Inspection personal self-identification
Medical testing is mainly to study how to provide the basis for clinical diagnosis and treatment through laboratory technology, medical instruments and equipment. I have collected the test personal self-identification, welcome to read.
Inspection personal self-identification a
The end of the hot June, we finally began the long-awaited practice. Thinking about finally have the opportunity to enter the laboratory, can be from the practice of understanding their own learned profession, the heart will be full of expectations. Because of the first contact with the work of the laboratory, and we are the first batch of students to start the practice, the heart is inevitably both excited and nervous. The teacher introduced each operation points, precautions, we will keep in mind. In just ten days, we witnessed the busyness of the three departments - biochemistry, immunization and clinical examination - and realized that there is a world of difference between work and study.
First of all, biochemistry, where the work is basically an assembly line, here, not only to fully grasp the professional knowledge, but also on the test instrument has a certain knowledge, because I do not know when the instrument will fail, this time also need to know how to repair the machine. Here the need for manual operation would have to say back to the blood. This is to facilitate the patient or the doctor has questions about the report, to re-examine the use of. Not only for the patient is responsible for, but also as a health care worker's responsibility.
The second section is immunization, and unlike biochemistry, immunization requires a lot of manual work. As many of them are trace tests, they will be a tiny bit off, but not a thousand miles off. Teachers do not dare to let us operate easily. Very often, we just do some simple experiments and listen to the explanation of some experiments beside the teacher. With this intuitive learning method, so that we are in the classroom pale theory and simple graphics become specific, image up.
The third section is the clinical examination, in fact, is also divided into blood and body fluids. In the blood clinical examination, looking at the automatic analysis of the flow cytometer, and then think back to the content of the teacher's classroom, and have a deeper understanding. In the body fluid clinical examination, the teacher would often let us take a look at the samples. In the clinical examination to stay in the past few days, and just finished the basic clinical testing to have a further understanding, see more samples, and these samples from different people, or positive or negative samples is what we have to face in the future.
It is said that the relationship between doctors and patients is now tense, and when practicing here, I also had the honor of standing at the consultation desk. The patient to deal with more is the need for patience, more say a hello, perhaps will be closer to the distance between the doctor and the patient, less a suspicion, more a trust.
It was once said that the work of the laboratory can be easily started in three months, it is very simple. However, after really coming here to experience, you will find that the test work is not as simple as imagined. As if the patient's hands a report, seemingly simple, in fact, this is after a teacher's quality control, experiments, testing, review, review, this step by step cautious operation of the results, each step are not sloppy. Although in the eyes of outsiders inspectors do the same work every day, but when the accident or special symptoms, only to find that the accumulation of day after day is meaningful, which is why the inspectors not only require professional knowledge in mind, but also more need a lot of practical experience.
The practice, although only a short 'two weeks, but it makes me understand a lot about the work of the laboratory, know a lot of teachers. For this specialty and their own future and have some new knowledge, more clear about the future goals. All in all, this practice is very rewarding. Really very grateful to the school and the hospital teachers gave us such a good opportunity to let us have a full understanding of their own professional learning.
Inspection of personal self-identification two
Time flies, three years of school life is over, 20XX XX month, I came to XXXXXX hospital internship, in the director of the Laboratory Department and the leadership of the teachers of various departments, will be four years of the theory of learning combined with practice.
Internship environment
XXXX Hospital is the largest set of medical treatment, teaching, scientific research, preventive health care and hospitals, outside the emergency as one of the country's "third-class" modern hospital. The hospital has advanced equipment, all aspects of the conditions are very good, to provide patients with a good medical environment. Teachers of the Laboratory Department have strong professional skills, clear division of labor, work seriously and responsibly, and set a good example for students. Teachers strictly require students, serious and patient guidance to students, so that we benefit greatly.
XXXX Hospital Laboratory Department *** is divided into nine sections, the blood laboratory belongs to the hematology department. From XX/XX/20XX to XX/XX/20XX, I went to the body fluid laboratory, blood collection room, luminescence immunity room, immunity room, cell room, microbiology, biochemistry, routine blood, ward laboratory, blood laboratory in order to study.
1. Biochemistry
Clinical biochemistry tests mainly include liver function, renal function, cardiac function, electrolytes, blood lipids, tumor markers and other routine testing items. In the biochemistry room, I learned about the Beckman CX9AL automatic biochemical analysis system and the use of Roche P800 and the principle: photoelectric colorimetry. I learned about the daily quality control, calibration and maintenance of the instruments, paid attention to ensure the amount of reagents in the instruments, and mastered the collection, storage, processing and cleaning of glassware of biochemical test specimens. Attention was paid to the effect of hemolysis and lipemia on the experimental results. Because biochemistry is a large amount of specimens, so in doing each job must be careful and meticulous.
