Summary is a kind of written material for reviewing, analyzing and evaluating after a certain period, a certain project or a certain work has come to an end or been completely completed. Drawing lessons from it and some regular knowledge can make us more efficient, so we need to go back and summarize and write a summary. Have you figured out how to write a summary? The following is a summary of my internship in orthopedics, carefully arranged for reference only. Let's have a look.
Summary of orthopedic surgery practice 1 Time flies, and the time for orthopedic practice has passed. These days, I have learned a lot that I can't learn from textbooks, not only medicine, but also being a man and doing things.
I remember when we first arrived at the hospital, we all went to Cory to report with curiosity and anxiety. When I first entered the department, I didn't know what to do. I was afraid it would be helpful, but under the patient guidance of the teacher, I gradually became familiar with some work in the hospital. Counting, I have had almost 100 operations in the hospital, ranging from medial malleolus fracture to clavicle fracture and metacarpal fracture. From total hip replacement, cervical surgery, lumbar surgery. In fact, the size is only relative. In the eyes of doctors, all operations should be major and should be treated equally.
Speaking of surgery, I remember my first operation, when I was on the night shift with my teacher, there was a patient with an open fracture of the distal tibia and dislocation of the tibiotalar joint. When I opened the gauze wrapped around his leg, I saw the broken end piercing the skin. That was the first time I saw a living bone. It's nothing like the bones I saw in the anatomy lab, but I don't think it's that scary. After giving the patient some treatment and blood tests, he entered the operating room. The operation went on from zero to two. I feel weak when I come out of the operating room. The first time I went to an operation, I felt very tired and went to bed in the middle of the night. At that time, I thought it was not easy to be a doctor. I should not only be prepared for surgery at any time, but also have enough mental willpower.
During the four months of internship, what impressed me most was the operation on the spine. Participated in spinal surgery, including cervical spondylolisthesis, cervical disc herniation, lumbar compression fracture, burst fracture and lumbar disc herniation. It is necessary for the surgeon in charge of spinal surgery to be bold and cautious, because as long as there is a slight deviation, it will cause irreparable damage to the patient's nerves. However, if the operation is successful, the effect is very significant and the pain of the patient is alleviated. Taking lumbar burst fracture as an example, patients underwent routine examination and elective surgery after admission. The general procedure of spinal surgery is: after cutting the skin and subcutaneous tissue, peel off the erector spinae with an electric knife to expose the lamina and vertebral body. With the help of the C-arm fluoroscopy machine, locate the pedicle with a positioning needle, and then screw in the pedicle nail. Then, the spinous process of the diseased vertebra was cut off with spinous scissors, and the bone block occupied in the spinal canal was taken out with bone rongeur and gun forceps, and the spinal nerve was liberated and exposed for examination.
Finally, connect the pedicle screw tail rod and transverse seam, cover the muscle tissue on the pedicle screw after counting gauze instruments, connect negative pressure drainage device, fix, sew layer by layer, close the incision, cover the wound with sterile dressing, and the operation is over. Thoroughly stop bleeding during the operation, pay attention to protect the nerves, and be careful not to suture the drainage tube during suture. Change the dressing on the first day after operation. If less than 50 ml of blood is drained the next day, the drainage tube is removed, then the dressing is changed the next day, and the stitches are removed 14 days after operation. You can leave the hospital after the stitches are removed. This is a process of patients with lumbar burst fracture from admission to discharge. Patients need to be hospitalized for at least 16 and 17 days, that is, half a month. In this half a month, the attending doctor is the biggest spiritual pillar of the patient's psychology. Therefore, in this half a month's time, we should treat patients as relatives.
My orthopedic internship is over. During the internship, I shall abide by the rules and regulations of the hospital and various departments of the hospital, respect teachers, unite with classmates, 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 kindly, have a good 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, 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. What I learned in school before was all theoretical, but now I find that what I saw in my actual work is not as simple as I thought, nor as typical as what I wrote in the book. At work, I often rely on my usual experience. Only by practicing and having good experience can I gradually accumulate experience. Worthy of a white coat!
