Self-appraisal of urology 1 In a blink of an eye, the one-month surgical practice has ended. Although this internship is a bit bitter and tired, it is quite enjoyable. Ward rounds, dressing changes, writing course records, following surgery, and writing discharge summary, every day's life is spent in such repeated busyness. In general surgery, we make rounds at 7: 30 in the morning and then change the dressing. Of course, the most difficult thing in the operation is to follow the operation, and often one stop is several hours. Learn to look up tables, write medical records, change medicine, take out stitches, and operate. Basically starting from scratch, it is so difficult to realize the seemingly simple operation for the first time. Although not everyone actively participates in the operation, they are still very knowledgeable even by stages, such as thyroidectomy, cholecystectomy, splenectomy, appendectomy, subtotal gastrectomy, radical resection of colon cancer and so on. My knowledge of laparoscopic technology and interventional therapy has made me refreshed.
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. Surgeons are mostly temperamental people. No matter how good they are at ordinary times, once they do something wrong, they criticize others and leave you no face. After the operation, I will play with you again as if nothing had happened. Doctors are under great pressure when doing surgery, especially when the surgery is not smooth, so all I can do is try not to make mistakes, otherwise I really want to cry and will only be scolded. My tutor, kind and rigorous, taught me a lot, patiently demonstrated and explained, and young people are easy to communicate with.
I have learned a lot about brain surgery, such as replacing intracranial drainage bags and urethral drainage bags. In fact, their operation steps are similar, and the most disappointing thing is to inject indwelling needles. The complex taste of this kind of surgical internship experience may only be realized by those who have experienced it personally. Whatever it is, it's worth remembering. Of course, more importantly, I learned a lot that books can't. From snowy to chilly in spring!
Although, in the operation, the most bitter thing is to follow the operation, often standing for hours, standing with backache. What is even more frightening is that when I am on duty at night, I am often called up for emergency surgery at two or three in the middle of the night. I often yawn while pulling my hook, and the next day I compare with the national treasure. In urology, the biggest feature is the large flow of patients, which also means that the workload of our writing is greatly increased. Often, patients who have finished surgery at four or five in the afternoon are discharged from the hospital the next day, which makes us work overtime every day to write the course record and make a discharge summary, so that we are too tired to go back to the dormitory and fall asleep. This is the taste of surgery, just like a five-flavor bottle, in which the complex taste may only be experienced by people who have experienced it personally, and each student who has undergone surgery has different contents in the five-flavor bottle, either sour or spicy or sweet, but one thing is the same. No matter what it is, it will be a taste worthy of my life, belonging to surgery and my own taste.
These months have been an adaptation process, and many shortcomings need to be improved. This is an internship process, and many concepts have been revised. Although I am very tired, I can beat them. This is just the beginning of the internship, and we need to explore it in the future. At the same time, we should also make demands on ourselves in order to gain something. I think the next challenge is also an opportunity, and I must seize this opportunity.
Urology self-evaluation 2 Urology is the second stop of my internship, which is less busy than hepatobiliary surgery. The business study of urology impressed me the most. I think this is real learning, not dealing with it. The teacher told us about urinary calculi. Among them, the teacher told us a new knowledge point of stone health guidance. Calcium oxalate is the main component of stones. In our health guidance, patients are told to eat less calcium-containing food. Actually, this is a wrong view. People in China are prone to calcium deficiency, and oxalate stones are more than calcium. If calcium oxalate is lacking, it will be more rampant. Therefore, people in China should not only eat less calcium-containing food, but also supplement calcium. Patients with stones should also eat more oranges and alkalize urine. Eat less food such as nuts. The ureter is divided into upper, middle and lower segments, with the upper segment above the sacroiliac joint, the middle segment below the sacroiliac joint. Holmium laser lithotripsy is not allowed for middle ureteral calculi, so as not to damage the pelvic cavity. In daily work, we should pay more attention to the standardization of operation, master the diseases of surgical patients and the anesthesia methods, surgical methods, preoperative and postoperative nursing routines and health guidance. Teachers often spend time explaining the causes and pathogenesis of diseases to us. Thanks to the teacher's encouragement and guidance, I will work harder.
