1. Nurse training experience and feelings
The further study, I feel that their theoretical knowledge is very insufficient, in the face of the patient's family members put forward a variety of questions can not be carefully answered, and feel very ashamed. I am determined to take this opportunity to seize the time to charge, and further strengthen the learning of nursing theory knowledge, in order to better serve every patient. I'd like to know more about the pharmacological effects, indications, adverse reactions, precautions, etc. of the drugs commonly used in this department so that I can better provide help to patients and enjoy the joy of knowledge in the process.
With the improvement of people's living standards, the requirements of health care also continue to improve, nursing services have been not only limited to injections, infusions, drugs and other simple nursing work, but more and more focus on providing patients with a whole body, mind and soul, a full range of high-quality nursing services. The nurse's words and deeds fully reflect the care and attention to the patient, therefore, in the face of future medical competition and social needs, with the nursing image, the work of the state appeared in the patient's body, for their own, for the department and even for the entire nursing industry to add color.
2. Nurse training experience and insight
Neurosurgery is intricate and complex, craniocerebral tumors, due to car accidents and other traumatic injuries caused by a variety of craniocerebral injuries, etc., the condition of the disease is heavy, the condition is changing rapidly, and it is easy to cause sequelae. Many of these patients are unconscious, agitated, or even comatose due to neurological damage and other manifestations, and those admitted to the intensive care unit are critically ill. Neurosurgery is particularly frequent and major, so postoperative care is particularly important. Close observation of vital signs, wound dressings for exudation, each drain (head drainage, indwelling urinary catheter, nasal feeding tube, etc.) is smooth, the correct position, every 2 hours to turn over, knocking the back to prevent the occurrence of pressure ulcers, and strict recording of 24-hour in and out ...... These are all very important, there can not be a trace of negligence.
3. Nurse training experience and feelings
Time flies, three months of training has ended, a lot of attachment, a lot of reluctance. The deepest feeling of this training is the second hospital affiliated with Zhejiang University School of Medicine anesthesia and surgery rigorous, advanced management mode, dedication to the service concept, a positive attitude to work, and truly achieve the "patients and service recipients first," the core values. This further training allows us to expand our horizons, change our traditional concepts, clarify the direction of learning and development, and lay a solid foundation for future learning and business skills training.
With the help of all the doctors and nurses in the Department of Anesthesia and Surgery of ZJU Second Hospital, we have quickly integrated into its good working atmosphere, and have greatly improved our theoretical knowledge and professional skills, realized the established learning objectives, successfully completed the training tasks, and won the praise of the instructors. We will strive to make further improvement in our personal and departmental work in the future, and at the same time, we will implement and carry forward the advanced management concepts and excellent traditions of the Second Hospital of Zhejiang University in our hospital. We will summarize what we have seen and felt in this study as follows:
We are impressed by the strict management process of the hospital's training. First of all, before starting work, you need to attend the pre-service training organized by the hospital, including the introduction of the hospital, rules and regulations, fire training, hospital infection control, patient safety goals, workflow, blood glucose meter, BLS and other theoretical operation assessment. Subsequently, they came to the department to familiarize themselves with the environment, and the chief instructor made unified arrangements to take one-on-one teaching mode; finally, through the detailed explanation of each clinical instructor, all the trainees were able to understand the process of cooperation of each operation, the habits of the operator, the precautions during the operation, etc. Each operation was trained in a unified way, which eliminated the personal habits in the cooperation of operations in different hospitals and made all the trainees benefited greatly.
Human resource management, equipment management, instrument management, and management of high-value consumable items have a lot of advantages that we should learn from. Each operating room has a detailed list of charges, and after each operation, the surgeon and the nurse confirm that the charges will be collected by the charge shift nurse, which eliminates delinquency and omission. Nurses in the instrument class are responsible for the preparation of routine instruments and special instruments for surgery on the same day and the next day, as well as ensuring the supply of emergency surgical instruments. High-value consumable items are sent to each operating room every day by specialized personnel, and are recovered in a unified manner.
