Nursing insights (Selected 5)
When we reflect and have a new inspiration, there is such a time to record, which is conducive to the development of our habit of thinking. I believe that many people will find it difficult to write the experience, the following is my carefully organized nursing experience (selected 5), just for reference, welcome to read.
Nursing experience 1
When it comes to nurses, people will associate it with the image of women in white mild clothing. The image of nurses in movies and television is also young and beautiful. The high cocked swallow-tailed hat, snow-white short blouse, snow-white nurse's shoes, radiant, like a light swallow in the ward. It is so beautiful. People call nurses "white angels". However, the reality of "angel" is not as perfect as the title. How many people understand the difficulties and hardships behind the scenes. Who can truly appreciate the pain and joy of nursing? For this reason, I have a personal experience and feelings.
I think nurses are sacred and beautiful. When I was 20 years old, I had a dream to become a nurse. When I walked into a hospital room for the first time dressed as a nurse, I saw figures struggling on the death line and begging eyes. From then on, I had a mission: I understood the value of nurses and the selfless dedication behind the "angels". Every day, I went to work with a smile and a happy heart. I was always busy in the ward, taking temperature, giving injections and delivering medicine. When I puncture a patient, I feel happy at the first sight. I feel comfortable when a patient is blocked by phlegm and his airway is unblocked. I felt comfortable when I patiently took an alcohol bath when the patient had a high fever, and the patient's fever finally subsided at that moment; I felt soothed when I saw the recovery of a patient in my self-care. I feel a sense of relief when I see faces that have gone from strange to familiar, from the pain of admission to the joy of discharge. I remember a patient saying to me when he was discharged from the hospital, "You have a beautiful, beautiful smile. Although it was a very common sentence, it really touched me. As an ordinary nurse, I don't ask for thanks, rewards, flowers and applause. I only hope that when we give tolerance and love, we can get respect, understanding and support.
Are nurses really carefree? No, nurses have their own worries and pains. When the patient does not understand, I will cry sadly; when the work operation is wrong, I will also regret. When I was young, I was a beauty-loving girl, and like an ordinary girl in flower season, I pursued fashion and dressed myself up as an angel. I loved long flowing hair and crystalline jewelry. However, as a nurse dealing with infectious diseases, in order to observe nursing etiquette and protect herself, she had to wear her long hair up and keep her fine jewelry in her boudoir to admire. Usually three layers on the inside and three layers on the outside. It was strictly packaging. When you wear a round hat and double mask, you only have two blinking eyes. No one recognizes you, not even you. In the special profession of nursing, frequent three shifts, especially long night shifts, are physically and mentally exhausting. When I first came to the hospital, my face was red and bright, but a few years later on the night shift I collapsed on the floor, yellow and depleted. Due to the inversion of my biological clock, the food didn't taste good, I didn't sleep well, and only my heart knew. There was no time for family vacations. My husband grew up spoiled by his parents. He was secretly happy when we fell in love and found a nurse. In the future, he could continue to live his "young master" life. After we got married, when I finished my day's work, I was always exhausted and often I didn't want to do anything else when I got home. He had to shoulder the burden of housework, laundry, cooking and putting the children to bed. At home, I am not a good daughter-in-law, wife, daughter and mother. For that, I have to suffer too
I can't take it anymore. I cry ......
The life of a real nurse is like this, bittersweet. A nurse is an ordinary position. Self. When you choose nursing, you choose dedication. I remember a poem that reads: Since you choose a faraway place, you are destined to wander; I want to use my life to erase the trauma in your heart.
Due to the needs of my work, I left the honorable post of nurse, but I have always cherished this unforgettable time. People still have a special feeling for the work and profession of nurses. I would like to wish all my nurse sisters a happy holiday! I tell you, it's hard!
