Pediatrics refresher training experience
In weekdays, the mind will inevitably have some new ideas, write an experience, record, which can help us summarize the past thought, work and study. But what are the requirements of the experience? The following is my help to organize the pediatric further training experience, for your reference and reference, I hope to help the need for friends.
Pediatrics training experience 1
The one-year training study has just ended, I returned to my familiar work. First of all, I would like to thank the hospital, the leadership to give me this valuable opportunity, but also to thank all colleagues, because of their hard work, so that I can complete my studies at ease.
I studied in the unit is the Shanghai Jiao Tong University School of Medicine Affiliated Xinhua Hospital Pediatrics, which was founded in 1958, is a complete subject categories, with professional characteristics, set of medicine, teaching, research in one of the modern comprehensive teaching hospital. It has been awarded the title of municipal civilized unit for seven times, the title of national advanced collective for three times, the title of Grade 3A hospital in 1993, and the title of national advanced unit in hospital culture construction and Shanghai learning unit in 20xx. The overall strength of the Department of Pediatrics of Xinhua Hospital is located in the domestic leading and international advanced level, and has a number of national, provincial and ministerial level key disciplines and key laboratories. The Department of Neonatology of Xinhua Hospital is now a key discipline of the "211 Project" of the Ministry of Education, and has been a member of academic organizations such as the Neonatology Group of the Pediatric Society of the Chinese Medical Association and the National Perinatal Society of the Chinese Medical Association for many years, and it is a key discipline for the comprehensive development of clinical medical treatment, teaching and scientific research in the hospital.
Xinhua Hospital Pediatrics **** there are 11 departments, due to time, for the urgent needs of grass-roots county hospitals, I mainly in a few important departments, respectively: Children's Intensive Care Unit (PICU), neonatology (neonatal wards and NICU room), nephrology, respiratory, neurology, gastroenterology, hematology, cardiology; the first month hospitals according to the roster to look at the My age, long working hours, I arranged in the children's intensive care unit to study, due to my weak theoretical foundation, little understanding of new diagnostic and treatment techniques, the hospital routine procedures do not understand, coupled with a strong dialect of Shanghainese people should not be communicated and dietary unaccustomed to, especially during the night shift, almost all-night work, and sometimes it is difficult to complete the night shift work, the fast-paced life is difficult to bear, and at one time to have a Once I had the idea of retreating, then through the persuasion of my family and friends, I also considered again and again, as if I were facing another challenge in life; especially during the night shift, when it was quiet at night, I thought to myself, "This is also a sharpening of my career, and an opportunity to improve the level of medical care, I must seize this opportunity, and must insist on completing the training program, and can not be halfway through the fee. Since then, during the study period, I do not take the size of the age, humbly to the juniors to ask for advice, although the age of their elders, but learning they are my teacher, after a month of unremitting efforts, not only enriched my professional knowledge, so that I understand more, newer, more advanced technology, but also gradually adapted to the environment here, but also adapted to the fast-paced work, busy in the sense of the joy of learning, busy in the sense of life! Happy in the busy, busy to appreciate the value of life; through the study, I y feel that the gap between us and the first-line hospitals is not only the level of technology and advanced medical equipment, but also the gap in the work attitude and dedication, I feel that the teachers here are noble, knowledgeable and approachable, not only the diagnosis and treatment level of the country's top, but also attaches great importance to the cultivation of the younger generation, maintain a strong talent The first time I saw the movie, it was a very good one, and the second time I saw the movie.
And each post love and dedication, their department director weekly room check 2 times, the second line weekly room check 5 times. The checkups feel like a harmonious atmosphere, seeking truth from facts, emphasizing evidence-based medicine, and many principle issues have reached a **** knowledge, but allow differences that do not violate the principle. Xinhua Hospital has always emphasized comprehensive treatment, and the whole department from time to time organizes a joint checkup with multidisciplinary participation of pathology, surgery, internal medicine, obstetrics and gynecology. During the examination, the first-line or trainee doctors will report the history of the disease; the superior doctors will carefully read the films and analyze the possible diagnosis, further examination and treatment plan. In this way, patients can be treated rationally in a systematic and planned way, and at the same time, young doctors can learn a lot of related knowledge. The rational and comprehensive treatment is one of the important factors of the high diagnosis and treatment level of Xinhua Hospital.
