Nursing internship collection of seven
Nursing internship Part 1Internal medicine, respiratory system, circulatory system, digestive system and other diseases are more common, because most of the diseases have a rapid onset of symptoms are more complex, the condition of the rapid changes, so it is very important to master the skillful response measures.
My deepest impression is in the respiratory department, a patient with pulmonary heart disease to rescue the whole process. The patient was temporarily hypoxic because he went down to the toilet. When I heard the alarm, the teacher and the doctor on duty and I immediately ran to the ward, the teacher quickly let the patient lie down, put on his breathing mask, monitor, and pay attention to his blood pressure and oxygen saturation. At the same time, several other doctors arrived in the room to start consultation. The patient's condition is constantly changing, the rescue plan is also flexible with the condition, everyone's nerves are tense. I stared at the heart monitor for a while expression, a moment to look at the patient's expression, for the patient to worry about. Drugs into the patient's body, everyone is observing the further development of the condition. Both doctors and nurses are highly concentrated at this time. Doctors careful judgment, nurses skilled operation, nervous but not panic, the ward in addition to the sound of the ventilator, quiet. The patient's family put the patient's life into the hands of doctors and nurses, pro-life hopes on them, doctors and nurses on the shoulders of this moment to carry a lot of pressure, I'm afraid only they know. After more than an hour of rescue, respiration, heartbeat, oxygen saturation gradually returned to normal, the patient was pulled back from the death line, everyone was relieved. From this, I y appreciate as a nursing staff, must have exquisite nursing skills, but also must have a quick thinking and calm mind, skilled and doctors with tacit cooperation. Medical cooperation is essential, doctors and nurses are highly unified responsibilities, the goal is to give the patient to relieve or lift the physical and psychological pain, only when doctors and nurses to do close cooperation, in order to bring the maximum benefit to the patient.
The occurrence of diseases in the Department of Internal Medicine is closely related to the patient's psychological state and behavior, so usually in contact with patients in the treatment and care, I use their own knowledge to encourage patients to mediate a good psychological, to establish a good lifestyle, and for different diseases to give the appropriate health education guidance to win the recognition of patients and their families.
Nursing internship Part 2Obstetrics and gynecology nurses work experience white angel - many people call nurses this way, holy nurse cap, beautiful nurse uniforms, respected profession. The young and tender we are so full of longing to embark on the nursing workstation. Time is like a shuttle, remember just into the xx hospital that excited mood, in the blink of an eye, I have been in the xx hospital internship for half a year. Ringed in the lawn of the hospital in the "broad love, the pursuit of excellence", this sentence, has long been y rooted in people's hearts, inspired me to move forward, told me as a xx hospital people, is a kind of pride.
First, the internship time
20xx x month x day
Second, the internship place
xx hospital
Third, the content of the internship
This half year makes us Countless sunny mornings, we play the concerto of caring for life; countless sleepless nights, we feel the symphony of life and death. It is the nurse's hands that welcome the advent of life; it is the nurse who fights with the disease; it is the nurse who accompanies the pale life. The person who pulls open the curtain of life is a nurse, and the person who pulls up the curtain of life is still a nurse.
The starting point in xx hospital is in the Department of Obstetrics and Gynecology, the initial despondency, disappointment has long evaporated, every day is a challenge, every day is an opportunity. The first time into the clinical, and internship feel a big difference, from the beginning of the not let go to the current independent shift, the joy of growth.
We were each assigned to different departments, including pediatric internal medicine, pediatric emergency medicine, obstetrics and gynecology. Just go in nothing, do not know where to start, the head nurse let each of us with a master, in the master of the tireless teaching, slowly adapted to the work duties of the class, learned a lot of things can not be learned in school, and will soon be able to pass their own independent shift. Work attitude is correct, in the process of medical care practice, obey orders, listen to the command. Can strictly abide by the rules and regulations of the hospital, abide by medical ethics, standardized operation. Nursing Department in order to improve the theory and operation level of our new workers, the theory and operation of the monthly examination, every time the "examination team" will always come in advance to "put out the fire", first of all in the section of the test once, you "firefighters! The "fire-fighters" use their own rest time to guide us to operate, giving us a lot of valuable information, from which we benefit a lot. After work we new workers are fortunate to be able to participate in the hospital, the department organized various activities and volunteer services, so as to constantly enrich their own experience, I feel that I have grown a lot.
Four, internship experience
Nursing is a noble and sacred cause - I am proud to be a member of the nursing team. In the future work, will double efforts. Although nursing work is trivial and banal, but we are really proud of ourselves. We are the guardians of life, many people because of our efforts, our hard work, our seriousness, our enthusiasm, our dedication to live a happy and joyful day. Although they can not remember our name, although they do not know what we pay, although they do not understand our hard work, but the gift of a rose hand!
