Experience of internship in cardiothoracic surgery (1) The one-month internship in thoracic surgery is coming to an end. Looking back on the internship during this period, I am deeply touched. During my internship in thoracic surgery, I mastered the rules and regulations of thoracic surgery, carefully studied the specialized nursing operations such as venography puncture, strictly observed the aseptic operation principle required by thoracic surgery, and further standardized and mastered the basic nursing operations such as intravenous infusion, subcutaneous injection and intradermal injection. Conscientiously perform the duties of nurse interns, be strict with yourself, respect teachers, unite classmates, care for patients, never be late, never leave early, work hard, try to standardize nursing work, and combine theory with practice. During the internship, I always take "love, care and patience" as the basis, and strive to bring quality services wholeheartedly to "eye workers, hand workers, foot workers and mouth workers" and strictly implement the three principles.
Every link of thoracic surgery is an indispensable part. For me, every part is a test and a rare and precious experience. With the improvement of the legal system and the enhancement of people's legal consciousness, it has become common sense for people to act according to law and safeguard their legitimate rights and interests, which requires modern nursing quality to satisfy patients in all directions and in the whole process. Nurses should not only know the law, obey the law and reduce the occurrence of medical accidents according to law, but also improve their theoretical and practical level.
Through this period of internship, I personally thank all the teachers and seniors for their careful guidance. I will keep in mind their excellent work style and cautious and rigorous work attitude, and I will constantly push myself and remind myself to improve my own shortcomings, continue my own advantages, comprehensively improve my comprehensive level and bring quality services to patients. Strive for greater progress in future work.
During my internship in this department, I can strictly abide by the rules and regulations of the department and will not be late or leave early. Able to complete various operations independently. During my internship in this department, I went to the intensive care unit and even worked at night. I am well aware of the responsibilities of the intensive care unit and understand the hardships of working at night. During my internship in this department, most of the patients I met were in surgery, and most of them were acute and needed immediate surgery. In the operating room, the concept of sterility is very strong, and we should be responsible for the patients as well as for us. When I went to the operation for the first time, the teacher explained to me carefully how to brush my hands, wear sterile clothes and wear sterile gloves. At this moment, it's easy for me to have an operation. Go to the ward to observe the changes of the patient's condition and see if there are any other complications. For patients in intensive care unit, you should always observe their vital signs and don't stop taking medicine. There I sometimes measure patients' blood pressure, namely mannitol and glycerol fructose. In short, I kept shuttling in various wards to understand the patient's condition changes, find problems early, raise them with my teaching teacher early, and then discuss with the teacher to solve them early. Although people still feel very tired every day, they are very practical.
During my internship, I strictly abide by the rules and regulations of the hospital and earnestly perform my duties as an intern. Respect teachers' self-respect, unite students, care for patients, never be late and leave early, work hard, standardize medical work, improve skills and services, combine theory with practice, make theoretical study planned and focused, and strive to be diligent in eyes, hands, feet and mouth based on love, care and patience. Thinking about what the patient thinks, being anxious about what the patient is anxious about, and suffering from the disease wholeheartedly have brought high-quality services and established good medical ethics. Through more than half a year's internship, my theoretical level and practical level have improved. In the future work, I will continue to work hard, keep in mind the responsibilities of doctors, constantly strengthen ideological study and professional study, comprehensively improve my comprehensive level and bring quality services to patients. I look forward to enriching myself in my future study and becoming a qualified medical worker as soon as possible.
Practice experience of cardiothoracic surgery (2) I have been in cardiothoracic surgery for four weeks and will leave in a blink of an eye. Meet in parting. This sentence is used to say that we are too suitable. Always leave, always meet. Say goodbye to the familiar XX teacher and arrive at a new environment. Maybe we can only meet if we leave! I know this is a kind of growth.
