solve problems in clinical work.
With the development of medical science and the wide application of advanced electronic instruments in clinic, it also puts forward higher requirements for nurses, not only to have a high sense of responsibility, but also to learn intensive care and intensive care skills. During my internship in the intensive care unit of cardiothoracic surgery, I mastered intensive care and intensive care skills, and improved the overall quality and professional level of clinical nursing. During my internship, I learned the purpose, significance, precautions and harmfulness of improper operation. Secondly, I learned that some operations can only be mastered by my own experience, and only by mastering the methods and skills can I operate on patients.
During the internship. I always treat myself realistically and strictly, starting from bit by bit, because this is responsible for patients, myself, society and science.
How time flies! In a blink of an eye, I am about to end my pediatric internship. Looking back on these days, it is either bitter or happy, or sour or sweet. I believe everyone has their own taste. I have been practicing in pediatrics for nearly a month, and I have benefited a lot. I am about to leave the department, but I have a lot to give up. I attach great importance to our intern teacher, let us learn and grow step by step. Here, for everyone, during my internship, I strictly abide by the rules and regulations of the hospital and various departments, earnestly perform my duties as a nurse, be strict with myself, respect teachers, unite my classmates, work hard, love the cause of children, and think of children wholeheartedly. At the same time, it is necessary to understand family members, correctly handle the nurse-patient relationship, do a good job of explanation and comfort, say "I'm sorry" more, let family members understand the work of pediatric nurses, and reduce unnecessary misunderstandings or excessive behaviors.
Under the guidance of the teacher, I have basically mastered the nursing of some common diseases in pediatrics and some basic operations. For example, venipuncture, sputum aspiration and atomization, while I am working, I continue to study hard and sum up experience.
In a word, I think I learned a lot in this internship. Although I am only a student, maybe my ability is limited, I use my efforts to enrich my knowledge and skills. I hope to send patients away healthily with my smile, and I am eager to grow up in my study and really be a angels in white who sings silently and flies hard.
In the past two months, under the careful and patient teaching of the teaching teacher, I have learned a lot of things that I don't know in class. During my internship, I learned the general process of treating patients: for example, measuring vital signs; Ask about the patient's medical history, allergy history, etc. Write nursing records carefully, observe the patient's condition at the same time, cooperate with the teacher's guidance, and understand the basic application of antibiotics to each digestive system.
During the internship, I strictly abide by the rules and regulations of the hospital and various departments, earnestly perform the duties of nurses, be strict with myself, respect teachers, unite my classmates, work hard, and think of patients wholeheartedly. At the same time, we can understand family members, correctly handle the relationship between nurses and patients, do a good job of explanation and comfort, say "I'm sorry" more, let family members understand the work of nurses, and reduce unnecessary misunderstandings or excessive behaviors.
Hypertension, arrhythmia, coronary heart disease and heart failure are common diseases in cardiology. Under the guidance of the teacher, I have basically mastered the nursing and basic exercises of some common diseases. Welcome new patients with a smile and do a good job in admission evaluation; Closely monitor vital signs and standardize records; Collect blood and urine samples correctly; Actively cooperate with doctors for treatment; Strictly implement three checks and seven pairs; Seriously carry out intravenous infusion. At the same time, continue to study and sum up experience. Can be diligent, good at observing patients' condition, grasp the changes of the condition in time, make accurate judgments, and cooperate with me in treatment. As the saying goes, patients are teachers. I hope everything goes well at the next stop.
During my internship, I took the initiative, observed the rules and regulations of hospitals and otolaryngology departments, mastered various nursing operation skills, and earnestly completed various nursing work. Through the enthusiastic guidance of teachers, I deeply realized the professionalism and artistry of nursing work: as an otolaryngology nurse, I should not only be familiar with the theories of various disciplines, but also master the operation of various professional skills, and have enough patience and love.
In daily work, we should use our own intelligence, treat patients with sincere attitude and communicate with their families seriously. These tasks seem simple, but it is not easy to be perfect. In the future, I will continue to carry forward the rigorous, realistic, serious and cautious work style, do every job in a down-to-earth manner, and strive to become an excellent clinical nurse as soon as possible.
