Often write the experience will help to improve our ability to think independently of the problem, and at the same time, it is also helpful for us to constantly update our inner feelings. Here are three practical examples of surgical learning experiences that I share with you to provide reference.
? Surgical Learning Experience Practical Sample 1
? I'm honored that the major surgical internship in the gastrointestinal surgery, where the teachers treated us like their own sisters and relatives, and the head nurse also listened to care about our internship students, so that we feel the warmth of this big family.
? Surgery, mainly to do surgery. I remember just to the gastrointestinal surgery is not very busy, may be one or two operations per day, basically is not a major operation, through the patience of the teacher's leadership, I also cope with every day, slowly, surgery gradually more and more, every day from the beginning of the work on the non-stop. Busy, in addition to the noon break until the end of the day. Although very busy, but also learned a lot of things. I practiced a lot of operations from basic operations to specialized operations, and through the correct demonstration and guidance of the teacher, many operations were standardized. The main operations were CVP measurement, intravenous infusion, intramuscular injection, enema, use of intravenous indwelling needles, and artificial anal care. Gastrointestinal Surgery is mostly for stomach, intestines, hernia, anal fistula and other surgeries, and many of them are hospitalized for surgeries because they are found to be cancerous. In this department, we can feel that cancer is getting younger and younger nowadays, and some people are found to have intestinal cancer at the age of one or two decades. Life is really precious and should be treasured.
? In this department, there are also many family members who ask for confidentiality, which also reflects the psychological care of patients is very important. Gastrointestinal surgery is mainly surgical patients, nursing special attention needs to be paid to skin care, drainage tube care. The preoperative and postoperative health education for surgical patients also needs our serious implementation. Especially the diet. Because most of the surgeries are gastrointestinal surgeries, it is generally necessary to wait until the gastrointestinal function is restored before eating, and some family members do not understand that they start eating on the day of surgery or have been afraid to eat. Therefore, health education on diet is very important. In addition, we also need to teach patients and their families how to properly care for the drain, to prevent the drain from coming out, to observe the color, amount, and nature of the drainage fluid, etc.; and to observe the patient's condition in a timely manner.
? Surgery, is full of vitality of the department; the teachers in the department are more extroverted, treating people very well, I hope that their future work in the Department of Surgery.
? Surgical Learning Experience Practical Essay 2
? Come to the cardiothoracic surgery has been the fourth week, turning eyes and leaving. The first thing you need to do is to get a good understanding of what you're doing and how you're doing it. This phrase is too suitable for us but. Always leaving, always meeting. Saying goodbye to familiar teachers and arriving at a new environment. Perhaps it is only by leaving that we can meet! I understand that this is a kind of growth.
? I learned a lot in cardiothoracic surgery. My lead teacher is a personality hard-working, serious and responsible teacher, remember to come to the department of the first sentence she said to me is "let's *** with the learning!" Cardiothoracic surgery is the first real benefit of contact with surgery. Since my last department was respiratory medicine, I really felt the difference between internal medicine and surgery. In the internal medicine treatment is conservative, the same is the lung cancer patients, in cardiothoracic surgery will be most of the surgical treatment, and the internal medicine treatment is relatively conservative most of the time will choose chemotherapy or put down the treatment.
? In respiratory medicine, almost no surgical patients, while in surgery, the opposite is true, a lot of surgical patients. The personality is cardiothoracic surgery, generally larger surgery, usually after surgery, very few directly back to the ward, usually sent to the ICU observation, to be stabilized and then sent back to the ward. In cardiothoracic surgery, the most common is pneumothorax, followed by lung space, heart disease (ventricular septal defect, aortic insufficiency is more common) and then esophageal cancer patients. There is a big difference between pre- and post-operative period for patients with esophageal cancer. When the patient comes to the doctor before the operation, he/she may simply be unable to swallow and find it difficult to swallow; after the operation, he/she usually needs to fast for one week, which is more difficult for him/her because of the pain of the wound, and the fact that the surgery for esophageal cancer lifts the stomach to the thorax cavity, which may cause pressure on the lungs and make them susceptible to pulmonary atelectasis. Patients may have symptoms such as irritability, dyspnea, chest tightness, shortness of breath and so on. We should encourage and assist the patient to take deep breaths and cough and cough up sputum effectively, help the patient to turn over and pat the back. If the patient's respiratory secretion is sticky, we can use chymotrypsin, aminobromine, etc. to perform ultrasonic nebulization inhalation to achieve the purpose of sputum dilution. Usually one week after the operation, the patient's condition is stabilized, and gradually begin to eat, the recovery will be more smooth. The number of infusion drops in surgery is not as strict as that in respiratory medicine, because most of the patients in respiratory medicine are elderly. Cardiac function is not so good, and surgery in addition to the number of drops of cardiac patients need to be strictly controlled, the rest of the patients can basically drop a 70 drops.