Summary of orthopedic surgery internship 2 In a blink of an eye, I have been practicing for a month, and I can still remember the scene when I came. Now, a month has passed. The original expectation, hesitation and confusion. In this month's time, it has gradually declined, replaced by a kind of persistence in work, understanding of life and respect for life. This month in orthopedics, I have a feeling about work, an understanding of life and another understanding of interpersonal relationships. At first, we cleaned the bed every day. At first, I was a little annoyed. I don't think I can do many operations. I think cleaning the bed is too boring. I think those are too simple. I can't exercise myself to improve my skills and professional quality. Until the head nurse of our surgery came to our department to ask about our situation and check our gfd. Her words made me awake, and I began to doubt whether the daily tiredness was worth it. The head nurse asked us what to do every day. We all talked indifferently about cleaning the bed. Then she asked us, if you do this every day, you have never thought of any way to make the bed work and make the patients feel comfortable. We're all thinking. Although we have thought of many ways. However, why do we always wait for others to ask questions before we suddenly realize that there is such a problem? We always complain about being tired, but have we ever thought about what we get after being tired, whether it is worth it, and always go to work rigidly, without thinking, asking questions or solving problems. The head nurse said that we should really consider the patient's comfort, do these things every day, don't feel bored, be tired and happy, and really feel happy.
Every day here, I have to contact all kinds of patients and their families. They brought me feelings and unhappiness. However, these are undoubtedly teaching me to remember those feelings, forget those unhappy feelings and still face them with a smile. Sometimes I feel very sad. I sweep their beds every day, in exchange for their impatience and indifference to us. Maybe life is always like this, so we can cherish those feelings more, and because of this, the success we have achieved through hard work is more sweet and colorful. Whenever we shuttled back and forth in those wards over and over again, observing the drip rate of patients and the reaction of patients after infusion, those family members would say to have a rest. They were so tired that they really felt that everything they did was happy. Some people and things are beyond our control. We can only change ourselves and always remember to smile.
In a word, I have learned a lot in the past month. Whether in knowledge or in interpersonal communication, I began to learn to adapt to the transition from school life to social life. Learn to find problems and think about them, instead of thinking about solving them when others ask questions. In the next few months, we should keep thinking, integrate theory with practice, and let ourselves do a better job in nursing.
Summary of orthopedic surgery internship 3 I came to Renhe Hospital of Three Gorges University with a hope and a loss, and started my internship career. Since then, my identity has changed from a student to an intern nurse, my living environment has changed from a school to a hospital, and my contacts have changed from teachers and classmates to doctors, nurses and patients. For these three changes, how to be a qualified intern nurse, although the teacher has given us thousands of instructions, is still uneasy, strange and uncomfortable, afraid of being scolded by the teaching teacher, afraid of doing worse than others, and don't know where to start. ...
After nearly three months of internship, I also have a lot of experience. Here, I have summarized the following points:
First, the problem of theoretical knowledge: in the past, students have always been students, and schools are student-centered. Chinese education has always been cramming, passively accepting so much knowledge. Although I have taken the exam so many times, now my knowledge seems to have disappeared in my mind and I can only keep turning pages. When I was speechless under the teacher's questions again and again, I realized that my memory was shallow, and memories without time were like footprints on the beach. At that time, it seemed profound and obvious, but it could not bear the cleaning of time.
Second, the problem of role transformation. When I first started my internship, I didn't understand many things. Although I have had a probation period before, I still feel lack of confidence when it comes to actual operation. Will I make a mistake? What if I did something wrong? I am always timid in doing things, and my classmates who practice with me do well. I think the teacher likes it. It seems that it's not my turn. I blindly follow the basic nursing and follow the operation every day. I want to say let me try, but I dare not. So I think the role change is a hurdle, and I must work hard to overcome it. The method mainly depends on initiative. I found that teachers are happy to teach as long as they ask questions and put forward operational requirements on their own initiative. You can't wait for the teacher to ask for something like in school.
Third, exercise bravely. In the face of patients, especially surgical patients, it is common to see blood, and when patients groan in pain, especially during surgery, their hearts will always be in their throats, so being careful and tying their hands behind their backs will bring more pain to patients. Therefore, you should be more bold and exercise more. My goal is to be bold and cautious, and only accurate and quick can solve the patient's pain as soon as possible.
