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This summer I came to the hospital for a 1-month nursing apprenticeship. I went deep into the daily work of nurses, and personally experienced the sweet and sour of being a nurse, which realized that being a nurse is not as easy as I thought. Nursing is indeed very hard, a moment is the infusion, blood, a moment is the injection to give medicine, a moment and then have to Chinese medicine enema. If the patient is not feeling well, he will think of the nurse first, and if the patient has any problems, he will find the nurse, who will have to change the medication and fluid and call the nurse....... There will always be a busy nurse in the ward.
The most profound feeling is that the clinical is the consolidation of theoretical knowledge base. Clinical field experience, field exercises, let me repeat the car school to learn those boring and stubborn knowledge of the questions raised. For example, why do I need to read all this pharmacology and pathology? What's the point of memorizing it? It seems to understand that there is still no benefit at all, the knowledge is comprehensive, but after learning the general feeling is that it has always been only for the test and study, not a few points belong to my self. In school, no one asked me what adverse effects these drugs will have, even if I understand that there are these adverse effects, but I have never really seen them, I do not understand how serious a drug is when it is used incorrectly, no one asked me what the clinical manifestations of this disease, I have never really seen these clinical manifestations, in the end, how is it? Is it just the same as in the books? Waiting for ......
This more than a month of apprenticeship life also in my future work to do medical and nursing cooperation greatly help, doctors and nurses have the same duties, are to give the patient to solve the physical and psychological pain. Only when doctors and nurses to do close cooperation, in order to bring the interests of patients. And to do this, we must first understand the work of self and each other's work. As a future nurse, it is important to understand the work of nurses, so this apprenticeship I feel that not only played a bridge to early contact with the clinical role, but also enhance the potential for clinical thinking, to develop the potential to do it, and enhance the confidence.
First, re-recognize the noble profession of nurses
In my previous impression, nurses are synonymous with patience and care. I always thought that their work is very simple, very simple, only need to implement the doctor's orders, "according to the prescription," on the line, the other work is also some trivial small things. This time I through nursing apprenticeship, the first in-depth into the daily work of nurses, and personally experienced the bitter, spicy, sour and sweet of being a nurse, only to find that the original nurse is not as simple as I thought. Nurse's work is a word "tired", I run after them every day are tired, and they not only have to keep walking in the sick room, but also to the patient needle medicine, in fact, more tired than the doctor, but they did not complain. A nurse, as long as the workstation, she is full of strength. They are fully committed to a battle: to show their vitality inside and outside the ward; to dedicate their energy and smile to the patients unreservedly.
Shift handover is usually at 8:00 in the morning, nurses and doctors have to attend, of course, I am no exception. The director of the department stood in the front, last night on the night shift nurses began to do their nursing pathology shift report, and then the doctor on duty, in addition to the doctors will have to say a few words about the status of their own jurisdiction of the critically ill patients, and finally the two directors and the head of the nurses to summarize the end of the shift every day must be done. I personally believe that the shift is very important, it is a disciplinary constraint on doctors and nurses, so that we health care workers understand that the patient's life in our hands, we must have a strong organization and discipline, to be a conscientious and responsible health care workers.
Second, open up the horizons, increased insight
During the apprenticeship, I followed the teacher, listened carefully to the explanation and guidance, understand the basic operation of many medical equipment, observation and practice of many kinds of medical operations, such as vital signs to determine the weight, blood pressure, respiration, pulse, body temperature and so on. Many of the specialized instruments were new to me. There were many seemingly simple nursing operations that I realized were not so until I actually did them. During my five weeks in the hospital, new things came to me one after another, bringing me a shock of excitement at times. I was full of curiosity, observing and asking questions, and the nurses patiently explained to me how to use some medical instruments and basically mastered the essentials and precautions of nursing operations. They vividly analyzed each seemingly simple operation and gave me many opportunities to practice nursing operations with these instruments and equipment as permitted by the rules and regulations. All of this has given me a necessary perceptual understanding of the work I will be doing in the future.