Pediatrics training experience 2
The good time always makes people feel so short, 10 months of training life is coming to an end, there is always a little reluctance, reluctance to the General Hospital of humanistic care, reluctance to the General Hospital of this temple of knowledge.
10 months of short time, from strange to familiar, is the General Hospital pediatrics every leader, teachers, brothers and sisters to my silent care, so that I in this piece of unfamiliar land gradually experienced the warmth of home. Amiable, smiling director XXX, busy, but also in the Department of Pediatrics staff, from life to study, everything, fully demonstrated the style of the eldest. There are XXX deputy director, XX deputy director, XX teacher, XX teacher, XX head nurse in the life of the people to give meticulous care.
The time is also short because the pediatrics department of the General Hospital is a temple of knowledge. The knowledge system is always so grand that you can't finish learning, and you can't learn enough to feel strong. Neurology, under the leadership of Director XX, the diagnosis and treatment of children's epilepsy, stroke, central nervous system infections, genetic metabolic diseases and children's psychological behavioral disorders are at the forefront of the country, and formulated the national diagnosis and treatment standard for children's stroke, and the basic and clinical research of infantile spasms is at the forefront of the world. In the field of hematology and oncology, under the leadership of Deputy Director XXX, the diagnosis and treatment and research on children's leukemia, lymphoma, solid tumors (especially neuroblastoma), and aplastic anemia are at the forefront of the country. In particular, it is the first in the country to carry out hematopoietic stem cell transplantation, which has brought the gospel of a new life to many unfortunate children. In the General Hospital, there is also a special team: NICU, a fragile little life that came to the world in advance, thriving under the careful care of the team led by Director XX.
The most fascinating thing is the learning atmosphere of the General Hospital. The most important thing is that you can't just go to the hospital, you can't just go to the hospital, you can't just go to the hospital, you can't just go to the hospital, you can't just go to the hospital, you can't just go to the hospital, you can't just go to the hospital, you can't just go to the hospital, you can't just go to the hospital. As for the hospital, there are various academic activities almost every day, including the expert lecture hall every Friday, and the international academic activities of various specialties on weekends invite the most famous experts and scholars at home and abroad. Listen to the masters explain, every time refreshing, like a spring breeze.
10 months, fleeting, always feel with everyone living, learning time is so short, really expect to have the opportunity to come to the General Hospital Pediatrics study.
Finally, I would like to thank everyone for their care and help. We hope that the Department of Pediatrics at the General Hospital will become stronger under the leadership of Dr. Zou and bring benefits to more children and families.
Pediatrics training experience 3
Time flies, I am about to end the pediatric training, in the pediatrics three months of training so that I have learned a lot. Some of the work I have not done before, and do not understand the nature of the work of the pediatrics department, I as an internship student as a modest to the teacher to ask for advice, learning, and their own practice, in the teacher's patience under the guidance of the education of the head nurse, I basically mastered the care of pediatrics of some common diseases, as well as some of the basic operations, such as, venepuncture, phlegm suction, nebulization, drug permeation, etc., in a very short period of time will be more familiar with the work of the pediatrics department, clear work procedures, directions, and the direction of work, and the work of the pediatrics department. In a short period of time, I became more familiar with the work of pediatrics, clarified the work procedures and directions, and improved my working ability. In the days of training, from the pediatric nursing practice I continue to summarize the experience, summarize three months of training and learning, have the following insights to share with you:
First, the patient's specificity
In the pediatric nursing object is 0-14 years old children. More infants, children have a fear of nurses, neither easy to communicate nor easy to cooperate, which requires us not only have a sense of responsibility and more is to have love, patience. Another characteristic is too much company, most of the current children are only child, once the disease, parents extra nervous, anxious, the operation of health care personnel to put forward high requirements. So communication with parents is also required pediatric nurses special attention.
Specialty of condition observation
The condition of children in pediatrics is characterized by rapid onset and rapid change, coupled with the age of the children will not be able to narrate the condition, so the nurses are required to be extraordinarily attentive to the condition observation, diligent patrol, and at the same time, we need to be patient with the parents of the missionary timely communication, so as to timely detection of the changes in the condition of the children, and timely treatment.
