The first internship stage of nursing professional personal practice is a crucial experience for every new nurse who is about to enter the society and take up nursing posts. The fierce market competition in modern society, the new medical care model and people's health awareness and service awareness put forward higher requirements for our nursing work. In this process, nursing students should fully study and get exercise, further enrich and perfect their own theories in practice, standardize their own behaviors, and lay a good foundation for independent work in the future. Let's discuss several aspects together.
First of all, we should establish a "people-oriented" humanistic service concept.
All nursing work revolves around the admission and discharge of patients. Man is an organism, and he (she) has various physiological needs and social needs all the time. On this basis, patients also have the needs of disease treatment and nursing. In addition to strictly implementing the doctor's orders and operating procedures of nursing operation, a lot of other work has been done according to the needs of patients. Therefore, how to meet the legitimate needs of patients includes all our nursing work. It is our duty to worry about the patient's urgency, think about the patient's thoughts and solve the patient's difficulties. Among them, creating a comfortable and quiet hospitalization environment, patient and meticulous admission education, warm and cordial language exchange, considerate life care, highly responsible humanistic care and so on. It is the concrete embodiment of nursing work, and the quality of nursing will also be reflected in this daily life. In short, everything is patient-centered and patients are satisfied, which shows that we have done a good job.
Second, we must strictly abide by the rules and regulations and operating procedures.
Summary of nursing professional practice 5 Summary of nursing professional practice 5 In the nursing work system, there are "check-up system", "duty-shifting system", "execution of medical degree", "rescue work system", "disinfection and isolation system" and "graded nursing system" and so on. All the operating procedures are clearly defined in our textbooks. Without strict discipline and system constraints, nursing work will be fragmented and chaotic, and it will not be able to complete normal work accurately. Rules and regulations and operating procedures are summarized by our predecessors in hundreds of years of nursing practice, which embodies their valuable experiences and lessons, some of which are exchanged with blood, tears and even life. Violation of these rules and regulations may delay misdiagnosis and treatment, and may also cause dysfunction or even death to patients. Therefore, only by strict compliance can we avoid detours, make fewer mistakes and make no mistakes, thus ensuring medical quality and preventing nursing errors and accidents.
Third, we must achieve "four diligence"
People are lazy. Especially now that there are many only children, this kind of inertia and dependence is relatively strong, so we should pay attention to overcoming it in the internship stage. Teachers like diligent students best. Only diligence can be appreciated and accepted, and there will be more opportunities to learn more practical knowledge. "Four Diligences" must be diligent first, that is, good at observation.
(1) Carefully observe and learn the teacher's rigorous work attitude and careful work arrangement and plan.
② Observe the operation process and specific operation methods of various nursing operations, which are not available in many clinical textbooks. Some knowledge and experience can only be understood by heart, but can't be expressed in words. Only by observing and understanding the essentials in practice can we make qualitative progress and leap in our own practical work.
(3) Always observe the illness, be aware of the patients in the ward, and closely observe the key patients. Such as the observation of patients' condition before and after operation, the observation of various vital signs of patients with cardiovascular and cerebrovascular epilepsy, the observation of the curative effect or adverse reaction of various special treatment methods and drugs, etc. Only through observation can we grasp the changes of patients' condition and take effective treatment and nursing measures in time to deal with emergencies, and close observation of patients' condition is very important to greatly improve the treatment rate and rescue success rate. Another is to be diligent and communicate through words, but the language should pay attention to art and professional norms, and not be self-righteous and messy. Including respecting teachers' sweet words, learning knowledge, frequently asking questions, comforting patients' warm words, actively asking questions, patiently explaining, being admitted to hospital for education, popular science knowledge and so on. The relationship between nurses and patients, colleagues and teachers and students depends largely on language communication. With good interpersonal relationships, work and study will be much smoother. In addition, the most important thing is hard-working, that is, willing to work and take the initiative to do things. Nursing work is trivial, and the responsibilities of each class are only a rough division of labor, which requires cooperation on the basis of division of labor. A considerable part of the work cannot be clearly divided and quantified, but it must be done. Therefore, as long as people are in the ward, if work and patients need it, they must take the initiative to do it, and they must never wait and shirk. While doing a good job in treatment and nursing, we should also "have nothing to do" to find something to do, go to the ward to learn more about the patient's situation, assist in some life care, and clean up the ward environment, clean the office and treatment room, and so on. In such efforts, you will get twice as many learning opportunities as others, and teachers are willing to impart more knowledge and experience to you.
