? Summary of nurse training work 1
?Through three months of training, I learned a lot under the careful guidance of the teachers. , I have made a qualitative improvement in both my business level and my communication skills with others.
?During the course of further study, while re-learning theoretical knowledge, I humbly asked the teachers for advice, and gained a deeper understanding of the handling of various critical periods in normal delivery. For example, in the first stage of labor, I have a theoretical and practical understanding of the timing of cervix dilatation based on the reflection of the partogram; in the second stage of labor, I will be more clear about the timing of cervix dilatation until the fetal head is crowned. The techniques and timing of perineal protection, the handling techniques before and after the delivery of the fetal head, the umbilical cord ligation and the cleansing of the newborn's respiratory tract in an orderly manner, and the timely recording of delivery experience; the third stage of labor, the ability to perform light, fast and accurate procedures after the placenta is stripped Perform perineal suturing.
During my further studies, I realized the importance of maternal mental health care during childbirth. During the labor and delivery process of pregnant women, I can observe them in a calm and objective manner, guide and help them in a scientific and effective way, and encourage them with enthusiasm and kind words and deeds, so that the delivery can be completed smoothly. Establish a sense of mutual trust with mothers, meet their needs for independence and dependence during delivery, make them feel comfortable and relaxed, and generate self-confidence. In this way, the safety and health of mother and baby can be ensured and promoted.
?In general, in this rare further study, I have benefited a lot from my own efforts and the selfless help of my teachers. In my future work, I will use my proficient professional skills and people-oriented communication skills to serve more pregnant women and truly apply what I have learned! ”
?In XX, I was fortunate to study for one year in the Obstetrics and Gynecology Department of Qilu Hospital, which I had admired for a long time. Shandong University Qilu Hospital is a hospital directly under Shandong University and a hospital directly under the Ministry of Health. It is a large comprehensive tertiary-level hospital that integrates teaching, scientific research and preventive health care. The obstetrics and gynecology department of this hospital is a national key discipline and a key discipline in Shandong Province. It has seven majors: obstetric medicine, family planning, and reproductive medicine, and enjoys a high reputation in the field of obstetrics and gynecology across the country.
There is an endless stream of patients here, and there are extra beds in every corner, and most of the cases are critical or critical. Difficult cases. After getting familiar with the work environment for a short time, I took part in individual patient care. I saw many diseases that I had only seen in textbooks before. When I encountered difficult problems, I humbly asked the teacher for help and read the books to consolidate my knowledge after get off work.
?The emergence of hysteroscopy is a major progress in medicine. Hysteroscopy is the modern gold standard for diagnosing intrauterine lesions. Hysteroscopy surgery is known for its low trauma ratio and high cost-effectiveness. A successful example of contemporary minimally invasive surgery. During the study period, under the careful guidance of the teachers, I worked hard to gain hands-on opportunities, combined with books, to continuously experience and explore hysteroscopy: such as abnormalities. Diagnosis of uterine bleeding, diagnosis of intrauterine adhesions, positioning and removal of IUD, diagnosis of abnormal uterine echo and space-occupying lesions, hysteroscopic fallopian tube intubation examination and examination of intrauterine factors for unexplained infertility. Basic understanding of hysteroscopic resection of endometrial polyps and O-type submucosal uterine fibroids, and thorough understanding of difficult surgeries such as hysteroscopic resection of uterine septum and intrauterine adhesions. The third edition of "Hysteroscopy" edited by Xia Enlan, the founder of Chinese hysteroscopy, and "Clinical Endoscopic Technology of Obstetrics and Gynecology" edited by Dong Jianchun have well combined theory and practice.
? Through this further study, I have significantly improved my theoretical knowledge, diagnosis, treatment and surgical skills of obstetrics and gynecology diseases. More importantly, my biggest gain is the expansion of my horizons, broadening of my thinking, and transformation of my theory.
? Summary of nurse training work 2
? In the blink of an eye, my training in the PICC treatment group is coming to an end. Although the time is short, I feel deeply and gain a lot. Let me see. When it comes to our own shortcomings and areas where we need to continue to work hard, I remember that when I first joined the PICC treatment team, Nurse Manager Qiao said to us: "The slogan of the PICC treatment team is to prevent second injections. "That's what she said, and that's what she did.
Whether it is a five-month-old baby, a psoriasis patient with pustules all over his body, or many patients with extremely poor vascular conditions, they have to endure the pain of venipuncture and the toxic side effects of some chemotherapy drugs every day. Venipuncture is often performed many times a day, or even more than a dozen times a day. When other hospitals were at their wits' end, they all came to our hospital's PICC treatment team to find Nurse Qiao for intubation. Every time, it is hit the nail on the head, completed in one time, and the catheterization is successful in one time. That's great! It is they who established a safe intravenous access for the patient, alleviated the patient's pain of repeated punctures, and protected the patient's health.
? What impressed me most today was: I received a four-year-old patient. At that time, I was doing maintenance on the PICC tube for a patient. I wanted to go over and help after I finished the work at hand. At first, the children were crying and uncooperative, but after I finished the maintenance, Nurse Qiao’s tube placement work was completed so quickly. How skilled and superb this technology is! I sincerely admire it!
?During this short rotation time, I have gained a lot. If I use simple words to summarize it, it will seem pale and feeble. At least I cannot express my benefits accurately and clearly. In short, I would like to thank the PICC treatment team, Nurse Manager Qiao for her earnest guidance, and Teacher Chen and Teacher Ma for their patient guidance. I will complete the maintenance work of PICC tubes with a more proactive work attitude, more solid maintenance skills, richer theoretical knowledge, and more rigorous methods.
