During my further study, I will never forget your teacher's superb medical skills, rigorous work style and meticulous work attitude. The teachers explained patiently while operating, which made me have a further understanding of the ultrasonic imaging characteristics and diagnostic points of common abdominal diseases. In my spare time, I constantly improve my study of relevant theoretical knowledge and integrate theory with practice. After three months' study, I have a preliminary understanding of the common and frequently-occurring diseases of abdomen diagnosed by ultrasound, and can diagnose the common and frequently-occurring diseases of liver, gallbladder, pancreas, kidney, bladder and prostate, and master the requirements of report writing. We have a preliminary understanding of vascular ultrasound, interventional diagnosis of liver, ultrasound diagnosis of thyroid, breast and various small organs on the body surface. Three months of theoretical and practical study has greatly improved my professional level and provided useful guidance and help for future practical work. In these days of further study, the dedication and carefulness of teachers are the model of my future medical career. From them, I not only learned medical professional knowledge, but also learned how to be a qualified ultrasound worker.
Although the study life is over, the study is endless, and there is still a lot of knowledge that we need to study and study hard in the future work! From now on, I will set myself a goal, actively pay attention to the new progress of related majors, strengthen self-study, strive to improve my ability in all aspects, and do a better job in hospital ultrasound!
B-ultrasound advanced self-evaluation model essay 2 is available online. We downloaded it before.
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Practice is the first step for us to apply theory to practice and clinic. In this process, I have gained a lot and learned a lot. The following is my self-evaluation of this practice:
During the internship, I will abide by the rules and regulations of the hospital and all departments of the hospital, unite with comrades, and strive not to be late, not to leave early, not to be absent from work for no reason, and not to leave my post without permission. Treat patients kindly, have a good attitude, strive to put theoretical knowledge and basic skills into practice, constantly sum up learning methods and clinical experience, try to improve their ability of independent thinking, independent problem solving and independent work, and cultivate their lofty thoughts and good professional ethics of serving the people wholeheartedly, without any medical mistakes and accidents.
I finally learned a different doctor-patient relationship here. I can always hear the adjective "pediatrics" from other people's mouths, which always means belittling pediatrics. But working here is not only about facing the little emperor, but also dealing with parents who treat them as treasures, so it is very important to communicate well, but at the same time I also know that I should constantly improve my comprehensive quality, especially my psychological counseling and endurance. In a word, I am satisfied with my performance during my internship and full of confidence in my future work. I sincerely hope that you will give me more valuable opinions and suggestions to help me make greater progress!
I study in the First Hospital of Jilin University. According to the requirements and regulations of the hospital, I went to seven departments to study, including internal medicine, internal medicine, gynecology, pediatrics, ent, emergency and orthopedics. During my study, I will abide by the rules and regulations of the hospital and all departments of the hospital, respect teachers, unite with comrades, be strict with myself, and strive not to be late, leave early, be absent from work for no reason, or leave my post without permission. I am kind to patients and have a good attitude. I try my best to apply my theoretical knowledge and basic skills to practice. In this process, I constantly sum up my learning methods and clinical experience, strive to improve my ability to think independently, solve problems independently and work independently, and constantly cultivate my lofty thoughts and good professional ethics of serving the people wholeheartedly. After this study, I improved the writing level of medical documents such as course records, consultation records and discharge records. Improve the ability of diagnosis and treatment of common diseases and frequently-occurring diseases in various departments; Further mastered the normal values and clinical significance of common tests and the treatment of various dangerous, serious and urgent patients. The learning tasks of all departments were successfully completed, and no medical errors and medical accidents occurred. In addition, as a preparation for party member, I got in touch with the Party branch of the hospital where I was studying, which ensured that when I left school and was not cultivating people's vision, I could continue to study the Party's education and keep moving closer to the Party organization. During this period, I actively participated in political study, business study and various activities organized by internship units and departments, which made my study life more substantial and meaningful. In a word, I am very satisfied with my performance during my further study and full of confidence in my future work. I sincerely hope that you will give me more valuable opinions and suggestions to help me make greater progress!
Through intense and extensive study, I realized that there were many misunderstandings in clinical work in the past, such as the choice of arteries when taking arterial blood, sputum aspiration when asphyxiating newborns, umbilical nursing and so on. After two months of clinical practice, I am familiar with the working mode of specialized nursing, and have mastered the new knowledge and technology such as the use of CPAP machine and the treatment of pneumothorax, the observation and nursing of necrotizing enterocolitis in premature infants, the reading of X-rays, the treatment and reading of pulmonary hemorrhage in premature infants, the nursing of patients with pulmonary hypertension, the nursing and recording of ventilator patients, the observation and nursing of neonatal and premature infants' infections, and the maintenance of PICC. After work, departments often organize some business studies to continuously improve their own literacy.
