Nursing Practice 1 Diseases such as internal medicine, respiratory system, circulatory system and digestive system are common. Because most diseases have sudden onset, complex symptoms and rapid changes, it is very important to master skilled coping measures.
What impressed me the most was the whole process of rescuing a patient with cor pulmonale in respiratory medicine. The patient was temporarily deprived of oxygen because he went to the toilet on the ground. Hearing the alarm, the teacher, the doctor on duty and I immediately ran to the ward. The teacher quickly let the patient lie flat, put on a breathing mask and monitor, and pay attention to his blood pressure and blood oxygen saturation. At the same time, several doctors also rushed to the ward to start consultations. The situation is constantly changing and developing. The rescue plan is also flexible with the illness, and everyone's nerves are tense. I stared at the expression of the ECG monitor for a while, and looked at the expression of the patient for a while, worrying about the patient. When the drug enters the patient's body, everyone is observing the further development of the disease. Doctors and nurses are very focused at this time. Doctors make cautious judgments, and nurses are skilled, nervous but not flustered. It's quiet except for the sound of the ventilator. The patients' families put their lives in the hands of doctors and nurses and pinned their hopes on them. I'm afraid only they know how much pressure is on the shoulders of doctors and nurses at the moment. After more than an hour of rescue, breathing, heartbeat and blood oxygen saturation gradually returned to normal, pulling the patient back from the death line, and everyone was relieved. From this, I deeply realized that as a nursing staff, we must have superb nursing operation skills, as well as an agile and calm mind and skilled cooperation with doctors. Medical cooperation is very important, and the responsibilities of doctors and nurses are highly unified, with the goal of relieving or relieving patients' physiology.
The occurrence of medical diseases is closely related to patients' psychological state and behavior. Therefore, in the treatment and nursing in contact with patients, I used my knowledge to encourage patients to mediate their psychology, establish a good lifestyle, and give corresponding health education and guidance for different diseases, which won the recognition of patients and their families.
Nursing Practice 2 Work Experience of Obstetrics and Gynecology Nurses angels in white-Many people call nurses like this, holy nurse hat, beautiful nurse uniform, and respected profession. That's how we are. At a young age, we embarked on the road of nursing work with great expectation. Time flies, I still remember the excitement when I first entered xx Hospital. In a blink of an eye, I have been practicing in xx Hospital for half a year. Surrounded by the hospital lawn, the phrase "extensive love, pursuit of Excellence" has long been deeply rooted in the hearts of the people, inspiring me to keep moving forward, telling me that being a xx hospital person is a kind of pride.
First, the internship time
20xx year x month x day
Second, the internship location
Xx hospital
Third, the internship content
This half year has made us deeply realize that nursing work depicts nobleness in suffering and fatigue, and creates brilliance. Countless sunny mornings, we played the concerto of caring for life; Countless sleepless nights, we feel the symphony of life and death. It is the nurse's hands that greet the arrival of life; It is the nurse who fights against the disease; It is the nurse who accompanies the pale life. The person who pulls the curtain of life is a nurse, and the person who pulls the curtain of life is still a nurse.
The starting point of xx Hospital is obstetrics and gynecology. The initial loneliness and disappointment have long since vanished. Every day is a challenge and an opportunity. When I first entered the clinic, I felt very different from my internship. From not letting go at the beginning to being on duty independently now, the joy of growing up is coming.
We are assigned to different departments, including pediatrics, pediatric emergency, obstetrics and gynecology. I didn't know anything when I first went in. I don't know where to start. The head nurse asked each of us to work with a master. Under the tireless teaching of the master, we gradually adapted to the responsibilities of each class and learned a lot that we couldn't learn in school. We will be able to work independently soon. Correct working attitude, obey orders and listen to the audience in the process of medical nursing practice. Can strictly abide by the rules and regulations of the hospital, abide by medical ethics norms, and standardize operations. In order to improve the theoretical and operational level of our new employees, the nursing department will conduct theoretical and operational examinations every month. At this time, the "test team" always comes to "fire fighting" in advance, and takes the test in the department first. All the "firemen" used the rest time to guide our operation and gave us a lot of valuable information, which benefited us a lot. After work, our new employees are fortunate to participate in various activities and volunteer services organized by hospitals and departments, thus constantly enriching their experiences and feeling that they have grown a lot.