Fifth, internship summary
Half a year of rotation very quickly, we thank each and every one of our colleagues and we **** thing. Thank you for the kindness of the teachers, thank you teachers taught us a lot, thank you and you have such a meet and get along with the destiny, thank you for your kindness and goodness, thank you for letting us live in such a warm family, we are a family that loves each other, and we are the people of the xx hospital that love each other! I hope that in the coming year, we will still be able to honor and disgrace with ***, *** with the feeling of feeling the beauty of life and the beauty of life, *** with to create a more brilliant future!
Nursing internship Part 3This summer I came to the hospital for a 1-month nursing apprenticeship. I went into the daily work of nurses, personally experienced the sweet and sour of being a nurse, which realized that being a nurse is not as easy as I thought. Nursing is indeed very hard, a moment is the infusion, blood, a moment is the injection to give medicine, a moment and then have to Chinese medicine enema. If the patient is not feeling well, the first thing that will come to mind is the nurse, and if the patient has a problem finding the nurse, the patient will have to change the medicine, change the liquid and have to call the nurse, and there will always be a busy nurse in the ward.
The most profound feeling is that the clinical is the consolidation of theoretical knowledge base. Clinical field experience, field exercises, let me reproduce in the school to learn those boring and stubborn knowledge of the various issues raised. For example, why do I need to read all this pharmacology and pathology? What's the point of memorizing it? It seems that there is no point in memorizing it, the knowledge is comprehensive, but after learning it, I always feel that I have been studying only for the exams, and there is no part of me. In school, no one asked me what adverse reactions these medicines would have, even if I knew that there were these adverse reactions, but I never really saw them, I don't know how serious a medicine can be when it is used incorrectly, no one asked me what the clinical manifestations of this disease were, and I have never really seen these clinical manifestations, in the end, what is it like? Is it just like in the books?
This more than one month of apprenticeship life is also in my future work to do health care cooperation greatly help, doctors and nurses have the same duties, are to the patient to solve the physical and psychological pain. Only when doctors and nurses work closely together can they bring maximum benefits to patients. And to do this, we must first understand our own work and each other's work. As a future nurse, you must understand the work of nurses, so this apprenticeship I think both played a bridge role in early contact with the clinical, but also enhance the clinical thinking ability, develop the hands-on ability to enhance the confidence.
First, re-recognize the noble profession of nurses
In my previous impression, nurses are synonymous with patience and care. I have always thought that their work is very easy, very simple, only need to implement the doctor's orders, according to the prescription of the medicine on the line, the other work is also some trivial small things. This time I through the nursing apprenticeship, the first in-depth into the daily work of nurses, and personally experienced a nurse's bitter, spicy, sweet and sour, only to find that the original nurse is not as simple as I thought. Nurse's work is a word tired, I run after them every day are tired, and they not only have to keep walking in the sick room, but also to the patient to zap the needle and change the medicine, in fact, more tired than the doctor, but they did not complain. A nurse, as long as the workstation, she is full of strength. They are fully committed to a battle: to show their vitality inside and outside the ward; to dedicate their energy along with their smiles unreservedly to the patients.
Shift handover is usually at 8:00 a.m., with nurses and doctors attending, and of course I am no exception. The director of the department stood in the front, last night on the night shift nurses began to do their nursing pathology shift report, and then the doctor on duty, in addition to the doctors will have to say about their own jurisdiction of the situation of critically ill patients, and finally the two directors and the head of the nurses to summarize the end of the daily must do the shift. I personally believe that the shift is very important, it is on the doctors and nurses a kind of discipline constraints, so that we health care workers understand that the patient's life in our hands, we must have a very strong organization and discipline, to be a serious and responsible health care workers.
Second, open up the horizons, increased insight
During the apprenticeship period, I followed the teacher, listened carefully to the explanation and guidance, to understand the basic operation of many medical equipment, observation and practice many kinds of medical operations, such as vital signs to determine the body weight, blood pressure, respiration, pulse, body temperature and so on. Many of the specialized instruments were new to me. There were many seemingly simple nursing operations that I realized were not so until I actually did them. During the five short weeks in the hospital, new things came to me one after another, bringing me a shock of excitement at times. I was full of curiosity, observing attentively and asking questions actively, and the nurses patiently explained to me, so that I learned how to use some medical instruments, and basically grasped the essentials and precautions of nursing operations. They vividly analyzed each seemingly simple operation, and gave me many opportunities to practice with these instruments and equipment and practice nursing operations under the premise of rules and regulations. All of this gave me a sense of what I would be doing in the future.