Fourthly, aseptic concept and standardized operation. During the surgical practice, every teacher emphasized the concept of sterility. So I deeply understand the concept of sterility and follow it unconsciously in the operation. And standardized operation is really a very conservative and safe practice! As for new methods and innovative thinking, we must be familiar with the situation.
Smile service: Here, I see smiling faces, all of which are particularly beautiful and lovely, which makes me feel that if I were a patient, I would choose to live here without hesitation. Therefore, I also ask myself not to bring emotions to work, and keep a sunny smile every day to make patients feel warm!
Orthopedic practice is almost over. During the three-month internship, I observed the laws and regulations of the hospital and various departments of the hospital, respected teachers, United my classmates, and strictly demanded myself, striving not to be late, not to leave early, absent from work without reason and leaving my post without authorization. Treat patients kindly, have a good 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, 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.
During my internship in this department, I will abide by labor discipline, work hard, study hard, and be able to apply what I have learned from books to practice. Under the guidance of the teacher, I basically mastered the nursing and some basic operations of some common diseases in orthopedics, which made me realize the particularity and necessity of clinical work from an intern to a nurse. What I learned in school before was all theoretical, but now I find that what I saw in my actual work is not as simple as I thought, nor as typical as what I wrote in the book. At work, I often rely on my usual experience. Only by practicing and having good experience can I gradually accumulate experience.
I want to thank all the teachers who helped and taught me this internship and thanked them for their careful guidance. Thanks to Renhe Hospital of Three Gorges University, I have gained fruitful results bit by bit. At the same time, I will devote myself to my future work with a more active working attitude, more solid operational skills and deeper theoretical knowledge to improve my clinical nursing ability. In the future, we should learn more knowledge, make continuous progress, and improve our requirements in order to gain more. I will keep this hospital internship in mind, lay the foundation for becoming an excellent angels in white in the future, and do my part for the nursing cause!
Summary of Orthopedic Surgery Practice 4 Time flies! I walked into the First Hospital of _ _ _ _ _ _ and worked as an orthopedic nurse for half a year. Since graduation, I have been devoted to my study and work with rigorous attitude and positive enthusiasm, with both the joy of success and the bitterness of failure. After clinical contact, I found that I should not only have a solid theory, skilled clinical operation and good professional ethics, but also cultivate my patience and love. The six-month service period is coming to an end, but I will be more strict with myself. I hereby declare the following:
Highly motivated ideologically, brave in criticism and self-criticism, and established a correct outlook on life and values. Can strictly abide by the rules and regulations of the hospital, actively participate in various activities organized by hospitals and departments, respect leaders and unite colleagues.
I am strict with myself in my study. With a strong pursuit of the goal and knowledge of becoming an excellent angels in white, I studied hard, studied hard, had a correct attitude and a clear goal, basically mastered some professional knowledge and operational skills, mastered specialist knowledge and various specialist nursing operations, and integrated theory with practice. In addition to learning professional knowledge, we also pay attention to the expansion of all aspects of knowledge, extensively dabble in other disciplines, and improve ideological and cultural quality.
Actively cooperate with superiors and colleagues at work, correctly implement the doctor's advice and various nursing technical operating procedures, do a good job in basic nursing, and strictly implement aseptic operation and the system of three checks and seven pairs. Find problems, report them in time and solve them in time. I can integrate theory with practice in my work, and I can consult the head nurse and senior teachers in time if I don't understand any questions, so as to improve my professional level. Treat patients with civility and courtesy, behave in a civilized and kind manner, be anxious about patients' worries and think about patients' thoughts. Actively communicate with patients, timely understand the psychological dynamics of patients, so that patients can receive better treatment and do a good job in health education.
In my life, I have developed good living habits, lived a full and orderly life, and managed my daily life with a rigorous and positive attitude. I am warm and generous, honest and trustworthy, ready to help others, and have my own balance principle. I can live in harmony with my colleagues and actively participate in various extracurricular activities, thus constantly enriching my work experience and life.
I will devote my limited life to unlimited medical work. In the future, I will study harder, improve my professional and technical level, and make my theoretical knowledge and operational skills by going up one flight of stairs, so as to better serve patients. Strive to be an excellent nursing staff, worthy of the glorious title of angels in white!