Thirdly, I have gained a good understanding of the holistic nursing care of the doctors and nurses
This is extremely important for my future work and is one of the most important purposes of this internship. Through the understanding, I realize that the duties of doctors and nurses are highly unified, the goal is to give patients to ease or relieve physical and psychological pain. Only when doctors and nurses work closely together can they bring benefits to patients. And to do this, we must first understand the work of self and each other's work. This accumulation of knowledge is also what I gained from this nursing internship. Specifically, I learned:
1, holistic care requires a high degree of collaboration between doctors and nurses, of which the close cooperation between the head of the department and the head nurse is the key. In the ward to carry out holistic care before the director of the nursing department under the department first contact with the director of the department, its work plan, implementation program, etc. to the director of the department, and strive for the support of the director of the department. The head nurse is required to discuss with the chief of the department in the formulation of the implementation of the overall nursing work plan, system, responsibilities, division of labor, scheduling methods, and so on. The head of the department attaches great importance to this work, and emphasizes the benefits of implementing holistic nursing care and the specific work plan at the shift meeting, and asks the doctors to support and cooperate with the work with all their heart. When the department organizes nurses to carry out overall nursing knowledge training, the director of the department and the doctor must also participate in the study.
2, doctors and nurses must be clear responsibilities, cooperation, *** with the management. Each patient's bedside in the ward is hung with a small card, above which is written the name of the doctor in charge and the nurse in charge. When new patients are admitted to the hospital, the nurse in charge of the patient should be introduced to the doctor in charge and the nurse in charge, so that the health care clear self-responsibility for the patient to bring a full range of full-service, so that the health care more closely with.
3, health care *** with the room. This is conducive to solving the patient's medical and nursing problems. The nursing department stipulates that the nurse in charge of the ward must participate in the doctor's room every day and make a record. Nursing Department from time to time to check the status of the record. Nurses to participate in the doctor's room, can further understand the condition of the patient's self-management, treatment programs, in order to help nurses to identify problems, improve the quality of nursing services.
4, medical and nursing cooperation can make doctors understand the new nursing concept. The reform of the nursing system is to make the disease-centered functional nursing care into a patient-centered holistic care, changing the simple and passive situation of the nurse to implement the doctor's orders for many years. The new nursing model, such as the nursing process for patient care, need to collect patient information, write nursing history, develop care plans, develop health education programs, psychological care, nurse-patient communication and other work, which should be made known to the doctor in order to get support and help.
5, do a good job of the patient's psychological care is health care *** with the responsibility. The patient's emotional and psychological state has a great impact on the regression of the disease. According to the biological, psychological, social, medical model to deal with patients, is the health care *** with the responsibility. Changing the purely biomedical model of seeing the disease but not the person. The patient will produce all kinds of adverse negative emotions, such as tension, fear, anxiety, pessimism and so on. Nurses in charge of the discovery of the above negative emotions, can cooperate with the doctor in charge, *** with the patient's psychological care, so that it is in a psychological state to understand the treatment.
6, health education is health care *** with the responsibility. Health education is an important function of the hospital, is a means of treatment, is the implementation of the overall care of important information. Health education throughout the patient from admission to discharge at all stages. The development and implementation of health education programs are completed by medical and nursing *** together, including: determining the educational needs of patients and their families, establishing educational objectives, selecting educational methods, implementing educational programs, discharge education and so on. At the same time, health education has been designated as a skill that nurses should master, and in the development of nursing routines, diagnostic and treatment routines to increase health education information, health care must be **** with follow.
7, timely exchange of information for patients to solve various problems. Nurses around the patient all day long, and the patient contact time is more, the patient's condition changes, drug reactions, treatment problems and other timely reports to the doctor, so that the doctor to deal with in a timely manner. Good nurse-patient relationship, so that the patient is happy to tell the nurse about their thoughts and concerns. Nurses will relay this information to the doctor, the doctor in the checkup of the patient one by one to explain the timely elimination of the patient's concerns.
Two
The two-week nursing apprenticeship came to an end, in this two-week apprenticeship life, we benefit a lot. During this period, we abide by the rules of the trainee, work by heart, study seriously, and follow the instructions of our superiors.
First of all, I would like to briefly introduce our work situation. on the morning of July 9, we decided to choose Tongji Hospital as the apprenticeship site, and then arrived at the Department of Integrative Medicine, because it is our self-specialization, so Nurse Yan quickly nodded her head and agreed to let us wear white coats and come to report to work on Monday at 7:30 a.m. We were very pleased to see that we were able to work in the same hospital.
