Respiratory discharge internship summary (Selected 9)
In the blink of an eye a hard internship life is over, you must have learned a lot of new skills, this time the most critical step is to write a summary of the internship. Many people are very headache how to write a wonderful internship summary, the following is my compilation of respiratory discharge internship summary, welcome to share. I would like to thank Ms. Wang Ling and Ms. Wang Meng for teaching me the key points of operation and telling me my shortcomings and giving me a chance to correct them. Once to the patient intramuscular injection of gastrointestinal fuan, their own technique is very wrong to the patient to increase the pain, Mr. Wang was very angry, came back to severely criticized me, let me go back to practice respiratory discharge summary 5 respiratory discharge summary 5. There are still a lot of such operational deficiencies, and I will work hard to correct them and improve the level of operation in the future, which is the most basic homework of a good nurse. I don't know when I can also to Mr. Wang like what kind of blood vessels can be hit on, and a needle to see blood does not increase the pain of the patient's second needle. I really admire Mr. Wang!
In the respiratory department is also the first time to see the patient passed away in the department, the third week of internship when one of our patients passed away, is an advanced lung cancer extensive metastasis patients, I have just finished the vacation to work to see the empty 30 beds, the mood is very inexplicably low. At the end of the shift on Monday of the fourth week, bed 31 suddenly passed away from heart failure. I worked with my teacher to care for him after his death, dressed him in his birthday suit, and sent him on his last journey. I still felt very sad, I even went to see him before I left work, but not long after that he was gone, after all, he was a patient I had just come into contact with, it was a bit hard. At the same time, I feel a kind of pity for the patients, they are the most vulnerable, in the time after life, really need warmth, family, doctors, nurses, a greeting, a smile, a small gesture can give them comfort. More feel the fragility of life, the life of the dying so quickly, do not dare to waste time, more urge us to plan well, study and work well, live well!
Respiratory internship summary Part 2
Time flies, the third section of the internship will come to an end. The respiratory department is very busy and very tired, and especially pay attention to self-protection, every day with 12 layers of masks shuttle in the ward, most of the patients are asthma, tuberculosis, lung cancer patients, they are very poor. Internship in three weeks not only the needle infusion technology has made a qualitative leap, more importantly, I learned to smile here, although with a thick mask, but a caring cordial smile, nagging a family life not only can make the patient to get a little comfort, but more importantly, it also eases their own to the patient infusion when the needle, in a harmonious and harmonious atmosphere more able to get to the heart of the matter, even if the patient can't tie the patient is generally not deliberately difficult for you. The first thing you need to do is to get your hands on a new one, and you'll be able to do that.
This is the communication between people! The first thing you need to do is to get your hands on some specialized knowledge, such as the use of ventilators, pneumonia, asthma, pulmonary heart disease, respiratory failure, tuberculosis patient care, the care of terminal patients. I remember that on the second day of entering the department, I witnessed the process of a patient's resuscitation to death, and the old man was left with only a handful of bones, like a skeleton. Strangely enough, for the first time in the clinical face of death and did not imagine so afraid, people from birth to death is a life process, how to make this process over the full and wonderful is that we have to think about the issue of life, in the hospital bed dying without regret this life, enough. In the respiratory medicine internship period and the patient together with the Mid-Autumn Festival, that day I happen to be a small night shift, eating the moon cakes and fruit sent by the patient, listening to the ward came from the sound of the TV party, homesickness. The feeling of homesickness was even stronger. Eleven and have to work overtime, can not return home ...... grown up, should bear some things alone, including loneliness!
Respiratory discharge internship summary Part 3In a flash, a month of respiratory internal medicine internship has come to an end, the teachers and mentors are very good to me, their encouragement and patience to teach and receive so that I set up the confidence. Here also learned a lot of knowledge, a lot of specialized knowledge is not in other sciences, so I am very grateful for this period of time since the teachers of the teaching and care, heartily say thank you, lovely angels!
