Tisch
It's the first time to wear a nurse's uniform in a hospital, and it feels different from that in school. Wearing a nurse's uniform, shouldering responsibility. With this responsibility, my trainee life began.
I remember the first thing I did for the patient was to move the salt bottle. Although this matter was not in the eyes of others, I did it very seriously for fear that the bottle would accidentally fall to the ground.
I meet a lot of people every day, and I slowly learn to communicate with them. Most of the patients in community hospitals are elderly people, and they need careful and patient treatment, because some of them are hard of hearing and some are hard of hearing. You speak too fast, they don't understand, you don't speak loudly, they can't hear you. Only when nurses communicate well with patients can they complete the operation better. I once watched her give an intravenous injection to an old lady in her sixties next to the head nurse. The old woman is particularly afraid of pain. As soon as the needle went in, he drew back his hand, and the injection failed. So the head nurse communicated with the old man and told her how to cooperate with the injection so as not to hurt. When the old man was relieved, the second injection was very successful. Besides communication, nurses often have to explain to patients. For example, when a patient waits for a long time before complaining to you, you should be patient. Some injections need to be kept in the refrigerator. You should also inform the patient in advance, and so on. Of course, sometimes communication and explanation are not accepted and understood. At this time, I will think of what the head nurse said to me on the first day of internship: "To lose is to take advantage."
These days, I learned that nurses' hands especially need cleaning and protection. Wash your hands clean during the operation, be responsible for the patient, and let the nurses wash their hands a lot every day. At the same time, these hands are always in danger. Sometimes you should wash your hands immediately after encountering patients with skin diseases or chicken pox to prevent infection. During the internship, it is often seen that many nurses will be injured by glass in the process of preparing saline. I can't help but sigh that although the profession of nurse is ordinary, it is also sweating and bleeding.
I go to work at 8 o'clock every day these days and get off work at 5 o'clock. Helping the elderly, pouring water for the elderly, accompanying the elderly to the toilet, and checking whether the medicine in the salt bottle has dripped out are all my jobs. I'm serious, because everything should start with small things. After a long time, the head nurse will teach me some simple operations in the afternoon. So I added a few more tasks: adjusting salt bottles, giving oxygen to patients, doing brain circulation, and disposing of waste. The head nurse warned me that the patient was worried. As a nurse, I can't worry. I should be calm when I operate, and don't panic.
But even though I thought I was serious, I helped the nurse who was preparing for the injection unpack the medicine bag, and when I wrote the patient's name on each salt bottle, I made a mistake and gave the medicine list to the wrong person. With the impression of contact a few minutes ago, I thought this old man was the one just now. He didn't say his name before giving him the medicine list. Although this mistake was discovered and corrected in time, I was still scared after the incident. If this mistake affects the patient's life, can I take this responsibility? This is a lesson, warning me to strictly implement the principle of "three checks and seven pairs" in everything, so as to check the bed number, name, drug name, dosage, concentration, time and usage before, during and after operation.
During the internship, I often hear patients ask nurses to give him injections, saying that whoever has high injection skills hurts. One sentence I heard was: "Don't call the interns, I'm afraid they will." This makes me very unconvinced, but I have to admit that injections require some experience and skills. At the same time, I also understand that only when my skills are high will natural patients respect you and trust you to give him an injection.
I learned a lot in this internship, and I also found many shortcomings of myself. Nurses need to work standing, and I obviously can't adapt to standing for a long time. I was exhausted after a day's work, so I went home and fell asleep. So I need to do more exercise. If you fall, you know how to save lives. The internship also made me understand the importance of pharmacology. It has always been thought that pharmacology does not need to be studied too hard as an examination course, and nurses will not prescribe drugs for patients. It was not until a patient asked me the name of the medicine on the medical record card that I became stupid and didn't know how to answer. It seems necessary to have a good tutorial on pharmacology.
"I think it's an armchair strategist. I don't know if it should be done." During this month, I learned a lot that books can't, met many people, found the combination of theory and practice, and got a deeper understanding of nursing work. Thanks for this internship, it makes this summer vacation more meaningful.
extreme
This summer vacation, I came to the hospital for a one-month nursing internship. I went deep into the daily work of nurses and experienced the ups and downs of being a nurse, only to find that being a nurse is not as easy as I thought. Being a nurse is really difficult. Transfusion and blood drawing, injection and administration, and enema with traditional Chinese medicine. If the patient is unwell, he will think of the nurse first. If the patient has any problems, he will still call the nurse. If the patient wants to change medicine and infusion, he must call the nurse ... there is always a busy nurse in the ward.
