Experience and harvest of nurse practice (1)
Nurse work is a complicated life. We should not only learn to be a man, but also learn to do things. We should constantly enrich theoretical knowledge and nursing operation skills, and strive for more operation and exercise opportunities; To be a man, we should deal with the relationship between ourselves and teachers, head nurses, doctors, patients and family members in the hospital, which brings us great pressure and a good exercise opportunity. It is most important to establish a good nurse-patient relationship, which can bring convenience to our nursing work. The work of nurses is no longer a simple skill operation such as injection and medicine distribution, but a more complex creative activity including psychological nursing. Nurses should not only help patients recover, but also help them recover. During my internship, I deeply realized the importance of communication and the happiness it brought me. When I get along with patients, I always try to communicate with them with a sincere heart. Feel their pain, understand their needs and give them the care and help they can.
Just two months of internship, we can already see our busy figure in the corridor of the hospital. We kept shuttling between wards. I'm finally up to the task assigned by the teacher. I can finish the nursing work independently. This is a big step for me in the future and I should be congratulated. During the internship, I realized that it is not easy to be a nurse, and it is even more difficult to be a qualified, excellent and quality nurse. With the continuous progress of material civilization and spiritual civilization in today's society, people's demand for the quality and service level of nursing staff is also increasing. It is more and more important for nurses to have good qualities, including not only psychological aspects, professional skills, professional ethics and physical aspects, but also cultural instruments.
Internship gave me a good opportunity to exercise, let me solve problems when I found them, and paved the way for nurses. Nurses are the main body of clinical nursing work. To provide nursing service, we must strengthen our self-cultivation and have a good mental outlook and healthy psychological quality. Positive, optimistic and confident attitude towards life; Emotional stability, not discouraged when encountering setbacks, not proud of achievements; Be fearless in times of crisis, and be able to deal with it calmly in a difficult and complicated environment; Broad-minded, able to learn from colleagues' new methods and technologies, listen to different opinions, learn from others' strengths, make up for their own shortcomings, and exchange experiences with each other at work. In terms of professional technology, we should have solid professional theoretical knowledge, master the symptoms, signs and nursing points of various common diseases, and make timely and accurate nursing plans. Master the knowledge of nursing psychology and nursing ethics, understand the latest nursing theory and information, and actively carry out and participate in nursing research; Skilled nursing skills. Skilled nursing operation technology is the basic condition of an excellent nurse. Superb nursing technology can not only greatly alleviate the pain of patients, but also enhance their self-confidence and give people beautiful enjoyment. Master the use of first aid technology and equipment, be familiar with the application of first aid drugs, and skillfully cooperate with doctors to complete the rescue of emergency or critically ill patients; Have a high sense of responsibility, strictly observe the changes of patients' conditions, strictly implement operating procedures, conscientiously do a good job in checking the system, always remember that medical safety is the first, and prevent medical errors and accidents; Have keen observation and be good at capturing useful information; Rich in imagination and brave in technological innovation. Have strong language expression ability, master communication skills, and be able to flexibly use language for psychological care according to the specific situation of patients.
During my internship, I learned to treat every patient with good morality. Nurse is angels in white, it is our duty to save lives, so we should have good professional ethics. We and patients are two individuals with equal status, but the social division of labor is different. We should create a clean, comfortable, safe and orderly diagnosis and treatment environment for patients like friends and relatives, receive patients warmly in time, listen to their complaints with sympathy and compassion, try our best to meet their reasonable requirements and provide humanized medical services.
Experience and harvest of nurse practice (2)
In a blink of an eye, nine months have passed, our nursing practice has ended, and we are about to bid farewell to our student days. Looking back on the internship, we have gained a lot, and our knowledge, skills and experience have matured both physically and mentally. Internship. It gave us a good opportunity to exercise, let us find and solve problems, and paved a good way for nurses. We not only learned to be a nurse, but also learned how to be a good nurse. Nurses should have good mental outlook and healthy psychological quality. Positive, optimistic and confident attitude towards life, stable mood. Can listen to different opinions, learn from others' strengths and make up for their shortcomings. We can exchange experiences at work with each other. When I first started my internship, I didn't understand many things. Although I have had a probation period before, I still feel lack of confidence when it comes to actual operation. I don't teach myself as fast as others. I am timid, afraid to do it, and I am not confident enough. I always do what the teacher says and follow the teacher blindly. I think role change is a hurdle, and I must try my best to overcome it. I found that teachers are willing to teach only by asking questions and putting forward operational requirements, so that we can learn more. We can't wait for what the teacher wants us to do as before. Many times we need to take the initiative to learn, integrate theory with practice, and constantly sum up experience from the clinic. Slowly, it has become clear how to care and why to care so much.
