Summary of specialized nursing practice
Nearly half of the internship has passed, and unconsciously time passes like a flash, leaving only the circles drawn on the calendar to count your growth. Before you know it, you smile. Those circles remind you of these months. On that day, were you at a loss when you first entered the hospital? On that day, were you complacent about the success of the first intravenous puncture? Did you stay in the operating room for nearly a week that day and be criticized by the teacher or anxious?
Finally, I got used to dealing with problems in an orderly way, and I gradually got used to not panicking when I shuttled through the ward. I am often praised by patients and their families. The words "Girl, you are really a good nurse. Don't screw up" are my greatest encouragement. In the department, when I am not too busy, I will chat with them. Seeing my family massage patients, because I have learned the relevant knowledge of health massage, I will also instruct them what methods and steps massage can best relieve fatigue and promote blood circulation. Practice life, enjoy life and relax.
Life will always slap you when you are proud and tell you to always be cautious and modest. The same is true of internship life. When I wanted to relax, I added the wrong medicine. When I was busy changing the liquid, I almost made a mistake because I forgot to check it, so the patient's family found it first. They have warned themselves not to slack off at all times.
Of course, there will be times when you are tired. When you shuttle through the hospital all day, changing fluids and making the bed, you even sleep at night.
You can imagine the degree of fatigue when you hear the teacher calling you. Physical fatigue is not terrible, but mental fatigue. When you give intravenous infusion to a patient and feel guilty because you didn't succeed in puncture, when family members apologize one after another and say "What's the use of apologizing", when your conscientious internship makes the teaching teacher criticize you because of misunderstanding, you will really feel tired.
It will be depressed from time to time, but it will not collapse, just like a tire with slow exhaust, which needs to be inflated regularly. This cycle, this repetition. This is us during the internship. I feel tired from time to time and need to adjust my status frequently to adapt to the internship. Finally, the most important thing in the internship process is not just to remember to change the liquid, but to learn and pick it up again. Talk to patients and their families about their illness and treatment. The names and functions of drugs that have been forgotten and forgotten and don't want to be remembered are beginning to be remembered. In short, learn with an open mind.
Counting, the progress in a few months is really great. It is said that everything is difficult at the beginning, but I will say that our group's internship has a good start. Urology is the first department of our internship. More than ten days of internship is a process of getting familiar with and adapting to the work of the department. I vaguely remember that on my first day in the department, I always taught Mr. Wang Shujuan, and the teacher gave me the impression that I was calm and practical. Indeed, more than ten days of internship also made me like this teacher more. And the teaching she gave us interns who just entered the hospital is believed to be good for our internship and even our future work. The practice of operating room allows us to witness the operation process, in which the concept of sterility goes deep into the later nursing operation. Learn to wear surgical gown, sterile gloves, wash and brush hands before operation, and truly experience how to be a qualified instrument nurse. The practice of gynecology made me relearn the nursing of gynecological diseases. Yue Ling's strict requirements make me more careful in my work, and her constant recognition makes me more confident in practice. The internship in the emergency department makes you really close to first aid and feel the urgency of pre-hospital first aid. Learned hands-free CPR and the use of ECG defibrillators. Now, the interventional department has made greater progress for itself. Interventional department is a very distinctive department. Here, we can not only understand the complications of peripheral vascular diseases, nerve intervention and liver cancer intervention and their related nursing, but also have many opportunities for nursing operation. Among them, the use of indwelling needle makes us more familiar with it and makes critically ill patients get exercise.
Students will have a joke, "I thought I could become an angel after learning nursing, but I didn't expect to become a woman accidentally." Of course, this joke does show the inner strength of nurses, whether they are women or men. After all, the erosion of time will make us understand and make us cautious.
The growth of the circle that falls on the calendar will eventually return to memory. At this moment, we count the growth and move on.
Summary of specialist nursing practice II
First, the purpose and requirements of the internship:
"Practice is the only criterion for testing truth." At any time, only by combining theory with practice can we keep innovating and making progress. As a nursing student, practice is an indispensable part. Theoretical study during school can enrich a person's basic medical knowledge. To truly serve the people, we must apply the theory to clinical work. Therefore, we must combine theoretical knowledge with clinical practice with rigorous curiosity, so that theory can guide practice and practice can improve theory. Through practice, you can also enter the society, enrich social experience and improve social communication ability in the process of continuous practice; Through practice, improve their technical level, gradually form their own service concept, and gradually reflect their social values.