Thirdly, I have a certain understanding of the overall care of medical cooperation
This is extremely important to my future work, and is one of the most important purposes of this internship. Through understanding I realize that the duties of doctors and nurses are highly unified, the goal is to give patients to ease or relieve physical and psychological pain. Only when doctors and nurses work closely together can they bring maximum benefit to patients. And to do this, we must first understand our own work and each other's work. The accumulation of knowledge in this area is also my biggest gain from this nursing internship. Specifically, I learned:
1, the overall care requires a high degree of collaboration between doctors and nurses, in which the close cooperation between the department head and the head nurse is the key. In the ward to carry out the overall care before the director of the nursing department under the department first contact with the director of the department, its work plan, implementation program, etc. to the director of the department, and strive for the support of the director of the department. The head nurse is required to discuss with the chief of the department in the formulation of the implementation of the overall nursing work plan, system, responsibilities, division of labor, scheduling methods, and so on. The head of the department attaches great importance to this work, and emphasizes the significance of the implementation of the overall care of medical and nursing cooperation, the specific work plan at the shift meeting, and requires doctors to actively support and cooperate. When the department organizes nurses to carry out overall nursing knowledge training, the director and doctors must also participate in the study.
Nursing Internship Part 4On May 8, xx, we stepped into the xx hospital with uncertainty and nervousness, and began a period of more than x months of clinical nursing practice. We are very grateful to the provincial hospital for providing us with such a good internship environment and all kinds of superior conditions, and to all the teachers for their hard work and teaching, so that we have such a good opportunity to practice before embarking on the post.
The first station of my internship - xx, the first time I walked into this place, I felt very fresh. The first day, the second day, the third day, passed, all right. The fourth day, the fifth day, the sixth day, passed, all right. The seventh day to come to the matter, at first is the calf stomach and pain and swelling, then is the neck and waist, and then is to feel the whole body is very painful, wait until the evening do not want to move, that do not want to go, do not want to eat, just want to lie there, who do not care about me. This is the most real feeling I had at that time.
Just enter the ward, there is always a feeling of confusion, for the nursing work in a relatively unfamiliar state, but also for their own in this new environment can do things or not a molding concept. Fortunately, we have teachers to introduce us to the structure of the ward, introduce the work of each class, the rich experience of the teachers, so that we can adapt to the hospital nursing work in various departments faster. The ability to adapt to the hospital environment as soon as possible, for the hospital internship and work to lay a good foundation, which should be counted as the internship phase of the first harvest: learn to adapt, learn to grow and survive in a new environment.
The work of nurses is very heavy and messy, although before entering the clinic also have some feelings, but really into the wards, the feeling is deeper. Indeed, the nurse's work is very fragmented, very messy, can also be said to be very low, but through the majority of people do not understand, we find that the nurse has its unique charm. Hospitals cannot do without nurses, which explains the importance of nurses. Doctors can't live without nurses, patients can't live without nurses, and the whole environment can't live without nurses. This trivial work, with a complete system, can be said to be "small sparrow, all the organs", but also because of this, in order to play its unique role, produce an indispensable role. Because of the clinical internship, we have a more comprehensive and deep understanding of nursing, more specific and detailed understanding of the profession. The second gain of entering the clinic: the correct understanding of nursing, set up a correct view of professional ethics, and develop a good working attitude.
To the ward internship, the most contact is the patient, a deep understanding of a variety of diseases, mastered thoroughly is the basic nursing operation. The biggest and ultimate goal of the internship is to develop good operational skills and improve various nursing skills. Therefore, under the principle of "letting go without letting go, letting go without letting go" of the teacher, we actively strive for every opportunity to exercise, such as catheterization, insertion of gastric tubes, sassafras bath in bed, oral cavity care, intravenous fluids, a variety of enemas, and other basic nursing care operations.
Clinical internship is the consolidation and strengthening of the theoretical learning stage, as well as the training and exercise of nursing skills, but also the best training before our employment. Although this period of time is very short, but for each of us is very important. We treasure this time, we treasure every day of exercise and self-improvement opportunities, and we treasure this rare mentor-apprentice relationship with our teachers.
In the previous two months, although it has been relatively smooth, I believe that the next internship time will be more heavy, the hospital's requirements for us will be higher and stricter, I firmly believe that the correct leadership of the hospital, there are all the doctors and nurses under the leadership of the hospital, coupled with their own concentration, hard work, will be able to complete the hospital's internship requirements for me.