On the morning of July 11, we reported to the Tongji Hospital Chinese and Western medicine, through the head nurse's explanation, I learned that the nurses are divided into different shifts: responsible for nursing, is responsible for infusion and medication change. The eight-three shift is a continuous shift at noon, but the shift ends at three o'clock in the afternoon. Evening shift, work at 3:00 p.m., 8:00 p.m. off. The head nurse divided us into three groups, each following a different nursing teacher; then, we received disposable masks, gloves, badges, and were informed of the relevant matters and introduced the hospital workflow. After that, we followed the instructor to the wards to make up the beds, and then attended the 8am shift change and room check with the doctors; after the room check, we watched the nurses giving injections, changing medicines, and other checks to the patients. The rest of the free time was spent in the doctor's office looking through medical records, listening to the doctor's discussion of the condition of the patient, and watching the intern copying wills, etc. On the afternoon of the 11th, a new patient was admitted to the hospital, so we chose to follow up on a new inpatient, and finally chose the patient in bed number 6. The whole afternoon, just in the office to read the medical records, and occasionally go to visit the ward.
The rest of the days were spent arriving at the hospital at 7:30 am each morning, basically repeating the first day, and walking some other things in the afternoon. In this process, I followed the lead teacher, listened carefully to the explanation and guidance, understood the basic operation of many medical equipment, observed and practiced many kinds of medical operations, such as vital signs determination (blood pressure, respiration, pulse, temperature, blood sugar), cardiac monitoring. Nebulized inhalation, intravenous drip, intramuscular injection, sterilization of instruments and so on. There were many specialized instruments that I saw for the first time. There are many seemingly simple nursing operations, really do it to realize that it is not so. I also learned how to sort the garbage cans in the hospital. Not only that, when accompanying patients to do examinations, I saw ct, color ultrasound, chest puncture, chest fluid extraction, moxibustion, trauma and other examinations and treatments; in the process of accompanying nurses to give injections, I also saw indwelling needles, filters and so on. All of these things have expanded our knowledge.
Ten days of work is not set in stone, on July 14th, we went to the outpatient clinic to participate in the winter disease summer treatment, under the leadership of the senior brothers and sisters, learned a few acupuncture points, and give the patient paste ointment. 15 afternoon, listening to Professor Hu Shao-ming lectured on the basic principles of traditional Chinese medicine treatment of tumors, but also gained a lot of understanding of the importance of the concept of the process of treatment of disease.
For the trainees, it is more important that we can have early contact with the clinic, understand the hospital and inpatient environment, hospital management, the work of doctors, nursing work methods, health care collaboration, and health care relationship communication in the process of disease diagnosis and treatment of the important position, for the future clinical learning to lay a good foundation.
The following aspects of the hospital work learned from several aspects of the problem:
First, the hospital inpatient environment
The Department of Integrative Medicine has a one-storey building, which includes a doctor's office, doctor's lounge, nurse's workstation, food preparation room, disinfection room, equipment rooms, wards 10. There are 2 large wards with 8 people each and 8 small wards with 4 people each. Male and female patients are separated in different wards, with curtains separating the beds from each other, and the wards are equipped with televisions and washrooms. When the ward is full, it is possible to add beds in the corridor.