When I first arrived at the department, I was very confused and unfamiliar, and then I gradually became familiar with the environment under the leadership of the teacher and familiarized myself with the workflow, so I began to carefully watch the teacher's operation, and under the leadership of Ms. Wang, I learned how to administer intravenous fluids, intramuscular injections, skin tests, and draw arterial blood gases, and I learned how to use the infusion pumps, micropumps, electrocardiograms, and other instruments, which have been a great help, and have truly applied the knowledge of books to clinical practice, as well as mastered the knowledge of the medical profession. The first step is to learn how to use the book to apply the knowledge in the clinic, and also to master a lot of things that can not be learned from books.
The first week of the internship, met a bedsore tissue necrosis period of patients, necrosis area is very large and very deep, deep to the bone surface, every day Ms. Wang took me together to change the medicine, watched Ms. Wang carefully and carefully will be necrotic tissue removal disinfection and medication, watched the patient's wounds day by day to grow well, then really appreciate the importance of the work of the nursing profession, in the face of the gratitude of the patient's family, a sense of accomplishment and pride. In the face of the gratitude of the patient's family, a sense of accomplishment and pride came to life. As the proverb says, "three parts treatment, seven parts nursing", I have more confidence in the nursing profession in the future! I hope I can be as selfless as Ms. Wang in the future, truly stand in the patient's point of view for their consideration, to alleviate their pain, and send them a smile, a piece of warmth! Only if you are sincere for the patient, the patient will give you a heart, and the nurse-patient relationship will be more harmonious! Nursing service as a concept to the end is my highest demand for themselves, but also the direction of their own efforts in the future!
Respiratory discharge internship summary Part 4I have been working in the Department of Internal Medicine for more than two months, from the clinical manifestations of respiratory diseases clinical manifestations of a lack of specificity. I found that most respiratory diseases have cough, sputum, hemoptysis, chest pain, croup, fever, shortness of breath and other manifestations, these manifestations are often a lack of specificity, they may be the manifestation of colds, bronchitis and other mild diseases, but also may be a serious pneumonia, lung cancer and other fatal diseases of the early clinical symptoms, if you don't further examination to confirm the diagnosis, it is likely that it will lead to a delay in the condition, resulting in irreversible consequences, therefore Therefore, when dealing with respiratory diseases, one should not make a clinical diagnosis on the basis of a clinical symptom or sign of a patient, but should further conduct the necessary examinations, obtain reliable clinical information, and make a diagnosis carefully through rigorous and correct clinical thinking. As a matter of fact, there are many types of respiratory diseases, but they can be summarized as infections, tumors, and cysts.
Through study and practice, I was able to grasp the causes of various clinical diseases, but lacked practical operation, and was able to know the basic pathological process, but lacked more study. I believe that in the future study and work, I will become a qualified doctor to serve the community and the people! This month, seriously comply with the rules and regulations of the department. Do not be late for work, do not leave early after work, do not miss work. Seriously and timely completion of the tasks given to me by the teacher to seriously complete the operation. Patiently and carefully treating patients, responding to the needs of patients in a timely manner to the instructor, and seriously learning from the experience of various operations. Every time I receive a task, I am very happy, but sometimes I am still nervous when I meet some patients. Whenever this time my instructor with words of encouragement, trust in the eyes gave me confidence, let me find confidence!
In the days with the teacher on the treatment, I also live a very full, specialized in the pharmacological effects of injections and oral medications I have a general understanding of, and can be individually verified oral medications. I began to use my lunch break to study the pharmacological effects of the injections. Towards the end of my time with the teacher, she asked me to bring the operation manual with me, instructed me on how to standardize the operation, and gave me the opportunity to go to the pharmacy to check the oral medication. Afterward I thought, although I did not make much progress in the operation, but I still enriched myself, I still have made progress!
Overall, in the respiratory department is one of the departments where I learned the most, the head nurse and every teacher's lectures, they disregarded their own rest time, and even under the night shift still patiently and in detail counseled us, a group of naive students, we are full of gratitude in our hearts to them. The honorable and lovely teachers not only light up the lamp in our hearts, but also become the eternal role model in my heart.