Nursing Experience 2When it comes to nurses, people's minds will always come up with the image of white, gentle and lovely women. The image of the nurse in the movie and television works are all young and beautiful. High cocked swallowtail hat, quite scraping the waist of the white coat, white nurse shoes, glowing, body as light as a swallow shuttle in the ward. The beauty of the nurses is unbelievable. People call nurses "white angel", but the reality of the "angel" is not as beautiful as the title, and how many people know the difficulties behind this, hard work, who can really appreciate the nursing work of the pain and pleasure? For this reason, I have a personal experience and feeling.
Since childhood, nurses are holy and beautiful. 20 years old, I edge the nurse dream. When wearing a nurse's uniform for the first time stepped into the ward, saw that a figure in the death line struggling to see a pair of begging eyes, from then on I have a mission: I understand the value of the nurse and the "angel" behind the selfless dedication. Every day I put into the work with a smile and a happy mood, in the ward area constantly shuttling busy, for the patient to measure the temperature, injections and medication, when the patient puncture, a shot of blood, the heart is happy; when the patient is sticky phlegm blocking the respiratory tract, for the dredging, the heart is comfortable; when the patient has a high fever, patiently do the alcohol bath, the patient's fever finally subsided the moment, the inner heart is cozy; when I see the patient in their care recovery, the mood is comfortable; when I see the patient's own care, the mood is comfortable; when I see the patient's own care, the mood is happy; when I see the patient's own care, the mood is happy. When I see the patient under my care recovering, my heart is really unbelievably comfortable. When I saw that a stranger to a familiar face, from the pain of admission to the discharge of the bright and happy, I feel a kind of comfort. I remember a patient said to me when he was discharged from the hospital, "You look beautiful when you smile. Although it was just a very ordinary sentence, it touched me. As an ordinary nurse, I do not ask for thanks, do not ask for return, not to mention flowers and applause, I only hope that we pay tolerance and love at the same time, can harvest a respect, understanding and support.
Is the nurse really carefree? No, nurses have their own worries and their own suffering. When the patient does not understand, I will also be sad tears; work operation errors, I will be remorseful. When I was young, I was a girl who loved beauty and pursued fashion like an ordinary young girl in her flower season, wanting to dress up as an angel. I loved the long flowing hair and the crystal clear jewelry. However, as a nurse dealing with infectious diseases, in order to comply with the norms of etiquette for nurses, in order to protect themselves, they have to put their long hair coiled up high, will be exquisite jewelry deep in the boudoir to stay in the appreciation. Often three layers inside, three layers outside, was wrapped tightly, a large round hat, a double mask to cover, leaving only two eyes blinking, not to mention that others do not recognize you, even their own can not recognize themselves. In the special profession of nurses, the frequent three shifts, especially the long night shifts make people physically and mentally exhausted. When I first came to the hospital, I had a long red face, but after a few years of night shifts, I was yellow and wilted. As a result of the reversal of the biological clock, the meal is not good, sleep is not good, the taste, only their hearts know.
How to establish a good nurse-patient relationship, I think we should pay more attention to some of the details of the service, in the interaction with patients, I think the details of the main performance: more love, patience, good point, strong sense of responsibility, the patient's enthusiasm point, nursing care carefully point, the action of the light point, considerate point, the attitude of the serious point, the expression of the rich point, as well as some respect for the people, considerate point, understanding point, some courtesy, sincere point, caring point, generosity point. The first thing you need to do is to make sure that you have a good understanding of the situation and that you have a good understanding of what is happening in the world.
As a nursing staff, I y realize that only with the dedication to the nursing cause, in order to improve the quality of care, in order to improve work efficiency. For this reason it is necessary to do:
1, set up a wholeheartedly for the people's service to the people's ideology, ideal, moral, cultural, disciplined, love of socialism and socialist cause, with the constant pursuit of new knowledge, seek truth from facts, independent thinking, and innovation of the spirit of the revolution.
2, nursing is a comprehensive discipline, so we must continue to improve the cultural and business qualities of nursing staff, love of the nursing profession, continuing education, through further study, further education to master new scientific knowledge. Through room visits and writing nursing experience to accumulate clinical experience, from theory to practice and then sublimation to theory.
