I was in Qujing First People's Hospital Laboratory from September 1, 20xx to February 25, 20xx for further training, this six-month period of time, I successfully completed the training program. I not only enriched the knowledge of testing, but also improve the testing skills, my overall feeling of training is "busy" and "tired". We do things very seriously, and pay close attention to quality. I am in the six-month training time training experience and insights are as follows:
First, I have enriched the knowledge of the test, improve the test skills. Especially microscopic examination techniques, such as peripheral blood cell morphology, bone marrow blood cell morphology, urinary sediment analysis, prostate fluid analysis, semen 1 fluid analysis. Other areas of skills include bacteriologic colony observation and identification, immunologic manual techniques, biochemical maintenance and calibration, and transfusion antibody screening.
Secondly, I learned a lot of ways to acquire new knowledge (Internet, digital camera, library, magazines, etc.), I went home and searched on the Internet when I saw their better books, and I got a lot of them without spending any money, such as National Clinical Laboratory Procedures (worth more than 300 yuan), bacterial identification atlas, bacterial identification handbook, hematology atlas, hematology lectures, etc. At the same time, I took a lot of photographs of bacterial colonies and identification of bacteria. At the same time I photographed a large number of bacterial colony morphology and bone marrow slice morphology.
Thirdly, I learned how they dealt with various complex testing problems and successful testing quality management mode. They are extremely responsible for their work, and always handle every specimen to be examined with a prudent working attitude, and seriously deal with the difficult problems encountered in the course of their work. For example, there is a blood type test patient, A side of the agglutination is very weak, slide method and test tube method, positive and negative stereotypes are done, there is no conclusion, and finally sent to the blood transfusion unit, the use of microcentrifugation method, there is no conclusion. Finally, the report of this patient was stopped and he had to go to the blood station for blood typing. There is another patient, the beginning of the peripheral blood has a large number of na?ve cells, bone marrow image is also abnormal, began to suspect blood disease, after a few days to collect blood again, found that the patient is obviously different from the last time. This patient is a typical toxic granulocyte changes. Fourth, work hard, quality and quantity to complete the tasks assigned by the teacher. Continuously summarize the work, attaches great importance to practical and theoretical learning, learning, summarizing, improving, solving practical problems in the work, always see their own shortcomings, high standards, strict requirements, and make up for their shortcomings by taking people's strengths.
Fifth, Director Zhang Ping is very good at management, focusing on more details, cost issues. Clinical problems once found, timely treatment programs and make improvements. Director Zhang told me the layout of the laboratory, give me the design ideas. Speaking of the principles of dealing with the problems of the department, the work should pay attention to the problem. He said that his many years of
management experience, he said that the development of the laboratory can be the key to four aspects, "First, the management of the director of the section; second, the director of the test instruments and equipment and reagents of the level of positioning; third, the section of the staff business training and further training; fourth, to participate in the indoor and inter-room quality control situation".
In short, I learned a lot of knowledge from the textbooks can not be learned, I will be these experiences into my teaching, will be able to stimulate students' interest in learning, to achieve better teaching results.
Self-assessment of medical testing and biochemistry 2
I have been in the bacteriology department of Xijing Hospital since September 20xx to February 20xx for further study. In this short period of five months, I focused on learning the business knowledge of bacteria, but also went to the clinical examination and blood bank, to understand their workflow and methods, and contacted the Xi'an Red Cross Hospital, twice to visit the Red Cross Hospital to learn. Not only enriched the knowledge of the test, but also improve the test skills.
As the province's largest and most authoritative Xijing Hospital Laboratory, through the four-month study, my experience and the overall feeling of training is "busy" and "tired". Everyone works very seriously and pays great attention to quality. Especially the teachers' high level of diagnosis and treatment and artistic operation techniques, rigorous attitude, meticulous spirit, as well as treating patients patiently, kindly, friendly attitude, this atmosphere and atmosphere, it is worthwhile for us to learn, so that I feel busy but not chaotic, tired and happy! As the focus of further study, through the study in the Department of Bacteriology, in the business so that I benefited greatly:
1. I have mastered the blood, pus, pharyngeal swabs, nasal swabs, cerebral effusion, urine, feces, and other specimens of bacteriological testing.