The special nature of nursing operation
Pediatrics children with small doses of medication, infusion step by step, and frequent addition of medication, the nurse is required to be accurate in the calculation of the medication, the precise distribution of medication, the operation of the action to be gentle, accurate, rapid, and kind attitude.
Four, the special characteristics of venous puncture
Pediatrics requires excellent venous puncture technology, especially scalp veins. The initial selection of the vein is very important, the choice of infusion vein preparation should be thorough, the angle of entry should be small, see the return of blood immediately fixed, can not re-enter the needle.
Fifth, to carry out the work of pediatrics recommendations
1, to establish a people-oriented service concept: "Patient-centered" is not a slogan, but the medical staff in the medical activities of respect for the patient's human nature embodiment of the care to be patient, meticulous, thoughtful, and without good professionalism, the patient should be patient, meticulous, thoughtful, and without good professionalism.
2, excellent venipuncture technology and effective communication: pediatric venipuncture is a difficult point, parents have higher requirements, hope that nursing staff can be a shot in the arm, for the children for venipuncture to strengthen the nurses humane nursing knowledge of learning, strengthen the nurse-patient communication methods and skills exchange, address to be affectionate, gentle action, words to be gentle, considerate, from all kinds of subtle actions to reflect the child's care and love. The first step is to make sure that you have a good understanding of what you are doing and how you are doing it.
3, to do nursing treatment to explain in place, strengthen the mission: for the children to do a variety of treatments, such as adding drugs to the children and parents to explain how much medicine to use today, as well as the use of these drugs; to do the nebulizer to explain the purpose of the nebulizer and the role of the children to participate in their own treatment of the disease, and actively cooperate with the doctor's treatment. Communicate with the children and their parents in a timely manner and ask about their conditions, so that the children and their parents can always feel the care of the medical staff. Strengthen the missionary so that families understand the symptoms of common diseases, care and precautions, just do most of the parents lack of knowledge of parenting, often love, insufficient knowledge, especially after the child is sick and urgently need to seek help, you can use the publicity rotten, blackboard newspaper, knowledge missionary.
4, improve the environment: according to the psychological characteristics of children, the walls in the hospital area to draw some cartoon pictures, children's beds replaced with brightly colored sheets with animal prints covers, the room shelved a TV, play their favorite programs, so that they are in a relaxed, pleasant environment to receive treatment.
Pediatrics training experience 4
Time flies, in the blink of an eye in Shenyang Shengjing Hospital neonatology six months of training and learning life has come to a successful end. In the past six months, I seemed to have returned to my student days, managing patients with my teachers during the day and going back to my dormitory at night to study and memorize the key points of knowledge. Through the six-month training time, I have learned a lot of things under the careful guidance of the teachers, so that they are both in the business level, or in the skills of communication with others have a qualitative improvement.
First, systematic study of new knowledge and new technologies and management system
Through intense and full learning, I mastered many professional operations in neonatology, and was able to master the use of CPAP machine and ventilator, and had a further understanding of neonatal professional knowledge, such as very low ultra-low birth weight babies rescue treatment, pneumothorax She has a better understanding of neonatal expertise, such as the treatment of very low ultra-low birth weight infants, pneumothorax, the prevention and treatment of necrotizing small bowel colitis in preterm infants, the treatment of respiratory distress syndrome and pulmonary hemorrhage in preterm infants, the treatment of patients with pulmonary hypertension, the management of patients on ventilators, and the observation and treatment of neonatal and preterm infections, and so on. After work, the department often organize a number of business learning, and constantly improve their own quality.
The harmonious teamwork and professional attitude
First of all, good teamwork, the department set up five wards, which are relatively separate, but also very unified. Every colleague works together to ensure the quality of ward management while accomplishing his or her own work. I am very touched by the dedication shown by the director and doctors here who patiently and meticulously imparted their knowledge and took great pains to answer questions. They would answer my questions, comments and suggestions in a timely manner. As soon as there is time will also give me lectures, tirelessly, until you understand.
Three, the experience of warm and meticulous humane service
Just came to the hospital when my first feeling is neat, clean, warm, the deepest feeling is that they are not verbal humane service, but really do the humane care of the child. For preterm babies, the environment is relatively quiet, and the voice and operation is as light as possible to minimize sound stimulation, the treatment is concentrated, and there is a cartoon cover cloth on all the warming boxes to reduce the light and external stimulation. Live in the warm box of newborns are made of cartoon thin quilt bird's nest, so that every child feels comfortable, everywhere reflects their love and care, for every child as their own children to treat.