Through the communication with the head nurse, we obtained the internal management system manual, including the training manual for nursing staff, the neonatal resuscitation compiled by Director Wu, the training system for relevant personnel in the neonatal room, the relevant systems in the neonatal room, the responsibilities of cleaning staff, the disinfection measures for various instruments, and the communication skills between unaccompanied wards and their families. It laid a good foundation for the next step to open a neonatal room.
What impressed me the most was the rescue of the newborn. I think we are racing against time to save the weak lives. Through our unremitting efforts, we succeeded We have encountered this situation many times in our future work. I am not nervous anymore. I found that I have grown up. Although every day is hard, I am very happy.
In my later work, I gradually learned the techniques of arterial blood sampling and indwelling arterial indwelling needle in premature infants. First, I choose blood vessels. Neonates mainly use radial artery, brachial artery and posterior tibial artery, and rarely use femoral artery. Because the femoral artery is thick, but the position is not fixed well and the trauma is great, then feel the pulse by hand to determine the position of the blood vessel, and determine the angle of needle insertion according to the child's fat and thin, and the action should be stable, accurate and fast. The same is true of indwelling needle, which draws out the needle core parallel to the skin after blood transfusion. These are the main points of the work. You need to practice and think at work. In addition, the most important thing is the disinfection and isolation system. Before entering the neonatal ward, the staff should change their clothes, shoes and hats, wash their hands before and after touching the newborn, and strictly implement the principle of sterility to avoid cross-infection. Sterilize the ward once a day. For newborns, keep the skin clean and do a good job in umbilical care, oral care and hip care. Wipe and disinfect the used warm box once a day, and carry out the final disinfection after the child leaves the box. For children with hepatitis, diarrhea and fever, put them in isolation room and implement protective isolation.
At the same time, during these three months, I deeply felt that the medical staff here not only have good knowledge and technology, but also have humanized management, good teamwork, advanced equipment and technical level and excellent service in the department, which is also part of my learning content.
The comprehensive strength of radiology department of the First Affiliated Hospital of Sun Yat-sen University ranks among the top in China, with modern medical imaging center, complete facilities, advanced equipment and strong professional and technical strength; I feel very honored to be able to study in such a high-level department, to be exposed to all kinds of difficult cases, and to be guided and taught by first-class experts and professors in academia.
During the six months of studying in the First Affiliated Hospital of Sun Yat-sen University, I was carefully taught and cultivated by all the teachers. Through my unremitting efforts, hard work and hard study, I have successfully completed my study task, achieved certain results and achieved the expected purpose. The learning gains are summarized as follows:
Medical ethics: From the first day of admission, I have regarded myself as a member of the hospital, demanding myself with high standards, observing the rules and regulations of the hospital, abiding by professional ethics, not eating and drinking, and not seeking personal gain from doctors. Always take patients as the center, take patients' interests as the highest interest, and patiently and meticulously explain patients' doubts. Respect teachers, unite colleagues, love their posts and be dedicated.
Work and study: I have a deeper understanding of the imaging diagnosis of common diseases and frequently-occurring diseases, and I have a better understanding of the pathogenesis, etiology, pathology and prognosis of diseases. I have improved my imaging diagnosis ability in my daily work and fully realized the importance of combining imaging with clinic. Know more about difficult and rare cases. On the premise of not affecting my work, I often take advantage of weekend breaks to attend various national and local academic conferences outside the hospital, so that my knowledge is constantly broadened and my knowledge structure is constantly enriched. Radiodiagnostics is a professional with high theoretical, technical and logical requirements, involving clinical medicine, laboratory science, physiology, pathology, radiology and many other aspects. Becoming a qualified radiologist is really not an easy task. Over the past six months, I have constantly overcome all kinds of difficulties, studied hard, asked questions without shame, humbly consulted every expert, professor and colleague around me, read a lot of professional books and made serious reading notes, so my professional and technical level has improved rapidly.
In short, in the past six months, I have cherished every rare learning opportunity, redoubled my efforts, studied hard, and was not ashamed to ask questions, and finally benefited a lot. This is a valuable asset in my life, which will definitely play a great role in promoting my future work and study. I will go back to China with the new knowledge and new methods I have learned, and make persistent efforts to make new achievements in my future work. Thank you to every teacher and colleague in the radiology department of the First Affiliated Hospital of Sun Yat-sen University!
How time flies! Unconsciously, I completed the study in the Second Hospital of Hebei Province. Thank you very much for giving me this rare opportunity. In just three months, under the careful guidance of the head nurse and the teaching teacher in the neonatal room, I learned valuable knowledge and clinical operation that I have never encountered in my usual work.
Looking back now, I still remember the nursing knowledge of premature infants on ventilators, the technology of venous blood collection and indwelling arterial indwelling needle, the knowledge of scientific feeding of intravenous nutrition for premature infants, the disinfection and isolation system of neonatal room ... and some other knowledge, which I won't tell you here one by one. In short, three months has benefited me a lot. I always feel that time flies and I have a lot of skills to learn. Let me introduce my learning process and experience.