I also made many mistakes during my internship, such as injections. Others always learn faster than me. At first, the puncture always failed, which made the patient distrust me and made me feel inferior and blame myself. Always ask classmates and teachers for advice and exchange experiences with each other. Only in this way will you gradually master it. With further self-confidence, but also because of some unhappy things in life brought to work, affecting the work.
At that time, I realized how irresponsible I was and the importance of self-confidence and emotional stability to my work. We should not only have skilled nursing skills to alleviate the pain of patients, but also enhance our self-confidence and give people beautiful enjoyment.
During my internship, I also learned the importance of mastering first aid technology and equipment, and skillfully cooperated with doctors to complete emergency or critical patients. We should have a high sense of responsibility, closely observe the changes of patients' condition, strictly implement the operating procedures, do a good job in checking the system, and always remember that medical safety comes first. Eliminate medical errors and accidents. You should have strong language skills and master communication skills.
Whenever the patient asks me questions again and again, I am speechless again and again, as if I know, but I can't say it. Ask the teacher again, and then slowly start to accumulate.
I realized my shallowness when I wanted to solve problems for patients. Memories without the passage of time are like footprints on the beach, which cannot stand the cleaning of time.
Nursing practice is a complicated life, that is, to learn to do things and learn to be a man. During work and practice, we should constantly enrich our theoretical knowledge and nursing operation skills, and strive for more operation and exercise opportunities. To be a man, it is a good exercise opportunity to handle the relationship between yourself and your classmates, teachers, head nurses, doctors, patients and their families. Establishing a good nurse-patient relationship is the most important, which can bring convenience to our nursing work. The job of nurses is no longer simply injecting and distributing drugs, but more creative activities, including psychological care and health education. We should not only help patients recover, but also help and guide the recovered people to stay healthy. During my internship, I realized the importance of communication. Communication affects our life and work. But nursing care can't say everything. Know what to say and what not to say, so as not to cause unnecessary disputes, or even more serious things, and master the skills of communication with people.
Flexible use of language for psychological care and health education. When we get along with patients, we should feel their pain with our hearts. Understand their needs and give them the care and help they can. Only by establishing a good nurse-patient relationship can we understand patients, give them proper care and fully gain their trust.
With the continuous progress of material civilization and spiritual civilization in today's society, people's demand for the quality and service level of nursing staff is also increasing. Nurses should not only have superb professional skills, good psychological and physical qualities, but also have cultural literacy and moral quality.
During my internship, I learned to treat my work with a rigorous attitude, treat patients with love, patience, care and responsibility, warmly receive patients, listen to their complaints with sympathy and compassion, try my best to meet their reasonable requirements, and provide humanized medical care and quality nursing services.
Experience and harvest of nurse practice
The internship days will be unforgettable for every nurse, because we will study hard, discover, explore and realize the responsibilities and obligations as a qualified nurse during the internship days. During my internship in the hospital, my first course was surgery. In this month's operation, I learned venipuncture for the first time. Under the enthusiasm and careful teaching of the teaching teacher, I learned a lot of knowledge, such as: I learned the treatment of debridement wounds (suture, stitches removal, dressing change, etc. ) at the clinic.
The second department of my internship is the operating room. When I first entered the operating room, I didn't know anything, even the names and uses of the most conventional instruments, especially those aseptic principles. Fortunately, the teaching teacher is very kind to us and explains everything carefully. Many things have to be done by ourselves, and gradually we are familiar with the procedures here. In this short period of more than 20 days, I have carefully studied the knowledge about the operating room, learned about the working performance of the operating room, got familiar with the items and special instruments needed for each operation, and mastered its basic operation methods. Can skillfully and accurately operate aseptic operation techniques, such as wearing sterile gloves, putting on surgical gown and correct hand washing methods. However, due to the short time, I don't know much about the names and uses of some surgical instruments, which is really a pity.