After three months of study, I have gained a lot, greatly broadened my horizons, enhanced my professional ability, further understood and made up for my own shortcomings, and made clear my future learning direction.
In the study, under the correct leadership of the head nurse and the careful teaching of the teachers, through their own efforts, the main tasks of this study have been basically completed. The first stop of study is the otolaryngology clinic. I can't help but be afraid of the number of patients who have just arrived in the waiting area of the clinic. After a period of study, I found that although there are about 200 patients in the clinic every day, they are busy in an orderly way under their scientific management. Outpatient specialist facilities are fully equipped with a full set of advanced special inspection equipment, such as vestibular function tester, voice and nose function inspection equipment, etc. All inspection rooms are built according to standardization, and professional inspection technicians are also equipped reasonably. At present, our department lacks specialized inspection equipment and professional technicians. Outpatient study has given me a new understanding of the outpatient management of otolaryngology, a further understanding of the auxiliary examination of otolaryngology diseases, and strengthened the study of disinfection and maintenance of special instruments.
In the future work, I will combine the actual situation of our department and apply what I have learned to practical work, hoping to serve patients better, make my own contribution to the nursing work of our department as much as I can, and be worthy of this valuable learning opportunity given by the leaders.
The obstetrics and gynecology internship is over. Because the department implements the follow-up system, there are classes every Monday, and the interns can't write documents without obtaining the nurse qualification certificate, which gives me more opportunities to get in touch with the clinic, understand the patients and exercise myself.
Dial the number of gynecological clinic; Prenatal examination room calculates pregnancy, measures blood pressure and monitors fetal heart rate; Vaginal irrigation and preoperative preparation in the operating room opened a bright door for my obstetrics and gynecology practice. The foreman is mainly nursing the parturient. My postpartum incision not only needs infrared radiation and Chinese medicine application treatment, but also has to push a bulky massage instrument for breast and uterus massage to promote milk secretion and uterus recovery. Of course, perineal disinfection three times a day is also essential. These treatments take up part of my time, leaving me little time to think about other things. After treatment, we can only do some short-term operations, such as receiving normal saline and listening to fetal heart.
Relatively speaking, the work of the women's class is quite miscellaneous, mainly including oxygen inhalation, incision infrared irradiation, bladder irrigation, replacement of drainage bags and so on. In fact, there is no absolute boundary between the work of the midwifery class and the work of the maternity class, and they all help each other, such as infusion, temperature measurement, blood pressure measurement and blood sugar measurement. Who has time to do it.
The main class mainly works in the delivery room, taking care of pregnant women, assisting in delivery and maternal and child health education. In the morning, in addition to assisting the teacher to bathe the baby, measure jaundice, vaccinate, draw blood and measure blood sugar. There is also a baby touch. In the afternoon, the crib will be made and the equipment will be packed. Although I am not a mother yet, everything I have learned here will benefit me a lot in how to play the role of a good mother in the future.
Only by putting yourself into the internship and having a good experience can we gradually accumulate experience. During my internship in obstetrics and gynecology, I abide by the rules and regulations of the hospital, don't be late or leave early, respect teachers, work actively, and strive to apply the theoretical knowledge and basic skills I have learned to practice. Under the guidance of the teacher, I have basically mastered the nursing and some basic operations of some common diseases in obstetrics and gynecology, which made me gradually transition from an intern to a nurse, thus making me realize the particularity and necessity of clinical work. Thanks to the teachers' teaching, I successfully and happily ended my practice in obstetrics and gynecology.
Self-identity of nurses leaving the department 7 Otolaryngology Department is only 2 weeks, and the time is long and short. The tutor is Dr. xx, the supervisor is Mr. xx, and the director is Mr. xx. Follow the value once and teach xxx teacher.
I just entered the hospital and am not familiar with the operating system. I am not as agile as other students, but I still study hard. Otolaryngology is a highly operational subject, and the correction of nasal septum deviation in books is very important in clinic. I didn't know that otolaryngology was also surgery until I went in. The' teachers' inside were all good surgeons, and I didn't know until I started my internship. It turns out that in my internship line, the first four departments are all surgery (otolaryngology, ophthalmology, surgery, orthopedics). Hehe, the elder sister said it was surgery from the beginning, which was not very cost-effective, because it was very tiring to "practice both inside and outside" when she first entered the clinic.