Second, the main contents of the internship:
Stepping out of school, the internship filled me with curiosity and reverie, but also with a little anxiety. In that unpredictable society, what challenges will be waiting for me? On July 20th, 20 14, I came to Wuhe County Hospital and started a nine-month internship.
General surgery is my first clinical department. It is also in this department that I changed from a student sitting in a position to a nurse who started to operate, told patients about medication knowledge and made nursing plans for patients. I feel like an ignorant child. I feel groggy at the end of the day, and the only gain is that my basic knowledge is not solid enough. In this way, every day after work, I will read through the cases and nursing skills I encountered on this day, so that the nursing of common diseases and frequently-occurring diseases in the department can be mastered skillfully. Although I was very tired, I really integrated theory with practice, enriched my knowledge and realized my dream of being a angels in white.
In this way, in the next nine months, I went to practice in internal medicine, infectious diseases, pediatrics, ENT and orthopedics. Through the hard training of teachers and their constant exploration, the things to be done at night shift are also very limited, that is, morning and evening care, medicine distribution, infusion, liquid change, atomization and injection are all so simple, and one thing that must be done is also very simple, that is, three checks and seven pairs. I have gradually become more and more proficient in those basic operations, and I have no feeling of fear. I know all kinds of diseases, and I have a thorough grasp of all basic nursing operations. The biggest gain of internship is to master various operating skills and nursing ability. Therefore, under the careful teaching and patient guidance of the teaching teacher, we actively strive for every exercise opportunity, such as basic nursing operations such as inserting stomach tube, washing hair in bed, bathing in bed, oral care, automatic gastric lavage, intravenous infusion and various enema methods.
I went to the ward for an internship, and the most contact was with patients. Some of them are in a bad mood because of illness, and some are in a good mood because of their improvement. Sometimes you really don't need to say anything, just greet them with a bright smile. When I didn't go to the hospital for an internship, I always thought that patients were very bitter and difficult to deal with, but when I saw them, I found that very few people wanted to do that. Most people will chat with you enthusiastically. If an intravenous infusion fails, they won't scold you. Instead, I encourage you to say, "Now you intern nurses should practice more, don't be nervous, and come back if you can't open it." If you go to the night shift, they are always enthusiastic. Tired at night! "When I leave the hospital, I won't forget to say goodbye and thank you. They are always warm and friendly, and work will make you feel good. I also deeply understand the spirit of saving lives. I want to use my knowledge and strength to help patients and people in need. That "thank you" is not that important, but I hope they can bravely face their diseases and difficulties and overcome them. This is the meaning of nurses! Perhaps compared with doctors, we will be smaller than doctors in the task of treating patients' diseases, but I will do my duty well and strive to be perfect, and I will never give up any life.
During the nine-month internship, I learned not only the basic work of various departments, but also the sense of responsibility as a doctor and how to be a qualified angels in white.
Third, the internship summary:
After nine months of internship, I gradually changed from a nursing student to a nurse. After nine months of training and nine months of hard work, I face patients with a smile every day, being patient, meticulous and not impatient, and working hard without making mistakes. In front of teachers, I am a diligent and earnest student. In front of patients, I am a gentle, kind and approachable 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 put my mind right 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. During my internship, I will abide by the discipline and law, adhere to the Four Cardinal Principles, actively participate in various collective activities, unite and help each other, and care about the collective; Love their jobs, strong sense of responsibility, decent style, care about patients, respect teachers and obey management; Don't be late, don't leave early, and don't be a miner; Can standardize and skillfully carry out all kinds of basic operations and specialized nursing operations, correctly carry out doctor's advice, strictly carry out three checks and eight pairs, can standardize the writing of all kinds of nursing documents, complete handover records in time, do a good job in nursing evaluation and health education for patients entering and leaving the hospital, do a good job in nursing common diseases and frequently-occurring diseases in various departments, conscientiously implement aseptic technical operation procedures, do a good job in preoperative preparation and postoperative nursing observation, and analyze and solve problems found in work in time. Can skillfully carry out various nursing operations in internal medicine, surgery, gynecology, pediatrics and intensive care unit, and achieve "ten knowledge" for acute, dangerous, elderly and serious patients in various subjects. During the shift change, the "four checks and five checks" made a comprehensive understanding and understanding of the overall nursing technology and ward management knowledge. It is these beliefs that have kept me going for nine months, and it is also these ideas that make me firmly believe that I will have a more wonderful tomorrow in my future work.
