Practice experience in cardiology 1. The internship in cardiology is coming to an end. During this period, I strictly abide by the rules and regulations of hospitals and departments, strictly demand myself, unite with my classmates, respect teachers, be strict with myself, have a correct learning attitude, have a rigorous work style, listen carefully to teachers' teachings, and always integrate theory with practice. Under the patient guidance of the teaching teacher, I successfully completed the internship tasks and requirements of the undergraduate course, and basically mastered the nursing and requirements of some common diseases in the undergraduate course.
Cardiovascular diseases are mainly diseases of the circulatory system, with the highest mortality. Because of the complex diseases in cardiology, the symptoms are often atypical. If you don't observe carefully, ask patiently and give feedback to the doctor in time, you will delay your illness and must follow strict medication guidelines. Patients with heart disease should strictly control the number of drops and monitor their blood pressure and pulse according to the doctor's advice. Because the therapeutic dose of some drugs in cardiology is quite close to the toxic dose, we should pay close attention to the patients' reactions before and after taking the drugs. Because of the short practice time, the teacher first introduced me to the normal electrocardiogram, and then explained the common abnormal electrocardiogram in clinic. Combined with the actual ECG of clinical patients, I deepened my impression and explained it repeatedly until I could correctly identify some common ECG and teach me the common sense of monitoring instruments.
During this month's internship, I have been practicing in the inpatient department, but I have seen many diseases and all kinds of cardiovascular diseases. The teacher's psychological teaching of patients has always made me unforgettable. The treatment and medication nursing of heart failure, coronary heart disease, congenital heart disease, pulmonary heart disease and supraventricular tachycardia are still fresh in my memory. Through my combination with book theoretical knowledge, I consolidated this point. Can accurately and timely detect the changes of blood sugar and blood pressure, and timely feedback to the teaching teacher.
Tired and busy, I have been exhausted this month, but my physical difficulties make me feel particularly comfortable, because I feel full. I am very busy in the department, and everything I do seems to increase my knowledge. So I am happy to do what every teacher needs me to do.
Practice experience in cardiology II. A short month is coming, and the internship in cardiology is coming to an end. In this month, under the hard guidance of teachers, I have benefited a lot through constant practice. Among them, there are bitterness and joy, and there are sour and sweet. I believe that everyone has their own taste in their hearts and is about to leave the department, but there are also many disappointments. I feel that I haven't learned enough, and I still have a lot to learn. But here, teachers in Cory attach great importance to it, and the weekly internship arrangement is also very orderly, so let us learn and grow step by step. At the same time, it also let us know the professionalism. During my internship, I will strictly abide by the rules and regulations of hospitals and departments, earnestly perform my duties as a nurse, be strict with myself, respect teachers, unite my classmates, work hard and care for patients. Don't be late, don't leave early, and strive to achieve standardized nursing work, high-quality skill service, flexible basic nursing, regular love activities, combination of theory and practice, planned and focused theoretical study, and measured and recorded nursing work. Hypertension, arrhythmia, coronary heart disease and heart failure are the most common diseases in cardiology. Common diseases include coronary heart disease, hypertension, arrhythmia, atrial fibrillation, paroxysmal supraventricular tachycardia, heart failure, myocarditis, congenital heart disease, cardiomyopathy, atrial septal defect, rheumatic heart disease, myocardial infarction, angina pectoris, acute infective endocarditis, myocardial ischemia and other symptoms. During the internship, under the guidance of the teacher, I basically mastered the nursing and basic operation of some common diseases. Attend the shifts arranged by the hospital and the teaching rounds of departments on time; Welcome the new patient with a smile. Actively cooperate with doctors, take the initiative to understand the patient's situation, solve problems for patients in time, and try our best to help them.
After nearly a month's internship in cardiology, I have re-recognized and improved the diagnosis and treatment of common and frequently-occurring diseases in internal medicine, and learned the knowledge and skills to deal with sudden diseases. In a word, I benefited a lot from my internship in cardiology. Although I am only a student with limited ability, I will continue to explore, warm patients' hearts with smiles and enrich my knowledge and skills with efforts. Review the old and learn the new, and consolidate what you have learned with practice. At the same time, I constantly improve my professional level and enrich my professional knowledge.
In a word, although I have only experienced for a month, there may still be many things I haven't really realized, but I respect all the medical staff in the Department of Cardiology very much and like their superb technology and professionalism. I think it is the beginning of internship, a challenge and an opportunity. I will constantly improve my professional knowledge, keep in mind the teacher's teaching and internship experience, keep learning and making progress, and apply these experiences and teachings to the next internship department to do better.
The short three-month internship in cardiology is over, and the internship in cardiology is over. In this month, under the hard guidance of teachers, I have gained a lot.