I learned a lot in cardiothoracic surgery. Teacher XX is a very diligent and responsible teacher. I still remember the first sentence he said to me when he came to the department was "Let's study together!" Cardiothoracic surgery was the first real surgery. Because the last department is gastroenterology, we really feel the difference between internal medicine and surgery through comparison. Most patients with silicosis are conservative in medical treatment, and most of them will undergo surgery in cardiothoracic surgery, while most of them will choose chemotherapy or give up treatment in medical treatment. There are almost no surgical patients in medical digestion. On the contrary, there are many surgical patients in surgery. Cardiothoracic surgery, in particular, is usually a major operation. Usually, I rarely go directly back to the ward after surgery. It is usually sent to ICU for observation, and then sent back to the ward after the condition is stable. Pneumothorax is the most common in cardiothoracic surgery, followed by lung mass, heart disease patients (ventricular septal defect and aortic insufficiency are more common), and then esophageal cancer patients. There is a great difference between patients with esophageal cancer before and after operation. When they see a doctor before surgery, they may not be able to swallow anything at all and find it difficult to swallow. After the operation, patients usually need to fast for a week. This week, patients will feel uncomfortable, because the wound hurts. Esophageal cancer surgery will lift the stomach to the chest, which will make the lungs compressed and prone to atelectasis.
Patients may have symptoms such as irritability, dyspnea, chest tightness and shortness of breath. We should encourage and assist patients to take a deep breath, cough and expectorate effectively, and help them turn over and pat their backs. If the patient's respiratory secretions are sticky, chymotrypsin and ambroxol can be inhaled by ultrasonic atomization to dilute the sputum. Usually, after the patient's condition is stable one week after surgery, he will gradually start eating, and his recovery will be smoother. In addition, the number of infusion drops in surgery is not as strict as that in gastroenterology, because most of them are elderly patients. The heart function is not so good, but in surgery, except for patients with heart disease, the number of drops should be strictly controlled, and the rest patients can basically drop about 70 drops. Thoracic and cardiac surgery has seen many patients with closed thoracic drainage caused by pneumothorax intubation. Although I have seen it in the digestive department before, I have never really treated it.
In cardiothoracic surgery, the teacher not only taught me how to judge whether the catheter is blocked by the fluctuation of water column, but also taught me how to replace the closed drainage bottle of chest cavity, how to replace the drainage bag and so on. Let me learn a lot. Before in other departments, I had no idea what I wanted to do every day. Under the guidance of teacher XX, I know my daily work, instead of blindly relying on the teacher as before. Teachers are very strict in their work and strict with me. Although people often say that they are depressed, they are even afraid of teachers and blame them in their hearts. But when I got home, I thought about the teacher's words carefully and gained something. I am very grateful to the teacher for bringing me growth. Although I am not your best student, what you have brought me is really immeasurable wealth! The future is always on the road. I hope I can do better tomorrow. Come on!
Experience of internship in cardiothoracic surgery (3) Eleven months passed quickly, really quickly. We bid farewell to nursing practice and student days forever. In this year, we have gained a lot, knowledge, technology, friendship and experience. ...
That day, we were so excited when we put on the white nurse's uniform and walked into the hospital. At that moment, we were told that it is the duty of our nurses to protect our lives, relieve our pain and improve our health. As an intern nurse, we should study hard in the hospital, gain solid professional theoretical knowledge and skilled nursing operation skills, and lay the foundation for us to become a qualified nurse in the future!
When we first started our internship, we little nurses always followed the teacher's ass, never letting go of every detail of the teacher's operation, and some even took notes. When we encounter something we don't understand, we all ask the teacher in time, and the teacher always gives us detailed answers. Although some teachers are not very good, we all know that the work of nurses is really complicated, and teachers should do their own duties and assume the responsibility of teaching. In this way, we worked as intern nurses for several weeks at first, and gradually we began to try the operation, but the teacher just let go and didn't look around, which gave us a good exercise opportunity, maybe just trying. At that moment, we had to show courage and overcome our psychology.
Nurse work is a complicated life. We should not only learn to be a man, but also learn to do things. In practice, we should constantly enrich our theoretical knowledge and nursing operation skills and strive for more operation and exercise opportunities; To be a man, we should deal with the relationship between ourselves and our classmates, teachers, head nurses, doctors, patients and family members in the hospital, which brings us great pressure and good exercise opportunities. It is most important to establish a good nurse-patient relationship, which can bring convenience to our nursing work. The work of nurses is no longer a simple skill operation such as injection and medicine distribution, but a more complex creative activity including psychological nursing. Nurses should not only help patients. In the internship, I realized the importance of communication, deeply realized the importance of communication, and realized the happiness that communication brought me. Communication is an art, it is a bridge to build understanding and trust between people. Whether we can communicate or not affects not only our lives, but also our work.
