Nurse internship 1 the weeks of internship in rehabilitation department were the weeks when I really came into contact with the clinic and started my internship. At first, I was worried that I couldn't adapt, and I didn't know where to start. My impression of recovery was very vague. But after a few days, my original worry slowly disappeared.
(1) First, the head nurse told us interns the general theory of rehabilitation.
Let's have a general understanding of rehabilitation. In the next few days, nurses and teachers gave hands-on guidance and took pains to explain, which made me familiar with the environment and object arrangement of the department in a short week. Learned how to admit patients to hospital; Deepen the strict aseptic operation technology and inspection system of preparing liquid medicine, intravenous drip, intramuscular injection, dispensing and dispensing; Able to measure, describe and record vital signs independently; Trying to write the shift report of four patients. ...
This week is the "first intimate contact" between theory and practice. While realizing the transformation from theory to practice, we still don't forget to strengthen theoretical study. On July 10, Teacher Wu told us about neck, shoulder, back and leg pain. She focused on the pathogenesis, clinical manifestations and rehabilitation nursing of cervical spondylosis and disc herniation, which enriched our professional theoretical knowledge and made me really feel the importance of relearning.
(2) On that day, the sun was particularly fierce and the weather was particularly sultry. Unfortunately, all the refrigerators in the ward are broken, not to mention the heating there.
I went to the ward with the head nurse and teacher Luo to do language training and physical exercise training for patients. The ward is filled with the sound of maintaining the refrigerator and the password of training patients. At that time, I saw the teachers take pains to help patients repeat the same actions; See the sweat flowing on their faces and the clothes soaked by the nurses; I also saw the knowing smiles of patients and their families.
There are many different therapeutic devices in the physiotherapy room, both domestic and imported, each with different therapeutic effects. Occasionally, a little extra action will be found and corrected by the teacher during the operation, which shows that the standardization of the operation can not be ignored, and teachers' seriousness and solid basic skills can also be seen.
During this week, I can also do some common language training and limb function training for patients, and I also found a major feature of rehabilitation treatment and nursing, that is, love and patience.
(3) This whole week, I worked as an intern in the physiotherapy room. There is only one technician here. Judging from her skillful operation, she can be regarded as a senior technician of rehabilitation physiotherapy.
We're going to switch to professional internship next week. As required, each intern must submit a complete nursing medical record. I showed the typed draft to Mr. Guo. She read every detail carefully from beginning to end, supplemented some evaluation materials and nursing measures, and adjusted the time and order of nursing diagnosis, which benefited me a lot: a complete nursing medical record should not be limited to the medical record itself, but should be patient-centered.
(4) This week is the last week of our internship in the rehabilitation department. It's really hard to say
Because in just four weeks, I have unconsciously got used to the atmosphere here, and the sound of training passwords and therapeutic instruments still seems to linger in my ears.
According to the requirements of teaching practice, each intern should conduct a nursing ward round alone, and the head nurse asked us to do so without writing. In the relaxed environment created by the teacher, I started nursing rounds. When my thinking was interrupted occasionally, it was the encouraging eyes of the teachers that made me successfully complete the first round.
Later, the teachers affirmed the effect of my nursing rounds, and the head nurse also emphasized the health education in disease care, hoping to make up for the shortcomings and perform better in the future.
I worked as an intern in a hospital for a period of time. Although it was only three months, I learned something I didn't learn in school for three years. After the internship, how to write the internship appraisal of internal medicine nurses? The following is a model essay for the examination of internal medicine nurses' practice, which I prepared for you, for reference only. The content is as follows:
During my internship, I will strictly abide by the rules and regulations of the hospital and all departments, earnestly perform my duties as a nurse, be strict with myself, respect teachers, unite with my classmates, work hard, love children's cause 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. Especially for children's scalp needle puncture technology, at the same time, we can constantly study and sum up experience, diligently observe the condition of children, grasp the changes of the condition in time and make accurate judgments, and carry out practical appraisal of the Practice Appraisal of Nurses in Infectious Diseases Department.