During my internship in urology, with the help and guidance of my teacher, I mastered the rules and regulations of urology, carefully studied the specialized nursing operations such as bladder irrigation, urethral orifice nursing and indwelling catheterization, strictly followed the aseptic operation principle required by urology, and further standardized and mastered the basic nursing operations such as intravenous infusion, subcutaneous injection and intradermal injection. Conscientiously perform the duties of nurse interns, be strict with yourself, respect teachers, unite classmates, care for patients, never be late, never leave early, work hard, try to standardize nursing work, and combine theory with practice. During the internship, I always take "love, care and patience" as the basis, strive to achieve "eye diligence, hand diligence, foot diligence and mouth diligence", wholeheartedly provide quality services to patients, and strictly implement the "three".
Every link of urology is an indispensable part. For me, every part is a test and a rare and precious experience. Today, with the improvement of this legal system and the enhancement of people's legal consciousness, it has become common sense for people to act according to law and safeguard their legitimate rights and interests, which requires modern nursing quality to satisfy patients in all directions and in the whole process. Nurses should not only know the law and usage, reduce the occurrence of medical accidents according to law, but also improve their theoretical and practical level.
Through this period of internship, I am especially grateful to all teachers and seniors for their careful guidance. I will keep in mind their excellent work style and cautious and rigorous work attitude, constantly push myself, constantly remind myself, strive to improve my own shortcomings, maintain my own advantages, comprehensively improve my comprehensive level and provide quality services for patients. Strive for greater progress in future work.
With the care and attention of hospital leaders, the support of nursing department leaders and the joint efforts of general nurses, the nursing work plan issued at the beginning of the year was successfully completed. According to statistics, from 20xx to February * *, our department treated a total of 1228 patients, an increase over last year.
First, strengthen the implementation of the core system and nursing quality management to ensure nursing safety.
1, the head nurse is responsible for the work control of each nursing staff, closing the doctor's advice, checking the pass and handing over the shift.
2, strictly implement the rules and regulations of the hospital, strengthen the management of department nursing team.
3, improve and implement the clinical nursing core work system, obey the arrangement of the head nurse.
4. Cultivate specialized nurses, such as sending nursing staff to higher-level hospitals for further study.
5. Master the rescue procedures for critically ill and major surgical patients.
Second, pay attention to service details and improve patient satisfaction.
Adhere to the principle of patient-centered, quality-centered, and provide high-quality nursing services for patients, strengthen the construction of nurses' medical ethics, implement nurses' code of conduct, and issue satisfaction questionnaires to inpatients every month. The satisfaction survey results are all above 95%, which has been well received by patients for many times. They also put forward rectification measures for the problems existing in the satisfaction survey, and solicited the opinions of patients and their families to meet their requirements to the maximum extent.
Third, standardize the writing of nursing documents to reduce the pressure of comfortable writing.
Nursing documents are legal documents, which are the objective basis for judging medical disputes. They should be carefully thought out in the writing process, which can objectively, truly, accurately, timely and completely reflect the patient's condition changes, constantly strengthen the significance of formal writing of nursing documents, let each nurse correct his writing attitude, and colleagues should strengthen supervision. Each shift checks whether the records of the previous shift are defective, the quality control team checks regularly, the head nurse checks regularly and irregularly, and the final quality inspection of the discharged medical records. Analyze the quality of nursing documents every month, put forward rectification measures for existing problems, and continuously monitor them.
Fourthly, strengthen the quality education of nurses and improve the quality of nursing service.
Give full play to the role of nursing quality control group, so that nurses can master the progress and completion of their own assessment at any time and find nursing hidden dangers. Find nursing mistakes, improve nursing quality in time, sum up the determination and shortcomings in work, correct them in time, carefully analyze the causes of mistakes, discuss corrective measures, avoid similar accidents from happening again, pay more attention to the cultivation of nurses' communication skills, and use difficult cases to discuss events and life will encourage nurses to participate in discussions, cultivate communication skills, and teach young nurses to learn to deal with problems.
