Self-appraisal sample of nursing further training (General 5)
Normally, the self-appraisal is also a kind of summary, which can help us have to look for the rules of study and work, let's write a good self-appraisal to summarize it. Then self-identification to pay attention to have what content? The following is my self-assessment for you to organize the nursing further training, I hope to help you. During the harvest I benefited greatly and will benefit for life. After coming to Tianjin People's Hospital, I entered the Endoscopy Center to study ERCP and its related diagnostic and treatment techniques, during which I strictly abide by the rules and regulations of the hospital and the department, respect my teachers, unite with my colleagues, discipline myself, and care for the patients' requirements and pain. I tried my best to combine theoretical knowledge with practical experience, summarized my learning method and clinical experience, and cultivated my ability to think and solve problems independently. The following points are my deepest and most rewarding experience during my training period:
First, humanized management mode:
All the medical and nursing staff of the Endoscopy Center is a good collaborative team under the leadership of Director Li Wen, and there is a harmonious relationship between colleagues, so that even if the trainee doctors just came into the team, they also feel warm. Director Li's most common saying is that the trainee doctors should not treat themselves as outsiders, we are treating you as our own people. He often reminds the trainees to pay attention to the concept of asepsis, radiation protection and other details, so the surgeon, assistants, surgical nurses, anesthesiologists, imaging physicians and trainees in their respective roles during the operation, but also to assist each other, from the pre-operative preparation to the post-operative anesthesia of the patient resuscitation in a well-organized manner, to ensure the quality of the operation and the safety of the patient is of paramount importance.
Second, advanced equipment and high technical level:
The endoscopy center ERCP operating room is well-equipped, equipped with very reasonable. Endoscopes, a variety of monitoring equipment, suction, oxygen equipment placed in a reasonable, accessories such as catheters, guide wires, incision knife, stone basket, lithotripter, stone balloon, nasal bile ducts, stents, biopsy forceps, etc. are fully equipped and placed in a fixed position, the use of a comfortable. In addition, more importantly, the surgical team under the leadership of Director Li Wen is highly skilled in handling cases of obstructive jaundice with unknown cause and suspected extrahepatic biliary obstruction, suspected biliary diseases such as stones, tumors, sclerosing cholangitis, etc., suspected congenital biliary anomalies or recurrence of postoperative symptoms of gallbladder surgery, and pancreatic diseases such as pancreatic tumors, chronic pancreatitis, pancreatic cysts and so on. We have a unique ability to prevent postoperative complications.
Three, rigorous work style:
For the new trainee doctor by the teacher to teach, to understand the environment of the endoscopy center and all kinds of items in the storage place, to master the use of equipment and precautions, and communication with the patient's skills and precautions, the concept of strict asepsis, through the surgical demonstration, lectures, etc. to improve the technical level of the subordinate doctors.
After three months of training, we have mastered the intubation techniques and precautions of ERCP, and familiarized ourselves with the indications and contraindications of ERCP and the treatment of postoperative complications. I have accomplished the study tasks of further training without any medical errors or medical accidents. After the completion of the training, I will continue to work hard, continuous learning, will learn to put the knowledge into the work of wholeheartedly for the patient service.
Self-identification of nursing training Part 2In the eyes of many people, we are angels. Have a sweet smile, have gentle eyes. There is a kind heart. But there are a few people who do not understand the profession of nursing, do not understand the true connotation of nursing. Thinking that nurses are, at best, high-class nannies. So they are missing a little respect, missing an understanding.
I don't deny that there is a lack of professional conduct in the nursing profession. But the vast majority of nurses are dedicated. They are writing their own stories with their own ordinary, creating their own beauty.
I remember when I first joined the work, I have been confused, endless night shift, can never stop the footsteps. Every day, I hear the patient's groan, see a face of pain. So even the happiest mood will become heavy, and even the youngest face will be worn old. So I poured my passion into my chosen profession. I thought that my sincere efforts would be rewarded with the same sincerity. But what I often encountered was misunderstanding and lack of understanding. I almost gave up on my original vision. Only one day a few years later: a young mother with her own child met me. She pointed to me and said to her child, "Baby, you know what? You were taken out of your mom's belly by this, thank you auntie". At that moment, I was filled with emotion and happiness. Because I instantly understood the connotation of the profession I was engaged in - we are caring for life! So I chose to keep trying. And I put more passion into it than ever before.
