Experience in protecting soil in cardiovascular medicine In the past month, I mainly studied cardiology, which is the focus of clinical practice. We need to know the causes and inducing factors of common diseases in internal medicine, the application of special instruments in various specialties, and special detection and treatment methods, such as pulmonary function measurement, ECG monitoring, pacemaker defibrillator, cardiac catheter, various endoscopes, peritoneal dialysis, various punctures, etc. Familiar with the clinical manifestations, treatment principles and side effects of common diseases in internal medicine, the normal values and clinical significance of clinical tests, and be able to identify common abnormal ECG, functional tests and disease inspection methods in various systems.
I didn't adapt to it when I first arrived in internal medicine, but I obeyed the arrangement of the leader and was not afraid of trouble. I asked my teacher, learned from my colleagues and explored my own practice. In a short period of time, I became more familiar with the work of internal medicine, understood the responsibilities of each class, defined the procedures and direction of work, improved my working ability, formed a clear working idea in specific work, and was able to carry out the work smoothly and complete the work skillfully and successfully.
With the goal of "doing better", pioneering and innovating. Under the guidance of the head nurse and the patient guidance of the teaching teacher, do a good job in ward management and medical document sorting. Seriously receive every patient, treat every patient as his friends and relatives, and always put yourself in others' shoes. Learn from the old nurses the writing standards of department documents, and carefully write ordinary care records, critical care records and rescue records. Abide by the rules and regulations and keep in mind the three basics (basic theory, basic knowledge and basic skills) and three strictness (serious attitude, strict requirements and strict methods). In order to improve the theoretical and operational level of each nurse, the nursing department conducts theoretical and operational examination training every month and sets strict standards for its own work. Correct work attitude and "care for parents", I take it as my responsibility to do everything possible to alleviate the pain of patients.
Experience of Soil Conservation and Cardiovascular Medicine 2 will leave Cardiovascular Medicine tomorrow. There are too many feelings and too many disappointments. Cardiovascular medicine is my first department to enter the clinic. I remember I just went to work. On the first day, looking at the patients in the ward and countless nameless instruments, I felt very confused and didn't know where to start nursing work. Perhaps we saw our hesitation. Teacher Tang, the general teacher of the department, gave us a detailed entrance education, led us to visit the ward, introduced the development of daily nursing work, and focused on explaining various rules and regulations and hospital knowledge.
At the same time, in order to enable us to better grasp the knowledge in a short time, understand cardiovascular medicine as soon as possible, and integrate into the family of cardiovascular medicine, teachers have established a public platform for cardiovascular medicine nursing teaching-XX Forum. Through the xx forum, I learned more comprehensive knowledge, such as: blood sugar control methods, the best medication for cardiovascular diseases and so on, which benefited me a lot. In addition, the head nurse often encourages us to see the world with a pair of discovering eyes, and insists on reading and reviewing manuscripts for us when we are unwell, creating more platforms for us to guide. Here, I sincerely thank all the teachers! Thank you. I will take this knowledge to the clinic and practice Nightingale's oath.
The experience of protecting the soil and the three-hearted teaching of cardiovascular medicine is that xx graduated from medical college, which is awesome and admirable. It is said that xx was born, has a car and a house, has a stable job and income, has good taste, is also a Zhou Zhengren, and is still single.
After following him for three weeks, I learned a lot, not only professionally, but also in dealing with people and attitude ... after practicing for so many months, I felt a strong sense of crisis for the first time. I feel that what I have learned is too limited, and I don't understand what I haven't learned. I forgot a lot of things I learned, so I was embarrassed to be asked. My tutor is a western doctor. When I came to our hospital, Chinese medicine naturally learned a little. He pointed out my mistakes in TCM syndrome differentiation and treatment several times, which really made me feel ashamed to be a Chinese medicine student. It was also in the department of cardiology that I realized for the first time how I could be so careless, because my negligence brought unnecessary trouble to teachers and patients. I am really sorry. For example, once, I typed a report of color Doppler echocardiography into the course record, which clearly said "thickening of ventricular septum" I typed "ventricular septal defect", only two short words, but the disease is far from it. Fortunately, the teacher found this problem in the course of the next day and pointed it out to me. I felt ashamed at that time, and I couldn't wait to find a hole to get into. How could I be so careless? I was so careless for the next few days. As a result, when I was about to leave the department, I typed a course of disease and mistyped a place, and wrote the value of creatinine as uric acid. Hey … I really feel so careless. I must be careful, careful and careful again.