Hypertension, arrhythmia, coronary heart disease and heart failure are the most common diseases in cardiology. Common diseases include coronary heart disease, hypertension, arrhythmia, atrial fibrillation, paroxysmal supraventricular tachycardia, heart failure, myocarditis, congenital heart disease, cardiomyopathy, atrial septal defect, rheumatic heart disease, myocardial infarction, angina pectoris, acute infective endocarditis, myocardial ischemia and other symptoms. During my internship, under the guidance of my teacher, I basically mastered some common diagnostic methods, such as the determination and significance of troponin and myoglobin, the meaning represented by the data on the report of cardiac color Doppler ultrasound, and the change and significance of electrocardiogram. Treatment measures, commonly used drugs to rescue patients with heart failure, commonly used instruments. Learn to use defibrillators and master the working principle of temporary pacemakers.
Every morning, we interns go to the department early to take the blood pressure of each patient. Blood pressure is often used as a very important basis for patients' response to drug treatment, so the accuracy of measurement is very important. I put two fingers on my elbow, put a stethoscope on the brachial artery pulse, and then measure it. Because the arterial pulse of some critically ill patients is very weak, and the blood pressure can't be measured by nonstandard measurement methods, there was a patient in my internship: heart failure, and the pulse was very weak, so I went to measure the blood pressure.
Then I learned more about the fragility of life in cardiology. During this month in the Department of Cardiology, I experienced three major rescues. Once when I was on duty with my teacher, my ventricle escaped. First, dopamine and adrenaline were pumped continuously, and all medical staff took turns to perform external cardiac compressions, seize the time to defibrillation and install temporary pacemakers. This process is a battle directly, and it is at 1 am when the patient is slightly stable. Another time, a patient had a massive myocardial infarction. When the nurse arranges the bed, the patient has myocardial infarction, rescue, defibrillation, intubation, continuous pumping of dopamine and adrenaline. All the medical staff took turns to perform external cardiac compression, defibrillation and temporary pacemaker installation, but the patient just left. Arriving at the ward at eleven o'clock, a life ended at one o'clock. The child's sad cry is really distressing.
I left school, but I have a lot to give up. I feel that I haven't learned enough, and I still have a lot to learn. But the internship arrangement and weekly internship arrangement are also orderly, so let's learn and grow step by step. At the same time, it also made me know more about professionalism. In this month, I strictly abide by the rules and regulations of hospitals and departments, earnestly perform the duties of interns, be strict with myself, respect teachers, unite with classmates, work hard and care for patients. Don't be late, don't leave early, and strive to be standardized in work, integrate theory with practice, study theory in a planned and focused way, and have measures and records in work. I will constantly improve my professional knowledge, keep in mind the teacher's teaching and internship experience, and keep learning and making progress. At the same time, I will apply these experiences and teachings to the next internship department and strive to do better.
Four hours of internship experience in cardiology rushed by, and one month of internship in cardiology was "lost" inadvertently. In just one month, you can still learn a lot if you put your heart into it.
First, let's talk about what we have learned here. First, I made clear my responsibilities, understood what should be done between high responsibilities and initial principles, and what should be done in each time period, and also had a certain understanding of the writing of some nursing documents. Second, I learned the division of labor and cooperation among team members and helped each other. Third, in the past, the understanding of cardiovascular diseases was only based on books, but now through personal contact, the understanding of the disease is more profound. In addition, I also learned to judge some simple and special ECG. Fourth, some nursing skills have been greatly improved, because there are many opportunities to do it yourself here. Fifth, I understand the importance of health education to patients and the health education of patients' related diseases. The last point is how to communicate with different patients. Although I can't say that I have learned it completely, I have mastered some communication skills. In addition, there may be something I learned invisibly, but I haven't found it yet.
Secondly, since I am writing about my experience, let's talk about my feelings in cardiology. When I first came to this department, I was a little confused when I saw a lot of work rules that I was initially responsible for. After all, I used to follow the teaching teacher and always follow the instructions like a robot. Now I have to do everything by myself, and I feel as if I can't reach that level. However, after a month of training, I found that it was not as difficult as I thought, so I learned from practice.
One more thing, I find that our schedule seems a bit unreasonable. Take me for example, I have a high responsibility for seven days at a time, and then I suddenly go to work. It's a little messy for me. I don't know exactly what to do, and I feel very confused. Indeed, on the first day of primary school, I always forgot to do this and that, and my role could not be changed. I am thinking, if I go to different classes every day and start with a high sense of responsibility every day, will the effect be better?
To tell the truth, the only bad thing in this department is interpersonal relationship. I feel as if I am in a cold state, as if there is no communication between colleagues. I don't know why this happens, which makes people feel that there is no passion. Everyone works except work. In addition, I personally feel that the head nurse lacks some praise and affirmation for her subordinates. It is good for a head nurse to be rigorous in her work. It is right to point out mistakes in time when subordinates make mistakes, plus some appropriate criticism. But when subordinates do a good job, it is very important to give some affirmation. Sometimes, a little compliment can greatly increase our enthusiasm. This is just my personal opinion. Maybe the head nurse praised her subordinates, but I just don't know, hehe.
Finally, I am very grateful to all the teachers in the Department of Cardiology, especially Mr. XX. Under your careful teaching, I feel that we are a little older and more sensible. Of course, I also want to thank the nurses there. They are always kind to us and care about us. In the days to come, I will make persistent efforts and do my best.