During my one-month internship in orthopedics, I experienced more than 20 operations, including three night shifts and one weekend day shift. It can be said that I have learned a lot through these operations and postoperative treatment. Not only in technology, but also in humanistic care. In this short 30 days, pain and happiness coexist. And the pain is nothing more than physical fatigue-in traumatic orthopedic surgery, there are many cases of limb fractures, and in limb fractures, lower limb fractures are particularly common.
Fracture is classified according to different angles. Fracture can be divided into closed fracture and open fracture according to whether the broken end of the fracture is exposed to the outside world, in which open fracture must be surgically reduced, while closed fracture can be determined according to manual reduction and the severity of the disease. When open reduction of lower limb fracture is determined, the whole injured limb should be disinfected before operation.
The process of disinfection is: firstly, use 2% iodine to disinfect, and then use 75% alcohol to remove iodine. The patient lies flat on the operating table. When we clean the front and side of our legs, you will find problems. How to disinfect the part of the leg that touches the operating table? Yes, your idea is absolutely right-just lift your legs and disinfect your back, but things are far from as simple as you think. Many people think it's no big deal just to lift their legs. But when the leg bone is broken, the broken end will become an extremely sharp knife. If the affected limb is simply raised, the greater the angle of fracture and dislocation under the action of gravity, the greater the probability of peripheral vascular nerve injury. So you can't just raise the affected limb, but also pull the affected limb along the line of force.
There is a saying that arms can't twist thighs. When you lift the affected limb and pull it out, and make sure that your body does not touch the operating table for 5 minutes, you will find that your arm is shaking and your breathing is accelerating. When you see many Venus, you will regret not having more breakfast in the morning. Hehe, does it hurt a little?
The requirement of aseptic concept in operating room is very strict, and the nurses in operating room are also extremely strict. Any action that does not conform to the aseptic specification will immediately arouse their dissatisfaction, so many interns are scolded a lot. Because of the strict training of simulated operating room and trainee, I rarely see their faces in the operating room, and because of my professional performance, they unconsciously stop treating me as a student, but as a standard surgeon.
My excellent performance naturally attracted the attention of Professor Li Zhengwei in our operation group, so he was particularly relieved of me and asked me to do some work. What excites me most is a femur operation. He is the chief surgeon, and there are five people on the stage. He, his resident, senior doctor, one of his graduate students and me, I am the youngest in terms of qualifications, but in this operation, I finished my first performance. The situation at that time was that the fracture site had been cut and the fracture was well aligned. Professor Li put the steel plate away. After he hit the first bone nail, he said to me, Xiao Yang, come on, you hit it. I am very excited. Under the envious eyes of the three doctors, I took an electric drill and drove the drill steadily into the femur, then fixed it with steel nails. The technology is very good, and the professor nodded with satisfaction.
Experience of medical students' internship II
Operating room, a new starting point, a new knowledge acceptance point. With the memory of orthopedics, I once again embarked on a new life journey. In my impression, the operating room is a term that makes me feel horrible and mysterious. A door of the operating room divides the inside and the outside into two worlds, which casts a mysterious veil on it, so the operating room has become my most desirable department. I came to the long-awaited operating room with excitement and curiosity. I am glad that the operating room we are practicing in now is the most advanced operating room in major hospitals in Leshan City. During the three-week internship in the operating room, I gained a lot, gained a lot of knowledge, both nursing knowledge and interpersonal relationships, and enhanced my operational ability.
Three weeks will soon pass, and I have learned a lot from it. Sincerely thank every lovely teacher! Turn all reluctance and nostalgia into motivation and move on. ...
Experience of medical students' internship 3
Medicine is a highly specialized subject, which is related to life and health. This is also an uncertain theme, and it is an art where everything is possible. This requires solid medical knowledge and, more importantly, a sense of responsibility. The one-year internship is coming to an end between the entrance and exit of the ward. My understanding of this year is: Bitter yellow body, licorice in my heart. One-year internship is the most important transition from medical students to doctors. The intern's job is to open sticky laboratory sheets, write medical records and make rounds. The content seems simple, but the process is tedious. When you finish all this, the day will be over. Time is precious, only the evening time is your own. In the face of a day's work, summing up is very important. Your mind has shown the general situation of the bed you are in charge of, the relevant examinations and the next treatment. Today, the director considered these issues during his inspection tour. When the first patient arrived, I went to collect medical history. Collecting medical history is both a skill and an art. When a patient with acute abdominal pain has these impressions in your mind: acute pancreatitis, acute myocardial infarction, gastrointestinal perforation, biliary tract disease, acute appendicitis, ectopic pregnancy and intestinal obstruction.