Fourth, do a good job in writing nursing documents
The writing quality of nursing documents can reflect the comprehensive quality of a nurse. In the nursing documents, you can see your understanding of the overall situation of patients; See your interpretation and understanding of the doctor's advice; Look at your decision-making ability and use the methods you have learned to solve problems according to your illness; Look at your subjective initiative and standardization in the process of executing the doctor's advice. Similarly, nursing documents are also written files and legal basis for patients' hospitalization process. Therefore, the writing of nursing documents must be objective, true and standardized, so that the lintel and content are complete, the handwriting is neat and clear, and the written language is fluent, using medical terms and recording objective facts.
In short, the internship process is short. However, if you grasp this process, lay a good foundation for yourself and prepare for independent work, you will benefit a lot from your future career.
Personal practical experience of nursing specialty II. Because I know little about the basic situation of the hospital and the medical management process, and have little contact with the society, I lack the ability to communicate with patients and their families, doctors and nurses. I feel at a loss when I go to the hospital for clinical practice. When I first entered the ward, I always felt at a loss I am a stranger to nursing work. Looking at the busy figure of nurses, I have good operating skills and various nursing work abilities. I'm a little envious and doubt whether I can do it. On the first day, I stayed in the gynecological ward. Catheter insertion is no stranger to me. I was very careful when I saw the instructor insert a catheter for the parturient who had a caesarean section. I can't help but have an impulse to practice it myself. The urethral catheterization bag is full, and the instructor let me pee. I didn't see a catheter bag at school, and I didn't know how to urinate, so I squatted down. At that moment, I told myself that I was a nurse, which was my duty, not when I was too dirty and tired, I groped my way through the urine. When I stood up, I suddenly had a different view of myself. Although it was a small matter, I did it, which made me feel a little bit of value and a long-lost sense of accomplishment. Because I am a newly trained little nurse, and there are many people in obstetrics and gynecology, the head nurse transferred me to surgery and can only obey. There are few surgeons, and the one who is in charge of guiding me is a little nurse, who is not as old as me. I'm glad we can communicate well and learn a lot!
On the first day of the operation, I just folded the quilt and watched the instructor hang water for the patient. The next day, the teacher asked me to puncture and drip the patient, which was faster than I expected. I thought I could only look at it for the time being, but I couldn't do it. She found a patient with thick meridians for me to practice. When I got the treatment tray, my only feeling was nervousness. I completely forgot about disinfection and exhaust. Fortunately, the patient comforted me that everyone was doing it for the first time. Take it easy. Look at this little girl's beautiful hands. This little thing can't beat you. To this end, I am very pleased that ordinary patients will not easily sacrifice themselves to do experiments, and I am slowly thinking about the steps of intravenous infusion. Although it was not perfect, I managed to give the first patient intravenous infusion. The instructor nodded to me, getting familiar with it gradually, and the teacher was relieved of me. Later, I was responsible for infusing patients. In the process of changing the potion, I didn't check the bed number once, and the only time I was seen by the dean. Should I say that I am unlucky or lucky? Unfortunately, I've only been seen once. Fortunately, someone guided me and educated me. Yes, I should honestly check seven pairs according to the steps. I can't tolerate any carelessness in front of the patient's life. I tried it for a few days, and I was very careful, but I still encountered problems. A medicine is being used now. Due to my negligence, I finished it ahead of time. When I finished writing, I found that I might have done something wrong. I am very flustered. I've been searching online for any bad symptoms, but I haven't found any results. I struggled and hesitated. Finally I reported the case to the nurse on duty. Fortunately, it's nothing. The nurse said it doesn't matter as long as it doesn't exceed a few hours. I feel at ease now. It turns out that I'm not careful enough, and I really need to learn a lot.
The work of nurses is very heavy and messy, and now I feel more deeply after practice. Indeed, the work of nurses is fragmentary and messy, which can be said to be humble, but through the incomprehension of most people, I 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. Understand nursing correctly, establish correct professional ethics and develop a good working attitude.
The deepest experience of probation is continuous learning, continuous practice and continuous learning. In fact, we also know that learning knowledge itself is a process of long-term persistence and continuous exploration. A year later, we will leave the campus and step into the society. However, society values not only the book knowledge we have learned, but also whether we have mastered the ability to adapt to society. Once you step into the society, you must adapt and integrate. So how to do it and how to apply what you have learned is extremely important. Among them, the most important thing is to have practical basic skills, with knowledge as the backing and constancy as the change. These are our main goals at school.
The internship ended silently. Although the time is not long, I have learned a lot. Theory is as important as practice. I will master the knowledge of this society next semester. I believe I can do better.