1. We should establish the humanistic service concept of "people-oriented"
All nursing work revolves around the admission and discharge of patients. Man is an organism, and he (she) has various physiological needs and social needs all the time. On this basis, patients also have the needs of disease treatment and nursing. In addition to strictly implementing the doctor's orders and operating procedures of nursing operation, a lot of other work has been done according to the needs of patients. Therefore, how to meet the legitimate 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 solve the patient's difficulties. Among them, creating a comfortable and quiet hospitalization 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 life. In short, everything is patient-centered and patients are satisfied, which shows that we have done a good job.
2. Strictly abide by the rules and regulations and operating procedures.
In the nursing work system, there are "rounds system", "on duty, shift change system", "carrying out doctor's advice system", "rescue work system", "disinfection and isolation system" and "graded nursing system". All the operating procedures are clearly defined in our textbooks. Without strict discipline and system constraints, nursing work will be fragmented and chaotic, and it will not be able to complete normal work accurately. Rules and regulations and operating procedures are summarized by our predecessors in hundreds of years of nursing practice, which embodies their valuable experiences and lessons, some of which are exchanged with blood, tears and even life. Violation of these rules and regulations may delay misdiagnosis and treatment, and may also cause dysfunction or even death to patients. Therefore, only by strict compliance can we avoid detours, make fewer mistakes and make no mistakes, thus ensuring medical quality and preventing nursing errors and accidents.
3. Do "Four Diligences"
People are lazy. Especially now that there are many only children, this kind of inertia and dependence is relatively strong, so we should pay attention to overcoming it in the internship stage. Teachers like diligent students best. Only diligence can be appreciated and accepted, and there will be more opportunities to learn more practical knowledge. "Four Diligences" must be diligent first, that is, good at observation.
(1) Carefully observe and learn the teacher's rigorous work attitude and careful work arrangement and plan.
② Observe the operation process of various nursing operations and use gymnastics techniques, which are not available in many clinical textbooks. Some knowledge and experience can only be understood by heart, but can't be expressed in words. Only by observing and understanding the essentials in practice can we make qualitative progress and leap in practical work.
(3) Always observe the illness, be aware of the patients in the ward, and closely observe the key patients. Such as the observation of patients' condition before and after operation, the observation of various vital signs of patients with cardiovascular and cerebrovascular epilepsy, the observation of the curative effect or adverse reaction of various special treatment methods and drugs, etc. Only through observation can we grasp the changes of patients' condition and take effective treatment and nursing measures in time to deal with emergencies, and close observation of patients' condition is very important to greatly improve the treatment rate and rescue success rate. Another is to be diligent and communicate through words, but the language should pay attention to art and professional norms, and not be self-righteous and messy. Including respecting teachers' sweet words, learning knowledge, frequently asking questions, comforting patients' warm words, actively asking questions, patiently explaining, being admitted to hospital for education, popular science knowledge and so on. The relationship between nurses and patients, colleagues and teachers and students depends largely on language communication. With good interpersonal relationships, work and study will be much smoother. In addition, the most important thing is hard-working, that is, willing to work and take the initiative to do things. Nursing work is trivial, and the responsibilities of each class are only a rough division of labor, which requires cooperation on the basis of division of labor. A considerable part of the work cannot be clearly divided and quantified, but it must be done. Therefore, as long as people are in the ward, if work and patients need it, they must take the initiative to do it, and they must never wait and shirk. While doing a good job in treatment and nursing, we should also "have nothing to do" to find something to do, go to the ward to learn more about the patient's situation, assist in some life care, and clean up the ward environment, clean the office and treatment room, and so on. In such efforts, you will get twice as many learning opportunities as others, and teachers are willing to impart more knowledge and experience to you.