Fourth, learning standardized training and services
Hardware is the foundation, software is the soul." Neonatology has a variety of brands of instruments, a variety of neonatal ventilators, high-frequency oscillatory ventilators, imported and domestic baby warmers, radiation table, CPAP, and central monitors, infusion pumps, infusion peristaltic pumps, etc., and every health care worker is familiar with the operation of each instrument, thanks to their standardized training. Every day, there are room checks and lectures, using slides plus bedside forms for everyone to **** together to learn and improve, . For new doctors, also arranged for specialists to teach, weekly training is arranged from the departmental system and each kind of the most basic operating procedures, so that we are more quickly familiar with and master.
Further training is very tiring, because it is necessary to learn a lot of things, need to do their own hands in order to master, need to think carefully in order to adapt to the role of change, need to cultivate their own discreet spirit, etc. This is a process. This is a process, stick to it, they will have a perfect jump. This valuable learning opportunity has given me many experiences and feelings. Maybe such a learning opportunity will not bring radical changes to my own work, but I have more thoughts about life and work, and I hope that I can give a new meaning to my life in the future. Overall, I have benefited a lot from my own efforts and the selfless help of my teachers in this rare refresher course. In the future, I will put my skillful business level and human-oriented communication skills to serve more newborns, and truly put my learning into practice!
Pediatrics training experience 5
In the blink of an eye, the study has been six months, looking back on this six-month period of time have gained, but also lost, just came, everything is so strange, unfamiliar with the environment of the hospital, not familiar with the surrounding routes, not accustomed to the food here, not accustomed to the weather here. Every day of further training feels long, this time we came together for further training `two people are mothers, when we first came here we were homesick, miss our children, but the director, head nurse, everyone in the department let us feel the warmth of the people here like the summer here, so that we quickly familiarize with the environment of the wards and the workflow, adapted to the life and work here, and they have established a cordial relationship. We also established a harmonious relationship with them. So then the days also fly by, every day has a different harvest, every day is very full, because this learning opportunity is very rare, where I learned the advanced nursing concepts and techniques, feel the spirit of their team, rigorous style of work and work enthusiasm, so it is not worth the trip.
First, scientific management
First of all, good teamwork, diversified nursing ladder, the department of stratified management, there are three nurse managers, the existing more than 80 nurses, the ward is divided into 11 nursing groups, each group has five to six nurses of different seniority, there is a division of the team leader, if it is not a stratified scientific management
management, how to manage over. Although the division of labor is clear, but we complete their work at the same time and collaborate with each other, the team leader is responsible for the situation of the children in the ward know very well, according to the different conditions of the patients in the ward assigned to different seniority and working ability of the nurses in charge of the different wards, so that the children get a comprehensive and detailed care, if there is a problem, the leader of the team can be dealt with in a timely manner. Secondly, the hospital infection control is also done very well, the ward is divided into different areas, infected and non-infected patients are strictly implemented in separate wards, identified as infectious diseases are isolated, I was most impressed by the hand washing of health care workers, every day the doctor comes to check on the first thing is to wash his hands, after seeing a patient to contact another patient, he will certainly go to wash his hands first, each of their ward has a hand-washing sink and hand sanitizer, each bedside of the child, the first thing is to wash his hands. Each ward has a hand-washing sink and hand sanitizer, and there is a hand sanitizer at the bedside of each child, and hand-washing is completed with a special hand-washing paper. Nurses, not to mention, will wash their hands before doing each operation, although the work is very busy, they will not skip this part of the hand washing, hand washing has become a habit for everyone, because we have y appreciate: hand washing is the cheapest measures to prevent hospital infection, but it is the most effective.