Second, the normal work procedures
7:30, nurses began to make up the bed; 8:00, doctors and nurses shift, by the night duty nurse read out the vital signs and conditions of the patients, by the night duty doctor to be supplemented by the shift doctor to account for some of the situation, and finally by the director and the head of the nurses to summarize; 8:30, the doctor's checkups, led by the professor, the physician, interns and trainees follow; 9:00, the doctor goes to the office to look over the medical records and write medical orders, and the nurses start to give injections to the patients; 10:00, temperature, blood glucose, blood pressure, and the patients do all other tests; 11:00, lunch care. (The afternoon work program we are involved, so not listed here)
Third, the work of doctors and nurses
Doctors are responsible for room visits, talking to patients, diagnosis, writing long-term medical advice and temporary medical advice; nurses are responsible for a variety of basic nursing care, bed making, dispensing, drug collection and distribution, injections, medication, blood glucose, blood pressure, temperature, and so on. Doctors and nurses are generally very conscientious and responsible in their work: doctors are always smiling and kind when they are looking at patients, and when patients and their families cannot clearly describe their conditions, doctors are not tired of letting their own narratives be easy to understand; nurses are also repeatedly checking the names of people and medicines when they are giving injections to patients, and every time they come to a patient, nurses have to call out his name and understand that he should answer the voice, so as to prevent unnecessary mistakes from occurring. The nurses also double-check the names of people and medicines when they give injections to patients. The work of doctors and nurses is very tiring, and we can only have a deep understanding of this when we actually enter the hospital. I used to think that nurses were synonymous with patience and care. I always thought that their work is very simple and easy, only need to carry out the doctor's instructions, "according to the prescription," on the line, and other work is also some trivial small things. This time I through nursing apprenticeship, the first in-depth into the daily work of nurses, personally experienced a nurse's bitter, spicy, sweet and sour, only to find that the original do nurses is not as simple as I had imagined. Nurse's work is a word "tired", remember the first day, we followed the doctors and nurses around in the morning, not how to sit, when we went home, foot pain, and very tired, fell asleep. Even we don't do much work like this, and the nurses not only have to keep moving around the room, but also to the patient to put a needle to change the medicine, their tiredness can be imagined. But they did not complain, said
to really ashamed. A nurse, as long as the workstation, she is full of strength. They are fully committed to a battle: to show their vitality inside and outside the ward; to dedicate their energy and smile to the patients without reservation.
Fourth, the basic nursing operation
Make the bed: the teacher said, make the bed must be flat, the patient can sleep comfortably; beds are not changed every day, but every day will be cleaned, which is also for the sake of the patient's health. Sometimes some of the sickest patients can not turn over, the nurse must also try to make it turn over, clean the bed for them.
Measuring blood pressure: The 07 senior taught us how to measure blood pressure, there are two different kinds of sphygmomanometers, one is electronic, which is very convenient, and the other sphygmomanometer is the traditional one. Measuring blood pressure seems simple, but it must be serious.
Measuring body temperature: the head nurse said that blood pressure must be measured by drying the sweat of the armpits, these explanations are very simple, but it is very critical.
Blood glucose: some diabetic patients in the hospital before and after meals to measure blood glucose, blood glucose measurement method is relatively simple, but in the process of operation there are many problems, such as fingertip disinfection method, it is important to measure the blood glucose is a shot in the arm, dry, otherwise the patient will be very painful. They have to measure blood sugar at least 6 times every day, only 10 nails, fingertips are full of needles kǒng. if the first blood is not enough, you have to re-test again, which undoubtedly increases the patient's pain.
Fifth, the importance of communication, communication
1, between the nurse and the patient and his family: sometimes the patient's requirements and the nurse's duties contradict each other, eg. five patients due to breast cancer mastectomy mammary glands, chest is full of wounds, the nurse must give him turn over and make the bed, the nurse how to do it? Can not be everything by the patient, that will cause more serious consequences
2, encountered family quarrels when the nurse's approach: silence. I remember a family roar scolded the nurse ignored the patient's pain, the teacher was silent, then felt that the teacher is very worthless. But they may not be surprised. The patient is God.
3, between the doctor and the patient: 52 bed grandmother refused to continue treatment due to pain, the doctor how to do? What should the doctor do? Or to force the treatment? The way to do this is to do your best to convince the grandmother to understand the treatment, neither to force it nor to put it down. This requires excellent communication skills.
4, between patients and patients: 60 beds in the corridor of the extra beds of patients because of the neglect of the night injection and failed to sleep, and during the day 61 beds of patients due to boredom in the corridor to play music, but also noisy 60 beds of patients to rest, at this time, how to deal with it? Went to talk to bed 61 at the time and he expressed understanding, albeit with a displeased expression.
5, between the patient and the intern: the patient is not too trusting of the intern, that they measure blood pressure, blood sugar are not correct, and even the attitude is not very friendly, then the intern should understand the criticism.
All in all, in this process, there will be a lot of contradictions, how to solve the key, we always have to practice the patient is God, a humble understanding of the teachings, friendly communication, in order to get the patient's trust. Although sometimes patients and their families are very fierce, but they are sometimes very friendly. One time to help a grandmother get a stool, the grandmother said thank you.
Of course, communication between doctors and nurses is also very important. I remember to 46 bed patient blood glucose measurement and a student conflict, in front of the patient face, this is our extreme immaturity, no matter what happens, in front of the patient should be calm and collected, continue to do what should be done. Solidarity and cooperation between doctors and nurses is also very important.