3, establish the nursing staff in the medical work of the sense of responsibility, responsibility is also a way to improve the efficiency of the work of the nursing staff should master the basic theory of medicine and nursing, basic knowledge and basic skills to understand the new progress of nursing theory and technology to play its due role.
Nurse-patient communication is an indispensable part of nursing, is an important means of reducing medical disputes, only to constantly understand and grasp the patient's thoughts and feelings and psychological needs, to strengthen the communication and coordination with the patient, to improve the relationship between the nurse and the patient, in order to ensure that the patient's physical and mental health.
Nursing experience 3Internship is a necessary and indispensable learning stage for every medical student, as a beginner in the clinical experience is very lack of beginners, in addition to their own teaching teachers, wards, other physicians, nurses, and patients themselves are worthy of teaching teachers. Therefore, I maintain a modest, serious learning attitude, and actively participate in all the ward's learning, medical, discussion and other activities, starting from the most basic checkups, medical records, and gradually sharpen themselves.
Before entering the ICU, the lead teacher explained to me the management system and disinfection system within the ICU, and introduced the ICU environment, so that I have an understanding of the guardianship room, and I am able to work with ease. Special arrangement of specialized disease knowledge lecture, that is, the introduction of common diseases of thoracic and cardiac surgery, so that I have a certain understanding of thoracic and cardiac surgical diseases, which is conducive to postoperative monitoring. In addition, I was taught basic nursing care, such as preoperative patient education, psychological care and life care. First of all, I was made to understand the 'significance and importance of central venous manometry, which is an objective standard that directly responds to the function of the left heart and measures blood volume, guides the rate of rehydration and assesses blood volume.
Factors affecting the value of central venous manometry:
① Determination of the zero point;
② The fourth rib of the mid-axillary line in the recumbent position, and the fourth rib of the anterior axillary line in the semirecumbent position;
③ The patient must be in the quiet to measure the pressure;
④ Manometry tubing must be kept open to ensure that the catheter is in the vena cava or right atrium;
⑤ When applying the ventilator peep, the peep value must be subtracted for the true central venous pressure.
Separate pressures were taken by the teacher and me at the same time to compare the accuracy of my measurements. Care was taken to be aseptic, to avoid injecting vasoactive drugs from the manometry tubing, and to ensure that the tubing was clear and in place. After entering the clinical internship, I tend to focus on learning on the operation, and relax the theoretical learning and clinical thinking training, especially in the thoracic cardiothoracic surgery. Thoracic surgery has many diseases and operations, and it is very easy for me to focus all my attention on surgical operations.
So I put more surgery, more practice as the main purpose of internship, the pathophysiology of the operation will change a lot, I must comprehensively and accurately synthesize the history of the disease, signs, the degree of disease, surgical methods and other aspects of consideration, in order to accurately grasp where the key to see the essence of the understanding of the impact of the operation on the patient, to develop the correct treatment measures. The patient's ability to analyze and solve problems in the clinical work can be gradually improved by making him more aware of the reasons why he has to do so.
Nursing experience 4
Nursing from the heart to do, sounds simple, in fact, is not simple, how can we start from the heart of the geriatric nursing work to do better?
First, to meet the physical needs of the more difficult, demanding
With the increase in age, the elderly body systems are weakening the function of the phenomenon of aging, resulting in some of the elderly frail and weak, but also some of the elderly because of the disease and disability, so that they are in the care of the self-activities of the occurrence of difficulties. For example, some elderly people are bedridden for a long time, some are incontinent due to various reasons, and others have difficulties in communicating with the outside world due to visual and hearing impairment. These conditions affect the quality of life of the elderly, and things that are very easy for the general public to solve are difficult for the elderly. Caregivers should fully recognize and understand the difficulties faced by the elderly in their daily lives, and often think "I will need help when I grow old", so that when they encounter difficulties in caregiving and are y tired, they will not be irritated and will not retreat.
