Part I
The first time I wore a nurse's uniform in the hospital, the feeling is that it is not the same as the school. Dressed in a nurse's uniform, shoulder is the responsibility. With this responsibility, my apprenticeship life began.
I remember the first time I did something for the patient is to move the position of the saline bottle, although this thing in the eyes of others is not a setup, but I did it very seriously, for fear of accidentally slipping the bottle to the ground.
Every day I come into contact with a lot of people, from which I slowly learn to communicate with them. Most of the patients in the community hospital are elderly people, treating them with more care and patience, because some of them have mobility problems, and some of them are hard of hearing. You speak too fast they do not understand, you do not speak loudly, they can not hear. Only with good communication with the patient, the nurse can better implement the operation. Once I was at the side of the head nurse watching her give an intravenous injection to a 60-year-old woman, who was particularly afraid of pain, and he retracted his hand just as the needle went in, so that the injection failed. So the head nurse communicated with the old man and told her how to cooperate with the injection so that it wouldn't hurt, and when the old man let go of his fear, the second injection was very successful. In addition to communication, nurses often have to explain to patients. For example, when a patient complains to you about the long waiting time, you have to advise him patiently. If some injections need to be stored in the refrigerator, you have to inform the patient beforehand, and so on. Of course, sometimes the communication and explanation is not accepted and understood, then I will remember the first day of apprenticeship head nurse told me a sentence: "to suffer is to take advantage of."
These days I learned that the hands of nurses need to be clean and protected. During the operation of the hands should be washed clean, to be responsible for the patient, in which case nurses wash their hands a lot of times a day. At the same time, these hands are always in a dangerous state, sometimes encounter contact with skin disease or chicken pox patients, to immediately wash their hands to prevent infection. During the internship, I often saw many nurses hurt their hands by glass during the saline preparation process. I can't help but marvel at the fact that this is a common profession, but it's a sweaty, bloody one.
This period of time I went to work at 8 o'clock every day and finished at 5 o'clock. I'm not sure if I'm a good person, but I'm a good person, and I'm a good person, and I'm a good person. I am very conscientious, because everything should start from small things. As time went by, the head nurse would teach me a little bit of simple operation in her spare time in the afternoon. So I was given a few more tasks to do: adjusting saline bottles, connecting patients to oxygen, doing cerebral circulation, and disposing of waste. The head nurse warned me, the patient is anxious, as a nurse I must not be anxious, the operation should be calm and never panic.
But even though I thought I had been very serious, I still made a mistake when I helped the nurse who was preparing the injections to unpack the bags of medicines and write the patient's name on each saline vial, and gave the medication list to the wrong person. Based on my impression from the contact a few minutes earlier, I assumed that the old man was the same one from earlier and did not give his name to recognize him before giving him the medication order. Although the mistake was caught and corrected in time, I felt scared after the incident. If the patient's life had been jeopardized because of this mistake, would I have been able to bear the responsibility? This is a lesson that warns me that before doing anything, I must strictly implement the principle of "three checks and seven pairs", so that before the operation of the check, the operation of the check, after the operation of the check, check the bed number, name, name, drug name, dose, concentration, time, usage.
From time to time in the apprenticeship, we will hear the patient asked a certain nurse to give him an injection, talking about who injected high technology, and who played a lot of pain. One of the things I heard was: "Don't give the interns a shot, I'm afraid to let them do it." This makes me very unconvinced, but have to admit that the accuracy of the injection is to accumulate a certain experience and mastery of skills. At the same time, I also know that only their own high technology, natural patients will respect you, trust you to let you for his injection.
This apprenticeship I learned a lot, but also let me find myself a lot of shortcomings. Nurses as a profession need to stand and work, but I obviously can not adapt to a long time standing. A day's work down is already exhausted, go home and fall asleep. So I still need to exercise more. I need to know how I can save lives if I fall down. The internship also helped me understand the importance of pharmacology as a discipline. I used to think that pharmacology as an examination course does not need to learn too seriously, and nurses do not prescribe drugs for patients. Until a patient asked me the name of the drug on the medical record card, I was dumbfounded and didn't know how to answer. It seems that a good refresher course in pharmacology is very necessary.