Second, warm and meticulous nursing service
I feel most y is that they are not verbal for humanized service, but actually do the real, really do the humanized care of the children. When CPAP is used, a protective film is placed between the nose and the nasal plug to prevent pressure injuries, and when the adhesive tape on the face is torn, it is lubricated with paraffin oil before tearing it off, and the action is very gentle. The children here will have a gastric tube inserted through the mouth rather than the nose, the reason being that they don't want to aggravate their respiratory difficulties by having one less nasal cavity because of the gastric tube. As for preterm babies, they have a special preterm area, where the environment is relatively quiet, and they are spoken to and handled as softly as possible to minimize sound stimulation. There is also a hood over the warming box, and treatments are centralized to reduce light and external stimuli. Each preterm baby is made into a bird's nest with clothes to make each child feel comfortable, and those with special conditions are labeled with a warm message. For children who need to be isolated, such as those suffering from syphilis, they would draw a few plum blossoms above their beds and call them "Meimei", without discrimination at all, but rather taking care of them. For children with hepatitis B, they would draw three big suns and call them "Meiyangyang" or "Joyful". And there are also such things as "my skin is very tender, please take care of it" and "my hair is very handsome, please take care of my hairstyle", which everywhere reflects their love and care, treating each and every one of them as if they were their own children.
Pediatrics training experience 6Hello, I am a professional nurse of the neonatal, I am honored to be sent by the hospital leadership to China Medical University Shengjing Hospital Neonatology study for six months, at that time, I think I must seriously learn their advanced nursing techniques, in order to be worthy of the trip, in the six-month period of time, I y feel in addition to the study of nursing skills, advanced hospital management mode, thoughtful occupational safety protection and nursing concepts and many other, are worth learning. The following aspects are summarized.
First, humanized management:
First of all, good teamwork, diversified nursing staff echelon, the nursing team of the ward are equipped with a head nurse, specialist nurses and clinical nurses, all of them in the completion of their duties at the same time but also to collaborate with each other, to ensure that the quality of care. Ward assistants are responsible for checking children outside the ward and doing odd jobs outside the ward, and hygienists are responsible for hygiene in the ward (which is required to achieve a spotless effect). Through the careful setup of the personnel, each person acts according to his/her duties, and everything is under the care of medical and nursing staff, and medical safety pictures are posted in the aisles of the ward to guide the staff on how to protect themselves in the course of work, so as to prevent accidents from occurring, and gloves are worn in the contact with blood and bodily fluids, and the staff handles the needles and sharps with care. Gloves are worn when touching blood and body fluids, needles and sharps are handled with care, and hand washing is done diligently to avoid cross infection. During the study period, I learned that Shengjing Hospital also carries out personnel quality training for its staff, and the head nurse provides appropriate learning opportunities according to the nurses' situation, and organizes various types of learning classes to improve the quality of the staff, and for the clinical auditing of nursing staff, the head nurse said the most classic words: "When nurses make mistakes, it's not a big problem, it's a problem of the system, and they will make changes according to this. They will do according to this matter to modify, improve the system, rather than to punish the nurses, only in this way, the error will be reported in a timely manner, rather than concealment, in order to help improve the quality of care, to reduce the occurrence of errors and accidents" hospitals work tense and heavy, hospitals in order to reduce the staff's work pressure, such as will be in the wards to install the music player, psychological counseling, and so on.
Second, advanced equipment and technology
Scientific and effective instruments and equipment, centered on the bed, the bed 1m high wall with negative pressure suction, oxygen, compressed air and power supply and other embedded devices, a variety of monitoring equipment, the central suction, central oxygen equipment can be moved at will, the use of a handy. In addition, the neonatal ward has a senior nursing team, they master the advanced level of care, such as PICC, arterial retention, duodenal intubation feeding, etc., they have successfully rescued many ultra-low birth weight babies, intensive care patients accounted for 20% -30%, 1500g below the survival rate of very low birth weight babies and critical care resuscitation success rate of the hospital pediatric nurses for further training experience above.
Third, quality service
In the neonatal ward, nursing staff to the child to do the disposal, are first and the child to communicate and appeasement. For example: baby, auntie to give you blood, do not move, do not cry, gently right away, this not only reduces the psychological harm to the newborn, but also deepens the feelings between us.
Before the premature baby is discharged from the hospital, a premature baby care class will be held for the parents, and a specialized nurse will do the explanatory guidance work for the parents, so that the families can master the bathing of premature babies, feeding, and other related daily care, until the parents understand it until they can be assured that the premature baby will be handed over to the parents. Through the standard decent service way, to the child's family to express concern and sympathy, reflecting the hospital's service standards, the service norms naturally integrated into the service consciousness, applied to the medical practice, the ward for the discharged patients set up a hotline consulting telephone, 24 hours responsible for providing all kinds of consulting services, so that the patient and the hospital to keep in touch with the hotline at any time to obtain the professional guidance of the medical services.