Respiratory internship summary Part 5
In the respiratory internal medicine round to two months, now the two months of work is summarized as follows:
From the clinical manifestations of the respiratory system diseases clinical manifestations of the lack of specificity. I found that most respiratory diseases have cough, sputum, hemoptysis, chest pain, croup, fever, shortness of breath and other manifestations, these manifestations are often a lack of specificity, they may be the manifestation of colds, bronchitis and other mild diseases, but also may be a severe pneumonia, lung cancer and other fatal diseases of the early clinical symptoms, if you don't further examination to confirm the diagnosis, it is likely to lead to a delay in the condition, resulting in irreversible consequences, therefore Therefore, when dealing with respiratory diseases, one should not make a clinical diagnosis on the basis of a clinical symptom or sign of a patient, but should further conduct the necessary examinations, obtain reliable clinical information, and make a diagnosis carefully through rigorous and correct clinical thinking. As a matter of fact, there are many kinds of respiratory diseases, but they can be summarized into three categories: infection, tumor and tuberculosis. Infectious diseases can be divided into bacteria, viruses, parasites and so on according to the etiology, tumors are mainly lung cancer, other types of diseases are often the cause of the disease is not known or at present tasted no clear attribution of the disease, these diseases are often rare or only need to know the disease.
In asking the patient's medical history, in addition to mastering the general method of asking the patient's medical history, should also pay attention to learning the characteristics of respiratory diseases in asking the patient's medical history. The strong compensatory function of the respiratory organs and the lack of specificity of the clinical symptoms of respiratory diseases is one of the characteristics of respiratory diseases, if you do not have a detailed understanding of the lack of specificity of the symptoms themselves, it is difficult to further clinical examination and diagnosis of the useful information, so when asking the patient's history is often satisfied with what the patient's symptoms, but ignored the further understanding of the symptoms, making the clinical information lack of due value. Data lack of due value, for example, patients with respiratory diseases, most of them have a cough as a clinical manifestation, if only to meet the patient has a cough as a symptom, but not further in-depth study, this clinical information for the diagnosis of the disease is obviously very limited, if the cough as a symptom of a further understanding of the cough to find out the length of the cough; the nature of the cough is a dry cough or phlegm; the regularity of the cough is a paroxysmal or persistent, the cough is not a cough. The pattern of cough is paroxysmal or persistent, episodic or recurrent; its degree is light or heavy; the size of the sound, the frequency of the high and low; the relationship with the climate and weather; whether there is a diurnal rhythm; with the position, the relationship between the movement and so on, through such a detailed understanding, it will be found that, although many diseases have a cough, but a variety of diseases of the cough is still a certain difference between the discovery and understanding of these differences, will be for the diagnosis of disease Discovering and recognizing these differences will provide effective clinical information for the diagnosis and further examination of the disease.
In the treatment of respiratory infections in respiratory medicine is very common, so the application of antibiotics in respiratory medicine is very extensive, the rational use of antibiotics is the key to the treatment of respiratory infectious diseases, therefore, familiar with and understanding of the indications of commonly used antibiotics, metabolic pathways in the body, toxicity, and side effects, as well as synergism, antagonism, and contraindications to the knowledge of the combined application of antibiotics is also very important. The first step is to learn how to use the antibiotics in a more efficient way.
Respiratory internship summary Part 6
To xx Central Hospital internship has been a month, in this period of time, my first contact with the clinical, the first shuttle in the ward, the first time with the patients have positive contact, although the process there are a lot of uncomfortable, but let me benefit from a lot.
Respiratory medicine is the first station of my internship, where everything is learned from scratch, and many times I was a bit overwhelmed. In the teacher's patient teaching and other internship students help, I learned to open the laboratory and other items of the application form. Slowly, I began to publish the doctor's orders issued by the teacher, from simple to complex, and I also have a certain understanding of the use of some antibiotics. In the process of checking the room, the teacher will explain the key points of certain diseases. When there is a new patient, the teacher will carefully correct the medical record I wrote, and the next day during the checkup will also explain their diagnostic ideas, which makes me from this has made great progress.