2. Surveillance of nosocomial infections and screening for drug-resistant strains. And through the colony morphology and simple experiments to identify some common bacteria.
3. Before the end of the study, I applied for a two-week rotation in the blood bank to familiarize myself with the identification of special blood types and the operation process of difficult blood matching.
4. Through the Xijing Hospital teacher's citation, and the Honghui Hospital Laboratory Department established contact with the Orthopaedic Hospital Laboratory Department's management, construction, and medical testing discipline dynamics and other exchanges.
To this end, combined with the current situation of our hospital's laboratory and the requirements of the Second A Orthopedic Hospital, I have the following ideas about the development of the laboratory I have:
1, all the instruments are responsible to the person responsible for the daily maintenance of the instrument and maintenance. Maximize the use of the value of the instrument.
2, quality control work everyone involved, everyone should be proficient in quality control out of control analysis and treatment process. Favorable to the department of talent and technology training and the daily flow of personnel between the hospital and the branch.
3. To abandon the "pus to do bacterial culture" point of view, all abnormal pharyngeal swabs, nasal swabs, patients with drainage tubes, wounds, abnormal bloody secretions, etc. should do bacterial culture.
4, to strengthen the clinical departments of our hospital medical staff on bacterial knowledge `training, including the use of antibiotics guidelines, bacterial specimen collection methods, how to analyze the bacterial culture report.
4, D-dimer and plasma fibrinogen degradation products (FDP) as a routine preoperative examination of surgical patients, especially elderly surgical patients.
5. In view of the special nature of the work of the blood bank, a staff member is fixed to the blood bank, responsible for blood collection and blood matching.
6. Early realization of card-type blood matching and blood culture.
7. Coordination of the blood station and the Health Bureau, can consider carrying out the line of self-
Medical Laboratory Biochemistry Self-identification 3In the biochemistry room internship is coming to an end, in this one-month internship period, I conscientiously abide by the system of the department, solidarity with classmates, respect for the teacher.
Biochemistry in the liver and kidney, lipid function test, is every hospital is essential to the basic examination.
Although every day I need to deal with a large number of specimens, first numbered, then centrifuged, and finally on the machine, the inspector of each operation must be carefully check. Because there are many, many factors that affect the results of biochemical tests.
The biochemistry quality control that must be done every day is one of the most important indicators of the state of the instrument, the stability of the reagents, and the reliability of the results.
Teachers will also actively demonstrate the operation and explain the principles to us, helping us to recognize the importance and necessity of quality control. Many people think that the work of the biochemical laboratory is easy, but I do not think so, although now the popularity of automatic biochemistry, do not need to spend too much manpower, but biochemical quality control deviation, biochemical results of the ups and downs of the test staff to make accurate analysis and judgment. Biochemical department of internship, closer to enrich their operational experience, but also for their own proficiency in biochemical operations to set the foundation. I believe that I will be able to do a good job as a biochemistry inspector!
Medical testing biochemistry self-identification 4The 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 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. During these days in the clinical examination, we have a further understanding of the basic clinical laboratory science, and 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 tense nowadays, and when practicing here, I also had the honor to stand at the consultation desk. Dealing with patients is more about patience, and more than saying a hello, perhaps it will bring the doctor and the patient closer, 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 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.
In short, this practice is very rewarding. I am really very grateful to the school and the hospital teachers to give us such a good opportunity to let us have a full understanding of their own professional learning.
Medical Laboratory Biochemistry Self-assessment 5Light like an arrow, time like a shuttle, three weeks is too short, just familiar with the work of the biochemistry group, faced with the rotation of the other professional groups, the heart is all reluctant to give up, the two days I really hope that the footsteps of time can stop, so that I can let me leave some memories of the biochemistry group. I really like the harmonious atmosphere of the biochemistry group, I am very fond of the teachers' cheerful laughter, and I cherish the unforgettable days in the biochemistry group, because I cherish the time and pray for it to stay; because I cherish the time, I just want to fight for some more work. In the biochemical group internship in these days, each teacher has taught me a lot, I also understand a lot, and now the only regret is that the time is too short, a lot of things can only be shallow, the lack of more in-depth experience.