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.
Today, I was very angry, and the nurse trainee teacher assessed me.
I teach an intern at * * University. He plays Age of Empires in the emergency room during working hours.
Although it's past 6: 00 in the morning, there are still 10 critically ill patients dying. Although my leadership is limited, I can't sit down and do my duty, but it can't be used as a reason for a doctor to play video games during office hours.
My clinical level is not high, and my work is often busy. But at least I work hard and walk on thin ice. I check the test results and prescriptions of hundreds of patients every shift. I'm responsible for the patients I treat during my shift.
I can't understand that a night intern who went to bed early the night before didn't even know how many critically ill patients were being rescued. After getting up in the morning, he didn't go to the toilet, but sat in the clinic and played video games. And his teacher was busy in the emergency room all night.
What does he take this place for? ! ! !
At seven o'clock every morning, the director of our medical department will come to the emergency room for examination, and the leaders of clinical departments and departments will be in place at half past seven every day. At about 6: 40, an intern actually played video games in front of the patient. When I ordered him to close the game, he tried to save the progress. If I hadn't found and stopped it in time, our department would have been famous in front of the hospital leaders.
I can tolerate interns' lack of professionalism, or I can laugh at the "stupid" questions they often ask and always excuse their small mistakes. After all, they are students, just to study, and there is still a long way to go.
But I can never accept an irresponsible intern.
Which patient of such a doctor dares to "entrust life"?
How can such interns improve the doctor-patient relationship after they take up their jobs?
Look at these young doctors in the forum who have the strongest reaction to the doctor-patient relationship.
When you blame society, patients and the medical system, have you compared yourself with the older generation of medical experts? At least the gap in medical ethics?
Most of the interns who can come to this hospital are famous teachers. The so-called seven-year system is the champion of the college entrance examination.
All the male interns I see are extremely irresponsible. They are also the most intense group in the forum.
I once asked one of them, "Do you have such a working attitude that you will be the chief resident two years after graduation, or the attending doctor will be in charge of the ward? Do you think you can do it yourself? "
I'll pay attention.
"......"
I am speechless.
Interns, please respect yourself.
Among my own 10 interns, except 1 seven-year program, 1 graduate student.
Nurse Practice 4 Dear leaders,
Hello!
When I entered the hospital as an intern, I also learned about the work to be done as a nurse. After thinking for a long time, I decided to quit my job and stop being a nurse. After all, this is not my cup of tea. For myself, studying nursing was actually a decision I didn't think much about at first, but now I know what I want. I want to work hard instead of wasting my time doing something I am unhappy about.
Actually, I also respect nurses. I know that this position is to save lives and is sacred, but for myself, I still can't do it well. In particular, I have no patience to do some nursing work. Actually, I'm not that serious at school. After thinking for a long time, I still learned some knowledge. Want to graduate now. I know it's nothing to stick to, but it doesn't make much sense. This is not what I want to do. At first, my parents thought the job as a nurse was good, but in fact, for myself, it was not like this. It also made me understand a lot. Sometimes, some things are not as beautiful as I thought, but more are hard work and unsuitable. In fact, I envy other students who can do a good job as nurses, especially because they feel that being a nurse is a very meaningful thing and are happy about it.
But I don't have such an idea, which may not be suitable for me. At the same time, I also know that doing a job that I am not so good at will eventually lead to learning nothing, doing badly and not helping each other. I don't want to go on like this, especially because I don't think it's meaningful to stay here, and I have figured out the way to go in the future, found the direction and found it. In particular, the current state is not very good, and some mistakes are easy to make at work. I'm sorry that my abilities and ideas are not suitable for staying in this position. I am also very grateful to the hospital for giving us the internship opportunity, but I didn't come to cherish this job myself. If it doesn't fit, I will eventually leave. Now I understand, so I'll tell you.
I also hope to understand. After all, only by doing what you are good at and doing the right job can you give full play to your abilities and really grow and gain. Of course, I am also grateful. During my working days, I gained a lot, at the same time, I also knew what I was more suitable for and found a way to develop myself in the future. I also hope that the leadership will approve my resignation.