The third department of my internship is internal medicine. In this department, I learned a lot about the common sense of various treatments of internal medicine diseases, such as the importance of diet therapy for diabetes and hypertension, as well as the principles of adhering to medication, matters needing attention, and the treatment of some side effects of drugs.
When we came back from the Spring Festival, we entered the junior college internship. The department I chose was the operating room. Because of my previous internship, I was no stranger when I entered the operating room again. The teacher also welcomes us especially, and it is not as strict as rotation internship. A few days later, under the leadership of the teacher, I went on stage alone to cooperate with the doctor to complete the operation. After half a month, I can almost complete all kinds of small and medium-sized operations independently. I have been recognized and praised by all the teachers. During these three months, I participated in many operations and saw many major operations in which experts were invited from outside, which gave me a broader vision. In a word, I learned a lot in this subject, which laid a solid foundation for my future clinical work.
In this 10 month, I also slowly changed from a nursing student to a nurse, practicing in October and honing in October. I try to be a good nurse, try to face my patients with a smile every day, try to be patient, meticulous and not impatient, and try to work solidly without making mistakes. In front of all the "teachers", I am a diligent and serious mistress, and in front of patients, I am a gentle, kind and easy-going young nurse. During my internship, I learned how to win the respect of others. I didn't argue in the face of misunderstanding, but I learned to straighten my mind in the face of criticism. Because I am young, I will do more than others; Because you are young, you should be brave enough to accept the challenge. Let me say something that can be interpreted as my feelings.
First, it is necessary to establish a "people-oriented" humanistic service concept, and all nursing work is carried out around the center of patient admission. Man is an organism with all kinds of physiological needs and social needs all the time. On this basis, patients also have the needs of disease treatment and nursing. Therefore, how to meet the normal needs of patients includes all our nursing work. It is our duty to worry about the patient's urgency, think about the patient's thoughts and understand the patient's difficulties, including creating a comfortable and quiet ward environment, patient and meticulous admission education, warm and cordial language exchange, considerate life care, highly responsible humanistic care and so on. It is the concrete embodiment of nursing work, and the quality of nursing will also be reflected in this daily dribs and drabs. In short, everything is patient-centered and patients are satisfied, which shows that we have done a good job.
Second, we must strictly abide by the rules and regulations and operating procedures. The nursing work system includes "check system", "on duty, shift change system", "medical treatment system", "rescue work system", "disinfection and isolation system" and "graded nursing system". All the operating procedures are clearly defined in our textbooks.
Experience and harvest of nurse practice (4)
Unconsciously, a semester of rehabilitation nursing is over. In this semester, through theoretical study, experimental teaching and hospital probation, we have a deeper understanding and understanding of rehabilitation nursing. In the hospital, we know that various instruments in the rehabilitation department can help patients recover well and give them a chance to live a better life. Listening to the teacher, these instruments are very expensive, and we can't help but sigh that the current level of science and technology is really high and medical technology is getting better and better. Under the guidance of our teacher, we saw some bedridden patients, some of whom were stroke, some were hemiplegic, almost all of them were elderly people who kept moving, and some young and middle-aged people who were physically disabled due to accidental injuries. In the past, when rehabilitation technology was not developed, they might have to stay in bed all their lives, and they needed to be taken care of by others all their lives, so they could not take care of themselves. But now through some effective rehabilitation nursing and exercise, the activity ability of many patients has been greatly improved. Through the rational use of wheelchairs, crutches, artificial limbs and other tools, patients with inconvenient legs and feet can move freely, greatly improving the quality of life of patients.
Modern nursing pays attention to humanistic nursing. In today's pursuit of quality of life, we should not only treat diseases, but also improve the quality of life. For a patient with a broken leg, helping the patient to deal with the wound and prevent infection is treatment, while helping the patient to put on a prosthesis, taking the patient to do rehabilitation, restoring physical activity, and enabling the patient to walk to a certain extent is rehabilitation. It can be seen that rehabilitation is a particularly important link after treatment.
Although China's rehabilitation technology has made rapid progress, there is still a certain gap with some developed countries. It is hoped that medical treatment in China will pay more attention to the development of rehabilitation. Saving lives is to live better, which is also the meaning of rehabilitation.