Summary of Orthopedic Practice (5) Time passed quickly, and the internship life of orthopedic surgery ended in a blink of an eye. Looking back on these days, there are joys and sorrows, and there are sorrows and joys. Every day, I make rounds, change medicine, write course records, return to surgery, and write a discharge summary. Every day, my life is spent in such repeated busyness. After nearly a month's orthopedic practice, I have learned more about myself. The dressing change in orthopedics is the most complicated, and the operation is almost the longest. Many of them are open fractures and machine injuries of limbs, and they often can't get off the stage for hours or even a day. Especially in the night shift, emergency patients will go to the stage as soon as they arrive, and the operation often lasts until midnight. Although I am very tired, I still feel very full. On the stage, I used to think it was not difficult to tie a knot surgically, but sewing a wound still needed some basic skills. For the first time, I know that seemingly simple operations are so difficult to implement. Every time I have an operation, no matter how late or tired I am, the teacher will insist that I sew the wound. I am slow, but he always teaches me patiently, telling me to practice hard, ask more questions and think more, and practice makes perfect.
In orthopedics, there are many types and locations of various fractures and injuries. Have a certain understanding of car accident injury, knife injury, machine injury, joint reduction, plaster external fixation, open reduction and internal fixation of limb fractures, and various debridement and suture. And improved the principle and operation of surgical infertility. After staying in a department for a long time, I feel that everyone really feels like a family. The care and instruction of teachers and the cooperation of the whole department make the busy work full and happy. Although I am only a student now, maybe my ability is limited, but I will use my efforts to enrich my knowledge and skills, study hard and practice more, and make persistent efforts.
Summary of Orthopedic Surgery Practice 6 Orthopedic practice lasts for one month, and there are more than 20 large and small operations, which is worth three night shifts and one weekend day shift. It can be said that I have learned a lot through these operations and postoperative treatment. Not only in technology, but also in humanistic care. In this short 30 days, pain and happiness coexist. And the biggest pain is physical fatigue-in traumatic orthopedic surgery, there are many cases of limb fractures, and in limb fractures, lower limb fractures are particularly common. Fracture is classified according to different angles. Fracture can be divided into closed fracture and open fracture according to whether there is a broken end exposed to the outside world. Open fractures must be surgically reduced, and closed fractures can be determined by manual reduction and the severity of the disease. When open reduction of lower limb fracture is determined, the whole injured limb should be disinfected before operation. The process of disinfection is: firstly, use 2% iodine to disinfect, and then use 75% alcohol to remove iodine.
The patient lies flat on the operating table. When we clean the front and side of our legs, you will find problems. How to disinfect the part of the leg that touches the operating table? Yes, your idea is absolutely right-just lift your legs and disinfect your back, but things are far from as simple as you think. Many people think it's no big deal just to lift their legs. But when the leg bone is broken, the broken end will become an extremely sharp knife. If the affected limb is simply raised, under the action of gravity, the greater the angle of fracture and dislocation, the greater the probability of peripheral vascular nerve damage. So you can't just raise the affected limb, but also pull the affected limb along the line of force. There is a saying that arms can't twist thighs. When you lift the affected limb and pull it out, and make sure that your body does not touch the operating table for 5 minutes, you will find that your arm is shaking and your breathing is accelerating. When you see many Venus, you will regret not having more breakfast in the morning. Hehe, does it hurt a little?
The requirement of aseptic concept in operating room is very strict, and the nurses in operating room are also extremely strict. Any action that does not conform to the aseptic standard will immediately arouse their dissatisfaction, so many interns are scolded a lot, but I seldom see their faces in the operating room, because I have received strict training in the simulated operating room and internship, and because of my professional performance, they unconsciously stop treating me as a student, but as a standard surgeon.
My excellent performance naturally attracted the attention of Professor Li Zhengwei in our operation group, so he was particularly relieved of me and asked me to do some work. What excites me most is a femur operation. He is the chief surgeon, and there are five people on the stage. He, his resident, senior doctor, one of his graduate students and me, I am the youngest in terms of qualifications, but in this operation, I finished my first performance. The situation at that time was that the fracture site had been cut and the fracture was well aligned. Professor Li put the steel plate away. After he hit the first bone nail, he said to me, Xiao Yang, come on, you hit it. I am very excited. Under the envious eyes of the three doctors, I took an electric drill and drove the drill steadily into the femur, then fixed it with steel nails. The technology is very good, and the professor nodded with satisfaction. This is a great encouragement to me. In the dressing room after the operation, Professor Li Zhengwei said that he wanted me to be an orthopedic surgeon. With the expectation and encouragement of this well-known orthopedic expert in China, I feel that my goals are clearer and my motivation is more sufficient. I believe I will live up to his expectations!