Slowly, so many years have passed, has long been y in love with their own profession, I give all my passion, every day is touched by themselves. I am proud to have such a noble profession. I am proud of myself for having such a noble profession!
Self-identification of nursing training Part 3I was in the xx hospital xx section of a one-year training ended, in the training class during my compliance with the rules and regulations of hospitals and departments, respect for teachers, solidarity with colleagues, and strict requirements for their own, to do not be late, do not leave early, do not absent themselves from work without cause and without authorization to leave the workplace. Treat patients kindly, good attitude, and strive to learn the theoretical knowledge and basic skills used in practice, in the process I continue to summarize the learning methods and clinical experience, try to improve independent thinking, independent problem solving, independent work ability, and constantly cultivate their own wholeheartedly for the people's service to the lofty ideology and good professional ethics, after this training I have improved the level of writing relevant medical documents; enhance the understanding of the common and common medical problems in the Department of Internal Medicine, the Department of Medicine, the Department of Medicine, the Department of Medicine, the Department of Medicine, the Department of Medicine, the Department of Medicine, the Department of Medicine and the Department of Medicine. After this training, I have improved the level of writing relevant medical documents; enhanced the diagnosis and treatment ability of common and frequent diseases in the Department of Internal Medicine; further mastered the treatment of critical, serious and emergency patients. During this period, I actively participated in the training unit and the business study organized by each department, so as to make my training life more fulfilling and meaningful. Teachers attach great importance to the training of juniors, room visits, first by the first-line or refresher doctors to report the history of the disease; the superior doctor carefully questioned the history, analyze the possible causes of the disease, to do further relevant examination, make a diagnosis, determine the 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 more about the related knowledge. Under the caring help of the director of the Department of Gross Internal Medicine and the second line teachers of each department, we have successfully completed the rotations of each group. Through the study, she has been able to master the diagnosis and treatment of common diseases in the Department of Internal Medicine, and independently complete the routine operation of the Department of Internal Medicine, such as closed chest drainage, pleural biopsy, etc. She has been able to master the diagnosis and treatment of common diseases in the Department of Internal Medicine.
A year of further training life fleeting, in this short period of one year, the First Affiliated Hospital of Xi'an Jiaotong University School of Medicine has left a deep impression on me, I also have a lot of thoughts and harvest. While broadening my horizons and enriching my professional knowledge, it also made me realize the charm of medical career more y. Deeply feel the "people-oriented" advocating the concept of humanistic care treatment.
Standardized medical and nursing management and workflow, strict rules and regulations, is to prevent the occurrence of medical accidents. The good service attitude of medical staff makes the doctor-patient relationship harmonious, and on the basis of sound rules and regulations, the hospital has really achieved the smile service, considerate service. In the wards, the medical and nursing staff contact with the patients more, understand their pain and thoughts, and try their best to help them solve the problems. The system of checking room, difficult cases and major surgery discussion system is gradually implemented and improved. The training life is full and enjoyable, accompanied by many new experiences as well as harvest, adding rich content to my learning life.
In the days of further training, my professional knowledge has been consolidated and grown, and I have learned many advanced techniques and methods. While I am happy for my own efforts and gains, I am determined to bring the knowledge and concepts that I have learned back to my own workplace, and I hope to be able to apply the new techniques and knowledge that I have learned to my clinical practice, such as closed thoracic drainage and pleural biopsy in the Department of Respiratory Medicine. For patients with large amount of pleural effusion or recurrent pleural effusion, a thin drainage tube such as central venous catheter can be used to perform closed chest drainage during hospitalization, which can not only reduce the pain of daily thoracentesis to the patient, but also save the clinician's time and energy to better serve other patients. The pleural biopsy, for example, provides strong pathologic evidence for tuberculosis and pleural tuberculosis, as well as for lung cancer with thoracic metastasis, which is a good guide to the next step in the treatment.