? Summary of Nurses’ Continuing Education Work 3
? First of all, I would like to thank the hospital leaders and the Nursing Department for providing me with the opportunity to study abroad. Through this study in the Neonatology Department of Chongqing Children's Hospital, it not only broadened my horizons, but also greatly improved my ability to care for critically ill newborns, enriched my knowledge, and enhanced my business capabilities and technical operation level. Within half a year I learned a lot in my further studies. In my work practice, I continue to sum up my experience. Here I share with all the teachers what I have gained from my six months of further study, drawing a successful conclusion to this rare training experience.
?1. Humanized management
?1. The first is good teamwork and a diverse echelon of nursing staff. The Neonatology Department of Chongyi Children's Hospital implements a responsibility management and scheduling model, implements group management, and improves work efficiency. The ward is divided into 4 nursing groups. Each group is composed of 3 nurses with different seniority. There is a team leader in charge. Taking turns to rest (11:00-13:00, 12:00-14:00, 13:00-15:00), so that responsible nurses can effectively ensure seamless care for children and effective protection of excellent care. While completing their own work, they also collaborate with each other to ensure the quality of care in the ward. In addition, in order to improve work efficiency, there is a special dispensing class, which is responsible for dispensing drugs at 7:30 in the morning to ensure timely medication treatment of children. After the dispensing work is completed, it is responsible for touching the children in the afternoon to promote the recovery of the children's brains. There is also a cleaning class responsible for the routine management, debugging, cleaning and maintenance of instruments to ensure their normal use.
?2. The divisions of the neonatal ward are very clear. All kinds of items used in the ward are subject to the Five Constant Method (always organized, always clean, always organized, always standardized, and always self-disciplined), and the designated areas are designated. Labels. A first-aid box, a bolus pump and an ECG monitor are provided before each patient's bed for fixed use. They are not allowed to be moved at will. They are terminally disinfected after discharge. All instruments are marked with upper limits, lower limits, and tags. There are switch signs, operation flow charts, and intubation model selection diagrams hung on the wall next to the intubation cart. The rescue flow chart and the uses and side effects of each rescue drug can also be seen next to the rescue cart to avoid unnecessary mistakes.
?3. Advanced equipment and scientific and effective equipment are set up, with the hospital bed as the center and a pendant next to the bed. The pendant is equipped with a negative pressure suction device, oxygen source, compressed air and power supply. device. The resuscitation and emergency tubes are all standardly placed in fixed positions on the instrument rack, making them clear and easy to use. In addition, the neonatal ward also has senior doctors and nurses who have advanced medical skills, such as the application of Gursu, arterial blood pressure monitoring, umbilical arteriovenous cannulation, picc, etc.
?2. Warm and meticulous nursing services
?When using CPAP, an artificial protective film will be used between the nose and nasal congestion to prevent pressure injuries, and the head will be wrapped with absorbent cotton Then use an elastic bandage to fix the pipe to avoid indentation. When tearing off the tape on the face, lubricate it with paraffin oil before tearing it off. I will use paraffin oil to clean all skin folds on my body every day when I take a shower, using very gentle movements. Film gloves are placed on each incubator. Wear gloves to check the children before touching them to avoid cross-infection. The "developmental care" model is used for each child to promote the physical and mental development of the children.
?1. Bedding the bird’s nest to simulate the uterine environment.
?2. Keep the ward environment quiet and reduce noise.
?3. There will be a cartoon cover on all incubators to reduce light and external stimulation.
?4. Minimize unnecessary operations and concentrate on necessary operations. Make every patient feel comfortable.
?Under the leadership of so many outstanding teachers, I deeply realized that nurses not only need to give injections and medicines, but more importantly, they must have the concept of love and injury and the ability to think. We must use the heart of a mother, Scientific brain and dexterous hands bring safety and comfort to children, making them a good temporary mother.
?In addition, the reception room of the department is equipped with videos related to knowledge and care of various neonatal diseases, and brochures on medical care knowledge for each disease are available for people to use freely. A hotline consultation hotline has also been set up for discharged patients, which is responsible for providing various consultation services 24 hours a day, so that patients can maintain hotline contact with the hospital and obtain professional guidance on medical services at any time.
?3. Integrity and infinite extensibility of the service system
?In the children's hospital, many neonatal patients seen in the outpatient clinic have made an appointment. Make an appointment directly with the department and outpatient department before discharge. If a premature infant is discharged from the hospital, the parents of the child who is about to be discharged will be contacted to go to the reception room of the department to learn nursing knowledge, such as bathing, feeding, changing diapers and other daily tasks. The nurse will demonstrate on the spot until the parents fully understand it before putting the baby at ease. Put it into their hands. This naturally extends the care work to the family.
?4. Standardized training
?During the training period, the teachers are very strict and have a strong concept of sterility. They must wash their hands before starting work and wear gloves to check the patients before touching them. Son, take off your gloves and wash your hands and close the door. Newly assigned students and training nurses will be taught by specialist nurses. They must first understand the environment of the ward and the storage locations of various items, learn the use and precautions of each equipment, and various nursing techniques applied in clinical work, and pass the assessment. Only then will a teacher be assigned to teach. Nursing rounds and nursing lectures are arranged every month, and everyone learns together in the form of slides. There will be nursing questions every Monday morning when the shift is handed over, and there will be a nursing operation test once a month.
?Through this study, I feel that with the rapid development of the current nursing field, I am so small and there is so much worth learning. In my future work, I will combine the knowledge I have learned Apply it to our clinical practice, contribute to the hospital, contribute to the nursing career of our hospital, and spare no effort for the well-being of patients. Finally, I would like to thank the leaders of the hospital again for giving me this valuable learning opportunity, which has made me think more about life and work. I hope it can penetrate into my thoughts and give my life new meaning.