Inspection professional in the clinical internship stage, different internship links have their own specificity, teach students to use the theoretical knowledge learned in the actual operation of the rational knowledge into perceptual knowledge, in order to achieve the cultivation of practical inspection talents. In this paper, I have organized for you to test the internship summary model 3 _ test internship work summary model, for reference only.
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Inspection internship summary essay:
Time flies, three years of school life is over, 20___ month _, I came to ____ Hospital Internship, under the leadership of the director of the Laboratory Department and the teachers of the various departments, will be four years of theory and practice. Internship environment
____ Hospital is. The city's largest set of medical care, teaching, research, preventive health care and hospital, outside the emergency as one of the national "third-class A" modern hospital. The hospital has advanced equipment, all aspects of the conditions are very good, to provide patients with a good medical environment. Teachers of the Laboratory Department have strong professional skills, clear division of labor, work seriously and responsibly, and set a good example for students. Teachers strictly require students, serious and patient guidance students, so that we benefit greatly.
____ Hospital Laboratory Department *** is divided into nine sections, the blood laboratory belongs to the hematology department. From. Yr. To ____ year. Day, I went to the body fluid laboratory, blood collection room, luminescence immunity room, immune room, cell room, microbiology, biochemistry, routine blood, ward laboratory, blood laboratory in turn.
1. Biochemistry
Clinical biochemistry tests mainly include liver function, renal function, cardiac function, electrolytes, lipids, tumor markers and other routine tests. In the biochemistry room, I learned about the Beckman C_9AL automatic biochemical analysis system and the use of Roche P800 and the principle: photoelectric colorimetry. I learned about the daily quality control, calibration and maintenance of the instruments, paid attention to ensure the amount of reagents in the instruments, and mastered the collection, storage, processing and cleaning of glassware of biochemical test specimens. Attention was paid to the effect of hemolysis and lipemia on the experimental results. Because biochemistry is a large amount of specimens, so in doing each job must be careful and meticulous.
2. Blood laboratory
In the blood laboratory, I learned to use the four coagulation analyzer, understand the normal reference value and clinical significance of each of the four coagulation, D-dimer detection method. The blood and bone marrow films are collected by the doctors themselves, stained and classified by themselves, so there are not many opportunities to see, but basically can recognize the granulocytes, red cells, lymphocytes, plasma cells, megakaryocytes in various stages.
3. Ward laboratory
Ward laboratory in the urine and blood testing instruments and routine urine and blood routine, in addition to learning the cerebrospinal fluid, plasma cavity fluid testing and how to use the sedimentation tube with the sedimentation
4. blood collection room
In the blood collection room, I mastered the method of venous blood collection, the detection of various test items should be used in which vacuum blood collection tube, each vacuum blood collection tube contains a small amount of blood. The blood vessels contain different anticoagulants. Red blood collection tubes do not contain anticoagulant, generally used for biochemical projects and immunohematology tests; green blood collection tubes contain sodium heparin, lithium heparin anticoagulant, generally used for biochemical projects; purple blood collection tubes contain EDTA-K, used for hematology and immunohematology tests; light blue blood collection tubes for anticoagulant sodium citrate: blood = 1:9, used for coagulation tests; black blood collection tubes for anticoagulant sodium citrate: blood = 1:4, for erythrocyte sedimentation rate test.
5. Blood routine
In blood routine, I mastered the use of micropipettes, peripheral blood collection methods, learned to use the _S-800i hematology analyzer and automatic sedimentation analyzer, and understood the clinical significance of each item.
6. Body Fluid Laboratory
In just one month, I learned how to use the URIT series of fully automatic urine analyzer and its detection principle, urine microscopy, urine specimen collection, preservation, and precautions, feces, prostate fluids, vaginal secretion test. Through reading the textbook, I mastered the clinical significance of each test item in urine, feces, prostate fluid, and vaginal secretion.
(a) the principle of detection of urine dry chemistry analyzer:
(1) Composition: usually consists of a mechanical system, optical system, circuit system composed of 3 parts
(2) urine dry chemistry test strips: test items for vitamin C (VC), white blood cells (WBC), ketone bodies (KET), nitrite (NIT), urinary bilirubin (URO), bilirubin (BIL), protein (PRO), glucose, specific gravity of urine (SG), occult blood (BLD), and pH.