Biochemistry group internship work in other students seem both simple and uninteresting, but for me is both familiar and unfamiliar, before the favorite course is clinical biochemistry, because of the interest coupled with their own efforts, clinical biochemistry, the theoretical knowledge of my learning is still relatively solid, so I have always thought that the biochemistry group of internships should be more comfortable, but in the process of internships I still found that the paper to come to the end of the shallow, the knowledge of the matter to be more than a few days, and the work is not the same. But in the process of internship, I still found that the paper should be more convenient, but in the process of internship, I still found that the paper should be more convenient, but in the process of internship, I still found that the paper should be more convenient, but in the process of internship, I still found that the paper should be more convenient, but in the process of internship, I still found that the paper should be more convenient, but in the process of internship, I still found that the paper should be more convenient, and I have to do it by myself. "
The biochemistry of the medical laboratory self-chemistry.
Medical testing biochemistry self-identification 6
XX summer vacation, the group (the second batch of biochemistry practice group) in the xx hospital laboratory practice, a two-week practice is very short, but learned a lot of things.
Remember to go to the practice of the first day, ignorant of our stupid stand there watching the teacher busy, not even a favor to help. But in the teacher's teaching we gradually learn to use a variety of instruments, familiar with the entire operating process ...... the next day we basically started to find things to do, encountered do not understand and then ask the teacher to teach, day by day so over, we are also working day by day to slowly accumulate knowledge.
We in the immune ⅰ, immune ⅱ, clinical biochemistry, clinical testing (routine blood, urine routine), shedding cells in the process of rotating internship in various departments, met a lot of amiable and strict teacher, their teaching so that we continue to make progress, it can be said that the practice of this practice of the original textbooks on the use of a lot of knowledge to the actual operation, but also learned a lot of books to learn the knowledge, such as many operations need to pay attention to details. For example, many operations need to pay attention to the details: 24h urine sampling, elisa sampling, the operation of the blood cell analyzer ...... in helping teachers to do experiments at the same time, some teachers will often give us some questions (although sometimes can not answer), and then the teacher will give us to explain the knowledge, in the study of new knowledge at the same time also consolidate the content of the original learning. consolidate the original content learned, and some teachers will take the time to explain to us the working principle of various instruments, so that we have a preliminary understanding and awareness of a variety of instruments.
This practice can successfully come to an end, first of all, we would like to thank the department leadership and counselor Mr. Chen Ruiming, Ms. Ying Yayun, it is their efforts to strive for us to this rare opportunity, and then we would like to thank Mr. Peng Yibing, the Department of Laboratory Science and Technology, the hospitality of the teacher, and finally, we would like to thank the enthusiasm of the teachers who are out of the practice of the process of the teachers, who are Mr. Mao Kesi, Mr. Zhi Liming, Mr. Lu Qiuya, Ms. Lu Yide, Mr. Meng Jun, Mr. Shi Houzhu They are Mr. Mao Kezhi, Mr. Zhi Liming, Mr. Lu Qiuya, Mr. Lu Yide, Mr. Mengjun, Mr. Shi Hourong, Mr. Wang Jianbiao, Mr. Jin Ye, Mr. Wen Lirong, Mr. Yuan Qin, Mr. Ye Tingjun, Mr. Kyaw Kyaw.
In short, this practice is very beneficial, in the summer vacation life at the same time learned a lot of knowledge.
Medical testing and biochemistry self-identification 7
Time really passes so fast, in the blink of an eye in the biochemistry room of a month to stay in the past, no matter how much I learn, I feel that should be summarized, there will be a great harvest.