Information technology helps clinical nursing management, the doctor will arrange the operation at the same time will be in the operation notice form will indicate the operation position, the estimated length of the operation, special supplies, whether the need for autologous blood recycling machine, the need for neurological monitoring, the patient with or without special infections in order to the head nurse to arrange for the preparation of the operation.
There is a scientific, rigorous, and perfect workflow and quality standards to provide every nurse with the rules of doing things, as long as the work program is strictly implemented, you will get satisfactory results. The handover sheet for surgical patients is detailed and practical, and the preoperative preparation work has clear responsibilities and a perfect process. The patient from entering the operating room to return to the ward of each position in their respective roles, with tacit cooperation.
Caring for the department's property, careful accounting of all consumables to avoid unnecessary waste, is a good quality worth learning.
Strictly in accordance with the requirements of hospital infection, focusing on safety management, skin protection of surgical patients and body temperature protection is implemented on a regular basis. The company has been adhering to the belief of paying attention to details, and we are y touched by it. For example, the placement of the surgical position will be prone to pressure ulcer parts of the skin protection; portable wear oxygen saturation probe often change fingers; catheter can not be passed from under the patient's body; each general anesthesia surgical patients have to be attached to the eye film, to avoid postoperative eye dryness and itchiness ......
4. Nurses further education Experience and perception
A while ago, the hospital arranged for me to go to the Respiratory and Critical Care Medicine Department of the Tang Du Hospital for the specialized nurses to further their studies. Due to the impact of the epidemic this year, our further training is divided into online theoretical learning for one month and base practice learning for one month. At the beginning of October, I came to Tang Du Hospital, the Second Affiliated Hospital of Air Force Military Medical University. The teacher who received us was very enthusiastic. She said, "One day Tangdu love, lifelong Tangdu people", which made us all feel warm. From the initial unfamiliarity to familiarity, I not only gained knowledge, but also friendship.
The Department of Respiratory and Critical Care Medicine of Tang Du Hospital is mainly a comprehensive discipline with medical teaching and research as the main body, and the department is divided into five wards, which is a nursing collective with strong team cohesion, excellent business skills, support for the military and love of the people, and based on the service of patients. Teachers' solid basic skills and patient teaching let us gain a lot, they use rich clinical teaching experience to teach by example, so that I have a new understanding of the nursing career. Here I have seen the latest diagnosis and treatment technology, such as: the most cutting-edge bronchoscopic photodynamic surgery, the technology of the magic lung membrane ECMO, learned the literature search and nursing paper writing, a more comprehensive grasp of respiratory common diseases, the care of multiple diseases and the care of critically ill patients ...... In addition to that, the harvest of this study is my personal consciousness change. In addition, this study is the transformation of my personal consciousness, where I understand that life should be "self-seeking, self-thinking" in order to grow faster, but also let me fully realize my own shortcomings. I am very grateful for this opportunity to learn, so that I can not only gain knowledge, but also recognize myself again. The dedication and meticulous work attitude of the teachers inspired me to study harder and explore more actively in my future work, to find problems and deficiencies in my work, to think proactively and dare to innovate, and to continuously improve my professional level.
Once someone asked me: "A nurse, go to further training to play the needle?" See, the original in the eyes of the nurses in addition to the injection, the issue of drugs, nothing else. If our nurses can only give injections, then we are just shooters, if our nurses can only issue medication, then we are just dispensers, if our nurses can only sweep the bed, then we are just bed sweepers ...... In fact, there are nurses who are well versed in all kinds of specialized nursing knowledge, there are nurses who have countless professional qualifications, and many of the nurses are professional nursing experts. Nursing is an important part of the entire medical work, nurses play an indispensable role in improving the quality of medical care and building a harmonious doctor-patient relationship. I want to cherish every opportunity to learn, grasp the details, strong skills, in the ordinary post to realize their own self-worth, to do a thoughtful and warm nurses!