(3) Detection principle: the corresponding chemical composition of the urine so that the urine test strip containing a variety of special reagents on the membrane block color changes, color shades and the concentration of the corresponding substances in the urine is directly proportional to the multiple test strip placed in the urine analyzer colorimetric sampling tank, the membrane block in turn by the light source of the instrument to irradiate and produce a different anticolor light, the instrument accepts the different intensities of the light signal will be converted into the corresponding electrical signal, and then by the microprocessor, the microprocessor will be used to detect the color of the urine. The instrument accepts light signals of different intensities and converts them into corresponding electrical signals, and then the microprocessor calculates the reflectance of each test item by the formula, and then compares it with the standard curve and then corrects it to the measured value, and finally prints out the results automatically in a qualitative or semi-quantitative way.
(ii) the detection principle of urine formed component analyzer: the application of flow cytometry and the principle of electrical impedance analysis
7. Microbiology
In this month's time, I learned a variety of specimen inoculation methods and a variety of specimens in the bacteria that often appear in the specimen, basically can be recognized as a common bacteria such as Escherichia coli, Staphylococcus aureus, Streptococcus pneumoniae, Pseudomonas aeruginosa, Klebsiella pneumoniae, Streptococcus pyogenes, Streptococcus grass green, and fungi. Learned the operation of oxidase test and catalase test. Gram staining procedure, the use of DL-96 bacteriological assay system random in vitro diagnostic reagent plates and how to read DL-96 reagent plates with DL-96 bacteriological assay. In addition, we learned how to set up blood culture bottles, how to perform ink staining and Fertilizer reaction test, and how to use the VersaTREK Blood Culture Instrument and the principle of detection. The common bacteria that are resistant are methicillin-resistant Staphylococcus aureus, vancomycin-resistant enterococci, ultra broad-spectrum B-lactamase (ESBLS)-producing gram-negative bacteria (mainly Klebsiella pneumoniae, Escherichia coli found to have ESBLS), pan-resistant and multi-resistant Acinetobacter baumannii and Pseudomonas aeruginosa, and fungi.
8. Luminescence Immunity
In the Luminescence Immunity room, I learned how to use the Beckman instrument and understood the individual items and their clinical significance.
(1) anemia screening: ferritin, folic acid, vitamin B12
(2) Down syndrome screening: human chorionic gonadotropin (β-HCG), alpha-fetoprotein (AFP), estriol (E3)
(3) hormone seven: luteinizing hormone (LH), follicle stimulating hormone (FSH), estradiol (E2), progesterone (Prog), secret lactate (E2). Prog), Prolactin (PRL), Testosterone (Testo), Estriol (E3)
(4) Pituitary Function Tests: Growth Hormone (hGH), Follicle Stimulating Hormone (FSH), Luteinizing Hormone (LH), Lactogen (PRL), Thyroid Stimulating Hormone (TSH)
(5) Thyroid Function Tests: Thyroglobulin (Tg), Antithyroglobulin Antibodies (ATA), Anti Thyroid Globulin (TG), Anti Thyroid Globulin (TG), and Anti Thyroid Globulin (AT). Thyroid function tests: thyroglobulin (Tg), antithyroglobulin antibody (Tg-Ab), thyroid peroxidase antibody (Tpo-Ab), free T3 (FT3), free T4 (FT4), thyroid stimulating hormone (TSH)
(6) Markers of cardiac muscle damage: myoglobin, troponin
(7) Other tests: blood β-HCG, cortisol, digoxin
9.