Fourth, internship experience
Nursing is a noble and sacred cause-I am proud to be a member of the nursing team. We will redouble our efforts in our future work. Although nursing work is trivial and boring, we are really proud of ourselves. We are watchmen of life, and many people live a happy life because of our hard work, hard work, seriousness, enthusiasm and dedication. Although they can't remember our names, although they don't know our efforts, although they don't understand our hard work, the gift of roses has a lingering fragrance!
A summary of verb (abbreviation of verb) practice
Half a year's rotation is very fast, thanks to everyone who works with us. Thank you for your kindness, for teaching us a lot, for meeting and getting along with us in this way, for your kindness and beauty, and for letting us live in such a warm family. We are a caring family, and we come from xx Hospital! I hope that in the new year, we can still share weal and woe, feel the beauty of life together and create a better future together!
The third part of nursing practice this summer, I came to the hospital for a 1 month nursing practice. I went deep into the daily work of nurses and experienced the ups and downs of being a nurse, only to find that being a nurse is not as easy as I thought. Being a nurse is really difficult. Transfusion and blood drawing, injection and administration, and enema with traditional Chinese medicine. If the patient is unwell, he will think of the nurse first. If the patient has any problems, he will still call the nurse. There is always a busy nurse in the nurse's ward if the patient needs to change the medicine.
The most profound feeling is that clinic is a solid foundation of theoretical basic knowledge. Clinical field experience and field practice let me reproduce all kinds of questions raised when I studied those boring and stubborn knowledge at school. For example, why should I read these pharmacology and pathology? What's the use of my back to me? It seems that it is meaningless to know, and the knowledge is all-encompassing, but the general feeling after learning is that I have been studying just for the exam, and nothing belongs to me. At school, no one asked me what adverse reactions I would have if I took these drugs. Even though I knew about these adverse reactions, I never really saw them. I don't know how serious the medical mistake is. No one has asked me what the clinical manifestations of this disease are, and I have never really seen these clinical manifestations. What's it like? Is it the same as in the book? etc
This 1 month internship is also very helpful for me to cooperate with doctors and nurses in my future work. Doctors and nurses have the same responsibilities, both to solve the patients' physical and psychological pain. Only the close cooperation between doctors and nurses can bring the greatest benefits to patients. To do this, we must first understand our own work and each other's work. As a future nurse, I must understand the work of nurses, so I think this internship not only plays a bridge role in early clinical contact, but also improves my clinical thinking ability, cultivates my practical ability and enhances my self-confidence.
First of all, re-recognize the loftiness of the profession of nurses.
In my previous impression, nurses were synonymous with patience and carefulness. I always think that their work is very easy and simple, just follow the doctor's advice and take medicine according to the prescription. Other work is also trivial. This time, through nursing practice, I went deep into the daily work of nurses for the first time, and experienced the ups and downs of being a nurse, only to find that being a nurse is not as simple as I thought. The job of a nurse is a tired word. I'm tired of running with them every day. They not only have to keep walking around the ward, but also give patients injections and dressing changes. In fact, they are much more tired than doctors, but they have no complaints. Nurses are full of energy as long as they are working. They are engaged in a battle: fully display their vitality inside and outside the ward; Give the patient your energy and smile without reservation.