I am here to convey
Salute!
Resignator: xxx
20xx year x month x day
The fifth practice report of nurse practice
Internship time: July 6th, XX to March 3rd, XX1.
Internship location: Funing County Traditional Chinese Medicine Hospital
Objective: To consolidate and strengthen theoretical knowledge through clinical practice.
Internship task: further master all kinds of basic theoretical techniques and specialized nursing techniques on site.
Composition of internship team: decentralization
In a blink of an eye, my internship is over, and time flies. When I first came here, I was still confused and ignorant about the concepts of hospitals and clinics. The mentality is not balanced at all. I am worried that I can't adapt to the new environment and I am worried that I have no confidence to do a good job in nursing. As long as I enter the clinic, I feel that the burden on my shoulders is heavy and the pressure is great; At that time, I felt completely in a state of fear and anxiety, even at a loss. Fortunately, with the encouragement of teachers at work and the care in life, I have changed, and I face the hard internship life in the future with a positive attitude …
I started my internship in Funing County Chinese Medicine Hospital in Jiangsu Province in July, XX. Although this is not a third-class first-class hospital and the equipment is not as complete as other hospitals, I really learned a lot here. Clinical practice is our first step into society. Here, we will further strengthen and consolidate our theoretical knowledge. It's only a few months, but it's very important to us. Here, I learned knowledge, technology and experience.
At that time, I reported to the Chinese medicine hospital with mixed feelings, and the person in charge of the hospital told us a lot of hospital regulations; Tell us that the living environment has changed, and we should apply the theoretical knowledge of textbooks learned in school to the actual operation of hospitals; The objects of contact will also change from teachers and classmates in the past to doctors, nurses, patients and their families now; I will also change from an inexperienced student to a angels in white who saves lives. However, although the teacher told us how to be a qualified student nurse, I still felt uneasy and uncomfortable. I am afraid of being scolded by the teacher for not doing well, and I am afraid that I am not as good as others. I just don't know where to start. On that day, the nursing department arranged a rotation department for us. My first department is internal medicine, which is a combination of neurology, respiratory medicine and digestive medicine. When I first entered the ward, I always felt at a loss I'm not familiar with everything here and I don't know what to do. Thanks to the head nurse and the teacher for their help; The teacher first introduced the structure of the ward and the things to be done in each class, and explained them to us one by one, such as: understanding the daily schedule; Handover, morning care, liquid medicine preparation, intravenous infusion, long-term treatment, regular inspection of wards, weekly drug disinfection time, etc. With the teacher's introduction and my own listening, observation and understanding, I can adapt to the new environment quickly …
Looking at the busy figure of the teacher in the ward, I couldn't help it at all. I don't know where to start, and I'm very anxious, which invisibly puts a lot of pressure on me and makes me feel frustrated. I only know how to do things rigidly. I only do what the teacher tells me to do. Every time, I just want to do the work given to me by the teacher well, but the more I want to do it well, the more I make mistakes, so that I dare not ask the teacher to do the operation for me. Seeing that other students are doing better than me, I really can't do anything. I want to show it in front of the teacher and get the teacher's approval, but I'm afraid I'll be scolded by the teacher if I don't do well …
I have no confidence in myself. Dare not take the initiative to tell the teacher to let me have an operation. Sometimes I just wait for the teacher to assign me tasks, but I am afraid that the teacher will say that I am not active in my work. I always do things mechanically. Sometimes I really don't know what to do. Fortunately, I have the encouragement of my teacher. When you have questions you don't understand, as long as you take the initiative to ask the teachers modestly, the teachers are willing to answer what you have taught us. When you don't understand, you hate that you can't apply theory to practice. You complain that you didn't study well in school before, and everything was clumsy and untidy, but the teacher didn't mind patiently explaining and operating to me until I understood. Here, I really thank the teacher for letting me learn intravenous infusion. After the infusion, observe the patient's condition in detail, and check the bed number, name and liquid again when changing the medicine. If there is any mistake, report it to the teacher in time and replace it. Pull out the needle quickly, and there is no blood return during intramuscular injection. When injecting drugs, gently wipe the surrounding skin with another cotton swab to relieve the patient's pain. Master subcutaneous and intradermal injection, especially intradermal injection. After 20 minutes, carefully observe the skin condition to determine whether it is negative or positive. If allergic phenomena occur, they should be treated immediately, and drug compatibility must be cautious. Oxygen inhalation is also a very common nursing operation.