The most important examination in otolaryngology department is admission examination, which is the key to give patients a targeted examination. Including: ear examination (auricle, external auditory canal, tympanic membrane), nasal examination (nasal appearance, nasal vestibule, inferior turbinate, middle turbinate, observation of mucosa, drainage, polyps, etc.). ), throat examination (tonsil ring, tonsil enlargement, uvula deviation, congestion of pharynx and palatopharyngeal arch, lymphoid follicular hyperplasia, etc.). These simple external examinations are basically necessary when you are admitted to the hospital. I often do some special tests, such as tuning fork test and laryngoscope observation in listening test. In the aspect of instrument examination, I learned to look at pure tone hearing threshold test and middle ear acoustic impedance curve, and became familiar with a series of operations of nasopharyngeal laryngoscope.
During my two weeks in otorhinolaryngology, I have seen several common diseases: sudden deafness (including nervousness and conductivity), unexplained epistaxis, radiotherapy and chemotherapy for nasopharyngeal carcinoma, pharyngeal tonsil abscess, nasal polyps and sinusitis, mastoiditis and otitis media. After I went to the emergency department at night, I learned how to deal with acute massive hemorrhage in a small area, how to solve the problem of fishbone (including barium meal examination with cotton wool), and how to puncture the blood bubble on the palate. In the operating room, I visited the total resection of parotid mixed tumor, double Fess+ nasal septum correction and epiglottic cyst resection.
Below I listed some very detailed knowledge points:
1, in the relationship between otolaryngology and endocrinology, i query literature found that under the stimulation of estrogen, nasal mucosa will grow like endometrium, and at the same time, mucosal secretion will increase, which is why pregnant women are prone to rhinitis, and why menopausal women are prone to atrophic rhinitis and nosebleeds.
2. The causes of facial paralysis can also be parotid gland tumor compression and mastoid lesions. And after parotidectomy, there will be symptoms of swelling and sweating of the mandible (it is a normal phenomenon that will occur during the process of nerve growth and will relieve itself).
3. Sudden deafness is an unexplained hearing loss in the inner ear for up to 3 days, and most of the reasons are related to cochlear vestibular vascular stasis. Clinical use of erigeron breviscapus needle or erigeron breviscapus powder injection, oral sibelium dilate blood vessels to improve blood flow. At the same time, cerebral Doppler blood flow will be routinely checked to rule out the factors of cervical vascular limitation.
4. Acoustic impedance test is specially used to measure middle ear function. The normal curve belongs to the peak type. The curve of ossicular chain fixation is low peak, which indicates that the rigidity of ossicular chain increases. When the eardrum shrinks or the ossicular chain is interrupted, the compliance increases abnormally and the curve exceeds the limit. Tympanic effusion or adhesion lesions, limited tympanic membrane activity, flat curve. When the pressure of external auditory canal and tympanum is equal, the sound is the most stable and forms a peak, which can show the degree of negative pressure in tympanum.
5. If there are drugs related to coagulation in the doctor's advice, whole blood analysis and coagulation must be set to st! .
In fact, when I first arrived here, I still made many mistakes, such as giving the wrong doctor's advice when I was on duty at night, grabbing lines and saying the wrong thing when I was in the morning shift, and dressing myself when I entered the operating room ... But the teacher was very tolerant, didn't say how to scold me, and didn't blame me too much. I was slowly becoming noticeable.
These two weeks are just in time for project application. I have no experience and poor design. I was scolded several times, and I was in a bad mood. ....
However, we must continue to work hard. I believe I will do better in the future!
In a blink of an eye, more than a month's surgical internship life has ended. During the internship, I will strictly abide by the rules and regulations of the hospital, earnestly perform my duties as an intern nurse, be serious and strict with myself, respect teachers, unite my classmates, care for patients, not be late, not leave early, work hard, standardize nursing work, improve skills and services, motorize basic nursing, make love actions regular, and integrate theory with practice. During my internship, I always take "love, care and patience" as the foundation, and strive to be diligent in eyes, hands, feet and mouth, think about patients' thoughts, worry about patients' urgent needs, and wholeheartedly provide quality services to patients, thus establishing a good medical ethics.