With the end of the clinical nursing internship, according to the requirements of the School of Nursing, and therefore in the XXX community health station for a period of four weeks of nursing practice, for which I thank you for the teachers so that we can have the opportunity to experience and contact with the community nursing work, the practice of which I have learned the following:
First, the community health records of the
The main task is to family visits and household surveys, including residents' basic information (family members, name, date of birth, work, contact information, medical insurance, etc.), medical history records, health examination records and individual, family, and community health-related records, including a variety of information. The survey was conducted based on the principles of human health-centered, community-based, family-based, and needs-driven.
As the saying goes, "everything is difficult at the beginning," and during the visits, we encountered some health care workers who were rebuffed on the grounds that they had already created their own records. But there were also families who cooperated. I realized the difference between community care and clinical care. In clinical care, the main content is to treat diseases and promote health. But after this visit, under the teacher's teaching, community nursing is mainly about prevention, health care, basic medical service, health education, family planning and health. Therefore, I understand that no matter in the community or in the clinic, it is necessary to establish a health record, which can effectively guarantee our quality of life and a healthy life posture.
The management of community health records
The content of this practice is mainly the management of health records, that is, the family as a unit will be set up into a unified system, easy to view and manage, can be timely to learn some of the information of the residents of the chronic disease, and do a good job of home visits on a regular basis.
Three, the community family telephone return visit
That is, on the basis of the first two collection and input information, in the form of a telephone return visit to the chronically ill patients and people in need of services, to find out whether there is a need for physical examination and counseling issues.
Summarizing this practical work, compared with ten months of clinical nursing work, community work is simple but tedious, requiring us to have enough care, patience and responsibility and keen observation and the ability to find problems, analyze them and solve them. And this makes me understand that subordinate medical service work, not only need to have solid basic knowledge, but also need to be skilled in professional skills, in order to faster, better, more stable service to the needy people. After the internship, I looked up the relevant knowledge about community nursing and found that the development of community health services is a long way to go. Even though the goal of building a complete social health service system was basically accomplished in 20xx, the actual social acceptance and the degree of importance attached to it by the residents have yet to be improved. Today, more and more professional nursing personnel choose to find another way out, community hospitals are more difficult to get excellent medical personnel. In contrast, community nursing is the high demand for professional knowledge, communication skills, comprehensive quality of staff. Despite the many problems, the community-based healthcare system is an unchangeable trend.
The society is progressing, talent is competing, we can only grow in the continuous training. As a nursing worker, is an indispensable social needs, where we need us, where we go. Whether in community hospitals or general hospitals, we should always be ready to enrich their knowledge and improve their professional skills, the so-called "where there is a will, there is a way". We should become a reserve army of society, a good helper of the crowd, and strive to solve a series of problems to become a qualified nurse.
Nursing internship Part 6Time flies, internal medicine internship is coming to an end, in the teacher's hard work under the guidance of the continuous practice, I benefited a lot. Looking back on these days, it is bitter or happy, sour or sweet, I believe that everyone's heart has a flavor of their own, is about to leave the department, but there are a lot of 'unwilling to give up. For our internship, the teachers in the department are very important, the weekly internship arrangement is also carefully organized, so that we can learn and grow step by step.
Neurology is my first stop in the internal medicine ward, just into the ward, there is always a feeling of confusion, but the teacher quickly familiarize us with the environment to adapt to the fastest speed into the ward internship. Although the neurology department is a very busy department, but every time we do nursing operation, the teacher will be accompanied by the side, happy for our success, we failed will encourage us. The teacher's seriousness and responsibility, communicating with us like a friend, made us spend the time in a cozy environment. At the same time, the teacher will often combine with the case to arrange small lectures for us, so that we can remember what we have learned in a deep and vivid way.
Cardiology is my second stop in the internal medicine ward, which is characterized by hypertension, arrhythmia, coronary artery disease and heart failure, under the teacher's teaching, I basically mastered the care of some common diseases and basic operations. On time to participate in the hospital arranged lectures and departmental teaching room; smile to meet the new patients and do a good job of admission assessment; close monitoring of vital signs and standardized records; correct collection of blood, urine specimens; actively cooperate with the doctor's treatment; the strict implementation of the three checks and seven pairs; the serious implementation of intravenous infusion ......
After nearly two months of cardiology internship, I have a good understanding of the common internal medicine. In short, I have benefited a lot from my internship in internal medicine. Although I am still a student and my ability is limited, I will continue to explore, warm the patients' hearts with a smile, and enrich my knowledge and skills with hard work. I will continue to learn from the past and use practice to validate and consolidate what I have learned.
