Summary of CCU transfer-out department I:
I am very grateful to the hospital leaders and the nursing department for appointing me to study CCU in the Department of Critical Care Medicine of the Second Hospital. You gave me a precious opportunity to enrich myself and come back with a heavy harvest. Looking back at the time when I was studying in CCU of the Second Hospital of Heavy Medical Care, I am very grateful to the department leaders and colleagues for their patient help and guidance. Below, I will briefly talk about my experience and shortcomings in my study and work during my further study, and ask the leaders of the hospital to criticize and correct me.
The importance of the ability to monitor and observe diseases. Nurses are the main members of the ward and need to guard patients day and night. They are the first pioneers to observe the condition and implement treatment and treatment in time. A lot of information obtained by doctors about the patient's condition changes and whether it is necessary to adjust the treatment plan comes from the observation and monitoring analysis of nurses; The external observation of the disease development process is based on the professional knowledge and clinical experience of each nurse. As a senior nurse in the Department of Cardiology, although I already have some clinical experience and professional basic knowledge, I have been guided and trained by higher-level professional and technical personnel in this CCU study, which has enabled me to master the observation and nursing of critically ill patients more skillfully, as well as the accumulation and summary of a large number of clinical practical experiences, which has enabled me to have more acute clinical observation ability on the original basis, not only to find out the changes of my illness in time, but also to have certain ability to predict and report and deal with it in time.
First, improve adaptability.
Clinical emergency nursing observation and treatment are very different from general clinical diagnosis and treatment. Life-threatening changes are usually sudden unless.
A few cases are predictable, and most are random. Therefore, as a nurse, we should not just wait for the doctor to make a diagnosis, but be quick-witted and have strong processing ability. In clinical first aid and first aid for patients, it will play a practical and important role to take effective and scientific first aid measures in time, as well as the ability to use quick wits, seize the opportunity and make judgments without hesitation, and take a series of specific emergency measures at critical juncture to save patients' lives.
Second, improve the operation ability of nursing technology.
University study and strict training have enabled me to further master the rescue technology. For example, the performance, operation methods and indications of drugs and rescue devices, the operation of nursing techniques for various diseases, the use of ventilators, the use of electrocardiographs, ECG monitoring and correct diagnosis of patients, and the use of defibrillators to treat critically ill patients (cardiopulmonary cerebral resuscitation). As a specialist nurse, in clinical rescue work, in order to improve the success rate of rescue and reduce complications, it is necessary to master the basic knowledge of ECG and the cooperation of doctors and nurses.
Third, improve the ability of medical cooperation.
Only through continuous training and learning can we comprehensively improve the knowledge level and quality of nurses, continuously enhance the ability to cooperate with doctors, and actively cooperate with doctors on the premise of doing a good job in nursing. It is generally believed that nurses' job is to carry out doctor's orders and complete all kinds of nursing work, while diagnosis and treatment are only doctors' business. The concept that nurses do not need intervention and participation has been proved wrong. Nurses are the patron saint of patients and direct observers of patients' illness, and they must have comprehensive, accurate and correct abilities.
Reflect the patient's condition. Nurses are no longer passive doctors, but must closely cooperate with doctors, communicate with each other and complement each other in order to undertake the sacred task of saving lives.
In the past six months, through studying in the Second Hospital of Critical Care Medicine, my thinking and professional skills have been obviously improved, and I am full of confidence in my future work, such as nursing after stent implantation, correct use of high-end equipment and facilities such as balloon counterpulsation instrument, and establishment of CCU.
Finally, I would like to thank the hospital leaders and nursing department again for giving me this opportunity to learn and improve. I will continue to study hard, consolidate the knowledge and skills I have learned in further study and fully apply them to practical work. At the same time, actively strengthen business exchanges and communication with colleagues in the department, help each other, and strive for a higher level of nursing business in the department of cardiology in our hospital.
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CCU Transfer-out Department Summary II:
My "aseptic concept" and the principle of "three checks and seven pairs" were blind when I first took the exam for the sake of the exam. After repeated teaching and correction by teachers, we finally grasped their essence and understood that they are so important in the whole clinical practice.
Worked as an intern in general surgery, cardiology CCU, orthopedics, anesthesiology, neurosurgery ICU and otolaryngology in zhujiang hospital, and learned different professional knowledge and basic operation in various departments. Thank you very much for your tireless teaching. But what impressed me the most was orthopedics, anesthesia operating room and otolaryngology. In orthopedic practice, the principle of "three checks and seven pairs" is my greatest gain in this department. I always thought that the principle of "three checks and seven pairs" needed to be talked about frequently until I made several mistakes. Thanks to the teacher's timely discovery and patient education, serious consequences were avoided. I also deeply realized the true significance and importance of the principle of "three checks and seven pairs". Thank you very much, Teacher Jiang!