Over the past year, the quality of nursing service, standardization of nursing documents writing and patient satisfaction have achieved certain results. I hope that on the basis of completing my work next year, I can add new heights in workload, new business and new technology.
Urology self-evaluation 4 It has been three months since I came to urology in a blink of an eye. In these three months, I have basically mastered the clinical preliminary diagnosis and simple treatment of common diseases in urology, such as urinary calculi, bladder calculi, prostatic hyperplasia, urinary tract infection, scrotum enlargement and its complications, and participated in and observed the common surgical treatment methods in urology, such as:
Transurethral lithotripsy, transurethral resection of prostate, laparoscopic nephrectomy, laparoscopic renal cyst unroofing, suprapubic cystotomy, suprapubic cystostomy, partial cystectomy, cystoscope cystectomy, cystocentesis, circumcision, urethral caruncle resection, urethral dilatation, prepuce incarceration reduction, xx excision, high ligation of varicocele, retroperitoneal ligation of spermatic cord. Prostate biopsy, ultrasound-guided percutaneous renal cyst puncture, traction and fixation of cryptorchidism, hydrocele operation and basic anti-inflammatory and anti-infective drugs after operation.
Mastered catheterization, bladder perfusion, replacement of ureteral catheter and replacement of cystostomy tube, and basically familiar with the basic process of urological surgery; The electronic system of the department, including writing medical records, writing doctor's orders, writing prescriptions and writing checklists, has been mastered; In terms of surgical skills, strictly follow the concept of aseptic operation, including dressing change, stitches removal, drainage tube removal, hand washing, dressing change, gloves wearing, routine disinfection in operating room and towel laying. After three months of study, the operation skills have been further consolidated and improved.
Be able to go to work every day, not be late, not leave early, be enthusiastic about the patients in charge, be familiar with the course of disease, and understand the overall situation. For the patient's reaction, you can deal with it first, or report it to the teaching doctor in time. I will continue to work hard, take the initiative to undertake the task, seize the opportunity of exercise, strive to improve my level, and strive for greater and more gains in the study of the next department.
Self-evaluation of urology 5 The one-month internship in urology has ended. Looking back on the internship during this period, I am deeply touched.
During my internship in urology, with the help and guidance of Song Ling, combined with my own practice, I mastered the rules and regulations of urology, carefully studied the specialized nursing operations such as bladder irrigation, venography puncture, urethral orifice nursing and indwelling catheterization, strictly observed the aseptic operation principles required by urology, and further standardized and mastered the basic nursing operations such as intravenous infusion, subcutaneous injection and intradermal injection. Conscientiously perform the duties of nurse interns, be strict with yourself, respect teachers, unite classmates, care for patients, never be late, never leave early, work hard, try to standardize nursing work, and combine theory with practice. During the internship, I always take "love, care and patience" as the basis, strive to achieve "eye diligence, hand diligence, foot diligence and mouth diligence", wholeheartedly provide quality services to patients, and strictly implement the "three".
Every link of urology is an indispensable part. For me, every part is a test and a rare and precious experience. Today, with the improvement of this legal system and the enhancement of people's legal consciousness, it has become common sense for people to act according to law and safeguard their legitimate rights and interests, which requires modern nursing quality to satisfy patients in all directions and in the whole process. Nurses not only need to know the law and apply it according to law to reduce the occurrence, but also need to improve their theoretical level and practical level.
Through this period of internship, I am especially grateful to all teachers and seniors for their careful guidance. I will keep in mind their excellent work style and cautious and rigorous work attitude, constantly push myself, constantly remind myself, strive to improve my own shortcomings, maintain my own advantages, comprehensively improve my comprehensive level and provide quality services for patients. Strive for greater progress in future work.
The one-month internship in urology is coming to an end. Looking back on the internship during this period, I feel deeply.