Summarized as follows:
First, in the biochemical room to do the project blood are not required to add anticoagulant, that is, centrifuged with the supernatant that is the serum to do the required check items. Also need to know the difference between serum and plasma: serum is the blood clotting occurs after the upper layer of clarified liquid, the main reaction of coagulation is the conversion of fibrinogen into fibrin, so serum no longer contains fibrinogen. While plasma is the supernatant obtained by centrifugation after the addition of anticoagulant to the blood, the presence of anticoagulant blocks the coagulation chain reaction, so that the coagulation process is blocked, and fibrinogen is still present in it. In addition, plasma does not contain free calcium ions, and the addition of calcium ions can cause it to recoagulate, whereas serum contains free calcium ions, and the addition of calcium ions will not recoagulate. In addition, the serum has many fewer clotting factors, as well as many more clotting products.
Second, the biochemical laboratory need to do the project: 1. P3 (liver function): serum total bilirubin determination (TBIL), serum direct bilirubin determination (DBIL), serum indirect bilirubin determination (IBIL), serum aspartate aminotransferase (AST), serum alanine aminotransferase (ALT), serum γ-glutamyltransferase (GGT), serum alkaline phosphatase (ALP), serum total protein (TP), serum albumin (ALB), serum total cholesterol assay (T-CH), serum total bile acids assay (TBA), lactate dehydrogenase assay (LDH), alpha-L-fucosidase (AFU), adenosine deaminase assay (ADA)
2. P2 (renal electrolytes): serum total carbon dioxide, serum creatinine assay (CR), serum carbon dioxide (CO2), serum carbon dioxide (CO2) and serum creatinine assay (CR). P2 (renal electrolytes): serum total carbon dioxide, serum creatinine (CR), urea nitrogen (BUN), serum uric acid (UA), glucose (GLU), cystine protease inhibitor C (CYS-C), potassium, sodium, chloride, calcium, serum bicarbonate, inorganic P, magnesium, and iron measurements. 3. P5 (lipids): serum triglyceride (TG), serum total cholesterol (T-CH), serum high-density lipoprotein (HDL) cholesterol (HDL-C), serum cholesterol (HDL-C), and serum cholesterol (HDL). ), serum alanine aminotransferase (ALT), serum gamma-glutamyltransferase (GGT), serum alpha-hydroxybutyrate dehydrogenase (alpha-HBD), serum lactate dehydrogenase (LDH).5. P8 (Rheumatology): Rheumatoid Factor Assay (RF), Anti-Streptococcal Hemolysin O Assay (ASO), C-Reactive Protein Assay (CRP).6. Quantitative measurement of 24-hour urinary protein (P8). When receiving the specimen, the patient must be asked about the total amount of urine and fill in the notes in the computerized patient information).7. Cerebrospinal fluid biochemistry (CSF) test (cerebrospinal fluid does not need to be centrifuged if it is colorless and clear, and needs to be centrifuged for testing if it is turbid): GLU, CL, PRO.8. Thoracic and abdominal fluid biochemistry (FSH) test (has to be centrifuged for testing).9. Blood and urine amylase assay (AMY).10. Serum homocysteine assay (HCY).11. Tumor-specific growth factor assay (TSGF).
12. Cholinesterase assay (CHE). 13. Blood gas analysis: PCO2, PO2, PH, BE, AG, TCO2, HCO3-. 14. Infarction series: NT-proBNP, CK-MB, cTnI, Myo.
3. Clinical significance of each test: 1. TBIL: Bilirubin is a degradation product of hemoglobin in the aging red blood cells. 2. degradation products of hemoglobin. Increased total bilirubin is seen in toxic or viral hepatitis, hemolytic jaundice, pernicious anemia, paroxysmal hemoglobinuria, erythrocytosis, neonatal jaundice, internal hemorrhage, post-transfusion hemolytic jaundice, acute yellow hepatic atrophy, and congenital bilirubin abnormality, etc..2. DBIL: Increased is seen in obstructive jaundice and hepatocellular jaundice.3. TP: Increased TP is seen in acute loss of fluids (such as vomiting, diarrhea, and ALB:
Increased in acute water loss (e.g. vomiting, diarrhea, hyperthermia) and increased synthesis of serum albumin; decreased in sodium and water retention, malnutrition, increased consumption, liver dysfunction and protein loss in scalded wounds etc., hyperthyroidism, massive blood loss.4. ALB:
Increased in severe water loss; decreased in acute and chronic liver disease, malnutrition or malabsorption.5. ALT: ALT is more in the liver; when the liver is damaged, the enzyme can be ALT: ALT is more abundant in the liver, and when the liver is damaged, this enzyme can be released into the blood, so the determination of ALT is often used as a sensitive indicator to determine hepatocellular damage.
