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Model report on nursing social practice Part I: White clouds float, legends are trapped in the past, fallen leaves sleep in the soil, and a hope is born. In the summer of _ _, this was my first summer vacation in Xinyang Vocational and Technical College. The emotion in my heart carries my dream-to be a glorious white soldier. The meaning of life is defined by myself. In order to recharge my medical knowledge, and the process of internship can't be given by all textbooks, I came to zhongmou county People's Hospital for a short summer internship.
As a student with only half a year's medical experience, I should start from the basics. When I came to the hospital, I felt fresh and afraid of everything, even though I was a patient here. After formally putting on the nurse's uniform, I saw myself in the mirror, wearing a clean white coat and a white mask. Thinking of the pride of wearing a white coat for the first time, I feel firm and confident in my heart! But my heart is full of a sense of pride, which is different from ordinary people and has already covered up the anxiety inside. But in the face of unfamiliar faces, unfamiliar environment and unfamiliar workflow, I am afraid of making mistakes, being scolded and being worse than others. Facing the busy figure of others, I only have a sigh in my heart, complaining that I can't apply theory to practice and that I didn't study hard at school. I was really moved by the teacher's patient explanation at school, especially their attitude towards becoming a doctor, which changed my uneasy heart. Think about the past, whether in the classroom or outside the classroom, medical ethics deteriorated and the image of nurses was bad. Here, I see smiling faces, and the nurses feel particularly beautiful and lovely, which makes me feel that if I were a patient, I would choose to live here without hesitation. Gradually familiar with here, the original uneasy thoughts and feelings no longer exist, and my colleagues gradually have the same topic. I dare to ask and do. I encourage myself to get rid of confusion as soon as possible and walk into the jungle of formal nurses. I believe I will do well.
The seemingly simple nursing work made me start to be in a hurry. The original confidence is gone. I began to learn from the nurses with an open mind, followed by the young nurses patiently explaining the nursing knowledge to me. Slowly, I shuttled through various wards to understand their nursing terms and some daily work.
I assisted the nurses in receiving patients, made four tests (blood pressure, body temperature, pulse and weight), mastered the methods of measuring blood pressure and body temperature, contacted the liquid preparation link, and strictly observed the "three checks and seven pairs" (three checks: preoperative check, intraoperative check and postoperative check; Seven pairs: according to the principles of bed number, name, drug name, concentration, dosage, method and time, prepare liquid medicine for patients.
Finally, I had a chance to practice, thinking about the operation essentials that the nurse told me, and came to the ward with a vessel full of tourniquet, adhesive tape and iodine. Smiling: "Aunt, it's time for an injection!" "I put a tourniquet on the patient, disinfected it with iodine, then picked up the needle and carefully plunged it into the patient's blood vessels. Seeing the blood in the tube, a feeling of relief spread all over the body. Unexpectedly, the first needle insertion will be so smooth when it is flat!
When the nurse was resting, she told me a real case of a patient who died because of a small bubble in an intravenous infusion tube. I was shocked and began to respect these ordinary nurses. On August 2, 200 1 year, with the consent of the hospital leaders, I observed a case of high ligation and stripping of varicose veins of the left lower extremity! Before the operation, the patient's family looked at the surgeon with expectant eyes, which suddenly made me feel that the doctor's responsibility was great. The operation lasted about two hours. The superb medical skills of surgeons made me understand the importance of basic medical knowledge. He is very careful, taking care of patients just like taking care of his family, just as the physiology teacher once said: Although you are experimenting with animals, you will treat people in the future! Therefore, I deeply realize that we should improve our professional quality.
After 15 days of internship in the hospital, I can finally catch my breath. Think about the busyness of so many days, and then think about the nurses who fight every day to know that nursing work is not easy.