2. Blood laboratory
In the blood laboratory, I learned to use the four coagulation analyzer, understand the normal reference value and clinical significance of each of the four coagulation, D-dimer detection method. Blood and bone marrow films are collected by the doctors themselves, stained and classified by themselves, so there are not many opportunities to see, but basically you can recognize the granulocytes, erythrocytes, lymphocytes, plasma cells, megakaryocytes in various stages.
3. Ward laboratory
The instruments for urine and blood testing in the ward laboratory are the same as those used in routine urine and blood tests. In addition to this, they also learned how to test cerebrospinal fluid and plasma membrane fluid, and how to add blood sedimentation with a hemosiderophore tube.
4. Blood collection room
In the blood collection room, I mastered the method of venous blood collection, which vacuum blood collection tube should be used for each test, and the anticoagulant contained in each vacuum blood collection tube is different. Red blood collection tubes do not contain anticoagulant, generally used for biochemical projects and immunohematology tests; green blood collection tubes contain sodium heparin, lithium heparin anticoagulant, generally used for biochemical projects; purple blood collection tubes contain EDTA-K, used for hematology and immunohematology tests; light blue blood collection tubes anticoagulant for sodium beryllate: blood = 1:9, used for coagulation tests; black blood collection tubes anticoagulant for beryllate: blood = 1:4, used for coagulation tests; black blood collection tubes anticoagulant for beryllate: blood = 1:9, used for coagulation tests; black blood collection tubes anticoagulant for beryllate. Blood = 1:4 for erythrocyte sedimentation rate test.
5. Blood routine
In blood routine, I mastered the use of micropipette, the method of peripheral blood collection, learned to use the XS-800i hematology analyzer and automatic blood sedimentation analyzer, and understood the clinical significance of each item.
6. Body Fluid Laboratory
In just one month, I learned how to use the URIT series of fully automatic urine analyzer and its detection principle, urine microscopy, urine specimen collection, preservation, and precautions, feces, prostate fluids, vaginal secretion test. Through reading the textbook, I mastered the clinical significance of each test item in urine, feces, prostate fluid, and vaginal secretion.
(a) the principle of detection of urine dry chemistry analyzer:
(1) Composition: usually by the mechanical system, optical system, circuit system composed of 3 parts
(2) urine dry chemistry test strip: test items for vitamin C (VC), white blood cells (WBC), ketone bodies (KET), nitrite (NIT), urinary bilirubin (URO), bilirubin (BIL), protein (PRO), glucose, specific gravity of urine (SG), occult blood (BLD), and pH.
(3) detection principle: the corresponding chemical composition of the urine to make the urine multi-linked test strip containing a variety of special reagents on the membrane block color changes, color shades and the concentration of the corresponding substances in the urine is proportional to the multi-linked test strip placed in the urine analyzer colorimetric sampling tank, the membrane block in turn by the light source of the instrument to irradiate and produce a different anticolor light, the instrument accepts the different strengths of the light signal will be converted into the corresponding electrical signal, and then the microprocessor will be used to detect the presence of the light. The instrument accepts light signals of different intensities and converts them into corresponding electrical signals, and then the microprocessor calculates the reflectance of each test item by the formula, and then compares it with the standard curve and then corrects it to the measured value, and finally prints out the results automatically in a qualitative or semi-quantitative way.
(ii) the detection principle of the urine component analyzer: the application of flow cytometry and the principle of electrical impedance analysis
7. Microbiology
In this month's time, I learned a variety of specimen inoculation methods and a variety of specimens in the bacteria that often appear in the specimen, basically can be recognized as a common species of bacteria, such as Escherichia coli, Staphylococcus aureus, Streptococcus pneumoniae, Pseudomonas aeruginosa, Klebsiella pneumoniae, Streptococcus pyogenes, Streptococcus grass green, and fungi. Learned the operation of oxidase test and catalase test. Gram staining procedure, the use of DL-96 bacteriological assay system random in vitro diagnostic reagent plates and how to read DL-96 reagent plates with DL-96 bacteriological assay. In addition, we learned how to set up blood culture bottles, how to perform ink staining and Fertilizer reaction test, and how to use the VersaTREK Blood Culture Instrument and the principle of detection. The common bacteria that are resistant are methicillin-resistant Staphylococcus aureus, vancomycin-resistant enterococci, ultra broad-spectrum B-lactamase (ESBLS)-producing gram-negative bacteria (mainly Klebsiella pneumoniae, Escherichia coli found to have ESBLS), pan-resistant and multi-resistant Acinetobacter baumannii and Pseudomonas aeruginosa, and fungi.
8. Luminescence Immunity
In the Luminescence Immunity room, I learned how to use the Beckman instrument and understood the individual items and their clinical significance.