The need for safety increases
As the brain of the elderly is slow to respond, the ability to control body posture decreases, and the coordination of the limbs decreases, the incidence of elderly falls and falls out of bed increases. Falls are often the elderly disabled bedridden and the occurrence of infections, pressure sores and other bedridden complications, there are also the elderly in the process of eating, swallowing insufficiency is prone to choking, choking or accidental inhalation, accidental ingestion and lead to life-threatening. Caregivers should understand the physical characteristics of the elderly and pay attention to food preparation, eating posture and eating speed in the dietary care to prevent accidental inhalation and choking. When the elderly go out, pay attention to the care, do not walk too fast, too quickly, do not go out for too long, each time 30 to 60 minutes, twice a day, in order to prevent the elderly from excessive fatigue and accidents. It is not advisable to go out in rain, snow, fog, windy days or hot weather. Indoor and outdoor environmental equipment, such as toilets, bathrooms, staircases and other equipment to consider the needs of the elderly safety, to prevent accidental injury.
Three, the elderly are prone to infections
The elderly body resistance is low, the occurrence of infectious diseases is significantly higher than young people, especially the respiratory system and the urinary system of infectious diseases. The caregivers should pay attention to the prevention of infectious diseases, such as pay attention to the warmth of the elderly, the living environment and the elderly body parts of the cleanliness and hygiene and dietary hygiene. At the same time, caregivers should wash their hands carefully before and after caring for the elderly, and do a good job of personal protection, and encourage the elderly who can take care of themselves to actively exercise, in order to enhance the ability to resist disease and prevent disease.
Fourth, the elderly disease is not easy to be found
The elderly body reaction force is low, the disease is often no typical clinical manifestations, so that the elderly disease is not easy to be found in time, can not get timely treatment and delayed.
Fifth, care is the care is the foundation
Care so that the elderly get warm, courage, care so that the elderly in difficulty to get support, care so that the elderly in the disease to enhance the confidence of anti-disease, care so that the elderly health, feel happy, happiness.
Care is a form of expression of care between people, the elderly need care, affection, caregivers need to understand, support and help, but the elderly due to a variety of reasons to reduce communication with the community, or because of living alone, widowed, children's work or because of the disease of the trouble, often make the elderly lack of care, and even in the lonely and helpless. Caregivers should care for and look after the elderly on the basis of a full understanding of their physical condition and psychological and social status, so that they can feel the warmth of society and be understood and respected. However, in caregiving, the elderly may also encounter bad mood, misunderstanding, non-cooperation, etc. At this time, the caregiver's sincere understanding, concern, and efforts to try to meet the needs of the elderly is conducive to overcoming the gap between each other. Therefore, when an elderly person is emotionally unstable, the caregiver should try to obey him or her and not go against his or her wishes, which can help to inhibit the deterioration of his or her mood. At the same time, it is also necessary to distinguish between the needs and desires of the elderly and mental illness, and to deal with them appropriately, in order to fulfill the work of caregiving.
Sixth, care should be based on the situation of the elderly
Each of the elderly physical, psychological, social environment is different, the degree of need for care is also different, for the elderly can take care of themselves is a sign of health, self-care can make the elderly to improve the quality of life, live a full and confident, at the same time, on a variety of diseases and the prevention of multiple functions of the body degradation is also a sign of health. At the same time, it is also very important for the prevention of many diseases and the deterioration of many functions of the body. However, there are quite a number of elderly people who, due to the aging of their bodies and the plague of diseases, have a reduced ability to take care of themselves, and some of them are even unable to take care of themselves at all. For the sake of the health of the elderly and to enable the elderly to receive thoughtful and effective care when they are unable to take care of themselves, the caregivers should assess the physical condition of the elderly and the degree of their self-care ability, and when the elderly are able to take care of themselves, they should create convenient and comfortable conditions for the elderly, so as to enable them to lead a meaningful life; when the elderly are able to take care of themselves partially, the caregivers should not replace the elderly in their activities completely, but should supplement the part of the care work that the elderly are unable to take care of themselves, such as washing clothes, washing clothes for them, taking care of them, and so on. The caregiver should not completely replace the activities of the elderly when the elderly can partially take care of themselves, but should supplement the part of care that the elderly can not take care of themselves, such as washing clothes for the elderly, shopping for groceries and so on; for the elderly who can not take care of themselves, they should provide a full range of services, such as turning over, feeding, and washing on a regular basis for the elderly who have been bedridden for a long time and have impaired consciousness, so that the elderly can live comfortably and not have any complication during the period of bedridden.