In the respiratory department, I encountered more types of diseases, including pneumothorax, pleural effusion, copd, asthma, pneumonia, etc. Through writing medical records and physical examination, I have a certain understanding of the symptoms and signs of these diseases. What I regret about my time in the respiratory department is that I did not offer to go to the pulmonary function laboratory to watch how the pulmonary function tests were performed.
Respiratory internship summary Part 7
In the Department of Internal Medicine in more than two months, in the teacher's dedication and patience under the guidance of the teaching staff, I learned a lot of things in the classroom did not know. In the days of internship, I learned the general process of admitting patients: such as measuring vital signs; asking the patient's medical history, history of allergies, etc., and carefully write a good nursing record, as well as observing the patient's appearance, with the teacher's guidance, to understand the basic application of antibiotics to a variety of digestive system.
In the process of internship, I strictly abide by the rules and regulations of the hospital and departments, conscientiously fulfill the duties of nurses, strict requirements for themselves, respect for teachers, unity with classmates, down-to-earth work, wholeheartedly for the sake of patients. At the same time sat to understand the family, correctly handle the relationship between nurses and patients, can do a good job of explaining and comforting the work, and more "sorry", the family also understands the work of nurses, to reduce unnecessary misunderstandings or the occurrence of radical behavior.
Cardiology to hypertension, arrhythmia, coronary heart disease and heart failure is common, in the teacher's teaching, I basically mastered some common diseases of nursing and basic operation; smile to meet the new patient and do a good job of admission assessment; close monitoring of vital signs and standardized records; the correct collection of blood and urine specimens; actively cooperate with the doctor's treatment; strict implementation of the three checks and seven pairs; the serious implementation of intravenous infusion? At the same time in the work I also continue to study and summarize experience, can be diligent, good observation of the patient's condition, so as to grasp the changes in the condition in a timely manner, to make accurate judgments.
Respiratory internship summary Part 8
The first station of my internship point, is the respiratory department of Huangtang Hospital, I remember the first day to the department, my teacher - Mr. Zhu, take me to check the room, stepped into the door of the ward at the moment, by the scene in front of them really froze for a moment, the whole ward air is so dull, so quiet, lying in the beds of patients are a little drowsy feeling, and most importantly, the most important thing is that, the patient is not a good person. The most important thing is that they have to rely on the mask oxygen absorber to maintain life, sucking oxygen still open mouth breathing, my friend in the day before the internship, had warned me, no matter how you see how let you stunned by the scene, such as blood, limbs, and so on, be sure not to see in the patient or family members of the stunned expression.
So I tried very hard to calm down my expression, to replace the hidden depths of shock and sympathy with a smile, and patiently listened to the patient or the family's description of the condition (in fact, I was wearing a mask, and no matter how much expression I showed, it was unlikely that they would see it.) After the checkup, Mr. Zhu, said, "Look at me to do an electrocardiogram, and the future electrocardiograms, I'll leave it to you. Mr. Zhu taught us in a very easy-to-understand way, and what he said, which is still fresh in my mind, the first thing he said was, "You've read the novel 'The Red and the Black,' right?" Then he went on to say, "Remember, the right limb leads up and down, it's red and black'" We laughed, and the teacher shook his hand at us and said, "Let's be doctors and not yellow and green doctors, (as far as I know about Mr. Zhu, "not yellow and green doctors" he did)" "What is a yellow-green doctor?" "Yellow-green doctors were once known as charlatan doctors, doctors who specialize in mucking about and cheating and swindling." "Well then, the left limb lead is yellow and green" After the teacher said so, I really admire the teacher, this memorization method is ingenious, good to remember, but also combined with the education of our minds! Time did not allow me to stay there for a long time, soon, followed by Mr. Zhu into the ward, do the electrocardiogram, Mr. Zhu is very skillful to the limb leads, chest leads inserted, and do every step will turn his head to explain for us.