Practice in the operating room is an important lesson in physical exercise. Although I am very tired, I will never forget it, and what I have learned will be useful for life. In the operating room, I really understood the connotation of "aseptic principle", learned the operation of retaining needles, and understood the important role of "cooperation" in team work; The application of the concept of "check" made me deeply realize that the best way to make mistakes is to prevent them. At the same time, I am also very grateful to Mr. Chen Ting, Mr. Ceng Qian and Mr. He Qiaofang, who set an example and let me understand the true meaning of nursing! It strengthened my belief in nursing. In Chen Ting, I learned initiative and cooperation. I saw the glorious image of "angels in white" in Ceng Qian. She is so serious, patient, careful and knowledgeable about patients. She made me understand that "it is not difficult to finish things, the key lies in whether they are effective" and "details determine success or failure". From Mr. He Qiaofang, I learned how to work efficiently and how to speak simply, decisively, positively and confidently.
The internship in otolaryngology has raised my hazy awareness of "active service" and "love for injuries" to a higher level. Thank you, Teacher Lin Jingchun!
In the future practice and work, I will put the principles of "three checks and seven pairs", "sterility", "active service", "love for injury" and "communication" into the whole nursing service, provide satisfactory services for patients, and strive to become an excellent _ _.
My "aseptic concept" and the principle of "three checks and seven pairs" were blind when I first took the exam for the sake of the exam. After repeated teaching and correction by teachers, we finally grasped their essence and understood that they are so important in the whole clinical practice.
Worked as an intern in general surgery, cardiology CCU, orthopedics, anesthesiology, neurosurgery ICU and otolaryngology in zhujiang hospital, and learned different professional knowledge and basic operation in various departments. Thank you very much for your tireless teaching. But what impressed me the most was orthopedics, anesthesia operating room and otolaryngology. In orthopedic practice, the principle of "three checks and seven pairs" is my greatest gain in this department. I always thought that the principle of "three checks and seven pairs" needed to be talked about frequently until I made several mistakes. Thanks to the teacher's timely discovery and patient education, serious consequences were avoided. I also deeply realized the true significance and importance of the principle of "three checks and seven pairs". Thank you very much, Teacher Jiang!
Practice in the operating room is an important lesson in physical exercise. Although I am very tired, I will never forget it, and what I have learned will be useful for life. In the operating room, I really understood the connotation of "aseptic principle", learned the operation of retaining needles, and understood the important role of "cooperation" in team work; The application of the concept of "check" made me deeply realize that the best way to make mistakes is to prevent them. At the same time, I am also very grateful to Mr. Chen Ting, Mr. Ceng Qian and Mr. He Qiaofang, who set an example and let me understand the true meaning of nursing! It strengthened my belief in nursing. In Chen Ting, I learned initiative and cooperation. I saw the glorious image of "angels in white" in Ceng Qian. She is so serious, patient, careful and knowledgeable about patients. She made me understand that "it is not difficult to finish things, the key lies in whether they are effective" and "details determine success or failure". From Mr. He Qiaofang, I learned how to work efficiently and how to speak simply, decisively, positively and confidently.
The internship in otolaryngology has raised my hazy awareness of "active service" and "love for injuries" to a higher level. Thank you, Teacher Lin Jingchun!
In the future practice and work, I will put the principles of "three checks and seven pairs", "sterility", "active service", "love for injury" and "communication" into the whole nursing service, provide satisfactory services for patients, and strive to become an excellent _ _.
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CCU external rotation summary 3:
Doctors are a sacred profession. To be a good doctor, we must have good medical ethics, be responsible for patients and diseases, which is the unshirkable responsibility of every clinician. In clinical study, we should learn to be smart doctors, have a sense of self-protection, avoid medical disputes, be bold and cautious, and patiently explain the severity of the illness to patients' families. This will also improve the doctor-patient relationship and better promote the communication between doctors and patients and their families. The doctor-patient relationship is very important. Only mutual understanding and cooperation can be beneficial to the prognosis of the disease. We should put ourselves in each other's shoes and experience it from each other's perspective. The difficulty of the disease, the anxiety of patients and the best efforts of doctors all need good communication. We doctors should put patients and diseases in the first place, aim at treating diseases, and take the principle of relieving patients' pain as the principle, and treat every patient and every disease seriously and patiently.
Politically, we should adhere to the Four Cardinal Principles, take a firm political stand, support the Party's line, principles and policies, support reform and opening up, conscientiously study Marxism-Leninism, Mao Zedong Thought, Deng Xiaoping Theory and Jiang Theory of Three Represents, always adhere to the guiding ideology of serving the people wholeheartedly, persist in reform, development and progress, and constantly improve the level of political theory. Use the concept of "eight honors and eight disgraces" to guide your daily behavior.
In terms of work, I deeply realize the qualities and conditions that a qualified medical worker should have, and at the same time fully perform his duties as a rotation doctor. Everything I do is for the health of patients and the prognosis of diseases. I strictly abide by the rules and regulations of the hospital, all operations strictly follow the aseptic principle, and strictly implement the "three inspections and seven pairs". In internal medicine, surgery, gynecology, pediatrics and other departments, I have done all the work conscientiously, observed the principle of sterility, implemented the check-up system, and cultivated a good work style. At the same time, in the clinical work of internal medicine, I summarized some common clinical diseases, including: cerebral hemorrhage, cerebral embolism, subarachnoid hemorrhage, headache, peripheral facial paralysis, angina pectoris of coronary heart disease, acute myocardial infarction, hypertension and so on. Chronic bronchitis, emphysema, lung infection, hemoptysis, upper gastrointestinal bleeding, alcoholic cirrhosis, splenomegaly, peptic ulcer, chronic gastritis, anemia, diabetes, hypoglycemia coma, etc. This should be regarded as a kind of harvest. Although not great, it is also an important and indispensable harvest.