When I get along with patients, I always try to communicate with them with a sincere heart. Feel their pain, understand their needs and give them the care and help they can. Only good communication can establish a good nurse-patient relationship and fully gain the trust of patients. Only on the basis of trust can patients fully express their ideas, and nurses can fully understand patients and give them proper care.
Just a few months of internship, we can already see our busy figure in the corridor of the hospital. We kept shuttling between wards. We are very tired, but we should be happy, because we are finally qualified for the task assigned by the teacher, and we can finish the nursing work independently. This is a big step for our future, and we should celebrate it. During the internship, I don't forget to enrich my theoretical knowledge, and attend various nursing knowledge lectures and teaching rounds held by departments and hospital nursing departments on time, so that I can constantly apply my theoretical knowledge to practice and combine theory with practice. This is what practice should look like.
During the internship, I realized that it is not easy to be a nurse, and it is even more difficult to be a qualified, excellent and quality nurse. With the continuous progress of material civilization and spiritual civilization in today's society, people's demand for the quality and service level of nursing staff is also increasing. It is more and more important for nurses to have good qualities, including not only psychological aspects, professional skills, professional ethics and physical aspects, but also cultural instruments.
Internship gives us a good opportunity to exercise, let us solve problems when we find them, and pave the way for nurses. We should not only learn to be a nurse, but also learn how to be a good nurse. Nurses are the main body of clinical nursing work. To provide the best nursing service, we must strengthen our self-cultivation and have a good mental outlook and healthy psychological quality. Positive, optimistic and confident attitude towards life; Emotional stability, not discouraged when encountering setbacks, not proud of achievements; Be fearless in times of crisis, and be able to deal with it calmly in a difficult and complicated environment; Broad-minded, able to learn from colleagues' new methods and technologies, listen to different opinions, learn from others' strengths, make up for their own shortcomings, and exchange experiences with each other at work. In terms of professional technology, we should have solid professional theoretical knowledge, master the symptoms, signs and nursing points of various common diseases, and make timely and accurate nursing plans. Master the knowledge of nursing psychology and nursing ethics, understand the latest medical nursing theory and information, and actively carry out and participate in nursing research; Skilled nursing skills. Skilled nursing operation technology is the basic condition of an excellent nurse. In addition to the general internal medicine nursing skills, we should also master the specialized nursing skills of this position, so as to complete all nursing work steadily, quickly, accurately and well. Excellent nursing technology can not only greatly alleviate the patient's pain, but also enhance her self-confidence and give people beautiful enjoyment. Master the use of first aid technology and equipment, be familiar with the application of first aid drugs, and skillfully cooperate with doctors to complete the rescue of emergency or critically ill patients; Have a high sense of responsibility, strictly observe the changes of patients' conditions, strictly implement operating procedures, conscientiously do a good job in checking the system, always remember that medical safety is the first, and prevent medical errors and accidents; Have keen observation and be good at capturing useful information; Rich in imagination and brave in technological innovation. Have strong language expression ability, master communication skills, and be able to flexibly use language for psychological care according to the specific situation of patients.
During my internship, I learned to treat every patient with good morality. Nurse is angels in white, it is our duty to save lives, so we should have good professional ethics. We and patients are two individuals with equal status, but the social division of labor is different. We should create a clean, comfortable, safe and orderly diagnosis and treatment environment for patients like friends and relatives, receive patients warmly in time, listen to their complaints with sympathy and compassion, try our best to meet their reasonable requirements and provide humanized medical services.
Nursing is a special occupation, which combines manual labor with mental labor, serves people and is related to people's lives. A little carelessness at work will ruin a life, so we are highly focused at work, so we are required to have healthy body and abundant energy to ensure the smooth progress of the work.
With the rapid development of medicine, new requirements are constantly put forward for the theory and technology of nursing work, and the requirements for us are also constantly improving. In order to meet the new requirements of nursing work, we should keep forging ahead, improve our self-cultivation and be a qualified nurse in people's minds.
The end of the internship means that we are about to set foot on the job. I believe that after this year's exercise, we will be more mature, more stable and more able to shoulder the responsibility as nurses. I believe that we will inherit Nightingale's lofty spirit, treat every patient with love, patience, care and responsibility, and serve the patients wholeheartedly.