At first, I and Xiaodonglin, Guixin, Weicheng, four people often mixed together into the ward to do ECG, most of the time they are hand in hand in teaching me, and then, do more, naturally familiar with, and now the four of us can go to the ward alone, do ECG this work well, and, we may have the same feeling, do ECG, in fact, is the simplest practical operation in the department, the most simple, and the most important thing is to do, the most simple, the most simple, the most simple, the most simple, the most simple, the most simple, the most simple, the most simple, the most simple, the most simple, the most simple, the most simple. The other operations done in this department are thoracic puncture and lumbar puncture, which are often performed while we are standing on the side, looking at the teacher's skillful operation, and our hearts are itching to go to practice, or maybe one day, we are thinking that I will have such an ability to perform such an operation after practicing! My classmates told me that the opportunity would come, and I was looking forward to it. Most of the time, we stayed in the office, to put it nicely, we were the assistants of our instructors, to put it badly, we were the helpers! We help answer the phone, record the doctor's orders, write the medical record, open the laboratory bill, find the family to sign, talk ......, a busy, is a morning, an afternoon.
Work to work, but learning to tighten the point, the theory of learning in school, to find back in practice does take a bit of effort, but really, the theory of some practice after a toss, will be rooted in the head more firmly, as in school, we diagnostic teacher to tell us about the lungs auscultation, what the dry rhonchi, wet rosary, roaring, always confused, seem to understand the feeling of non-understanding, now as if their concepts have been in the mind, but also to understand the concept of the lungs. Now it seems that their concepts have slowly become clearer in my mind, and I am trying to distinguish them clearly one by one! Staying in the hospital, learning is not only these, but also to once the wrong concepts corrected, because once my three closest family members have lived in Huangtang Hospital, I used to wrongly think that the doctors here, is to drag your patients in the hospital, as long as you can drag as long as you can drag. One more second, one more penny for you.
The doctor said, "I don't want to see you in the hospital, but I want to see you in the hospital," he said. In fact, it is not, the doctor also hope that the patient can quickly get well, as soon as possible, sometimes they are bitterly keep the patient in the hospital, because the condition needs, because in some formal treatment, the condition can be improved, or afraid of you out of the hospital, out of any accident, in the hospital, there is a complete set of medical equipment and a group of medical team, if there is any accident, the urgent need to rescue, but also to try to pull you out of the line of death! The first thing you need to do is to get your hands dirty!
There are times when a doctor will decide whether or not to do a certain test based on your condition. I once saw Mr. Zhang tell a patient's family member, "The patient's condition has improved, so this blood culture can be avoided to save money! If you agree, sign it." (That day we had a morning meeting! (In the morning meeting that day, I remembered that the higher-ups instructed that once pneumonia is diagnosed, blood culture is essential and must be done, but Dr. Zhang still considered for the patient.)" And this morning, my instructor, Mr. Zhu, when prescribing medication to a patient, said to the patient's family, "This medicine is imported in our hospital and costs 16 yuan a bottle, but it is only sold outside for three yuan a bottle, so you'd better go out and buy it with the medical bill. I was moved by these doctors time and time again, the heart surging with a stream of hot water, hot water after, stay in the bottom of the heart is more is the affirmation of these doctors, not only is the affirmation of their medical skills, more is the affirmation of their medical morality, medical morality is noble, such a doctor, can be considered a good doctor, the hospital has the existence of these good doctors, is considered a good hospital, the hospital in Huangtang is known as the best hospital in Meizhou City, is really worthy of the name!
Not only in our department, I have seen many patients by the doctor's careful treatment and nurses careful care, good discharged, but also heard our class in other departments of the internship students, heard, today which which patient was discharged, today which which patient was successfully rescued? I personally felt that the greatness of the doctor, a white angel, with their a warm heart to treat the patient, in their careful care, a living life and to be reborn, and can be in the normal track of life in a happy existence!
But regrettably, some things, you can not avoid you, some people, you can not retain, there are some patients, and did not succeed in rescuing, there are some patients, the condition has not improved, but the doctors, nurses, after all, is also a human being, is not a god, they can not do anything to return to heaven, there are some facts, destined to be unable to change, in fact, I would like to say to the families, as long as a ray of hope, a ray of hope, they will not easily give up, but they will not give up, but they will not give up. In fact, I would like to tell these families that as long as there is a chance of survival and a ray of hope, they will not give up so easily, but they have already tried their best, and there are only cruel facts that really make it impossible for them to save! After these initial journeys, I feel more y that the cause of medicine is a very sacred cause, and the lives of patients are closely related to be a doctor, easy to be a good doctor, difficult to learn this road of medicine, is a difficult journey, come up with a strong, no matter how much difficulty encountered, we must strive to go on, internship ten months to work hard to Mr. Wu Li, Mr. Zhu, Ms. Zhang, to look at the same!