4. Do a good job in writing nursing documents. The writing quality of nursing documents can reflect the comprehensive quality of a nurse. In the nursing documents, you can see your understanding of the overall situation of patients; See your interpretation and understanding of the doctor's advice; Look at your decision-making ability and use the methods you have learned to solve problems according to your illness; Look at your subjective initiative and standardization in the process of executing the doctor's advice. Similarly, nursing documents are also written files and legal basis for patients' hospitalization process. Therefore, the writing of nursing documents must be objective, true and standardized, so that the lintel and content are complete, the handwriting is neat and clear, and the written language is fluent, using medical terms and recording objective facts.
The nine-month internship made me feel that I have grown up and made progress, not only in theory and practice, but also in my life concept and belief. In my future study and work, it will be the wealth of my life and the valuable experience that will guide me to success. I will continue to work hard, constantly improve my professional ability, contribute to the medical cause, and be an excellent nursing staff.
Summary of nursing practice in junior college III
Nursing work especially exercises people's patience and psychological quality, and does it with heart, so that everyone's comprehensive quality can be upgraded to a higher level. In the face of patients suffering from illness, it is always a feeling of comfort and joy to see that your family members are very grateful for your good nursing work. Although my internship time is only about six months, it has become the most precious wealth in life. The following is a summary of my nursing practice.
In more than half a year's nursing practice, under the careful guidance and patient teaching of the teaching teachers, I have carefully studied the Regulations on Handling Medical Accidents and its laws and regulations, actively participated in the training of medical accident nursing regulations organized by the hospital, and participated in the study of nursing staff many times. Through study, I realize that the legal system is improving day by day, and the people's legal concept is constantly strengthening. It has become common sense for people to act according to law and safeguard their legitimate rights and interests. The concept of modern nursing quality is to satisfy patients in all directions and in the whole process, which makes people put forward higher and newer requirements for medical care services, thus enriching legal knowledge, enhancing safety protection awareness, enabling nurses to know the usage of the law and reducing the occurrence of medical accidents according to law. Both the theoretical level and the practical level have been improved to some extent.
During the internship, I will strictly abide by the rules and regulations of the hospital, earnestly perform the duties of the intern nurse, be strict with myself, respect teachers, unite students, care for patients, be late and leave early, work hard, standardize nursing work, provide high-quality skills and services, be flexible in basic nursing, have regular love activities, combine theory with practice, study theory in a planned and focused way, and take measures and records in practice. Always take "love, care and patience" as the foundation, and strive to be diligent in eyes, hands, feet and mouth, think about what patients think and worry about what patients are anxious about, provide quality services wholeheartedly, and establish a good medical ethics. In the practice work of each department, we can standardize the writing of various nursing documents, complete the handover records in time, and do a good job in patient evaluation, nursing and health education. Careful implementation of aseptic operation procedures can make preoperative preparation and guidance, and complete intraoperative and postoperative care and observation. In the process of work, problems found can be carefully analyzed and solved in time. Can skillfully carry out various nursing operations such as internal and external, maternal and child, intensive care, etc., and strictly implement three checks and seven pairs. At the same time, I actively participated in various case discussions and academic lectures, constantly enriched my professional knowledge, and gained a more comprehensive understanding of holistic nursing technology and ward management knowledge through learning.
The above is my internship summary. Through more than half a year's internship, my theoretical level and practical level have been improved. In the future work, I will continue to work hard, keep in mind the responsibilities of nurses, constantly strengthen ideological study and professional study, comprehensively improve my comprehensive level and provide quality services for patients.
Summary of specialized nursing practice
The internship is over. I used to be confused and ignorant, but now I'm full. Therefore, we are very grateful to the First Affiliated Hospital for providing us with such a good internship environment and various superior conditions, and to all the teachers for their hard teaching, so that we have such a good internship opportunity before we set foot on our posts.