5.AST: used in the diagnosis of acute myocardial infarction, but also hepatitis patients observation indicators.6.GGT: elevated in acute and chronic hepatitis, obstructive jaundice, biliary tract infections, acute pancreatitis and other liver and gallbladder diseases.7.TBA: increase in hepatitis, extrahepatic bile ducts obstruction, biliary stasis within the liver.8. CHE: decrease in hepatocellular injury, is an important means of diagnosis and prognosis estimation of organic P poisoning. It is an important tool for diagnosis and prognosis estimation of organic P poisoning. In patients with severe hepatitis, the decrease in CHE is proportional to the degree of liver disease. If it continues to decrease, it suggests that the prognosis is poor. 9. AMY: increase is seen in acute pancreatitis, acute appendicitis, intestinal obstruction and other diseases; decrease is seen in liver and renal function injury. In mumps, especially in acute mumps, AMY is significantly increased in blood and urine.10.ADA: mainly distributed in lymphatic tissues of human body, acute and chronic hepatitis, alcoholic liver, cirrhosis, hepatocellular carcinoma patients ADA activity is generally increased.11.ALP: ALP in normal human serum is mainly from bone, produced by osteoblasts, so in bone diseases, especially when new bone is generated and in children during the growth period, ALP activity is increased. ALP activity is increased in children during the growth period. ALP activity increases in hepatobiliary diseases, especially when the bile ducts are blocked.
12. AFU: Increased AFU can be seen in patients with acute hepatitis and cirrhosis.13. UA: Increased in gout, hypokalemia and other diseases. Decrease is seen in Wilson's disease, severe anemia, etc.14.BUN: Increase is seen in renal impairment, hyperproteolysis, etc.; Decrease is seen in pregnancy.15.CR: Elevation is commonly seen in advanced renal substantive damage.16.CYS-C: It is a simple, highly sensitive and specific marker for determining glomerular filtration rate. Elevation is common in renal impairment.
17.GLU: is the main basis for the diagnosis of diabetes mellitus, coma differential diagnosis of the necessary tests. Elevated in diabetes mellitus, pancreatic disease, acromegaly, liver dysfunction, oral contraceptives; decreased in drug, endocrine, reactive, spontaneous hypoglycemia, etc. 18.CO2: increased in metabolic alkalosis, respiratory acidosis; decreased in metabolic acidosis. 19.Ca: increased in primary hyperparathyroidism, vitamin D intoxication, acidosis, dehydration, etc.; decreased in hypoparathyroidism, acidosis, dehydration, etc. See hypoparathyroidism, vitamin D deficiency, neonatal hypocalcemia.20. Fe: Elevated in hemolytic anemia, aplastic anemia, megaloblastic anemia, vitamin B6 deficiency; Decreased in iron-deficiency anemia, chronic prolonged blood loss, acute and chronic infections, etc.21. Mg: Elevated in renal insufficiency, hypoparathyroidism. Decrease in hyperparathyroidism, primary aldosteronism, diabetic acidosis, etc. 22. cerebrospinal fluid (CSF): cerebrospinal fluid proteins and specific proteins are often used to identify the increase in the permeability of the blood-brain barrier to plasma proteins or the increase in the secretion of immunoglobulins within the sheath. 23. urine protein quantification: total urine protein measurement is an important indicator for the identification of nephropathy. Elevation is seen in symptoms such as glomerular hyperpermeability, tubular reabsorption insufficiency, and protein secretin abnormalities.24. T-CH: Elevation is seen in various forms of proteinemia, obstructive jaundice, and nephrotic syndrome. TG: increase in coronary atherosclerosis, diabetes mellitus, obesity, hyperlipoproteinemia, etc. 26.HDL-C: negative correlation with coronary heart disease. 