In a word, I learned a lot and felt a lot during my internship in rehabilitation department. I sincerely hope that rehabilitation can develop better and some disabled people can have a brighter life.
Experience and harvest of nurse practice Chapter 5
One day's internship passed quickly, and I was hungry, which made me have a deeper understanding and understanding of rehabilitation nursing. In the hospital, we know that various instruments in the rehabilitation department can help patients recover well and give them a chance to live a better life. Listening to the teacher, these instruments are very expensive, and we can't help but sigh that the current level of science and technology is really high and medical technology is getting better and better. Under the guidance of our teacher, we saw some bedridden patients, some of whom were stroke, some were hemiplegic, almost all of them were elderly people who kept moving, and some young and middle-aged people who were physically disabled due to accidental injuries. In the past, when rehabilitation technology was not developed, they might have to stay in bed all their lives, and they needed to be taken care of by others all their lives, so they could not take care of themselves. But now through some effective rehabilitation nursing and exercise, the activity ability of many patients has been greatly improved. Through the rational use of wheelchairs, crutches, artificial limbs and other tools, patients with inconvenient legs and feet can move freely, greatly improving the quality of life of patients.
As a trainee doctor in rehabilitation department, most patients are paralyzed, so when taking care of patients, we should first imagine the pain and suffering, contradictions and hesitation of patients with a sense of fraternity and empathy, treat the pain of patients as our own pain, treat patients as our relatives and friends, and feel the confusion and confusion of patients with our heart. As long as you extend a pair of warm hands in time, patients can feel the power from your palm. Secondly, in the process of taking care of patients, we should smile at every patient. A smile is a surprise sword. At work, ask yourself not to bring emotions to work, keep a sunny smile every day, and let patients feel warm every day. Whether it is cold winter or hot summer, a smile is always a beautiful scenery. "Micro?
In a word, I learned a lot and felt a lot during my internship in rehabilitation department. I sincerely hope that rehabilitation can develop better and some disabled people can have a brighter life.
Experience and harvest of nurse practice
I worked as an intern in the rehabilitation department for more than a month, but I didn't meet many patients and learned a lot. I am not a sentimental person. My understanding comes from the comparison of facts, what I think and what I see in reality. My understanding itself doesn't mean anything. It's just a consciousness. What is really valuable is the change after I understand it. I will describe the changes in this month as follows: First, my reading style has changed from page-by-page reading to directional search now. I dare not say everyone, but at least I have. If I read a book page by page, I will only know nothing about the content of the book or really don't know where I am, that is, I am in a nihilistic omniscient hypothesis. After practicing for a while, I dare not say how much I know. Secondly, when I first started my internship, I felt very empty, because when I faced a patient, I didn't know how to start, or I didn't know what to do first and then what to do. Later, I slowly tried to contact a patient, first doing joint exercises and then doing soft tissue traction. Then I strengthened my muscle strength, including pnf, rood technique, final balance and coordination training, and weight bearing. Or gait training and correction, but I was surprised to find that if I follow my train of thought to be a patient, the time has been far more than one and a half hours, and the patient has suffered a lot. After observing the skills of teachers for a period of time, I realized that rehabilitation is not a dogma, nor is it as rigid as the book says. Many technologies and methods can be combined to achieve better results and save time and energy. For example, we can combine passive exercise, soft tissue drafting and rood brush pressing technology with muscle strength training of multiple muscles, instead of simply practicing a muscle or a group of muscles as mentioned in the book, and of course we don't ignore the separate training of weak muscles; Third, more patience. For this, most of the feelings come from the original five-bed old lady with Parkinson's disease and cerebral infarction. First of all, I don't know how much, when or how much I can increase my exercise or change my exercise style. For example, hemiplegic patients should reach the standard from practicing weight bearing to walking. Although the book says that they should have 65,438+000% weight supported by the support, three-level balance of standing posture, and the ability to complete knee flexion and ankle dorsiflexion under hip extension, can't a patient do walking training if he can't completely do the above three points? Will gait training hinder the recovery of patients too late? How to grasp this degree? Secondly, I don't know anything about orthopedic rehabilitation. Just to increase the scope of activities? How to grasp the degree? What should I pay attention to? Of course, there are still many problems that have really been discovered.
Generally speaking, the internship summary of rehabilitation department is similar to the internship summary of the actual industry, that is, writing your own feelings.