Six, the doctor told the patient's condition of the principle
Some patients and can not tell them the truth, these are not only in the TV series is so. Taking the 34th patient as an example, suffering from advanced gastric cancer and seeded to the greater omentum, the doctor told him that it is a tumor, so the patient can eat and drink with confidence, and will be able to hold expectations for life.
VII. Clinical and textbook differences
Often times, what is learned in the textbook is far from enough, and the understanding at that time was not thorough enough. One day, a student and I were arguing about afp in the office. afp is positive in patients with liver cancer, what about liver metastasis of gastric cancer, is afp positive or negative? Another example is a patient with Yin deficiency, is his pulse floating or sinking? I didn't understand it thoroughly in class, and I was at a loss when I encountered the example. This also inspires us, learning medicine, is to be used in the clinic, not just for the examination. We should memorize certain knowledge so that we can use it freely in the clinic. The first thing I want to do is to make sure that I have a good idea of what I'm doing and what I want to do.
Eight, and the patient conversation
and the patient conversation is a very pleasant thing, they will tell us some of the truth of life, cautioned us to study well, cherish the body, pay attention to health, and sometimes they will recall some of the great past. I believe that in this process, the patients will also be very happy because someone is listening to them. We are small trainees who can only see but not do, but our listening comfort is the warm seasoning that is lacking on the hurried earth. When I was talking to my uncle in bed 34 during his moxibustion session, I told him that it would be better to just do the foot-sanli, and he agreed. Then I flirted with him and said don't be too facetious and drink less when you go back. A smile appeared on his thinning face, even though he was still sick. Perhaps, at this moment, there is a deeper understanding of the phrase "sometimes to heal, often to help, always to comfort". My favorite **Professor always talk to the patient very happy, even if it is the words of the line of caution, but also let the patient to understand, because, that is from his heart care.
Nine, difficult to see the doctor, the problem of expensive
Difficult to see the doctor or in the second, see the doctor is expensive is a big problem. In the hospital every day have to spend about 1500-2000 yuan, no health insurance patients simply can not afford to live. I remember 8 good patients, stayed in the hospital for many days, but it was always a fever to be investigated, and finally the cause of the disease has not yet been identified, because the cost of medicine is too expensive to be discharged. 6 good beds patients are also. Most touching to me ** Professor said that the endurance of rural women in China is very strong, there is a rural woman came to the examination is already terminal cancer, it is said that he has been enduring pain for more than 10 years. The root cause of his endurance is the lack of money. Who wouldn't want to be cured if they are sick? Although at the moment there is a cooperative medical care in rural areas, but according to the family of 60 beds, cooperative medical reimbursement is still a small percentage, most of the costs of the patient's self out. One patient quipped, "Unless the family opened a bank, or who can afford to live ah!"
Tenth, the power of medicine can not
There are many diseases can not save a lifetime, and even many of the causes of the disease are not found. At the moment, medicine is not omnipotent, really can cure very few very few. In the Chinese and Western medicine more than 50 beds of patients, most of them are cancer, cerebral infarction, hypertension and so on. The patient every day to take medication, arm full of needle kǒng, the doctor is looking forward to, but is to alleviate the patient's pain, prolong the patient's life.
The above aspects are what I have learned and thought about during my apprenticeship.
On July 22nd, we said goodbye to the ward, 10 days of apprenticeship life is officially over, no matter what, our hearts will still have a little reluctance. After all, and those doctors, nurses, patients have been involved, time and again with the medical checkups, a little understanding of their condition, leaving, but also with attention. Especially the uncle in bed 34, every morning I would go where to sit. And ** nurse, only he let us alone to measure blood glucose, control us these fledgling trainees.
In short, this apprenticeship life taught us a lot of a lot, from the basic nursing operation to the hospital management system, from the health care work to the treatment of doctor-patient relationship, these all make me have a necessary perceptual understanding of the work that I will be engaged in the future for my future work on the workplace to lay a solid foundation.
Three
In the second semester of freshman year, we finally ushered in a five-day off-campus internship. We came to the Second People's Hospital affiliated with Fujian University of Traditional Chinese Medicine with curiosity and enthusiasm for serious work and study. Under the arrangement of the chief instructor, Yuping, Yaqiong, and Mengjie and I were assigned to the Department of Nephrology, and in this department full of warmth and love, we spent a beneficial and extraordinary apprenticeship time.