The shift is usually at 8 o'clock in the morning, and all nurses and doctors should attend. Of course, I am no exception. The dean of the department stood in the front. Last night, the night nurses began to give their nursing pathology shift report, and then the doctor on duty. In addition, doctors have to talk about critically ill patients under their jurisdiction. Finally, the two directors and the head nurse summed up the shift that must be done every day. Personally, I think change is very important. It is a kind of discipline for doctors and nurses, so that our medical staff can understand that the life of patients is in our hands. Be organized and disciplined, and be a serious and responsible medical worker.
Second, broaden your horizons and increase your knowledge.
During my internship, I followed my teacher, listened carefully to the teacher's explanation and guidance, learned a lot about the basic operation of medical equipment, and observed and practiced a variety of medical operations, such as measuring weight, blood pressure, breathing, pulse and temperature. There are many professional musical instruments that I saw for the first time. There are many seemingly simple nursing operations, and only when they are really done will they know that this is not the case. In the short five weeks in the hospital, new things came one after another, which always brought me an exciting impact. I am full of curiosity, pay attention to observation, actively ask questions, and the nurses patiently explain to me, which makes me understand the use of some medical devices and basically master the essentials and precautions of nursing operation. They vividly analyzed the seemingly simple operations and gave me many practical opportunities under the premise of rules and regulations, which gave me the opportunity to use these instruments and equipment and practice nursing operations. All these have given me a certain perceptual knowledge of my future work.
Thirdly, I have a certain understanding of the overall nursing of medical cooperation.
This is extremely important for my future work, and it is also one of the most important purposes of this internship. Through understanding, I realize that the responsibilities of doctors and nurses are highly unified, and the goal is to alleviate or relieve patients' physical and psychological pain. Only the close cooperation between doctors and nurses can bring the greatest benefits to patients. To do this, we must first understand our own work and each other's work. This knowledge accumulation is also the biggest gain of my nursing practice. Specifically, I learned that:
1. Holistic nursing needs a high degree of cooperation between doctors and nurses, among which the close cooperation between department directors and head nurses is the key. Before carrying out holistic nursing in the ward, the director of nursing department should contact the director of the department to introduce his work plan and implementation plan to the director of the department and win the support of the director. The head nurse must consult with the department director when formulating and implementing the overall nursing work plan, system, responsibilities, division of labor and scheduling methods. The director of the department attached great importance to this work. At the handover meeting, he emphasized the significance and specific work plan of implementing holistic nursing with medical care, and asked doctors to actively support and cooperate. When the department organizes nurses to carry out holistic nursing knowledge training, department directors and doctors must also take part in the study.
On May 8, 2004, we stepped into xx Hospital with hesitation and nervousness and began clinical nursing practice for more than X months. I am very grateful to the Provincial Hospital of Traditional Chinese Medicine for providing us with such a good internship environment and various superior conditions. Thanks to all the teachers' hard teaching, we had such a good internship opportunity before we set foot on our posts.
The first stop of internship-XX, when I first walked in here, I felt very fresh. The first day, the second day and the third day passed, and nothing was found. The fourth day, the fifth day and the sixth day passed, and nothing was found. On the seventh day, something happened. At first, the leg hurts and swells, then the neck and waist, and then the whole body hurts. I don't want to move at night, so I don't want to go or eat. I just want to lie there and ignore me. This is my truest feeling at that time.
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 catheterization, gastric tube insertion, bed bath, oral care, intravenous infusion, various enema methods and other basic nursing operations.
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.
Although the first two months passed smoothly, I believe that the next internship time will be more difficult and the requirements of the hospital will be higher and stricter. I firmly believe that with the correct leadership of the hospital, the guidance of doctors and nurses, and my own dedication and efforts, I will be able to fulfill the requirements of the hospital for my internship.
With the end of clinical nursing practice, according to the requirements of our school of nursing, we carried out a four-week nursing practice in XXX community health station. Thank you for giving us the opportunity to experience and get in touch with community nursing. In this practice, I learned the following:
The first is to establish community health records.