The most profound feeling is that clinic is a solid foundation of theoretical basic knowledge. Clinical field experience and field practice let me reproduce all kinds of questions raised when I studied those boring and stubborn knowledge at school. For example, why should I read these pharmacology and pathology? What's the use of my back to me? It seems that it is meaningless to know, and the knowledge is all-encompassing, but the general feeling after learning is that I have been studying just for the exam, and nothing belongs to me. At school, no one asked me what adverse reactions I would have if I took these drugs. Even though I knew about these adverse reactions, I never really saw them. I don't know how serious the drug of 1 is. No one asked me what the clinical manifestations of this disease are, and I haven't really seen it. What's it like? Is it the same as in the book? etc ......
This one-month internship is also very helpful for me to cooperate with doctors and nurses in my future work. Doctors and nurses have the same responsibilities, both to solve the patients' physical and psychological pain. Only close cooperation between doctors and nurses can bring benefits to patients. To do this, we must first understand our own work and each other's work. As a future nurse, I must understand the work of nurses, so I think this internship not only plays a bridge role in early clinical contact, but also improves my clinical thinking ability, cultivates my practical ability and enhances my self-confidence.
First, re-recognize the noble profession of nurses.
In my previous impression, nurses were synonymous with patience and carefulness. I always think that their work is very easy and simple, just follow the doctor's advice and "take the medicine according to the prescription", and other work is also very trivial. This time, through nursing practice, I went deep into the daily work of nurses for the first time, and experienced the ups and downs of being a nurse, only to find that being a nurse is not as simple as I thought. The job of a nurse is 1 word "tired". I am tired of running with them every day. They not only have to keep walking around the ward, but also give patients injections and dressing changes. In fact, they are much more tired than doctors, but they have no complaints. Nurses are full of energy as long as they are working. They are engaged in a battle: fully display their vitality inside and outside the ward; Give the patient your energy and smile without reservation.
The shift is usually at 8 o'clock in the morning, and all nurses and doctors should attend. Of course, I am no exception. The dean of the department stood in the front. Last night, the night nurses began to give their nursing pathology shift report, and then the doctor on duty. In addition, the doctors also talked about the critically ill patients under their jurisdiction. Finally, the two directors and the head nurse summed up the shift that must be done every day. Personally, I think change is very important. It is a constraint on the discipline of doctors and nurses 1, which makes us medical staff understand that the life of patients is in our hands, and we should have strong organization and discipline and be a serious and responsible medical worker.
Second, broaden your horizons and increase your knowledge.
During my internship, I followed my teacher, listened carefully to the teacher's explanation and guidance, learned a lot about the basic operation of medical equipment, and observed and practiced a variety of medical operations, such as measuring weight, blood pressure, breathing, pulse and temperature. There are many professional musical instruments that I saw for the first time. There are many seemingly simple nursing operations, and only when they are really done will they know that this is not the case. In the short five weeks in the hospital, new things came one after another, which always brought me an exciting impact. I am full of curiosity, pay attention to observation, actively ask questions, and the nurses patiently explain to me, which makes me understand the use of some medical devices and basically master the essentials and precautions of nursing operation. They vividly analyzed the seemingly simple operation of 1, and gave me many practical opportunities under the premise of rules to follow, so that I had the opportunity to use these instruments and equipment and practice nursing operations. All these have given me a certain perceptual knowledge of my future work.
Third, I have a certain understanding of the holistic nursing of medical cooperation.
This is extremely important for my future work, and it is also one of the most important purposes of this internship. Through understanding, I realize that the responsibilities of doctors and nurses are highly unified, and the goal is to alleviate or relieve patients' physical and psychological pain. Only close cooperation between doctors and nurses can bring benefits to patients. To do this, we must first understand our own work and each other's work. This knowledge accumulation is also the harvest of my nursing practice. Specifically, I learned that:
1. Holistic nursing needs a high degree of cooperation between doctors and nurses, among which the close cooperation between department directors and head nurses is the key. Before carrying out holistic nursing in the ward, the director of nursing department should contact the director of the department to introduce his work plan and implementation plan to the director of the department and win the support of the director. The head nurse must consult with the department director when formulating and implementing the overall nursing work plan, system, responsibilities, division of labor and scheduling methods. The director of the department attached great importance to this work. At the handover meeting, he emphasized the significance and specific work plan of implementing holistic nursing with medical care, and asked doctors to actively support and cooperate. When the department organizes nurses to carry out holistic nursing knowledge training, department directors and doctors must also take part in the study.
2, medical responsibility must be clear, work together, cooperate with management * *. There is a small card of 1 on the bedside of each patient in the ward, with the names of the doctor in charge and the nurse in charge written on it. When a new patient is admitted to the hospital, the nurse in charge should introduce the doctor and nurse in charge to the patient, so that the doctor and nurse can clearly define their responsibilities, provide all-round and full-service for the patient, and make the cooperation between the doctor and nurse closer.