Respiratory internship summary Part 9
Unconsciously, in respiratory medicine has been interned for a week, a week in the Huonei benefit greatly, learned a lot of things, do a lot of things wrong. The real into the clinic, only to find with the school learned a lot of things are completely two different things, textbooks learned things, many of their own have forgotten a clean, encountered the situation will not be the theory of practical, flexible use!
In the first week, I learned to measure blood glucose, blood pressure, thermometer, intravenous infusion, change the bottle of medicine, do nebulization, indwelling needle sealing tube, draw arterial blood, I found that these seemingly simple operation, the first time I do it or will be a mess. When measuring blood glucose, I often made the mistake of not squeezing enough blood out of the needle, resulting in a low blood glucose value! When measuring blood pressure, the stethoscope could not be placed at the arterial fluctuation point, so I could not hear the systolic and diastolic blood pressure clearly. I.V. fluids, self ventilated or occasionally a little air. I punctured 4 patients, the other day two patients were swollen, probably because the needle did not go in parallel after entering, resulting in failure. Today the only thing that makes me a little bit of relief is finally two tied successfully, the first time to feel a little bit of success! At the beginning, I didn't know how to read the infusion card at all, I didn't know which bottle of bid, qd, q12, q8 should be titrated first, but now I start to understand it a little bit. I was always careless about sealing the tube with an indwelling needle and forgot to turn off the switch. Now I tell myself every time to remember to turn off the switch when sealing the tube! The first time I had my blood drawn from an artery was engraved in my mind. It was an old man, and the teacher asked me if I wanted to give it a try because he had a good attitude. In fact, I didn't have any idea what to do, but I really wanted to give it a try, so I went in with the attitude of giving it a try. I missed, the teacher came to help, because I entered the needle at a deep angle, the teacher came to help, and after a long time could not draw blood, the patient has been screaming in pain, the teacher drew it out, and said to help the patient to re-draw. The patient was very angry and scolded us nurses for our lousy skills and for being a test case for him, for not being able to draw blood even after half a day of pumping, and for making him suffer for such a long time. I comforted him while helping him to stop the bleeding with pressure. The patient was angry and scolded me, at that moment I really felt ashamed of him, I was very scared and hard to bear, I wondered if he would complain about me. I kept apologizing, finally the patient's mood was relieved! To be a nurse, really skill is very important, a shot in the arm, to reduce the patient's pain, I think I can do it in the future?
What makes me very happy is that the respiratory medicine department is really very cozy, like a big happy family, each teacher is very young, very good people, to us students are also very patient to teach, rest assured that we will do things! And they often buy us drinks, oh, so cool! Take my teacher Shaokun, very kind and friendly, she patiently taught me every operation, rest assured that I let go to try, clumsy I feel that I really do not live up to the teacher's expectations of me. She said that nurses should be bold and careful, but I was always forgetful and confused, I couldn't utilize what I was taught, my memory was not good, and I couldn't develop good habits. Every day for a week, I was thinking about whether my careless self was capable of doing these jobs, and whether I could overcome these difficulties. It's only been a week, I told myself I can't be so discouraged, I don't want to look down on myself, if others can do it, I can do it too, I have to be strong, I have to learn to suffer, learn to endure, learn to deal with the problem by myself. I have grown up so big, do not always like a child, rely on others, life can not allow me to be so fragile and escape. I always have to get out of society, adapt to society, learn to survive! I'm not sure how much I'm going to be able to do this, but I'm sure I'll be able to do it on my own, and I'll be able to do it on my own!
Respiratory medicine, I will stay for eight weeks, I hope that the future study, I can quickly adapt to, can master the nursing operation skills, good effort to cheer!
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