Personal practical experience of nursing specialty. It's been almost a month since I entered the hospital as an intern. This month, I have been following the teacher's ass, contacting all kinds of patients every day, and finally entered a state. Therefore, sorting out today's mood can be regarded as an internship experience. I still remember that our group of people walked into the hospital under the guidance of the teacher. With a feeling of hesitation and nervousness, I started the clinical nursing practice for 10 months. 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 exercise before our employment. Therefore, we cherish this period of time, cherish the opportunity to exercise and improve ourselves every day, and cherish the rare mentoring relationship with teachers.
When I first entered the ward, I always felt at a loss Looking at the students who entered the clinical practice in advance, I can't help but envy them. When can I do this? At that time, nursing work was still in a relatively unfamiliar state, and there was no formed concept of what I could do in such a new environment. Teachers have rich clinical teaching experience, which makes me adapt to the nursing work and hospital environment quickly, and lays a good foundation for future practice. But when I slowly plunged into this job, I suddenly found that it was a very meaningful job. I really didn't know anything at first, so I was criticized every day. But I thought that since I chose this job, I should work hard. At first, I went to the clinic, where I stayed for about two weeks. Although the time is not long, I have benefited a lot. I learned blood drawing, skin test, skin preparation test and so on. Seven pairs refer to bed number, name, drug name, measurement, concentration, time, usage and batch number. During these two weeks, I really realized the responsibility of nurses, and the next two weeks were in pediatrics, which should be deeply felt by me, because I always felt that pediatrics was difficult and children were difficult to coax, so I was always worried, but when I integrated into that atmosphere, I felt that a nurse's sense of responsibility was very important. Not only do I know that intravenous injection and dispensing, especially sterility, are particularly important, but I also know that a nurse should know family members and handle them properly. Under the guidance of the teacher, I have basically mastered the nursing of some common diseases in pediatrics and some basic operations. In particular, I understand the importance of sterility. At the same time, I will continue to study hard and sum up experience, be diligent in observation, be good at observing children's illness, grasp the changes of illness in time, and make accurate judgments. in short
I think I learned a lot in this internship. Although I am only a student, maybe my ability is limited, I use my efforts to enrich my knowledge and skills. I hope to send patients away healthily with my smile, and I am eager to grow up in my study and really be a angels in white who sings silently and flies hard. The work of a nurse is heavy and messy. Although I had some feelings before entering the consulting room, I really felt deeply after entering the ward. Indeed, the job of a nurse is very fragmentary, which can be said to be very humble. We use our own feet to measure the distance of the ward over and over again; However, nurses also have unique charm. Hospitals cannot be without nurses, doctors cannot be without nurses, patients cannot be without nurses, and the whole environment cannot be without nurses. This kind of trivial work has a complete system. It can be said that sparrows are small and complete.
This is the harvest of my internship for one month, and it can be regarded as the first harvest in the internship stage: learn to adapt and grow in the new environment!
Experience of nursing practice. 20xx years and months is the beginning of my internship. We were very excited when we walked into the hospital in white nurse's clothes. With a feeling of hesitation and nervousness, I started clinical nursing practice for more than 10 months. Practice is not only the consolidation and strengthening of theoretical knowledge, but also the cultivation and exercise of nursing skill operation, and it is also the best training for us before employment.
At the beginning of internship, I always feel at a loss, helpless and unfamiliar with the practice of nursing work. With the passage of time, under the guidance of teachers, we began to get familiar with the hospital environment, and gradually understand our own work content, learn to adapt, learn to grow and survive in the new environment, which is the first harvest in the internship stage; Nurses have the most contact with patients. The key to becoming a good nurse is to learn to communicate with patients, so that they can do better on the basis of theory and practice, which is the second gain in the internship stage. The third harvest during the internship is also my biggest harvest: the improvement of nursing operation skills, the improvement of understanding of various pathogenic physiological diseases, and the cultivation of good study habits through continuous practice. Through thinking, I can draw inferences from others and constantly improve my ability to deal with emergencies through practice.
The practice of internship life made me understand that if you want to learn to do things, you should also learn to be a man. Learn to learn, constantly enrich theoretical knowledge and nursing operation skills, and strive for more exercise opportunities; Learn to be a man, handle the relationship with teachers in the hospital, that is, patients and their families, and know how to care for patients with real care. As nurses, it is our sacred duty to protect life, relieve pain and improve health. Our work is no longer simple skill operation such as injection and medicine distribution, but includes psychological care and more complex creative activities, which not only help patients recover, but also help and guide recovered people to stay healthy.
In the harvest of internship life, I realized that "the edge of the sword comes from sharpening, and the fragrance of plum blossoms comes from bitter cold". I believe that as long as I have the spirit of hard work and perseverance, I will make extraordinary achievements, so I will continue to work hard in this ordinary and sacred post and stick to it!