Self-identification of nursing training Part 4In August, I had the honor to come to Hong Kong Maryknoll Hospital to study neonatal intensive care, because this learning opportunity is very rare, is by the hospital to fight for more than half a year to get the opportunity to learn, so before I came to the hospital, I think I must seriously learn their advanced nursing concepts and techniques, in order to be not in vain, but after I came to Hong Kong I realized that in addition to learning, the most important thing is to experience the experience, the most important thing is to learn to learn, the most important thing is to learn to learn to experience, the most important thing is to learn to learn to learn to learn to learn. However, after coming to Hong Kong, I realized that apart from learning, the most important thing is to experience the cultural differences between Hong Kong and the Mainland. In just one month's time, I y felt that Queen Mary's Hospital's advanced hospital management mode, considerate occupational safety protection, and so on, many worthy of our learning.
I. Humanized management starts with good teamwork and a diverse nursing staff echelon.
Each ward nursing team has a ward manager, head nurse, specialist nurses and clinical nurses, all of whom work together to ensure the quality of care in the wards while completing their duties, and also have a machine manager who is responsible for the routine management of the instrument, debugging, maintenance, repairs and the purchase of spares; a health services assistant, who is responsible for replacing and replenishing the nursing supplies, storage, etc.; a ward assistant, who is responsible for end-of-life care; and a nurse, who is responsible for the maintenance and repairs. Ward assistants are responsible for end-of-life disposal and miscellaneous duties; medical secretaries are responsible for reception, internal and external contacts, and statistics, organization and storage of medical documents; and hygienists are responsible for ward hygiene (which is required to achieve the effect of spotlessness). By setting up the personnel in a careful manner, each person acts according to his/her duties, so that the patients feel a sense of security after being admitted to the hospital, and everything is under the care of the medical staff. Secondly, Mary's Hospital provides training in Occupational Safety and Health and Infection Control to every new staff member. Various health exercises on how to lift heavy objects and relieve fatigue are posted in the aisles of the wards, instructing staff on how to protect themselves at work so as to prevent accidents. Gloves should be worn when touching blood and body fluids, needles and sharps should be handled carefully, and hands should be washed diligently to avoid cross infection.
During the study period we learned that Mary's Hospital staff also personnel quality training, at the beginning of the year, by the nurses to set their own goals, and the head nurse will be based on the nurses set their own goals, to provide the appropriate learning opportunities, and the Hospital Authority will be organized every month, various types of classes to improve the quality of the staff for the nursing staff of the clinical audit, Manager Tsai said one of the most classic words is. When a nurse makes a mistake, it is not a problem of the person, but a problem of the system. They will revise and improve the system according to this incident, instead of punishing the nurses, and only in this way will mistakes be reported in time instead of being hidden, which will be conducive to improving the quality of nursing care and reducing the occurrence of errors and accidents. The hospital's work is intense and heavy, the hospital in order to reduce the staff's work pressure, carried out a series of lectures, such as psychological counseling, how to reduce stress, etc. In addition, it also organizes physical exercise, and provides employees with Internet access, fitness, and even clubs, including karaoke.
Secondly, advanced equipment and technical level and quality service, scientific and effective set of instruments is one of the more obvious features of Mary's Hospital.
Centered on the hospital beds, there are embedded devices such as negative pressure suction, oxygen, compressed air and power supply on the 1m high wall at the head of the bed. All kinds of monitoring equipment, central suction, central oxygen equipment can be moved at will, medical instruments, resuscitation first aid pipeline are standard placed in a fixed position on the instrument rack, easy to use. Each bed is equipped with a set of wall-mounted central monitoring equipment and connected to the central monitoring system at the nurse's station, which can monitor electrocardiogram, central venous pressure, invasive and non-invasive blood pressure, arterial pressure, and oxygen saturation at any time, and any plug-in can be changed to change the monitoring items. Others are added according to the patient's condition, such as neurological monitoring instruments, pca pain medication injectors, b ultrasound, gastrointestinal nutritional infusers, and arterial and venous catheterization systems. The equipment required for each type of disease that may be involved in each department is available and maintained in good condition at all times. In addition to this, the NICU is staffed by experienced doctors and nurses who are well versed in advanced medical treatments such as gulsum application, arterial blood pressure monitoring, umbilical arteriovenous cannulation, picc, and so on. They have successfully revived babies weighing as little as 430 grams, they rop premature babies less than 32 weeks old, they do hearing screening for every baby to detect congenital blindness and deafness at the earliest possible time for early treatment.