27.APOA-I: low in patients with coronary heart disease, cerebrovascular disease, etc. 28.APOB: better atherosclerosis markers among the lipid indexes. 29.APOB: better atherosclerosis markers among the lipid indexes. 30.APOB: higher in patients with coronary heart disease, cerebrovascular disease, etc. 31.APOB: higher in patients with coronary heart disease, cerebrovascular disease, etc. 32. APOB: It is a better marker of atherosclerosis among all lipid indicators. When it is elevated, it can increase the incidence of coronary heart disease even if the LDL-C is normal.29.LPa: high concentration of LPa in serum is an indicator of the risk of atherosclerosis and cardiac disease.30.CK: elevated in patients with progressive muscular atrophy, dermatomyositis, acute myocardial infarction, viral myocarditis, cerebral vascular accidents, meningitis, hypothyroidism, etc..31.CK-MB: elevated is common in patients with Acute myocardial infarction.32.LDH: Elevated commonly seen in myocardial infarction, hepatitis and pulmonary infarction.33.Hcy: Mainly used as a risk indicator for cardiovascular diseases, especially coronary atherosclerosis and myocardial infarction, the degree of elevation of its concentration is directly proportional to the risk of the disease, and it is an independent risk factor for the predisposition of cardiovascular diseases.34.RF: Elevated commonly seen in rheumatoid arthritis.35.CK-MB: Elevated commonly seen in patients with acute myocardial infarction.
35.ASO: elevated indicates infection with hemolytic streptococcus and post-infectious immune response to the disease, seen in infective endocarditis, tonsillitis, acute glomerulonephritis, to assist in the diagnosis of rheumatoid fever. 36.CRP: as an acute temporal reactive protein in a variety of acute inflammation, tissue damage, myocardial infarction, surgical trauma, radiation injury and other diseases after the onset of a few hours of rapid increase When the lesion improves, it rapidly decreases to normal, and the magnitude of its elevation is positively correlated with the degree of infection.
Fourth, the biochemical laboratory specimen operation process: 1. will be collected back to the specimen according to the laboratory check the project number, blood specimens on the number should be consistent with the number of the laboratory check, need to pay attention to the laboratory check there will be a bar code, also need to be
number. 2. receive the specimen, the specimen is not collected in a timely manner to notify the departments of the collection of the specimen, and then accept, check the bar code contains information whether it is consistent with the laboratory check. The information contained in the barcode is consistent with the information on the lab sheet, and the inconsistency should be communicated with the corresponding departments in time to determine the examination items.
3. Centrifuge the blood specimen, note that each specimen must be centrifuged qualified. If the specimen fails to pass the centrifugation, it should be re-centrifuged.4. Enter the corresponding test items on the computer.5. Place the separated blood on the corresponding position of the automatic biochemistry analyzer.6. Click on the run button on the computer to start running.7. Audit and send the results.
V. Test "critical value" report range: 1. White blood cells (WBC): 40 × 109 / L. 2. Hemoglobin (Hb): 220 / L. 3. Platelets (PLT): 1000109 / L. 4. Plasminogen time (PT): > 35s. 5. Activation section prothrombin time (APTT): >70s.6. K:6.5mmol/L.7. Na:160mmol/L.8. Cl:125mmol/L.9. GLU:25mmol/L.10. CR:>650umol/L.11. Urea>36mmol/L.12. AMY: blood>. AMY: blood >500U/L or urine >1000U/L. 13.PH: 7.6. 14.PCO2: 70mmHg. 15.PO2: <30mmHg.