In terms of professional knowledge, teaching has taught me a lot, such as how to read ECG, measure blood pressure, the causes of edema, the formation of heart sounds, the symptoms of typical angina pectoris and so on. In fact, it's all in the book, but why did he ask me when I was blank and couldn't remember anything? I still have to go back and read more books.
Several students I have taught with say that he is a flatterer, but I don't think so. He has a good attitude towards patients, is humble and always smiles. When a patient asks him your name, he always says politely, "Don't give your name to xx. He said that this is one of the differences between people born in xx and those born in xx. Actually, it is. Now the contradiction between doctors and patients is so sharp that a good service attitude at least makes patients have a good mood first.
I experienced two major rescues in the department of cardiology, although it didn't help much. Once I gave chest compressions to a dead man and showed them to the patient's family. Once I watched, although I didn't participate, at least I knew what the rescue was like and how the rescue record was written.
In the department of cardiology, I also met a patient who touched and admired me especially, not from our group. This old man, X years old, is a veteran with coronary heart disease, cerebral infarction and Alzheimer's disease. This time he was sent to our hospital ICU for emergency treatment because of myocardial infarction. Now the condition is stable and sent to our department. His medical expenses are fully reimbursed by the state, so he can stay in hospital. The old man's state of consciousness is basically unclear and he can't speak. But he can also sing the national anthem, and he especially likes singing the national anthem. He often sings the national anthem. Once my classmates and I went to give him an electrocardiogram, and he sang the national anthem twice. I can't understand and appreciate what their generation experienced, but his impassioned patriotic enthusiasm was personally felt by me at that moment. I used to know that the highest state of singing the national anthem was singing from the heart. Now I know that the old man sang the national anthem by instinct. He is very ill and knows nothing. He is still singing the national anthem over and over again. The most repeated sentence is "we are United as one, braving the enemy's gunfire, moving forward, moving forward, moving forward!" " It's really touching.
Experience of cardiovascular medicine in no.4 nursing hospital. After a month's internship in a department, I deeply felt the supreme position of cardiovascular medicine in the hospital and even in people's lives. In today's society, cardiovascular diseases seriously affect people's health, which is closely related to people's eating habits, and once they get sick, they will take drugs for life, so prevention is a key step. People often don't pay attention to these things and only come to see a doctor when it is seriously harmful to their health, especially in rural areas.
During the one-month internship, I got a deeper understanding of cardiovascular diseases and combined theoretical knowledge with clinical practice. Through this month's study, I know that patients with hypertension should do routine electrocardiogram, chest X-ray, color Doppler ultrasound to find tiny lesions, and laboratory examination. In treatment, we should not only lower blood pressure, but also carry out comprehensive treatment such as anticoagulation, lipid reduction and vasodilation. During the one-month internship, I also saw many cases, such as acute and chronic heart failure, arrhythmia, congenital cardiovascular disease, coronary atherosclerotic heart disease, valvular heart disease, infective endocarditis, myocardial disease and pericarditis. We also have a certain grasp of their treatment, which is of great help to our future work.
What impressed me was that the patient came to do a routine blood sugar test, which proved to be a very good practice through practice. Especially for patients with hypoglycemia coma, if they are in other places, they may take high glucose orally, which not only aggravates the patient's condition, but also may lead to the patient's death. This is also worth learning for every intern.
During my internship, I deeply realized the skills that a cardiologist must master. Electrocardiogram analysis is the most basic, as well as cardiopulmonary resuscitation and the use of commonly used drugs, such as diuretics, cardiotonic agents, vasodilators, positive inotropic drugs and antiasthmatic drugs. The requirements for the quality of doctors are also very strong:
(1) Strong sense of time?
Cardiovascular diseases are dangerous and endanger patients' lives, so they should be rescued and treated quickly.
(2) Have a highly responsible attitude?
The etiology of cardiovascular diseases is very complicated, which requires doctors to pay close attention to the changes of diseases at all times.
(3) be patient?
The development and changes of cardiovascular diseases are very unstable, so patients and their families should be patiently explained in time.
(4) Have comprehensive medical capabilities?
Cardiovascular diseases are often accompanied by other systemic diseases, which requires doctors to have strong professional comprehensive ability.
In short, in the future practice, I will be more strict with myself, strive to meet the above requirements, actively complete all the work assigned by departments and teachers, participate in various academic activities organized by the hospital, regularly complete all the assessments of the hospital, and successfully complete the learning tasks.