Nursing experience 5In order to further improve the quality of nursing care in our hospital, the implementation of quality nursing services, to strengthen the overall quality of nursing care under the responsibility system, in the hospital leadership and the nursing department's careful planning and deployment of arrangements, recently all nursing staff in our hospital to participate in the study of "hospital nursing quality management of the new ideas" and other topics of business learning. Business Learning. Through nearly a week's study, I have benefited a lot. Although I know the hardship of nursing work through several years of clinical practice, I understand that in this study, we must improve the quality of nursing care in our hospital to adapt to the progress of the society and get the affirmation of our service users, and implement the concept of quality nursing service we have always been carrying out into the concrete work. Here I talk a little bit in this learning experience and insights.
First of all, I think that the enhancement of the awareness of service is our guarantee to improve the quality of care. We have to improve the service attitude, promote active service, should realize that only strengthen the service, in order to meet the patient's health needs, only to enhance the service in order to win the trust of patients and their families, only to enhance the service, in order to improve the patient's satisfaction, colleagues only to enhance the service, in order to reflect their own value and to meet their own needs, because only your service to get the approval of the community and recognition, you will be able to in the Tao Tao Only if your service is approved and recognized by the society, you will be able to have a place in the changing flow of people. Therefore, it must be the patient as God, really treat the patient as God or relatives to treat, do care, careful, warm, thoughtful. However, due to the diversity of society, our services sometimes do not necessarily get the patient or the family's understanding and recognition, but we must through their own words and deeds to influence them to move, in short, we should not be discouraged, we believe that our efforts will be duly rewarded.
Secondly, each department in our hospital has improved the original nursing model. In the past, the nurses only mechanically execute the medical prescription, the infusion is only responsible for the infusion, the issue of drugs is only responsible for the issue of drugs, the basic condition of the patient and the use of medication can not be fully understood grasp. After the implementation of quality nursing service, our ward has adopted the model of nurse group responsibility nursing, which divides the nursing staff of the department into two working groups and establishes group leaders. It not only refined the workflow of the responsible nurses, but also implemented level-by-level management of nursing work. This requires the responsible nurses to know the patients they are responsible for well, from the treatment of their condition to life care. Each team leader supervises the team members to see if they are carrying out the relevant nursing work according to the plan and guides the nursing staff of the group to complete the medical and nursing tasks as well as the care of the critically ill patients. After the implementation of the group responsibility system, the nurses strengthened the patrol, focusing on the condition observation, the implementation of therapeutic care and health education, psychological care, life care, to give patients a full range of care.
Again, with the transformation of the nursing model, the nursing discipline of new theories, new knowledge, new technologies, new ideas continue to emerge, one-time school education is far from being able to meet the requirements of high-quality clinical care, so the knowledge of working nurses to supplement and update has become an inevitable trend in the actual work to actively find their own knowledge deficiencies, only to enrich themselves to adapt to the development of nursing work, provide patients with a full range of care. The development of nursing work, to provide patients with satisfactory service.
I work in the emergency department has its own particularity, we face the patients every day in the change, we will always encounter all kinds of difficulties, but I will not retreat, will not complain, will not have aggrieved, I always remember that I am a nurse, I am a service for the patient. Therefore, in the future work, in order to make us face less difficulties and misunderstandings, in order to be able to get more people in the community's understanding and pitting, improve the quality of our care, the implementation of quality nursing services is particularly important.