9. Immunization room
Hepatitis A, hepatitis B five qualitative, hepatitis C, eugenics five, human immunodeficiency virus antibody and syphilis helical antibody test are enzyme immunoassay, according to the instructions in the kit operation, in the process of operation, must pay attention to wash the plate of this link, otherwise it will be false positive. Hepatitis B five quantitative is detected by Swiss Dicken's RMP-150 automatic enzyme immunoassay system, hepatitis B surface antigen and HBeAg are adopted double antibody sandwich method, anti-HBs is adopted double antigen sandwich method, anti-HBe and anti-HBc are adopted competitive inhibition method. Antinuclear antibody (ANA) was detected by indirect immunofluorescence method. Overall ANA detection is an extremely important screening test in clinical diagnosis and differential diagnosis, and further detection of various subclasses of ANA antibodies in ANA-positive patients is important for definitive diagnosis, clinical typing, observation of the disease, prognosis and therapeutic evaluation. The most commonly used technique for the detection of anti-ENA antibody spectrum is immunoblotting, and the positive rates of anti-ENA antibodies with different characteristics differ significantly among autoimmune diseases, which is of great clinical significance in assisting the diagnosis and differential diagnosis of autoimmune diseases. Autoantibodies associated with small vessel vasculitis (ANCA) are most commonly detected by ELISA. Antikeratin antibodies (AKA) are often detected by indirect immunofluorescence analysis, which is clinically important for the early diagnosis of rheumatoid arthritis. Anti-cyclic citrullinated peptide (CCP) antibody, most commonly measured by ELISA, is a new and highly specific indicator for the diagnosis of rheumatoid arthritis. In addition, I learned to test for glycated hemoglobin and urinary microalbumin .
10. cell room
Beijing Tongfang Shenhuo reporting system and high power microscope jointly applied to throat swabs, urethral secretions, vaginal secretions in the detection of mycoplasma, learned to use the sperm quality analyzer detection of sperm, and learned to use the blood rheology analyzer and the precautions of the test.
Internship harvest
A short ten-month internship is over, which also means that four years of college life is coming to an end. In this short ten months, I y appreciate the importance of medical laboratory workers, the importance of test results. A report card in the hands of the patient seems simple, in fact, this is after a teacher of quality control, experiments, testing, inspection, review this step by step careful operation of the results, each step shall not be sloppy. Inspectors should not only keep in mind the professional learning, but also have a lot of practical experience in the operation. As an inspector, we must be serious, careful and responsible for each job. In life, I learned how to communicate with teachers, get along with, how to communicate with patients, how to improve the relationship with other school interns. Graduation The internship is the final stage of completing the teaching plan of all medical testing majors, and it is an important part of realizing the training objectives. Through the graduation internship, students integrate the theoretical knowledge learned into the clinical practice to consolidate the professional knowledge and skills, and further achieve the goal of cultivating and improving the students' analytical ability, problem solving and independent work ability, and enhance the students' adaptability to the society. In the process of internship, we should not only learn to link theory with practice, but also learn how to communicate with patients and cultivate good interpersonal skills, in order to lay a solid foundation for independent work after graduation. In short, I have learned a lot from this internship, and it will help me a lot in my future work and life.
Acknowledgements
Thank you. The school provides me with a good learning environment, thanks to the teachers for 4 years of my teaching, thanks to the teachers of the ____ hospital laboratory for my patient guidance, thanks to the friends who accompanied me all the way, in the future, I will work harder! Together to cheer!
Inspection internship summary essay two:
The end of the hot June, we finally began the long-awaited practice. Thinking about finally have the opportunity to enter the laboratory, can be from the practice of understanding their own learned profession, the heart will be full of expectations. Because of the first contact with the work of the laboratory, and we are the first batch of students to start the practice, the heart is inevitably both excited and nervous. The teacher introduced each operation points, precautions, we will keep in mind. In just ten days, we witnessed the busyness of the three departments - biochemistry, immunization and clinical examination - and realized that there is a world of difference between work and study.
First of all, biochemistry, where the work is basically an assembly line, here, not only to fully grasp the professional knowledge, but also on the test instrument has a certain knowledge, because I do not know when the instrument will fail, this time also need to know how to repair the machine. Here the need for manual operation would have to say back to the blood. This is to facilitate the patient or the doctor has questions about the report, to re-examine the use of. Not only is it responsible for the patient, but also as a healthcare professional's responsibility.
The second section is immunization, and unlike biochemistry, immunization requires a lot of manual work. As many of the tests are microscopic, the difference will be as small as a mile. Teachers do not dare to let us operate easily. Very often, we just do some simple experiments and listen to the explanation of some experiments beside the teacher. With this intuitive learning method, so that we are in the classroom pale theory and simple graphics become specific, image up.