On April 8, I left the hospital and went to the neonatal room. On the first day of work, I am not familiar with the environment of the neonatal room. I don't know where to start. The most direct impression is that the neonatal room is busy. The staff kept shuttling between neonatal incubators. In my observation, intravenous infusion and premature feeding are the busiest parts. I fixed myself on these two aspects and put myself into my work.
On April 20th, the neonatal room admitted the obstetric triplets. The youngest triplet is only 500 grams, which I only came into contact with a few days ago. Because the child was born prematurely, his breathing was irregular. The doctor diagnosed neonatal respiratory distress syndrome and went to the ventilator and ECG monitoring.
Self-evaluation of advanced B-ultrasound 7. Management of operating room
The PLA General Hospital has many advantages in logistics management, human resource management, equipment management and high-value goods storage, which is worth learning. Each department prints a detailed list of charging items, and the toll collectors check and keep accounts after each operation, and the fees are settled on the same day to prevent arrears and missed charges. The instrument is responsible for all operations the next day. Conventional instruments and special instruments should be used, and the supply of emergency surgical instruments should be guaranteed. After the operation, the instruments should be cleaned, maintained, packaged and sent for disinfection. The teaching of new nurses and advanced students in general hospitals is very strict and standardized, and the training is managed by a teaching team leader. In order to prevent students from blindly coming to the stage, they were first organized to learn the rules and regulations and workflow of the hospital operating room, which laid a solid foundation for students to cooperate with the operation smoothly in the later period. Every operation has been trained in a unified way, and personal habits in the operation process have been eliminated. Adopt the "One Belt, One Belt" teaching method. In this process, teachers set an example, so that all students can understand the cooperation process of each operation, get used to the habits of operators and the matters needing attention in the operation process, and benefit all students.
Second, personal conversation
Through the comparison during the research period, it is found that there are both gaps and advantages between us and the PLA General Hospital. For example, in the operation notice, the foreign hospital will indicate the operation site, special supplies, whether it needs autologous blood recovery instrument and whether the patient has special infection, so that the head nurse can arrange the operation; Our hospital has done a very detailed job in cleaning, maintaining and disinfecting instruments, and has also done a very good job in maintaining instruments, basically putting an end to the strike phenomenon of instruments during surgery.
After seven months of advanced study, with the help of doctors and nurses in the operating room of PLA General Hospital and personal active study, my theoretical knowledge and professional skills have been greatly improved, and I have achieved the established internship goal, successfully completed the advanced study task and won unanimous praise from the teaching teachers. Strive to combine the income from further studies in future work in order to find a job.
Further improve and carry forward the advanced management concepts and practices of other hospitals in our hospital.
I feel very lucky to come to xx Hospital to study neonatal intensive care. At first, I was a stranger. Because this learning opportunity is very rare, it took the hospital more than half a year to get it. So before I come, I think I must seriously study their advanced nursing concepts and techniques, and make this trip to glad you came. But after coming to Hong Kong, I found that apart from studying, the most important thing is to experience the cultural differences between Hong Kong and the mainland. In just one month, I deeply felt the advanced hospital management mode, thoughtful occupational safety protection and many other places worth learning.
First, humanized management, first of all, good teamwork and diversified nursing staff echelon. The nursing team in each ward is equipped with ward manager, head nurse, specialist nurse and clinical nurse. Everyone cooperates with each other while completing their own work to ensure the nursing quality of the ward. In addition, they also have an organic section chief who is responsible for the daily management, debugging, maintenance and repair of instruments and the purchase of spare parts. Health service assistant, responsible for the replacement, replenishment and storage of nursing supplies; Ward assistant, responsible for terminal disposal and going out to do chores; Medical secretary, responsible for the reception, internal and external communication, statistics, sorting and storage of medical documents; Hygienist, responsible for ward hygiene (spotless effect required). Through the careful arrangement of personnel, everyone performs their duties, so that patients have a sense of security after admission, and everything is under the care of medical staff.
Second, the advanced technical level of equipment, excellent service and scientific and effective equipment setting are obvious features of Queen Mary Hospital.
Third, strict work style, in order to prevent accidents, the hospital stipulates that the dose of medical treatment must be checked by the pharmacy, and the dose can only be used on patients after being checked by two nurses; Special treatments, such as blood transfusion and application of curosurf, must be examined by both doctors and nurses before being implemented by doctors; In treatment, you can take it orally, and don't use intravenous therapy. Most antibiotics use penicillin, so stop taking it as soon as possible.
A month passed quickly. Here, I am very grateful to the hospital leaders for providing me with such a valuable learning opportunity, so that I can contact and learn the advanced medical technology and nursing concept of xx Hospital and feel the civilization and advancement of Hong Kong. At present, Dushanzi is in a period of great development. In order to meet the needs of great development, hospitals have continuously sent medical staff to the mainland and Xinjiang to learn advanced management models and medical technologies. I believe that through the joint efforts of all medical staff, Dushanzi Hospital will definitely become a unique brand hospital in the Golden Triangle and better serve the people of Dushanzi!
I especially recommend it.