"The paper is the best way to learn, and the best way to know is to do." In this month, I learned a lot of things that can not be learned from books, contacted a lot of people, found the combination of theory and practice, but also a deeper understanding of nursing. Thanks to this apprenticeship, it makes this summer vacation much more meaningful.
Part II
This summer vacation I came to the hospital for a one-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 he will think of is the nurse, and if the patient has any problems, he will still be a nurse, and the patient will have to change his medication and fluids, and then he will have to call the nurse....... There will always be nurses in the wards, and they will always be busy.
The most profound feeling is that the clinical is the consolidation of theoretical knowledge base. Clinical field experience, field exercises, let me reproduce in school to learn those boring and stubborn knowledge of all the questions 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 effects these medicines will have, even if I know that there are these adverse effects, but I have never really seen them, I do not know how serious a medicine is when it is used incorrectly, no one asked me what the clinical manifestations of this disease are, and I have never really seen these clinical manifestations, in the end, what is it like? Is it just the same as in the books? Waiting for ......
This more than a month of apprenticeship life is also in my future work to do medical cooperation greatly help, doctors and nurses have the same duties, are to give the patient to solve the physical and psychological pain. Only when doctors and nurses to do close cooperation, in order to bring the interests of 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 the early contact with the clinical, but also to enhance the clinical thinking ability, develop the hands-on ability, and 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" on the line, the other work is also some trivial things. This time I through the nursing apprenticeship, the first in-depth to the daily work of nurses, personally experienced a back to do the bitter, spicy, sweet and sour nurses, only to find that the original do nurses is not as simple as I imagined. 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 needle medication, 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 in the morning, nurses and doctors have to attend, 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 shift handover is very important, it is a kind of discipline for doctors and nurses, so that we health care workers understand that the patient's life in our hands, we must have a strong organization and discipline, to be a serious and responsible health care workers.
Second, open up the eyes, 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 of many kinds of medical operations, such as vital signs to determine the 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, pay attention to observe, actively ask questions, the nurses patiently explained to me, so that I learned the use of some medical instruments, basically mastered the essentials of nursing operations and precautions. They vividly analyzed each seemingly simple operation and gave me many opportunities to practice nursing operations with these instruments and equipment as permitted by the rules and regulations. All of these make me have a certain perceptual understanding of the work I will be engaged in the future.
Thirdly, I have a certain understanding of the overall care of the medical and nursing cooperation
This is extremely important to my future work, and is also one of the most important purposes of this apprenticeship. Through the understanding I realized that the duties of doctors and nurses are highly unified, the goal is to give patients to relieve or relieve physical and psychological pain. Only when doctors and nurses achieve close cooperation can they bring benefits to patients. And to do this, we must first understand our own work and each other's work. This accumulation of knowledge is also what I gained from this nursing internship. Specifically, I learned:
1, holistic care requires a high degree of collaboration between doctors and nurses, of which the close cooperation between the head of the department and the head nurse is the key. In the ward to carry out holistic 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 of the department and the doctor must also participate in the study.
2, doctors and nurses must be clear responsibility, cooperation, *** with the management. Each patient's bedside in the ward is hung with a small card, on which are written the name of the doctor in charge and the nurse in charge. New patients admitted to the hospital, the nurse in charge of the patient should be introduced to the doctor in charge and the nurse in charge, so that health care clear their responsibilities to provide patients with a full range of full-service, so that the health care with more closely.
3, health care **** with the room. This is conducive to solving the patient's medical and nursing problems. The nursing department stipulates that the nurse in charge of the ward must participate in the doctor's room visit every day and make a record. Nursing Department from time to time to check the record of the room. Nurses to participate in the doctor's room, can further understand their own management of the patient's situation, the treatment program, in order to help nurses to identify problems, improve the quality of nursing services.