The third section is the clinical examination, in fact, is also divided into blood and body fluids. In the blood clinical examination, looking at the automatic analysis of the flow cytometer, and then think back to the content of the teacher's classroom, and have a deeper understanding. In the body fluid clinical examination, the teacher would often let us take a look at the samples. In the clinical examination to stay in the past few days, and just finished the basic clinical testing to have a further understanding, see more samples, and these samples from different people, or positive or negative samples is what we have to face in the future.
It is said that the relationship between doctors and patients is now tense, and when practicing here, I also had the honor of standing at the consultation desk. The patient to deal with more is the need for patience, more say a hello, perhaps will be closer to the distance between the doctor and the patient, less a suspicion, more a trust.
It was once said that the work of the laboratory can be easily started in three months, it is very simple. However, after really coming here to experience, you will find that the test work is not as simple as imagined. As if the patient's hands a report, seemingly simple, in fact, this is after a teacher's quality control, experiments, testing, review, review, this step by step cautious operation of the results, each step are not sloppy. Although in the eyes of outsiders, inspectors do the same work every day, but when the accident or special symptoms, to find that the accumulation of day after day is meaningful, which is why the inspectors not only require professional knowledge in mind, but also need a lot of practical experience.
The practice, although only a short two weeks, but it makes me understand a lot about the work of the laboratory, know a lot of teachers. For this specialty and their own future and have some new knowledge, more clear about the future goals. All in all, this practice is very rewarding. I'm really grateful to the school and the hospital teachers to give us such a good opportunity to let us have a full understanding of their own professional learning.
Test internship summary essay three:
___ summer vacation, this group (the second batch of biochemical practice group) in ___ hospital laboratory practice, a two-week practice is very short, but learned a lot of things.
Remember to go to the first day of practice, ignorant of our stupidity standing there watching the teacher busy, not even a favor to help. But in the teacher's teaching we gradually learn to use a variety of instruments, familiar with the entire operating process ...... the next day we basically started to find things to do, encountered do not understand and then ask the teacher to teach, day by day so over, we are also working day by day to slowly accumulate knowledge.
We in the immune ⅰ, immune ⅱ, clinical biochemistry, clinical testing (routine blood, urine routine), exfoliated cells in the process of rotating internship in various departments, met a lot of amicable and strict teacher, their teaching so that we continue to make progress, it can be said that the practice of this practice of the original textbooks on the use of a lot of knowledge to the actual operation, but also learned a lot of books can not learn the knowledge of, for example, many operations need to pay attention to the details. For example, many operations need to pay attention to the details: 24h urine sampling, elisa sampling, operation of the blood cell analyzer ...... in the help of the teacher to do experiments at the same time, some teachers often give us some questions (although sometimes can not answer), and then the teacher will give us to explain the knowledge, in the study of new knowledge at the same time also consolidate the content of the original learned. consolidate the original content learned, and some teachers will take the time to explain to us the working principle of various instruments, so that we have a preliminary understanding and awareness of various instruments.
This practice can successfully come to an end, first of all, we would like to thank the department leadership and counselor Mr. Chen Ruiming, Ms. Ying Yayun, it is their efforts to strive for us to this rare opportunity, and then we would like to thank Mr. Peng Yibing, the Department of Laboratory Science and Technology, the hospitality of the teacher, and finally, we would like to thank the enthusiasm of the teachers who are out of the practice of the process of the teachers, who are Mr. Mao Kesi, Mr. Zhi Liming, Mr. Lu Qiuya, Ms. Lu Yide, Mr. Meng Jun, Mr. Shi Houzhu They are Mr. Mao Kezhi, Mr. Zhi Liming, Mr. Lu Qiuya, Mr. Lu Yide, Mr. Mengjun, Mr. Shi Hourong, Mr. Wang Jianbiao, Mr. Jin Ye, Mr. Wen Lirong, Mr. Yuan Qin, Mr. Ye Tingjun, Mr. Kyaw Kyaw.
All in all, this practice has been very beneficial, and we have learned a lot while enriching our summer vacation life.
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