The way of consultation should be caring and let the patient know that I have a way to treat his illness. Although I am only an intern, in the eyes of patients, you are their hope because you are a doctor. Then, after mastering the common diseases in this department, I asked my teaching teacher to accept new patients, write the medical history and serious illness almanac to the doctor's advice, and actively promote my views when making rounds, not just a "male secretary".
Experience of leaving the department: Internal medicine is not only about how many diseases you will handle, but more importantly, your rigorous diagnostic thinking of diseases, and your continuous summary and progress every day. This is the transformation of my month and the accumulation of the year when my internship is coming to an end, because I believe that if you want to do a good job, you must sharpen your knife first. Internship is very hard, and it is also very hard. I am about to graduate, and the medical road is long. I chased it from top to bottom, and the sword front was honed, and the plum blossom fragrance was bitter.
Experience of medical students' internship 4
As a student of preventive medicine, this is my first personal social practice. After careful consideration, I decided to go to the East Street Service Station of the community service center in advance to feel the atmosphere of internship, and really go to the medical field to practice, find out my own shortcomings, and add motivation to my future study! After obtaining the consent of the person in charge, I conducted a one-week internship. On the first day, I mainly studied various rules and regulations, safety precautions and how to communicate with patients. During the seven days of internship, you must officially go to work at 8 o'clock and obey the doctor's arrangement. When treating patients, we should listen to their complaints and make necessary examinations. In terms of words, we must be friendly and friendly, and we cannot be ordered to be indifferent. Ask patients and their families as patiently as relatives. Make a summary that evening.
Take the patient's temperature, take medicine and change medicine according to Dr. Zhang's instructions.
Learn from doctors and nurses about injections, intravenous drip and blood pressure measurement. According to my medical knowledge. Basic points of liquid exchange in infusion; Mastered the essentials of measuring blood pressure; The essentials of blood drawing. Here is a brief introduction to the blood pressure measurement method: the patient is sitting or lying, the sphygmomanometer is at zero, and the brachial artery is at the same level as the heart. The airbag should be tied in the middle of the patient's upper arm and stuffed into one finger. The stethoscope should be placed at the brachial artery and inflated slowly. Systolic blood pressure (high pressure) when the first sound appears after deflation, and diastolic blood pressure (low pressure) when the sound disappears (or changes tone) after deflation. At first, I couldn't grasp the main points, but after several attempts, I gradually got a little feeling and my movements became more and more standardized.
Learning how to take care of bedridden patients, Dr. Zhang evaluated my practice and put forward some suggestions for future work.
Medical ethics. Medical workers undertake the mission of "saving lives, relieving pain, preventing and treating diseases, and rehabilitating". Sun Simiao, a "medical sage" in the Tang Dynasty, wrote in Qian Jin Fang that a great doctor is sincere: "Any great doctor who treats a disease must be calm, want nothing, put great sorrow first, and swear to save the suffering of cold." Therefore, doctors must master advanced medical technology, and at the same time, they must have the character of caring for their posts, being honest and dedicated, and serving the people wholeheartedly. From the actual observation these days, I was deeply moved by the sincere smile of every medical staff and the cordial greetings to patients and their families. The original intention of doctors to save lives has always existed. To be a good doctor, you must first have good moral quality. I will keep that in mind.
Personally, I think. Although I am not a real trainee, I have a sincere learning attitude. In the seven days of close contact with the hospital, I learned that knowledge can never be learned, and practice is the standard for testing truth. As a trainee or intern, you should be: 1, treat others sincerely and learn to smile; 2. Have enthusiasm and confidence in work and study; 3. Good at communication, careful and patient with patients, diligent and inquisitive with teachers; 4, take the initiative to attack, don't wait for the problem to appear before you want to solve it; 5, down-to-earth, don't be conceited, and really exercise your ability in practice. In two years, I will really go to the hospital for internship, and this experience provides me with experience for my future study.
During this period, I found that the medical staff were really hard, smiling at every patient and their families every day, giving them warmth and confidence. As for the problem of giving gifts with red envelopes, I have never seen it because of the strict system. This rigor, this all for the patient's heart, is really touching. Isn't that what I want?
The above is my experience of studying and practicing in the hospital for a week. Through practice, I have strengthened my belief in studying medicine. I believe that in the future study, I will always demand myself with the high standards of the top three hospitals and strive to complete my medical dream.
In this social practice, I always maintain a high degree of enthusiasm, work hard, give full play to the spirit of mutual assistance, exchange experiences with other team members, and finally successfully complete the task with my teammates.
Through this social practice, I feel that I have learned too little and can help and give them too little. As a college student, I feel a great responsibility. I want to study hard, don't complain about others, find my own position, stimulate my enthusiasm for life, and contribute my youth and strength to the construction of the motherland!