3, medical * * * with rounds. This is conducive to solving the medical and nursing problems of patients. The nursing department stipulates that the nurse in charge of the ward must attend the doctor's rounds every day and make records. The nursing department does not regularly check the records of rounds. Nurses can take 1 step to understand the patient's situation and treatment plan, help nurses find problems and improve the quality of nursing service.
4. The cooperation between doctors and nurses can help doctors understand new nursing concepts. The reform of nursing system has transformed functional nursing centered on diseases into holistic nursing centered on patients, which has changed the simple and passive situation of nurses carrying out medical orders for many years. The new nursing mode, such as nursing patients according to nursing procedures, needs to collect patient data, write nursing medical records, make nursing plans, make health education plans, carry out psychological nursing and communicate with patients. It should be understood by doctors to get support and help.
5, completes the patient's psychological care is the responsibility of medical care * * *. The patient's mood and psychological state have great influence on the prognosis of the disease. Doctors and nurses have the responsibility to treat patients according to biological, psychological, social and medical models. Change the past simple biomedical model of seeing a doctor but not seeing a person. When patients are sick, they will have various negative emotions, such as tension, fear, anxiety, pessimism and disappointment. When the nurse in charge finds the above negative emotions, she can cooperate with the doctor in charge to do a good job of psychological care for the patients, so that they can receive treatment in a psychological state.
6. Health education is also the responsibility of medical care. Health education is an important function of the hospital, 1 treatment methods and the important content of implementing holistic nursing. Health education runs through all stages of patients from admission to discharge. The formulation and implementation of health education plan is completed by medical staff, including: determining the educational needs of patients and their families, establishing educational goals, selecting educational methods, implementing educational plans, and discharging education. At the same time, health education is clearly defined as a skill that nurses should master, and the content of health education is added to the formulation of nursing routine and diagnosis and treatment routine, which doctors and nurses must follow.
Tisso
During the internship in the hospital, according to the careful arrangement of the nursing department, we performed operations respectively. Several departments such as internal medicine take turns to practice.
The first stop of my internship is cardiology, and our internship time is two months. Because this is my first internship department, I am full of curiosity and expectation. When I first entered the ward, my mind was blank and everything seemed so fresh. When we first went, the head nurse arranged a tutor for us. The tutor first familiarized us with the environment here, and then explained the rules and regulations of the department to us. In the first few days, I still felt strange and puzzled. As a student, I feel either standing or sitting. Fortunately, my tutor is very kind to me, explaining everything to us and letting us do some things. Slowly, we became familiar with the procedures here. In these two months, we have studied the knowledge about the heart, understood the working nature of the department, and got familiar with the pathological situation of each patient. During the two-month internship, I can basically carry out intravenous infusion alone. Basic nursing operations such as various injections. And learned the use of ECG.
The second department is neurosurgery, where I practice. As a student, I rest in front of the head nurse and the tired teachers in the department. I feel really tired and tired, and my whole body aches. After work, I went back to my apartment and fell asleep. Physical and mental exhaustion.
When I first entered the surgical ward, I always felt at a loss. However, with the pace of time, the environment has become familiar, and learning has gradually entered a formal track. In the ward internship stage of each department, I know the most about various diseases and their commonly used therapeutic drugs, such as the usage and dosage of drugs. Master the basic operation of all kinds of nursing.
The ultimate goal of practice is to cultivate good operating skills and improve various nursing abilities. So under the teaching principle of "let go, don't look around, don't worry about looking around", actively strive for every exercise opportunity, such as catheterization. Insert the stomach tube. Put the bathtub on the bed. Oral care, intravenous infusion, intramuscular injection and other basic nursing operations.
I know that the job of a nurse is very heavy and messy. Although I felt something before I entered the clinic, I really felt more deeply after I entered the ward. Indeed, the work of nurses is very fragmentary and messy, which can be said to be humble, but through the incomprehension of most people, we find that nurses have their unique charm. Hospitals cannot live without nurses, which shows the importance of nurses. Doctors can't do without nurses, patients can't do without nurses, and the whole environment can't do without nurses. This kind of trivial work has a complete system, which can be described as "the sparrow is small and complete", and it is precisely because of this that it can play its unique role and produce an indispensable role. Because of clinical practice, I have a more comprehensive and profound understanding of nursing work and a more detailed understanding of this industry. The second gain from entering the clinic is to correctly understand nursing, establish correct professional ethics and develop a good working attitude.
This department is a turning point for me. It taught me a lot, let me know that as a nurse, I should not only learn the most basic acupuncture, but also know many things such as catheterization, enema, sputum aspiration and nasal feeding.