Although I stayed in the biochemistry room for a short period of time, I learned a lot of knowledge about the textbook and outside the textbook, and became skilled at a lot of practical test operations, but also established a very good relationship with my teachers and classmates. I have established a good relationship with teachers and students, and I am truly grateful to every teacher in the biochemistry room for his or her teaching. I hope to continue to work hard in the future internship process to learn more knowledge from teachers and classmates to enrich themselves. I am determined to correct all the mistakes I made during my internship. Do serious, humble, hard.
Medical testing biochemistry self-identification 8Light is like an arrow, the sun and the moon like a shuttle. A year of internship life will soon be over, looking back at the past year, I can not help but feel a lot of emotion. I was formally admitted to the hospital in August 11 as a laboratory intern. In this year's internship, they continue to strengthen learning, improve the political quality and business quality, accurate self-positioning, and strive to do their jobs, now will be a year of internship report is as follows: In just a few months, the party and government leaders in the hospital under the correct leadership of the leadership of the director of the Laboratory Department, I seriously study the professional knowledge, enterprising, pragmatic and carry forward the work style of advancing with the times, insisting on patient-centered clinical service concepts, based on patient-centered clinical service concepts, based on the patient-centered clinical services. Patient-centered clinical service concept, based on their positions, down-to-earth and do a good job in medical services. Summarize the following items:
One. Dedicated, do their jobs
As a member of the Laboratory, both the eyes of the doctor, but also the doctor's assistant, to grasp their own responsibilities, which is another guideline since my tenure. Application of their own knowledge, collected to the teacher's opinion, learning to the experience of the field, put forward the views and suggestions to the doctor as a good adviser. So far, has basically been able to meet the requirements of various types of patient testing parameters in the hospital; in order to ensure the accuracy of various types of patient testing data, in the whole process of testing, testing, in strict accordance with the "National Clinical Laboratory Procedures" and "product specification" for the operation of the test report issued in the past year basically to achieve accuracy. In the test business can firmly implement the concept of medical safety first, to prevent the occurrence of medical errors. Further improve the quality of medical services, improve service attitude to win the trust of patients.
II. Professional knowledge, working ability and specific work
Daily clinical laboratory work, although the work is relatively busy, do a certain degree of difficulty, such as a lot of manual sampling work, I have not done before, but in order to get the job done, to obey the leadership arrangements, and actively support the work of the director of the department, I'm not afraid of the trouble, learn from the teacher with an open mind, their own practice, in a short period of time, skilled in manual sampling work, clear work procedures, and improve the work of the director of the department. In a short period of time, I mastered the work of manual sampling, clarified the working procedure, improved my working ability, formed a clearer working idea in specific work, and was able to carry out the work smoothly and complete my work skillfully and satisfactorily. In order to make up for the vacancies in their own professional knowledge, I
Every day, I constantly ask myself to make up for this knowledge, which is no matter on their own or in the future interview to lay a solid foundation.
Third, the work attitude and diligence and dedication
The doctor's parents, I do everything possible to relieve the patient's suffering as their own responsibility. I hope that all patients can recover as soon as possible, so every time when I enter the ward, I use the limited time to spare no effort to encourage them to patiently help them to understand the disease, to establish confidence in overcoming the disease, and silently pray for their early recovery. I love my own work, and I can treat every job correctly and seriously, and serve everyone enthusiastically. Seriously abide by labor discipline, to ensure timely attendance, effective use of working time, stick to their posts, work overtime to complete the work on time.
Fourth, in the work also received from all aspects of the criticism and correction, I have one by one to rectify, received good results.
In the past few months of their own internship, under the leadership of the hospital leadership and the director of the department, their own dedication, hard work, although some achievements, but because of their own qualities must be further improved, the work of this and that inevitably appear in the problems and errors, such as individual work is not perfect, which is to be improved in the future work. I sincerely hope that the leaders and teachers can give timely criticism and correction, the new year means a new starting point, new opportunities, new challenges, I am determined to make persistent efforts, a higher level, and strive to create a new situation of work, so that the ideological awareness and work performance to a new level, for the development of the General Hospital to make greater and greater contribution.