Apprenticeship is a kind of training, a kind of social practice activity to feel the hospital environment, to understand the normal work affairs of nurses, and it is also a kind of preparation and feeling for my dream of medical care.
The nurse's work every day seems to be regular, seemingly simple, but it is not easy. The first thing you need to do is to get your hands dirty. These seem to be simple and simple work, without the necessary care and responsibility, but it is not good to do. Three checks and eight pairs. Before, during, and after the operation, you have to check the patient's name, bedside card, drug name, usage, concentration, and dosage. These let me understand, a small thing is also required that we can not relax a little mind, be sure to carefully and seriously to do, do it by heart, this is the patient's responsibility, but also to the responsibility of the self.
My tutors are Ms. Shurong and Ms. Zhaoqin, both of whom are very experienced teachers, and I have learned a lot from them. Every morning after work, first of all, we have to follow the handover nurse teacher room check, for the following day's nursing work to prepare. Usually at nine o'clock, I have to follow the teacher to the patient infusion and push the needle, I push the car, and then to a ward, the teacher operation, I will stay on the side of the watch carefully, pay attention to every detail of the teacher's operation, how to put down the needle, where to put down the needle is appropriate, etc., and the same teacher will also take the initiative to me will be some professional knowledge and precautions: the infusion of the kind of exhaustion, the drip rate to be how much appropriate, push the needle to be fast or slow, how long to use the indwelling needle to be changed, and how long to use the needle to be changed. The teacher also took the initiative to give me some professional knowledge and precautions: how to ventilate the infusion, how fast or slow the drip rate should be, whether to push the needle fast or slow, and how long to change the needle. Similarly, I still go to the teacher to ask for advice where it is not clear, the teacher will also give me a serious and careful answer, so in the teacher's teaching, I learned a lot of knowledge in the school has not learned. However, the most important point I want to learn in this process is not these, but communication and exchange. Communication with patients can not only help us in our work, but also enhance our social potential, expand our social circle, which is also on our own exercise and improve.
In these days of apprenticeship, I think there is another good thing is to recognize the medicine, dispensing. Of course, this is not the distribution of medication refers to the number of milliliters of what drugs, how much salt water, how much sugar water, but the most simple to a patient a day to use the drug according to the specifications of the specifications to put into the box, seems to be a simple thing, in fact, is not a day or two days can be done. There were many kinds of medicines, and we also found that we couldn't recognize the names of many medicines, but in the spirit of an unconquerable heart, we decided to do it well. In the first two days of the apprenticeship, we follow the list of drugs, one kind of one kind of find, but still found some drugs how to find can not be found, but finally in the teacher's help, we have been able to find the medicine, only but still a little bit unfamiliar, in the following two days we have been getting faster and faster on the medicine. The next step is to dispense the medication, which requires that the medication be strictly prescribed and the dosage be accurate. This is all in the familiarization of the situation of the drug can be quickly qualified to do well. However, in the process or found a little error, is the will on the glucose sugar ignored on the assumption that it is sugar water on the line, as a result of the existence of these Xu do not do, however, the teacher finally gave a good evaluation. A thing, try to do it must be rewarded, no matter how much.
Five days of time, I can say that I really into the mass of nurses, thinking about the immediate interests of nurses. At the moment, doctor-patient, medical care, nurse-patient relationship really exists very delicate relationship. Once, a grandpa's bottle finished hanging, the family rang the bell to call the nurse to pick up the bottle. But at that time, it seems that the teachers were busy with something, and finally no one went to pick up the bottle after half an hour of delay, and finally the family got angry, and also slapped the table of the nursing station, very angry. Finally, after the head nurse's explanation and mediation, the family got over it, and the most important thing was that the patient was not seriously hurt. Another time because of the doctor's medical advice, our deputy head nurse some objections and the doctor theories, from this incident, I think our deputy head nurse is correct, for the doctor's advice, we can not all trust, to the patient's life as the most important, to have the potential to find the reasonableness of the doctor's advice and the wrong place, this is what we must have, this is our duty!
The week of apprenticeship is short, but the short five days let me learn a lot, but also think a lot, understand a lot. For nurses this sacred profession has its own view, to do it will have to do well, must!