(1) anemia screening: ferritin, folic acid, vitamin B12
(2) Down syndrome screening: human chorionic gonadotropin (β-HCG) alpha-fetoprotein (AFP) estriol (E3)
(3) hormone seven: luteinizing hormone (LH) follicle-stimulating hormone (FSH) estradiol (E2), progesterone (Prog). (4) Pituitary function tests: growth hormone (hGH), follicle-stimulating hormone (FSH), luteinizing hormone (LH), prolactin (PRL), thyroid-stimulating hormone (TSH)
(5) Thyroid function tests: thyroglobulin (Tg), antithyroglobulin antibody (Tg-Ab), and thyroglobulin antibody (Tg-Ab)
(6) Thyroglobulin (Tg-Ab), and antithyroglobulin antibodies (Tg-Ab). Tg-Ab, Thyroid Peroxidase Antibody (Tpo-Ab), Free T3 (FT3), Free T4 (FT4), Thyroid Stimulating Hormone (TSH)
(6) Markers of myocardial damage: Myoglobin, Troponin
(7) Other Tests: Blood β-HCG, Cortisol, Digoxin
9. Immunization Room
9. >
Hepatitis A, Hepatitis B 5 qualitative, Hepatitis C, Eugenics 5, Human Immunodeficiency Virus Antibody and Syphilis Helicopter Antibody are enzyme immunoassay tests, which are operated in accordance with the instructions in the kits, and in the process of operation, attention must be paid to the washing of the plate as a part of the process, or else false positives will occur. Hepatitis B five quantitative is detected by Swiss Dicken's RMP-150 automatic enzyme immunoassay system. Hepatitis B surface antigen and HBeAg are detected by double-antibody sandwich method, anti-HBs is detected by double-antigen sandwich method, and anti-HBe and anti-HBc are detected by competitive inhibition method. Antinuclear antibody (ANA) was detected by indirect immunofluorescence method. Overall ANA detection is an extremely important screening test in clinical diagnosis and differential diagnosis, and further detection of various subclasses of ANA antibodies in ANA-positive patients is important for definitive diagnosis, clinical typing, observation of the disease, prognosis and therapeutic evaluation. The most commonly used technique for the detection of anti-ENA antibody spectrum is immunoblotting, and the positive rates of anti-ENA antibodies with different characteristics differ significantly among autoimmune diseases, which is of great clinical significance in assisting the diagnosis and differential diagnosis of autoimmune diseases. Autoantibodies associated with small vessel vasculitis (ANCA) are most commonly detected by ELISA. Antikeratin antibodies (AKA) are often detected by indirect immunofluorescence analysis, which is clinically important for the early diagnosis of rheumatoid arthritis. Anti-Cyclic Citrullinated Peptide Antibody (CCP) detection most commonly used ELISA is a new and highly specific indicator for the diagnosis of rheumatoid arthritis. In addition, I learned to test for glycated hemoglobin and urinary microalbumin.
10. Cell room
Beijing Tongfang Shenhuo reporting system and high power microscope jointly applied to throat swabs, urethral secretions, vaginal secretions in the detection of mycoplasma, learned to use the sperm quality analyzer to detect sperm, and learned to use the blood rheology analyzer and the precautions to be taken during the test.
Internship Harvest
A short ten-month internship is over, which means that four years of college life is coming to an end. In this short ten months, I y appreciate the importance of medical test workers, the importance of test results. A report card in the hands of the patient seems simple, in fact, this is after a teacher of quality control, experiments, testing, inspection, review this step by step careful operation of the results, each step shall not be sloppy. Inspectors should not only keep in mind the professional learning, but also have a lot of practical experience in the operation. As an inspector, must be serious, careful and responsible for each job.
In life, I learned how to communicate with the lead teacher, get along with each other, how to communicate with the patient, how to improve the relationship with the interns of other schools. Graduation internship is the final stage of completing all the teaching plan of medical testing, is an important link to achieve the training objectives, students through graduation internship, the theoretical knowledge learned into clinical practice, in order to consolidate professional knowledge and professional skills, and further to achieve the cultivation and improvement of students' ability to analyze, problem-solving and independent work, and to enhance students' ability to adapt to society. In the process of internship, we should not only learn to link theory with practice, but also learn how to communicate with patients and develop their good interpersonal skills, in order to lay a solid foundation for independent work after graduation. In short, this internship I have learned a lot, will be my future work and life will be a great help.
Acknowledgements
Thank you for the XXXX school to provide me with a good learning environment, thank you for the teachers over the past four years of my teaching, thank you for the XXXX hospital laboratory teachers of my patient guidance, thank you for all the way along the way with my friends, in the future, I will be more efforts! Together!
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