In surgical practice, strictly abide by the department system, attend nursing rounds on time, and be familiar with the patient's condition. Can correctly answer the questions of the teachers, standardize and skillfully carry out various basic nursing operations and specialist nursing operations, correctly carry out the doctor's orders, strictly carry out three checks and seven pairs, and complete the handover records in time. Can do a good job of preoperative preparation and guidance, and complete postoperative care and observation. Problems found in work can be carefully analyzed and solved in time, and various nursing operations can be skillfully performed. For the acute, dangerous, old and serious patients in the department, they can quickly get familiar with the illness and deal with it. Through study, my theoretical level and practical level have been improved. In the future work, I will continue to work hard, keep in mind the responsibilities of nurses, constantly strengthen ideological and professional study, comprehensively improve my comprehensive level and become a qualified nurse.
During my internship in general surgery, I fully understood the nursing work of general surgery. Master common nursing techniques in general surgery, such as gastrointestinal decompression, indwelling catheter, indwelling needle in peripheral vein, enema, etc. At the same time, I also learned the postoperative care of appendicitis, hernia and thyroid. Mastered the contents that should be carefully observed after gastric cancer, gallstones, colon cancer, rectal cancer and other operations. Can undertake the preoperative preparation and postoperative care of appendicitis, a common acute abdomen in general surgery. In this internship, I learned that general surgery is a surgical department, which requires nurses to have the emergency ability and strong technical level to deal with batch problems in a short time.
How time flies! The X-month internship stopped in a blink of an eye. Practice is the first step for us to apply theory to practice and clinic. In this process, I have benefited a lot and gained a lot. I am an intern in XX Hospital. According to the requirements of schools and hospitals, I studied X, X and other X departments. During the internship, I shall abide by the rules and regulations of the hospital and various departments of the hospital, respect teachers, unite with * * *, be strict with myself, and strive not to be late, leave early, be absent from work without reason or leave my post without leave. Treat patients with a pleasant attitude and strive to apply the theoretical knowledge and basic skills learned to practice. In this process, I constantly sum up my learning methods and clinical experience and lessons, strive to improve my ability to think, solve problems and work, and cultivate my noble thoughts and good professional ethics of serving the people wholeheartedly. After X months of practice, I have mastered the writing of medical documents such as course records, consultation records and discharge records. Master the characteristics of clinical departments and the diagnosis and treatment of common and frequent patients in various departments; Master the abnormal values and clinical significance of common examinations and the preliminary treatment of various dangerous, serious and urgent patients. The learning obligations of all departments have been well realized. Through more than half a year's internship, my theoretical water temperature and practical level have been improved. In the future work, I will continue to work hard, keep in mind the responsibilities of nurses, constantly strengthen thinking study and professional study, comprehensively improve the comprehensive level, and provide quality services for patients!
Self-evaluation of nurses leaving the department 9 We have been in Hechuan District People's Hospital for almost xx months. I came to the hospital as an intern from school, as if it happened yesterday. I deeply realize that today in our internship life is a tomorrow that many people who lived yesterday can't get, and it is a past that we can't come back tomorrow. I cherish every day, every minute and every second here.
In a blink of an eye, the internship in thoracic surgery is coming to an end. Think carefully about our internship life. Clinically, we strictly implement the system of three checks and seven pairs and three checks and eight pairs, and we work very hard and seriously in everything for fear of making any mistakes. I feel very tired. I feel my feet are heavy after work every day. I really want to sleep on a mat at night. We girls break up once a day. When I open QQ to see the students' internship sentiment, I feel a lot of * * * ringing in my heart. Every time I go home, I want to read for a while, but I fall asleep as soon as I pick up the book.
Think of the sentence "It's getting better!" The teacher shook his head when talking about the future of the school. Now we look at flowers in our dreams. So the first thing to do when you get up every morning is to give yourself a bright smile in front of the mirror, say "getting better" and smile.