The main task is to investigate the basic information of residents (family members, names, date of birth, work, contact information, medical security, etc.). ), medical history records, health examination records and various health-related records of individuals, families and communities obtained through home visits and household surveys. We conducted surveys and interviews based on the principles of human health as the center, community as the scope, family as the unit and demand-oriented.
As the saying goes, "everything is difficult at the beginning." During the visit, I met some medical workers who were rejected on the grounds that they had established their own files. But there are also family members who cooperate. This internship made me understand the difference between community nursing and clinical nursing. In clinical nursing, treating diseases and promoting health are the main contents. After this visit, under the guidance of teachers, community nursing focused on prevention, health care, basic medical services, health education, family planning and health. Therefore, I understand that it is necessary to establish health records in both communities and clinics, which can effectively ensure our quality of life and healthy attitude towards life.
Second, the management of community health records
The content of this practice is mainly the management of health records, that is, the files established by the family are input into a unified system, which is convenient for viewing and management, and can keep abreast of the information of some residents with chronic diseases and conduct regular home visits.
Third, the community family calls back.
That is to say, on the basis of collecting the input information in the first two times, we will pay a phone call back to patients with chronic diseases and people with service needs to find out whether there is a need for physical examination and consultation.
To sum up this practical work, compared with ten months of clinical nursing work, community work is simple but complicated, which requires us to have enough care, patience and sense of responsibility, keen observation and the ability to find, analyze and solve problems. This makes me understand that subordinate medical service needs not only solid basic knowledge, but also skilled professional skills to serve people in need faster, better and more stably. After the internship, I read the relevant knowledge of community nursing and found that the development of community health service has a long way to go. Even though the goal of establishing a complete social health service system in China has been basically completed in 20xx, the actual social recognition and residents' attention need to be improved. Nowadays, more and more professional nursing talents choose to find another way out, and it is more difficult for community hospitals to get the favor of excellent medical staff. On the contrary, community nursing requires higher professional knowledge, communication skills and comprehensive quality of staff. Although there are many problems, the community medical system is an unchangeable trend.
Society is progressing, talents are competing, and we can only grow through constant tempering. As a nursing worker, it is an indispensable demand of society. Wherever we are needed, we will go. Whether in community hospitals or general hospitals, we should always be prepared to constantly enrich our knowledge and improve our professional skills. As the saying goes, "Where there is a will, there is a way". We should become the reserve army of the society, a good helper of the crowd, try to solve a series of problems and become a qualified nurse.
The sixth chapter of nursing practice time flies, and the internal medicine practice is coming to an end. Under the careful guidance of the teacher, I have benefited a lot through constant practice. Looking back on these days, whether it is bitter or happy, whether it is sour or sweet, I believe everyone has their own taste in their hearts. They are about to graduate, but there are a lot of' disappointments'. For our internship, the teachers in Corey attach great importance to it, and the weekly internship arrangement is also orderly, so let us learn and grow step by step.
Neurology is my first stop in the internal medicine ward. When we first entered the ward, we always felt at a loss, but the teacher quickly familiarized us with the environment and let us invest in the ward internship as quickly as possible. Although neurology is a very busy department, every time we do nursing operations, the teacher will accompany us and be happy for our success. If we fail, we will encourage us. The teacher communicated with us seriously and responsibly like a friend, so that we spent this time in a warm environment. At the same time, teachers will often arrange small lectures for us with cases, so that we can remember what we have learned clearly.
Cardiology is my second stop in the internal medicine ward. Common diseases are hypertension, arrhythmia, coronary heart disease and heart failure. Under the guidance of the teacher, I have basically mastered the nursing and basic operation of some common diseases. Attend lectures arranged by the hospital and department teaching rounds on time; Welcome new patients with a smile and do a good job in admission evaluation; Closely monitor vital signs and standardize records; Collect blood and urine samples correctly; Actively cooperate with doctors for treatment; Strictly implement three checks and seven pairs; Seriously carry out intravenous infusion. ...