Summary of Orthopedic Surgery Practice 7 According to the relevant regulations of Weifang Medical College and our hospital, according to the requirements of graduation internship program, with the joint efforts of teaching leaders and medical staff in our hospital, our department successfully completed the 20x*-20x* annual internship teaching task, and now the summary report of teaching work in our hospital this year is as follows:
First of all, in clinical teaching:
Teaching case discussion once a week, presided over by the department director or teaching secretary. Teaching case discussion takes the existing typical cases as the discussion object, and makes a comprehensive analysis of the cases in combination with clinical manifestations and auxiliary examinations. Through active guidance, improve students' ability to analyze and solve problems. At the same time, the new progress of disease diagnosis and treatment is introduced, which broadens students' horizons. Weekly departmental practice lectures and weekly teaching rounds are taught by experienced attending physicians and above, and the teaching completion rate is 100. In the small lecture, the teacher prepares to teach, comprehensively summarizes the lecture outline and content according to the clinical practice, and highlights the horizontal and vertical knowledge connection instead of simply repeating the theoretical content, which has achieved good results. Practice skill operation every week 1-2 times, so that students can master the operation steps and precautions of diagnosis and treatment of common orthopedic diseases, and can independently complete the basic orthopedic operation skills required by the syllabus under the guidance of teachers before leaving the department.
Under the organization of the head of the department, the teaching teachers should do a good job in the examination and assessment of each group of students, listen to the opinions of the rotating teaching teachers, and make an objective and comprehensive evaluation of the students' internship. Students' internship performance and graduation performance are good. This year's relevant teaching documents and archives are well managed and stored in an orderly manner.
Second, self-construction:
Many seminars were held for interns to solicit their opinions on teaching and clinical teaching, which promoted the internship teaching in our department. Hold a departmental forum every quarter to exchange teaching experience, commend good deeds, promote mutual learning in teaching and improve the level of teaching management. Cultivate the teaching ability of young and middle-aged teachers by auditing, teaching and organizing training, and do a good job in the construction of teachers' echelon.
Third, seriously complete other work:
1. Teachers from all walks of life continue to strengthen their study through professional training in the whole hospital, organizational learning in departments and self-study, and strive to improve their ideological and professional quality. Strengthen reflection and sum up teaching gains and losses in time. Be realistic and innovative, and earnestly carry out teaching and research work. General practice has formed a good learning atmosphere and created a good environment for students' practice.
2. For every task assigned by hospitals and departments, we can complete it with the greatest enthusiasm and basically achieve high quality and high efficiency.
3. By auditing, giving lectures, organizing training, etc. Take various ways to cultivate the teaching ability of young and middle-aged teachers and do a good job in the construction of teachers' echelon.
Fourth, summarize and improve:
This academic year, our college has carried out a series of cultural and sports performances, large-scale sports meetings, literary evenings and so on. At the same time, summarize the teaching gains and losses. Looking back on the work of this school year, while enjoying the achievements, we are also thinking about the shortcomings in our work. There are mainly the following points:
1, the study of the new curriculum standard of clinical teaching is not deep enough, the practical thinking of the new curriculum is not enough, and some teaching ideas and problems can not be recorded in time for reflection;
2. Teaching and scientific research This academic year, I strengthened my study and carefully studied some theoretical books on teaching and scientific research, but they were not deep enough.
3. Strengthen bilingual teaching and pay attention to the application of multimedia, pay attention to contact with the most cutting-edge research results and broaden students' horizons.
After a year of hard work, the teaching level of our department has been greatly improved. The students think that the teaching staff are noble in medical ethics, practical, conscientious and responsible, and have gained a lot through their study, and successfully completed the tasks stipulated in the internship outline. Moreover, our department was rated as "advanced department of practical teaching" by medical college, and the director was rated as "excellent teacher of practical teaching". This is an affirmation of our work and an encouragement to us. We will make persistent efforts to do a good job in teaching next year.
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