The biggest and ultimate goal of internship in hospital is to cultivate good operating skills and improve nursing ability, and apply theory to clinical practice to master basic nursing operations. In surgery and obstetrics and gynecology, teachers mainly emphasize the concept of sterility, such as helping them prepare their skin and conduct catheterization before cesarean section. Sterile operation is the most important in the process of catheterization, and there should be no pollution to prevent the symptoms of urinary tract infection. In these two subjects, I deeply realized the importance of aseptic operation. No matter what I do, I consciously abide by it, not to mention standardized operation. In the ward, we will follow the teacher to patrol the ward at any time to observe the patient's condition and strengthen the understanding of the patient's condition. At the same time, we should closely observe critically ill patients at any time, pay attention to the changes of their vital signs, pay attention to the health knowledge education for long-term bedridden patients, and exercise their independent ability and observation ability ... When patrolling, we should pay special attention to whether the patients have pressure ulcers and turn over regularly to prevent the formation of pressure ulcers. Some patients have tubes, so pay attention to them.
The most important thing is to get in touch with patients. It is most important to establish a good nurse-patient relationship, which will bring convenience to our nursing work. The nurse's job is no longer a simple skill operation such as injection and medicine distribution; Treat patients with civilized and polite service, behave in a civilized manner, be kind, be anxious about patients' urgent needs, think about patients' thoughts, actively communicate with patients, know patients' psychological dynamics in time, make patients get better treatment and do a good job in health education. Nurses should not only help patients recover, but also help and guide recovered people to stay healthy. I am a person who is not good at communicating with others. No matter who I am, this has become a considerable weakness in my work. That timid and unnatural mentality turned me upside down and lost many opportunities for learning. Now I know how to communicate and get along with others, which not only improves my interpersonal relationship, but also improves my language communication ability. I deeply realized the importance of communication and the happiness it brought me. When facing patients, ask yourself not to bring emotions to work, and keep a bright smile every day to make patients feel warm. Otherwise, getting along with people in a bad mood will also reverse the unhappiness of others.
At work, I summarized my internship work by constantly learning what I have learned during the operation; In learning, we should be strict with ourselves, study hard, study hard, firmly master professional knowledge and skills, and integrate theory with practice; We should also pay attention to the expansion of knowledge in all aspects, so as to improve our ideological and cultural quality; In life, we should develop good living habits, be strict with life, be warm and generous, be honest and trustworthy, be ready to help others, and live in harmony with colleagues; Take an active part in all kinds of extracurricular activities, so as to constantly enrich your experience.
In a word, during the nine-month internship, I found that there is still a big gap between the theoretical knowledge in books and clinical practice after I really contacted patients. I should not only have a solid theoretical foundation, but also have good operational skills and on-the-spot reaction ability. The end of the internship means that we are about to set foot on the job. I believe that after this period of exercise, we will be more mature, more stable, and more able to shoulder the responsibility as a nurse, treat every patient with love, patience, care and responsibility, and serve the patients wholeheartedly.
Finally, I am very grateful to Funing County Hospital for giving me the internship opportunity, and I also thank all the substitute teachers for leading us and teaching us when we are busy. I am also very happy to learn from other interns in my intense internship life. Although the internship time is long and I feel a little tired, this time has given me great gains and enriched my life. I think this is an unforgettable time in my life. Through more than half a year's internship, my theoretical knowledge and practical experience have been improved. In the future work, I will continue to work hard, keep in mind the responsibilities of nurses, constantly strengthen ideological study and professional study, and comprehensively improve my comprehensive level.