After nearly two months' practice in cardiology, I have gained a new understanding and improvement in 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 internal medicine. 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.
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.
Neurology is our first stop in the ward. When we first entered the ward, we always felt at a loss, but the teacher quickly familiarized us with the environment and let us devote ourselves to the ward internship as quickly as possible. Although the Internal Fourth Department is a very busy department, every time we do nursing operations, the teacher will accompany us and be happy for our success. If we fail, we will encourage us. The teacher communicated with us seriously and responsibly like a friend, so that we spent this time in a warm environment. At the same time, teachers will often arrange small lectures for us with cases, so that we can remember what we have learned clearly. Sometimes the teacher is afraid that we can't remember, and she also uses her off-duty time to cook for us.
From the operating room to the ward, we are required to communicate with patients and their families, which largely determines the attitude of patients towards our interns. Sometimes patients will have some opinions because we are interns. Teachers will always teach us to empathize, understand and sympathize with patients, eliminate our negative emotions, let us treat patients more carefully and patiently, and communicate with patients more peacefully.
Under the careful guidance and patient teaching of the teaching teacher, I strictly abide by the rules and regulations of the hospital, earnestly perform the duties of practical nurse, care for patients, strive to standardize nursing work, combine theory with practice, and have measures and records for nursing work. During my internship, I always take "love, care and patience" as the foundation, and strive to be "diligent in eyes, hands, feet and mouth", thinking about what patients think and worrying about their urgency.
During this short internship, we gained a lot. If summed up in simple words, our words will look pale and weak, at least they can't be expressed accurately and clearly, but we have benefited a lot.
In a word, I thank the teacher for training us bit by bit. It is often said that "nurses should have a sympathetic heart and a pair of willing hands." We will face the next internship with a more positive learning attitude, strive to consolidate our operational skills, learn rich and profound theoretical knowledge, and improve clinical nursing ability.
Chapter 7 of Nursing Practice 1. Discipline Characteristics
As far as its research scope is concerned, the main research object of neurosurgery is the central nervous system. Because the anatomical structure of the central nervous system is complex, the understanding of human brain function is not very clear, and the clinical symptoms and signs of patients vary widely. Diseases in the same species and the same part may have different clinical manifestations, and different clinical manifestations may also be diseases in the same species or the same part. This brings some difficulties to the diagnosis of neurosurgical diseases, especially intracranial neurosurgical diseases. For example, for coma patients, it may be caused by intracranial diseases (such as tumors and bleeding) or extracranial diseases (such as electrolyte disorders and cardiovascular diseases), and its research scope may belong to surgical or medical diseases. Therefore, for neurosurgeons, the first problem is to determine the neurological symptoms of patients. Then consider the treatment plan.
As far as its treatment is concerned, neurosurgery involves the brain and its lesions. Facing the brain which is not very clear, complex in structure and life center, neurosurgeons must decide where and how to operate before operation, which can not only achieve the therapeutic purpose, but also minimize the damage to normal brain tissue. We must be very familiar with the local anatomy of the brain and perform the operation with skillful operation skills in order to achieve the purpose of surgical treatment of minor injuries. What effective methods should be taken to promote patients' recovery after operation, which all put forward higher requirements for neurosurgeons' theoretical level and operational skills.
For patients with craniocerebral injury, time is life, which requires neurosurgeons to keep up with the crisis, analyze and judge the patient's condition quickly and accurately, and take effective rescue and treatment measures in time. Therefore, it is one of the characteristics of neurosurgery to be prepared for emergencies at any time, and the ability to deal with emergencies is also the basic quality that neurosurgeons must have.
Second, the practice method
Because neurosurgery is a specialized subject, interns often feel that the disease is complex and the operation is difficult after entering the department, which leads to fear of difficulties, but the harvest of internship cannot be directly proportional to the time spent. How can we learn knowledge in a limited time? How to do neurosurgery practice well? This requires students to master the practice methods of neurosurgery before and during the practice.