Self-evaluation is a self-analysis and summary of your past study or work, which can give people the motivation to work hard. You might as well sit down and write a self-evaluation. So how to write a new pattern of self-identity? The following is the self-appraisal of hepatobiliary surgery that I collected for you. Welcome to read the collection.
Self-appraisal of hepatobiliary surgery 1 During my internship around hepatobiliary surgery, I learned a lot of knowledge that I didn't learn in previous departments, and I also got to know more excellent teachers. Have a certain understanding and mastery of specialized diseases and their nursing in hepatobiliary surgery, especially perioperative nursing.
During the operation, I can better understand the meaning of "three-point treatment and seven-point care". Surgical nursing work is quite heavy, with many classes of nurses and more detailed division of labor. Follow the teacher to the main class, disinfection class, mobile class, morning and evening class, middle and evening class, etc. Understand the general working procedures, including basic nursing, specialized nursing, such as T-tube nursing, changing drainage bags, dietary guidance and education, and various examinations or nursing preparations before and after operation. Nursing plays an important role in operation, especially before and after examination and operation. It is the best reward and encouragement for us to watch the patients go home safely after receiving high-quality treatment and care in the ward.
Moved by the patient guidance given by the teacher, whether it is knowledge or skills, depression or work habits. Here, not only my teaching teacher, but also all the nurses and teachers in hepatobiliary department. Even though I have been in the clinic for two months, I am still a freshman in hepatobiliary department, and I am not familiar with many aspects. Whether the theoretical knowledge is not solid enough to answer questions or the nursing operation skills are not skilled, the teachers smile and encourage, seriously comment on the shortcomings, without any anger or impatience, and all the bits and pieces are branded in their hearts. Even after the small process of measuring blood sugar can be skillfully operated, the teacher said, "Everything will only get better and better." Such a short and simple sentence gave me great encouragement and will be realized together with my later internship life.
What you have gained is not only the knowledge and experience you have learned from your work. I also benefited a lot from the weekly teaching rounds. For example, as the head nurse said, pancreatic diseases, operation and nursing of three cavities and two bladders, special examination and nursing of gallbladder diseases, and nursing of patients with biliary diseases. These are the consolidation and supplement of my theoretical knowledge, and let me better master the basic knowledge of specialized diseases and nursing.
Thank you, I am about to leave the department, and I would like to extend my deep thanks and blessings to all the medical staff and aunts in Hepatobiliary Area B! The new year is coming. I wish you all good health and new breakthroughs and progress in all aspects in the new year!
Self-appraisal of hepatobiliary surgery 2 During the rotation of general surgery, respect teachers, care for patients and unite classmates. Not only my professional knowledge has been greatly improved, but also my operational skills and ideas have been greatly improved!
First of all, general surgery is a department with a large amount of surgery, and every patient is very nervous before operation, so the teaching teacher specially taught me to pay attention to the psychological care and knowledge education of patients. As soon as I come into contact with patients, we will tell them some knowledge that is beneficial to their disease recovery and reduce patients' fear of surgery and hospitals. With everyone's efforts, every patient in general surgery has a relaxed heart. I think what I have learned will be of great help to me and the patients I come into contact with, whether it is internship in other departments or later work.
Secondly, in general surgery, I also exercised my hands-on ability and psychological endurance for severe tissue trauma. When I first arrived in general surgery, every time a doctor changed a patient's dressing and made a large-scale debridement, the heart-wrenching pain always made me afraid to stand by and learn. Under the strict guidance of the teaching teacher, I had to keep studying, from just gnashing my teeth to assisting the doctor in debridement and dressing, and then dressing a small wound independently under the guidance of the teacher. Step by step, it not only made me pay more attention to aseptic operation, but also made me understand the so-called ruthlessness of doctors and nurses.
I have a lot of feelings during my internship in general schools, so I won't list them one by one. I hope what I learned today can be used tomorrow.