In short, through the study in Shengjing Hospital, I have significantly improved from the technical and ideological, to carry out PICC, duodenal intubation feeding, arterial needle puncture and other aspects of full confidence. In addition, in order to reduce the pain of children, through an arterial puncture to improve a variety of blood tests, reduce the number of puncture, but also improve the success rate, to make up for the gaps in our hospital. As a neonatal nurse, not only high technology, but also advanced nursing concepts to improve the quality of personnel, not only responsibility, but also love, conscience, to do every job, strict compliance with aseptic operation and disinfection and isolation system, to avoid cross-infection, and improve the quality of care. Do every child's protection angel.
I think if everyone can enjoy the work as life, then the work of the power, enthusiasm, sincerity and so on, the efficiency of the work is obvious, their own value will be fully embodied, but also for the shareholders to create greater wealth, and finally I would like to thank the leadership of the hospital to give me this valuable opportunity to learn, so that I have a lot of experience and feeling, it will penetrate into my Ideas, so that I have more confidence to lead the neonatal unit of our hospital to a new level, I will continue to learn new ideas and techniques, always forward, to the highest peak climbing ......
Pediatrics training experience 7March spring flowers I came to the first cardiac medical and surgical integration of the management of the development of the model, 20xx In 20xx, it was identified by the Ministry of Health as a key clinical specialty - Cardiovascular Center of Pediatrics Hospital Affiliated to Fudan University for further study. The Cardiovascular Center consists of Cardiothoracic Surgery, Cardiology, Cardiac Care Unit, Echocardiography Unit, Electrocardiography Unit and Cardiac Catheterization Unit, and other departments. There are more than 80 medical staff members, and nearly 1,000 cases of cardiac surgery are completed every year. Among them, small infants under 1 year old account for nearly 50% of the total number of direct cardiac surgeries. I feel honored to be able to come to the domestic advanced cardiovascular center to study, but also feel as a cardiothoracic surgical caregiver on the shoulders of how heavy the burden.
A feeling
The first glance of the pediatric hospital is a big gap with the big hospitals that I have repeatedly appeared in my mind, outside the hospital can not see the crowded crowd. Outside the hospital can not be seen crowded. Outpatient clinic can not hear the noise, cartoon toys can be seen everywhere, see the very warm words of reminder, arranged like a home lounge. But to the cardiac care unit let me shocked, advanced equipment, organized work, so small heart children surgery.
Touched
A child weighing less than 3 kilograms, less than 30 days old TAPVD (pulmonary vein drainage) to do emergency cardiac surgery. After the surgery was completed without closing the sternum, I could see her little heart beating right in front of my eyes. I had never felt the heart beat so closely before. The professor who operated on the child saw my excitement and curiosity and took the initiative to explain to me the pathophysiology of the disease, its clinical manifestations, how to do the surgery, the key points of post-operative care, and the long-term effects of this type of children's surgery. Every teacher here ****** will repeat the points I don't know or understand and give me information and literature. I admire them from the bottom of my heart and thank them.
Thoughts
Before I came to Shanghai to study, the only congenital heart diseases I had contact with were ventricular septal defect, atrial septal defect, arterial duct failure, and tetralogy of Fallot. After I came to study, I realized that what I knew about congenital heart disease is very simple. There are children with difficult and complex congenital heart disease from all over the country. Pathophysiologic changes in children with congenital heart disease, post-surgical monitoring, post-discharge family health education, and long-term postoperative follow-up have been the focus of my study in the past six months. I hope that through this study, I can have a more comprehensive understanding and mastery of perioperative care for children with congenital heart disease. I hope that through this study, I can have a more comprehensive understanding and mastery of perioperative care for children with congenital heart disease, which can be utilized in my future clinical nursing work, and also lead my nursing colleagues in the department to acquire more knowledge about congenital heart disease.
At the same time, I would like to thank the nursing sisters of the Department of Thoracic and Cardiac Surgery for their support so that I can study outside with peace of mind.