Clinical practice is the consolidation and strengthening of theoretical learning stage, as well as the cultivation and exercise of nursing skill operation, and it is also the best training before our employment. Although this period of time is short, it is very important to each of us. We cherish this time, cherish the opportunity of daily exercise and self-improvement, and cherish this rare mentoring relationship with teachers.
When I first entered the ward, I always felt at a loss I am in a strange state about nursing work, and I still don't have a formed concept about what I can do in such a new environment. Fortunately, we have a teacher to introduce the ward structure, the work of each class and rich experience in teaching teachers, which makes us quickly adapt to the nursing work of various departments in the hospital. Being able to adapt to the hospital environment as soon as possible has laid a good foundation for internship and work in the hospital, which should be regarded as the first harvest in the internship stage: learning to adapt and learn to grow and survive in the new environment.
A nurse's job is very heavy and messy. Although I felt something before I entered the consulting room, I felt it more deeply after I really entered the ward. Indeed, the work of nurses is very fragmentary and messy, which can be said to be humble, but through the incomprehension of most people, we find that nurses have their unique charm. Hospitals cannot live without nurses, which shows the importance of nurses. Doctors can't do without nurses, patients can't do without nurses, and the whole environment can't do without nurses. This kind of trivial work has a complete system, which can be described as "the sparrow is small and complete", and it is precisely because of this that it can play its unique role and produce an indispensable role. Because of clinical practice, I have a more comprehensive and profound understanding of nursing work and a more detailed understanding of this industry. The second gain from entering the clinic is to correctly understand nursing, establish correct professional ethics and develop a good working attitude.
When I go to the ward for internship, I have the most contact with patients, and I have a deep understanding of diseases and a thorough grasp of basic nursing operations. The biggest and ultimate goal of practice is to cultivate good operating skills and improve the ability of nursing work. Therefore, under the teaching principle of "let go, don't look around, don't worry about looking around", actively strive for every exercise opportunity, such as basic nursing operations such as catheterization, inserting stomach tubes, washing hair in bed, bathing in bed, oral care, automatic gastric lavage, intravenous infusion and various enema methods. At the same time, I constantly enrich my clinical theoretical knowledge, actively think about various problems, humbly ask teachers or other teachers for questions that I don't understand, and take knowledge notes. When teachers don't have time to answer questions, we will consult books after work, or consult teachers and more people, so as to better strengthen the combination of theoretical knowledge and clinical practice. Most of the internship departments in the First Affiliated Hospital are whole wards, and most of us are nurses in charge. While following the teacher in charge of patients, we should strengthen the observation of patients' condition, enhance the understanding of patients' diseases, educate patients with various health knowledge and exercise their ability to apply what they have learned. According to the requirements of schools and hospitals, I actively completed medical record writing, teaching rounds and lectures, and cultivated my writing, organization and expression skills. Generally speaking, the third harvest during the internship is also the biggest harvest: the nursing operation skills have been improved, the level of disease awareness has risen, and various nursing work has gradually become proficient. While cultivating excellent professional skills, they also cultivate good study habits. By thinking, we can draw inferences from others.
During the internship in the hospital, everything we do is for the health of patients and the prognosis of diseases. We strictly abide by the rules and regulations of the hospital, all operations strictly follow the aseptic principle, and strictly implement the "three inspections and seven pairs". In orthopedics, internal medicine, surgery, gynecology, ICU, operating room, emergency, acupuncture and other departments, we all do a good job, abide by the principle of sterility, implement the check-up system, and cultivate a good work style. This should be regarded as the fourth harvest. Although it can't be said to be great, it is also an important and indispensable harvest.
During this short internship, we gained a lot. If summed up in simple words, it will look pale and powerless, at least it can't be expressed accurately and clearly, but we have benefited a lot. There are fifth, sixth and even more gains, but there is no need to list them one by one, because we know that the gains during the internship will be better reflected in the future work, so we use some dotted lines instead of face and special to represent individuals. In short, while thanking the First Affiliated Hospital for cultivating our dribs and drabs, we will take up our respective jobs with a more proactive working attitude, more solid operational skills and deeper theoretical knowledge, improve our clinical nursing ability and do our best for the nursing cause!
Summary of specialized nursing practice;
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