Try your best to do everything well. I think it is necessary for both nurses and staff in other industries. I said to myself silently that I must give the patients the greatest comfort and let them recover as soon as possible. Seeing that the patient's spirit is getting better every day after operation, we feel very happy and have a little sense of accomplishment at work. I am making progress every day, and my progress cannot be separated from the tireless teaching of teachers. Although I don't know much now, I'm working hard.
I really learned a lot, both in knowledge, life and attitude towards life. Understand the working process of thoracic surgery, the work done in each class and the common surgical care of thoracic surgery, such as the care of gastric ulcer perforation, breast mass, colon tumor, appendicitis, inguinal hernia, varicose veins and so on. And learn to do preoperative preparation and postoperative preparation, as well as the handover before and after the operation. Nursing care of venous indwelling needle, jugular vein indwelling needle, indwelling gastric tube, urinary tube and postoperative drainage tube.
It is a great encouragement for me who just came out. Teachers often teach me that as a nurse, I must be responsible, careful, caring and patient. Here, I am very grateful to the hospital for providing me with internship opportunities, and I am also very grateful to the teachers of thoracic surgery for their concern and teaching. We will cherish this opportunity, strive to improve ourselves, let ourselves learn more and become a qualified and excellent nurse.
My name is xxx, and I graduated from xx Nursing College in 20xx. Since I graduated in 2008, I have been working hard, with solid professional theory, skilled technology and good service attitude, which is well received by medical patients.
Especially when I am a head nurse, I can be strict with myself, pay close attention to the implementation of rules and regulations, strictly check three pairs and seven pairs, put an end to medical accidents and disputes, and better complete the tasks assigned by the nursing department. Also, since the 5. 12 earthquake, I have accepted the convalescence work of earthquake victims in batches, and I have taken enthusiastic actions to stimulate an optimistic attitude towards life, so that the wounded can get out of their grief and stand up again as soon as possible.
And let them have a strong sense of belonging to Guangxi and draw closer the feelings between ethnic groups. During the Spring Festival, when people were nervous and their shifts were heavy, they gave up their rest and took the initiative to undertake the measurement task, which ensured the safety of nursing work during the festival. After the head nurse gave orders, she quickly adapted to the change of role, and the management work was orderly, which improved the work order, service attitude and ward environment of orthopedics. The satisfaction rate of patients with the quality of nursing service reached 100%.
Over the past year, I have cared for, cared for and cared for every patient, and I have been generous, which has improved the centripetal force and cohesion of the nursing team, stimulated the service enthusiasm of the staff, and made the orthopedic nursing work flourish.
Self-identity of department nurses 1 1 Treat children kindly and with a good attitude. Although sometimes we meet many family members of children who are outspoken, what we medical staff can do is to 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 continue to serve patients and try our best. Contact with many children and their relatives every day, I understand that the greatest wealth in life is not money but life and health, and our duty is to defend a healthy life.
During my internship, I will abide by the laws and regulations of hospitals and pediatrics, respect teachers, unite with my classmates and be strict with myself. I try not to be late, not to leave early, not to be absent from work for no reason, and not to leave my post without authorization. I am kind to patients and have a good attitude. I try my best to apply the theoretical knowledge and basic skills I have learned 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 strive to cultivate my lofty thoughts and good professional ethics of serving the people wholeheartedly. After 1 month's practice, I have basically mastered the writing of medical documents such as course records, consultation records and discharge records. Master the characteristics of clinical pediatrics and the diagnosis and treatment of common and multiple pediatric patients; Master the normal values and clinical significance of common examinations and the preliminary treatment of various dangerous, serious and urgent patients.
In the future, I will continue to be enthusiastic, realistic, earnest, take the initiative to study, actively study for teachers in all departments, and assiduously absorb medical knowledge with the belief that "health depends on life" to serve future study. How time flies! In a blink of an eye, I will soon end my internship in four departments: internal medicine, surgery and women and children. Looking back on these days, whether it is bitter or happy, it is sour. I have benefited a lot from my pediatric internship for nearly a month. I am leaving this department soon, but I have a lot to give up. For our internship, teachers in Corey attach great importance to it, and the weekly internship arrangement is also orderly, so let us learn and grow step by step. Here, I would like to express my heartfelt thanks to all the teachers.