In this year, I strictly abide by the rules and regulations of hospitals and departments, obey all the arrangements of hospitals and departments, actively participate in collective activities organized by hospitals and departments, and strive to complete the work assigned by hospitals and departments. At work, I insist on studying, constantly improve my comprehensive quality level and working ability, expand my knowledge, take all the exams related to clinical work that I can take, and learn medical theoretical knowledge at the same time. Combining with my own work practice, I humbly consult my senior teachers, improve my working ability by watching, listening and thinking, and study medical laws, regulations and rules in my spare time to be a law-abiding clinical medical worker. However, there are also many shortcomings in the work, mainly manifested in the fact that the work is not active at ordinary times, and some work is perfunctory and not completed seriously. Sometimes we can't stick to the end in studying the layout of hospitals and departments, and there is a phenomenon of giving up halfway. Sometimes we can't adhere to some working systems of hospitals and departments, don't follow procedures, and have individualism. At first, I didn't even know how to use the basic drugs. I really don't have any experience in tube bed management for the first time, and I can't even start the infusion plan. The patient said he had diarrhea all the time. I know it's time to give some astringent, but I don't know what medicine to use, usage and dosage. I have to ask everything, learn a little and accumulate a little. Therefore, I will stick to my own advantages in the past year's work, get rid of the bad phenomena in my work, closely unite around the leaders at the hospital and department levels, do my job well, at the same time strengthen the study of medical theory, business and work ability, conscientiously complete the learning content assigned by hospitals and departments, and improve my work ability and business knowledge.
Time flies, the sun and the moon fly, and a year has passed in a blink of an eye. Clinical work has just started after theoretical study. Clinical experience needs to be accumulated to a great extent, and clinical skills need to be strengthened to a great extent. During this period of rotation study, I also began to harvest clinical dribs and drabs. The above is my evaluation of my study, my summary of my shortcomings, my experience in studying medicine, my reflection on my medical career and some expectations for my medical career.
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CCU Transfer-out Department Summary 4:
The medical department is the functional department that organizes and manages the medical work and medical administration in the hospital, and it is the core department of medical quality and safety management in the hospital. Mainly responsible for the maintenance of medical order, the monitoring of medical quality, the development of medical business, the evaluation of medical work, receiving patients' complaints about hospital medical quality or service attitude, organizing major rescue and consultation inside and outside the hospital, coordinating the work between departments and a large number of temporary medical tasks.
Through the rotation of the medical department in recent days, I realized:
For the newly graduated college students, the rotation of the medical department has made me further understand the practice of medicine according to law, become familiar with the unit and industry where I will work in the future earlier, enhance my important understanding of medical quality more vividly, become more familiar with the management system and requirements of the hospital, and further understand the hardship and helplessness of the management department. It has changed the past incomprehension and resistance to the management of medical departments.
During this period, if you are in contact with the directors and doctors of various departments, you can know the scale and personnel of hospital departments as soon as possible, and be familiar with the nature and characteristics of the work of each department, which will provide convenience for future work contact. In the daily work of the medical department, the distribution of job responsibilities and corresponding processes are also more clearly defined, which lays the foundation for future work in the department and sincere cooperation with the medical department.
The Medical Department regularly controls the quality of hospitalized medical records and archived medical records at ordinary times, and urges and inspects the rules and regulations of medical business work, the routine operation of medical technology and the implementation of the responsibilities of various business personnel at all levels. Analyze the medical quality, feed back the problems to the doctors themselves, and learn from the problematic medical records in the quality control process. Learn the writing of inpatient medical records more truly. Let me feel something, learn from others' experience and lessons, establish a solid sense of evidence, and strive to be perfect in medical records to ensure the effectiveness and probative force of medical records as evidence.
The medical department usually receives complaints from patients about the quality of hospital care or service attitude. Participate in the reception and explanation of complaints, and consider the problems in medical work from patients and doctors. Think more clearly about the problems existing in medical work and the problems that need to be paid attention to and avoided from life examples, so that the diagnosis and treatment behavior can be carried out in strict accordance with the operating norms.
After the rotation of the medical department, it is easier to integrate into the new working environment and adapt to the future work. Guide the future work, better understand the work of the medical department and better complete the clinical work.
Thank you, Director X, for your guidance and care, and thank you, Teacher X, for your help!
CCU Rotation Department summarized 4 related articles:
★ Summary of cardiothoracic surgeon's resignation
★ icu internship self-evaluation
★ Practice summary of radiology department
★ 5 pieces of hospital practical experience exchange.
★ Self-identity of internship nurses in neurology department
★ 3 hospital internship experiences
★ Self-identity in the operating room
★ Self-identity in the operating room
★ Summary of hepatobiliary surgery
★ Hospital internship experience: Fan Wen