General surgery hepatobiliary surgery 3 self-appraisal rotation is coming to an end. During this one-month rotation, I have abided by the laws and regulations of the hospital and various departments of the hospital, respected teachers, United my classmates, and been strict with myself, striving not to be late, not to leave early, not to be absent from work for no reason, and not to leave my post without permission. Treat patients kindly, have a good attitude, and strive to apply the theoretical knowledge and basic skills learned to practice. In this process, I constantly sum up my learning methods and clinical experience, strive to improve my ability to think independently, solve problems independently and work independently, and constantly cultivate my lofty thoughts and good professional ethics of serving the people wholeheartedly.
During the rotation of undergraduate departments, I will abide by labor discipline, work hard, be diligent and eager to learn, and be able to apply what I have learned from books to practice. Under the guidance of the teacher, I have basically mastered the nursing of some common diseases and some basic operations of general surgery, which made me realize the particularity and necessity of clinical work from an intern to a nurse. What I learned in school before was all theoretical, but now I find that what I saw in my actual work is not as simple as I thought, nor as typical as what I wrote in the book. At work, I often rely on my usual experience. Only by practicing and having good experience can I gradually accumulate experience.
Self-identity in hepatobiliary surgery. My hepatobiliary internship is almost over. This is my long-lost fatigue. I haven't found the passion and feeling of working for a long time. Maybe I like being busy. When I am tired, I don't have to think about anything. Summary of three-week internship in hepatobiliary department. When I first went there for a week, I followed Mr. Yi, and everyone called him "Brother Mao", which probably means don't mess with him, or you will suffer. He brought an advanced student (Mr. Mo). I prefer to work with advanced students at this stage of internship, because they are generally not as famous as teachers and will teach me many small details. They are much more skilled than us interns and can learn slowly. I am a slow learner, and my hard work can make them give me more patience.
Teacher Mo told me that day: "Go back and study for at least one hour every day, take a good postgraduate entrance examination and get a certificate." When you looked in the mirror, you followed me for a long time, telling one anatomical structure after another. But by the second week, my life had undergone earth-shaking changes. There was another advanced student, and I had to follow Mr. Yi. So there were four of us, and some of their teachers took care of 20 patients alone. I was tortured and assigned to Mr. Long's staff, and I cried for it. I didn't like the way he spoke at first, so I felt uncomfortable when I heard that I was going to his place, and then I got along. But I have been tired and comfortable since then, and I have had a hard time every day. I am used to taking a nap, but recently I go back to the ward after lunch every day, and my eyes seem to be hard to open every day. I finally came back to sleep at noon today. I really don't want to get up.
1, the characteristics of biliary colic: right epigastric pain, back pain, related to fat meal, no relief after vomiting.
2. When the liquid drained by the peritoneal drainage tube is gone, don't pull out the peritoneal drainage tube immediately to avoid being blocked by the omentum. You can take a short-term withdrawal observation for one day and then pull it out the next day when there is no drainage.
3. When changing the medicine, the cotton swab iodophor not only disinfects the skin, but also squeezes around the incision to see if there is exudate.
4. Test tube:
(1) Before pulling out the T tube, choledochoscope should be done, and the oil gauze should be folded into triangular rows to prevent the dressing from getting damp quickly.
(2) It is written in the book that laparoscopic surgery for T tube removal takes 2 weeks and laparotomy 10 day, but laparoscopic surgery takes 3 months and laparotomy takes 2 months.
(3) before extubation, clamp the tube before and after meals 1 hour, and clamp the tube all day for 1-2 days before extubation. If there is no abdominal distension, abdominal pain, fever, jaundice and other symptoms, it means that the common bile duct is unobstructed and can be extubated.
5.Mirizzi syndrome refers to the clinical syndrome of obstructive jaundice, biliary colic and cholangitis caused by stones incarcerated in the neck of gallbladder or cystic duct and/or other benign lesions pressing the common hepatic duct. It is a rare complication of chronic cholecystitis and cholelithiasis. 6. Upper gastrointestinal bleeding "400ml does not cause hematemesis, but this does not mean that upper gastrointestinal bleeding does not occur, but if hematemesis occurs, it must be upper gastrointestinal bleeding. 7.
(1) Blood clots will form under the common bile duct, and blocking the common bile duct will cause jaundice.
(2) Now the intra-abdominal pressure should be greater than when the T tube was just pulled out, and the bleeding will be more serious.
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