4, medical and nursing cooperation can make doctors understand the new nursing concept. The reform of the nursing system is to make the disease-centered functional nursing care into a patient-centered holistic care, changing the simple and passive situation of the nurse to implement the doctor's orders for many years. The new nursing model, such as nursing procedures for patient care, need to collect patient information, write nursing history, develop care plans, develop health education programs, psychological care, nurse-patient communication and other work, which should be made known to the doctor to get support and help.
5, do a good job of the patient's psychological care is the responsibility of health care **** with. The patient's emotional and psychological state has a great impact on the regression of the disease. According to the biological, psychological, social, medical model to deal with patients, is the responsibility of health care *** with. Changing the purely biomedical model of seeing the disease but not the person. The patient will produce all kinds of adverse negative emotions, such as tension, fear, anxiety, pessimism and so on. Nurses in charge of the discovery of these negative emotions, can cooperate with the doctor in charge, *** with the patient's psychological care, so that it is in a psychological state to accept the treatment.
6, health education is health care *** with the responsibility. Health education is an important function of the hospital, is a means of treatment, is the implementation of the overall care of the important content. Health education throughout the patient from admission to discharge at all stages. The development and implementation of health education program by the health care *** with the completion, including: to determine the educational needs of patients and their families, the establishment of educational objectives, the choice of educational methods, the implementation of the education program, discharge education and so on. At the same time, health education has been designated as a skill that nurses should master, and in the development of nursing routines, diagnostic and treatment routines to increase the content of health education, health care must be **** with follow.
Article III
In the hospital internship period, according to the careful arrangement of the nursing department, we were surgical. Internal medicine and several other departments to rotate internship.
The first stop of my internship is a cardiology department, where our internship time is two months, because this is my first internship department, which is full of curiosity and expectation. The first time I walked into the ward, my mind was blank, everything seemed so fresh. When we first went there, the head nurse arranged for us to be taught by a teacher, who first led us to familiarize ourselves with the environment here, and then explained to us the rules and regulations of the department. In the first few days, I felt unfamiliar and confused because I was a student, so I felt that it was not right to stand or sit. The good thing is that the teacher is very good to me, everything for us to explain, some things also let us go to the hands, and slowly we are familiar with the procedures here. In the past two months, we have been learning about the heart, understanding the nature of the work of the department, and familiarizing ourselves with the pathology of each patient. During this two-month internship, I have basically been able to carry out intravenous infusion alone. I was able to perform basic nursing operations such as intravenous infusion and various injections. And learned the use of electrocardiogram
The second department is neurosurgery, internship here, because it is a student, in the tiredness can not be when the head nurse and the face of the teachers of the department to rest, I feel really tired, tired, the whole body is sore, after work to return to the residence of the bed is to sleep. The first thing you need to do is to get your hands dirty.
Just entered the surgical ward, there is always a feeling of bewilderment, but with the footsteps of time, the environment has been familiar with the study has gradually entered the formal track, in the wards of various departments in the internship phase, the most understanding of various diseases and their common treatment drugs, such as the use of medicines and dosage. The first thing you need to do is to get a good understanding of how to use the Internet and how to use the Internet.
The ultimate goal of the internship is to develop good operational skills and improve the ability of various nursing care. Therefore, under the principle of "letting go of the eyes, letting go of the eyes is not assured" of the teacher, we actively strive for every opportunity to exercise, such as urinary catheterization. Gastric tube insertion. Bed insertion bath. Oral care, intravenous infusion, intramuscular injection and other basic nursing operations.
I know that the work of nurses is very heavy and messy, although not in the clinical before also have some sense, but really into the wards, the feeling is deeper. Indeed, the nurse's work is very fragmented, very messy, can 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 harvest into the clinical: correct understanding of nursing, set up a correct view of professional ethics, developed a good working attitude.
This department is a turning point for me. It allowed me to learn a lot of things, let me know, as a nurse, not only to learn the most basic needle technology, but also to know, for example, catheterization, enema, sputum suction, nasogastric and so on and so on a lot of things.