In the process of internship, I strictly abide by the rules and regulations of the hospital and the department, conscientiously fulfill the duties of nurses, strict requirements for their own, respect for teachers, solidarity with classmates, down-to-earth work, care for patients. Do not be late, do not leave early, and strive to achieve standardization of nursing work, skill service quality, basic care flexibility, love activities regularly, the combination of theory and practice, and to do theoretical learning with a plan, have a focus, nursing work has measures, have records.
The Department of Neurology is our first stop in the wards, just entered the wards, there is always a feeling of bewilderment, but the teacher quickly let us familiarize and adapt to the environment, so that we put into the wards internship in the fastest speed. Although the Fourth Department of Internal Medicine is a very busy department, but every time we do nursing operation, the teacher will be accompanied by the side, happy for our success, we failed will encourage us. The teacher's seriousness and responsibility, communicating with us like a friend, made us spend the time in a cozy environment. At the same time, the teacher would often arrange small lectures for us in conjunction with cases, so that we could memorize what we had learned in a deep and vivid way. Sometimes the teacher is afraid that we can not remember, but also use the off-duty time to give us a small stove.
From the operating room to the ward, we are required to communicate more with patients and their families, which largely determines the patients' attitude towards us as interns. Sometimes the patients will be because we are interns and some opinions, the teacher will always teach us to think differently, understand and sympathize with the patients, to eliminate our negative emotions, so that we can be more careful and patient treatment of patients, more calm to communicate with the patients.
Under the careful guidance and patience of the instructor, we strictly abide by the rules and regulations of the hospital, conscientiously perform the duties of internship nurses, care for the patient, and strive to achieve standardization of nursing work, the combination of theory and practice, nursing care has measures, records. During the internship period, always to "love, care, patience" as the basic, and strive to do "eye hard, hand hard, foot hard, mouth hard", think of the patient's thoughts, urgent patient's urgent.
In this short period of internship time, we gained a lot of many, if you use simple words to summarize the words pale, at least can not be very accurate and clear expression of our benefit.
In short, thank you for the teacher's cultivation of our little by little, often said, "Nurses should have a sympathetic heart, to have a pair of hands willing to work." We will face the next internship with a more proactive learning attitude, and strive to solidify our operational skills, learn a wealth of deep theoretical knowledge, and improve clinical nursing work capacity.
First, the characteristics of the discipline
In terms of the scope of its research, neurosurgery is the main object of study is the central nervous system, due to the complexity of the anatomy of the central nervous system, coupled with the understanding of the function of the human brain is not very clear, and the patient's clinical symptoms, signs and symptoms of the many different, the same kind of, the same part of the disease can have different clinical manifestations, the same part of the disease. There may be different clinical manifestations, and different clinical manifestations may also be the same or the same part of the disease, which brings certain difficulties to the diagnosis of neurosurgical diseases, especially intracranial neurosurgical diseases, e.g., for coma patients, it may be caused by intracranial diseases (e.g., tumors, hemorrhage), or extracranial diseases (e.g., water-electrolyte disorders, cardiovascular diseases), and the scope of its study may belong to the surgical scope or may belong to internal diseases, therefore, for neurosurgeons facing a patient with neurologic symptoms, the first question is to determine, whether it belongs to the scope of study of the discipline. Only then do we consider treatment options.
In terms of its treatment, neurosurgery surgery involves the brain and its foci, in the face of human beings are not yet very clear, complex structure, and is the center of life where the brain, neurosurgeons in the pre-operation must be decided, in what parts of the body, and in what way the surgery, both to achieve the therapeutic purpose, but also to the brain of normal tissue with minimal damage to the ideal type of surgery; in surgery, you must be very familiar with the local anatomy of the brain, the brain is the most important part of the brain, and the brain is the most important part of the brain.
For patients with craniocerebral injuries, time is life, which requires neurosurgeons to remain calm in the face of danger, make rapid and accurate analysis and judgment of the patient's condition, and take timely and effective rescue and treatment measures. Therefore, the readiness to deal with emergencies is one of the characteristics of neurosurgery, and the ability to respond to emergencies is also a basic quality that neurosurgeons must have.
The method of internship
Because neurosurgery is a specialized department, the internship students into the department, the face of a variety of neurosurgical diseases, often feel the complexity of the disease, the difficulty of surgical operation, which produces a difficult mood, the internship gain and the time used can not be directly proportional. How can we learn in a limited time? How to do a good neurosurgery internship? This requires students to master the neurosurgery internship method before and during the internship.