Selected examples of surgical learning experience 1
The nine-month internship is fleeting. I am about to leave Hengyang Central Hospital in a blink of an eye, some are reluctant to give up, and some are eager to fly home. After the first eight months of training, although this is the only operation I have participated in, I have mastered the basic workflow of nursing operation and work!
During this month's internship, I went to the day shift every day. Although I was very tired, I lived a full life. After staying for a long time, I feel that everyone is really like a family. The care and teaching of teachers and the cooperation of the whole department make the busy work full and happy. My tutor, Mr. Hu, is very kind and strict. She taught me a lot, patiently demonstrated and explained, and it was easy to communicate. She always takes me to and from various wards and gives me many opportunities to practice my operation. Whether it is simple life care or receiving patients after surgery, she always does it herself. Not giving the teacher dignified pressure makes me very open in front of patients.
In hepatobiliary surgery, I learned a lot, except routine injection and dispensing, such as changing bile drainage bag, nursing of catheter, using red light therapeutic instrument, enema, nasal feeding, gastric tube insertion, atomization, preoperative preparation and postoperative care. The happiest thing every time is that the teacher takes me to health education, so that I can communicate with patients boldly and gain their trust. Other operations are also simple, follow her and let me learn. Now think about it, thank her very much! Let me deeply understand that an excellent nurse should not only have good operational skills, but also have a good attitude and know how to communicate with patients.
Thanks to her again, I will continue to strive to be a caring, patient and responsible angels in white!
Selected model essays on surgical learning experience II
Through more than half a year's nursing practice, under the careful guidance and patient teaching of the teaching teacher, 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, strive to be "diligent in eyes, hands, feet and mouth", think about patients' thoughts, worry about patients' urgency, and provide quality services wholeheartedly, thus establishing a good medical ethics.
In the practice work of each department, we can standardize the writing of all kinds of nursing documents, complete the handover records in time, do a good job in patient evaluation, nursing and health education, do a good job in nursing common diseases and frequently-occurring diseases in each department, conscientiously implement aseptic operation procedures, do a good job in preoperative preparation and guidance, and complete intraoperative and postoperative nursing and observation. Can seriously analyze problems at work, solve problems in time, and be proficient in internal, external, gynecological and severe diseases. Strictly carry out three checks and seven pairs, and actively participate in various case discussions and academic lectures, constantly enrich their professional knowledge, and have a more comprehensive understanding and understanding of holistic nursing technology and ward management knowledge through learning.
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.
Practice is an essential learning stage for every medical student. As a beginner who lacks clinical experience, other doctors, nurses and patients in the ward are all teachers worthy of consulting except his own teaching teacher. Therefore, I keep a modest and serious attitude towards learning, actively participate in all the study, medical treatment, discussion and other activities in the ward, and gradually hone myself from the most basic physical examination and course record.
Before I entered the icu, I took my teacher to explain the management system and disinfection system in the icu, and introduced the environment of the icu, which made me understand the ICU and made my work very easy. Specially arranged a special disease knowledge lecture, that is, the introduction of common diseases in thoracic and cardiac surgery, so that I have a certain understanding of thoracic and cardiac surgery diseases, which is conducive to postoperative monitoring.
In addition, basic nursing teaching is also carried out, such as preoperative education, psychological nursing and patient life nursing. First of all, I understand the significance and importance of central venous manometry, which is an objective standard for directly reflecting left ventricular function and measuring blood volume, guiding fluid replacement speed and evaluating blood volume. Factors affecting central venous manometry:
① Determination of zero point;
(2) The fourth rib of the axillary midline in supine position and the fourth rib of the axillary front line in semi-supine position;
③ Patients must measure their blood pressure in a quiet state;
④ The piezometer tube must be kept unobstructed to ensure that the catheter is in the vena cava or the right atrium;
⑤ When breathing machine peep is used, the peep value must be subtracted, which is the true central venous pressure.
At the same time, the teacher and I measured the pressure separately and compared the accuracy of my measurement. Pay attention to sterility, avoid injecting vasoactive drugs from manometer, and ensure smooth pipeline.
After entering the clinic, surgery is often the main task, while theoretical study and clinical thinking training are relaxed, especially in thoracic and cardiac surgery. There are many kinds of diseases and operations in thoracic and cardiac surgery, so it is easy for me to focus all my attention on the operation. So I take doing more surgery and practicing my hands as the main purpose of my internship. The pathophysiology will change greatly after the operation. I must comprehensively and accurately consider the medical history, signs, degree of illness, surgical methods and other aspects, in order to accurately grasp the key points, see the essence, understand the impact of surgery on patients, and formulate correct treatment measures. Only by letting them know more about why can they gradually improve their ability to analyze and solve problems in clinical work.
Selected model essays on surgical learning experience 3
This year is my first year at work. Under the care and direct leadership of hospital leaders and head nurses, with the service tenet of "patient-centered, patient-centered", we successfully completed all the nursing work assigned by hospital leaders and mastered various clinical operation skills. The work is summarized as follows:
Since I joined our hospital in March this year, after less than one year's practical study, I feel that if I want to combine the theoretical knowledge I have learned before with the actual clinical work, on the one hand, I should strictly ask myself to consult more teachers in my usual work, on the other hand, I should study hard in my spare time to understand the essentials.
There are relatively many surgical patients, and they have also learned relevant knowledge before and after operation. Preoperative preparation includes psychological counseling, intestinal preparation and dietary guidance. Postoperative vital signs monitoring, incision observation, assistance in coughing and expectoration, observation of infusion volume and infusion speed, nursing of various drainage tubes, nursing of catheter, diet nursing, observation and nursing of postoperative complications, etc. In our daily work, we are required to communicate with them more patiently. Only in this way can we better improve the quality of nursing and make patients trust our work. Because the pace of surgery is faster, work is busier than talking on the phone. Trivial. I remember when I first arrived in surgery, I was not used to it. In order to do a good job and obey the arrangement of the leader, I am not afraid of trouble. I asked the teacher, learned from my colleagues and groped for it myself, and soon I became familiar with the work of surgery.
Understand the responsibilities of each class, clarify the procedures and direction of work, improve work ability, form clear working ideas in specific work, and be able to carry out the work smoothly and complete the work skillfully and smoothly.