Their hospital pays close attention to humanized services, such as the use of cpap, will cut a pad pad between the nose and nose plugs to prevent the Department of skin damage and the occurrence of pig nose, the face needs to be attached to the adhesive tape will be affixed to the protective film, each warming box will have a hooded cloth, the various treatments are carried out in order to reduce the light and a variety of external stimuli, which will be conducive to the growth and development of the child. Specialized physiotherapists and occupational therapists are available for infants with special problems, and infants who are discharged from the hospital to continue rehabilitation are referred to other hospitals for treatment. Family-centered care is practiced throughout the hospital.
A spacious play area in the general ward provides an unfamiliar environment for the children; the arrival of daily play ambassadors brings joy to the children; a full-time Red Cross teacher removes the worry of school-age children about their schooling; and parents are actively involved in the care of their children under the guidance of nursing staff. In the NICU, nursing staff encouraged parents to visit their babies and do what they could to alleviate the anxiety of mothers and fathers not being able to see their babies, and promoted the closeness of newborns to their parents, reflecting a strong family atmosphere. Before a premature baby is discharged from the hospital, a prelude to discharge study class will be held for the parents, with special nurses doing explanatory and instructive work for the parents, so that the parents can bathe, dress and change the diapers of their premature babies until the parents are able to do so, and then they will be assured of handing over the premature babies to their parents. Discharged infants are followed up in outpatient clinics until they are two years old, and are given regular medical checkups by a specialist. The hospital's service standard is reflected in the standardized and appropriate way of service, showing concern and sympathy to the parents of the child. The service standard is naturally integrated into the service consciousness and applied in the medical practice. Wards for discharged patients set up a hotline, responsible for providing all kinds of consulting services, so that patients and hospitals to maintain hotline contact, at any time to obtain professional guidance on medical services; each department is equipped with a variety of professional medical knowledge pamphlets, for people to freely access.
Three, rigorous work style.
In order to prevent errors and accidents, the hospital provides for the treatment of the doctor's orders for the amount of medicine to be checked by the pharmacy, and then by two nurses to check the dose before being used on the patient; for special treatments, such as blood transfusion, the application of Gelsemide, by the two sides of the health care verification by the doctor's implementation; in the treatment of the oral will not be used in the treatment of intravenous treatment, most of the use of penicillin and early stopping antibiotics, the use of antibiotics. Most of the antibiotics are penicillin and are stopped early. For the newly assigned students and advanced training nurses by specialist nurses to teach, first understand the environment of the ward and all kinds of items in the storage location, learn the use of various equipment and precautions, clinical work in the application of the nursing technology, after the assessment of the qualified before the designated instructor to teach.
The various types of items used in the ward are using the xxx method (often organized, often clean, often tidy, often standardized, often self-discipline), fixed-point, fixed-label, readily accessible; each child's bedside are prepared with first aid kits, thermometers and stethoscopes, etc., fixed to use, and final disinfection after discharge; the hospital advocates breastfeeding, but they are more stringent requirements of breast milk, will do a bacterial culture, the requirements of breast milk must be frozen The hospital advocates breastfeeding, but they have strict requirements on breastmilk, they will do bacterial culture and require that breastmilk must be frozen before consumption (excluding direct feeding), and if any discomfort is found during the process of breastfeeding, it should be stopped immediately, and the mother must wait until she has fully mastered the essentials of breastmilk collection, and the breastmilk can be consumed again only after the breastmilk test is qualified; there are corresponding flow charts in the process of carrying out various nursing operations, and there are assessment standards for these processes; every year, specialized nurses from the department and the personnel of the Nursing Department will discuss whether the operations need to be Improvement; doctors and nurses strictly wash their hands before and after the operation, and each patient is equipped with hand disinfectant before bed, and in the operation, if there is any operation failure, the medical items must be replaced and never applied repeatedly. This is because they know that if they do not comply with the rules and regulations, they will increase the chances of infection, thus jeopardizing the lives of the patients and their own health. The hospital has an independent infection control department that continuously monitors the infection situation in each department, and at the same time, statistics are kept on the infection rate of each doctor's operation, so as to point out the situation individually in a targeted manner. The infection control in the hospital is very good, and there is an independent negative pressure isolation room in the ward, where infectious diseases are identified and isolated, and infected and non-infected patients are strictly admitted into separate wards. Because of this, Mary's Hospital has done a very good job of infection control, even during the SARS outbreak, there was not a single case of nosocomial infection in their hospital.