? We saw many patients in cardiothoracic surgery who had closed chest drainage due to pneumothoracic intubation. Although I had seen this before in respiratory medicine, I hadn't really dealt with it. In the cardiothoracic surgery department, the instructor taught me how to look at the fluctuation of the water column to decide whether the tube is blocked or not, and also taught me how to change the bottle of closed chest drainage, how to change the drainage bag, etc. I learned a lot. I learned a lot. Before in other departments, I did not have a concept of what I had to do every day, but under Mr. Zhao's guidance, I understood what I had to do every day, instead of relying on the teacher blindly like before. Teachers usually work very rigorous, treat my requirements are also very strict, although often said by the teacher is very frustrated, and even some afraid of the teacher, the heart complained about the teacher. But after going home and thinking carefully about the teacher's words I have gained. Thank you very much for the teacher to bring my growth, although I'm not your best students, but you bring me, indeed, an immeasurable wealth!
? The future has always been on the road. May tomorrow be able to do better. I'm sure you'll be able to do better tomorrow!
? Surgical Learning Experience Practical Sample 3
?1, process. This gastrointestinal surgery apprenticeship is to go to the second hospital, first of all, led us to the nurse sister for us to systematically introduce the gastrointestinal anatomy and physiological characteristics (due to the conference room multimedia problems so the sister is according to the printed PPT read), as well as their common diseases, such as gastroduodenal ulcer and other diseases of the postoperative nursing characteristics, the main observations; after the sister to take us to visit the intensive care unit (the patients were all operated in the ward, so the main observation). After that, she showed us around the intensive care unit (there were no patients in the ward because all the patients were in surgery at that time). In the intensive care unit, we visited the air cushion beds to prevent the formation of pressure ulcers, the process of configuring nutritional solution for patients, the cardiac and electrical monitoring equipment and the gastrointestinal decompression tubes, and the older sister demonstrated the use of the monitoring equipment and introduced the main observation indexes, and also briefly introduced the use of the gastrointestinal decompression tubes and the precautions to be taken. After the visit, the sister briefly introduced us to the nursing record sheets and the main contents that need to be filled out before the admission of patients and the admission of postoperative patients to the guardianship room.
?2, experience. Through this clinical internship and visit to make my theoretical knowledge of gastrointestinal surgery has been consolidated and strengthened, but also makes me master the basic knowledge and skills of nursing is no longer simply confined to books, but the corresponding department of nursing work has been extended from the theory of the quality of the leap to practice. Contemporary medical science and technology is developing rapidly, the phenomenon that the knowledge in books is relatively detached from the clinic prevails, which requires us to master the core knowledge in books to refine and process, link the theory to the actual situation, apply the skills in practice, and the apprenticeship in the clinic can just help us to complete this processing, so that we can better master this skill, so I hope that there will be more opportunities for future learning in this manner, and I will also have more opportunities for future learning. This way, and I will also work harder to master nursing expertise, and strive to develop myself into a qualified and excellent nursing talent.
?3. Recommendations. Through the nursing apprenticeship can let us learn in the experience and visit, make the boring theoretical knowledge become vivid image, which is very beneficial to our learning of surgical nursing. However, if we can visit more y in the process of apprenticeship, for example, in the gastrointestinal surgery apprenticeship can visit the nurses to perform gastrointestinal decompression and other specific nursing operations, it will be more helpful to our learning, but also allows us to find the similarities and differences between clinical and theoretical, and to find specific problems in the observation and think about it, and to better master the corresponding basic knowledge.