Fourth, Hong Kong people's passion and sincerity.
When I first came to Hong Kong, I didn't know my way around, so I often asked for directions, and the locals, although they didn't speak Mandarin very well, were very enthusiastic and even drew maps, or even showed us the way in person. When we first came to Queen Mary Hospital, we asked the security guards how to get to the dormitory building because it was already late at night, but they asked us if we were from XXX and brought us to the dormitory building. When we arrived at the door of the dormitory building, we found that there was a note posted on the door to show us the way to the dormitory building, and we were really touched and thought that they had arranged the work in a really meticulous way. The next day, the janitor led us to buy phone cards and Octopus cards to guide us in our daily life. The manager of the nursing department also took time out of her busy schedule to invite us to dinner and asked us what difficulties we had in our study and life.
A month's time has passed in a flash, I would like to thank the hospital leadership for providing me with such a valuable learning opportunity, allowing me to contact and learn from the advanced medical technology and nursing concepts of Hong Kong Maryknoll Hospital, and to feel the civilization and advancement of Hong Kong. At present, Dushanzi is undergoing a period of great development, and in order to meet the needs of this development, the hospital has been sending its medical and nursing staff to the mainland and Xinjiang to learn about advanced management modes and medical technologies. I believe that through the *** with the efforts of all medical and nursing staff, we will be able to make our Dushanzi Hospital become a unique brand hospital in the Golden Triangle region and better serve the people of Dushanzi!
Self-assessment of nursing training Part 5Unconsciously, I have been studying for three months in the Department of Cardiology of Ningda General Hospital. I am very grateful to the nursing department of the General Hospital and the leadership of the department, colleagues to give me help, so that I learned a lot of things, and have a deeper understanding of the knowledge previously learned.
In just three months, the nursing department of the General Hospital can reasonably arrange the content of learning, and arrange for experienced instructors to teach me carefully, so that I can learn the valuable knowledge and clinical operations that I have not encountered in my usual work. I benefited greatly from the standardized management, cleanliness of wards, diligence of nurses, unity and cooperation, and proper nursing service of the General Hospital. During my three-month training in the Department of Cardiology, I learned a lot about heart surgery. For example: how to observe the postoperative changes in cardiac disease and nursing care, how to communicate with the patient's skills, substantive care and consideration for them. At the same time, psychological counseling, so that the patient's emotional stability, distraction, and control of the disease. Do a good job of daily life care, to prevent the occurrence of postoperative complications, standardize the writing of nursing documents.
In this elderly-centered department, hospitalized geriatric patients, beds are almost full, nursing operations, workload, high risk index, more than other departments more difficult. Through shadowing and learning to a person alone to cover the shift, I basically learned the basic care of cardiac patients and post-stenting patients, but also mastered the emergency care of post-stenting complications and arterial artery catheterization care, pressure ulcer prevention and care, oxygen method, nasal feeding method, catheterization, enema, sputum suction and so on.
How to observe the patient's condition changes and how to do a good job in the rescue of critically ill patients. During this period, the Nursing Department also invited the nursing experts from the Central Hospital and the operation experts to the General Hospital to conduct CPR and nursing operation demonstration lectures, which are the knowledge that I usually have less contact with in my work. For cardiac surgery nursing knowledge is also relatively lack of, especially after cardiac surgery of sudden illness treatment experience is lacking, during the period of cardiology nurses all use their rest time to spare no effort, and actively participate in the Nursing Department of the arrangements for the operation of the technology, listening to the field and the hospital a variety of nursing knowledge lectures, for their future work to lay the foundation for their dedication is worthy of my learning spirit.
In the work of the General Hospital at all levels of leadership and nursing peers to help and guidance, we treat me as if I treat their own brothers and sisters, so that I do not have the slightest sense of strangeness out of the house, thank you for the General Hospital counterparts! After returning to the hospital, I will report to the hospital leadership in a timely manner to their own further training, and continue to work hard to learn more knowledge and skills, and will be learned in the General Hospital to apply to the usual work, in the nursing position, to better serve the patients.
Finally, I would like to thank the Institute of Chinese Medicine for providing a platform for us to go out and learn.
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