I think nursing needs not only skilled skills, but also excellent professional quality: first, ideological quality: educate and train every nursing staff to love nursing work, devote themselves to nursing career and establish a solid professional thought; We should have lofty moral quality, noble sentiment and good medical ethics, take Bethune as an example, carry forward the humanitarian spirit of saving lives and practicing revolution: sincere and frank, full of spirit, modest and prudent, serious and responsible; We should have a high degree of organization, discipline and collectivism, unite and cooperate, and cherish collective and public property. Second: professional quality: nurses should be extremely responsible for patients, sincere, kind and enthusiastic, care for patients, master their psychological characteristics and give meticulous physical and mental care; Strictly implement the rules and regulations, stick to the post, act according to the rules, operate in an orderly way, execute the doctor's advice, concentrate on all operations, be skilled, accurate, safe, timely and excellent; Have keen observation, be good at discovering the change of illness, be calm, witty and flexible when the illness changes suddenly, and be quick, accurate and decisive in rescue; To do a good job in psychological nursing, we need kind language and patient explanation, do targeted ideological work for patients, and enhance our courage and confidence in fighting diseases; Keep clothes neat, dignified, steady, polite, simple and generous; Decent style, equal treatment of patients, serious work. Third, scientific quality: nurses should have the spirit of seeking truth from facts, be brave in controlling claims, master the basic theory of this subject carefully, and know the nature and reasons of each nursing technical operation; Nursing is an applied subject, so we must pay attention to accumulate rich clinical experience in practice and master skilled technology and excellent skills. We should study our business assiduously and constantly learn and introduce advanced nursing technology at home and abroad; We should be good at summing up experience, constantly controlling demand, conducting research, being brave in innovation, striving to improve the professional and technical level, and constantly promoting the development of nursing; We should actively learn and understand sociology, psychology, ethics and other knowledge, broaden our knowledge and better serve the physical and mental health of patients.
I learned a lot from short-term social practice. I have rich and colorful experiences and can apply what I have learned. I haven't taken several professional courses in my freshman year, but I have only a little knowledge, and I may not even know myself, but this internship has taught me a lot that I can't learn in textbooks.
I know the accurate method of measuring blood pressure. It is known that subjects should have a full rest before taking blood pressure, and do not smoke, drink alcohol or coffee, or hold their urine. The examinee should take a sitting position or a lying position, and the airbag should be tied at the upper arm 1/3, which should not be too loose or too tight, otherwise the blood pressure value will decrease. The gas injection speed should be slow, and the mercury column can be raised by 20mmHg after the auscultation sound disappears. The rate of deflation should be 2 mm Hg per heartbeat. The stethoscope should be placed at the elbow artery. Systolic pressure (high pressure) when the first sound appears after deflation, and diastolic pressure (low pressure) when the sound disappears (or changes tone). Besides, I also learned intramuscular injection and intravenous injection. The selected site for intramuscular injection is "outside gluteus maximus 1/4", and the skin is tightened, and the needle handle forms an angle of 30 ~ 40 degrees with the skin. When injecting, the intensity should not be too large to avoid the injection spreading around the injection point. At the same time, put a sterile dry cotton swab above the injection point and quickly pull out the needle. It's the first time to give someone an injection, and I dare not give it. Nurse Li gave me one hand and the second hand to a middle-aged woman. I was afraid it wouldn't fit in, so I used some force. As a result, people yelled, scared me into a cold sweat and apologized to others. Fortunately, people didn't blame me. It scared me to death. The second is intravenous injection. After the injection, I loosened the tourniquet and injected the liquid medicine slowly. During the injection, draw as much blood as possible to check whether the needle is still in the vein. It should be noted that the injection speed of liquid medicine should be treated separately according to the nature of the medicine. Moreover, patients who need repeated intravenous injections for a long time should pay attention to protecting their veins and not always stay in one place. The method of intravenous injection is: the patient hangs his wrist, because gravity blood vessels are easy to fill, as long as his left hand holds the five-finger joint in the lower part of the patient's palm with a little force, the skin can be tightened along the direction of blood vessels, and the blood vessels appear straighter and more obvious, with better filling degree and higher puncture success rate.
Although I write well, I have only given injections to a few patients. Their blood vessels are straight, with the lowest difficulty coefficient and high difficulty coefficient, I dare not go up.
I also learned how to deal with a fever. The most commonly used method is to take antipyretic and analgesic drugs. Such as aspirin 0.3-0.6 g l times, three times a day, half an hour after meals. In addition to drug cooling, physical cooling can also be used. Commonly used methods are: ① Alcohol bath, in which 30%-50% alcohol is used to gently rub the patient's neck, chest, armpit, upper limbs, palm and back, groin, lower limbs, instep and instep. 15- 30 minutes each time. The advantage of alcohol rubbing bath is mild, unlike drug cooling, which is difficult to control and has side effects, and can be carried out at any time; ② Cold compress: A cold towel or ice cap is usually placed on the patient's head, and an ice pack can also be placed in the armpit or groin. Although it is hard to practice in the hospital, I still like the internship days. Through this practice, I fully realized the mission of "saving lives, relieving pain, preventing diseases and rehabilitating health care" undertaken by medical workers. Sun Simiao, a "medical sage" in the Tang Dynasty, wrote in Qian Jin Fang that a great doctor is sincere: "Any great doctor who treats a disease must be calm, want nothing, put great sorrow first, and swear to save the suffering of cold." Therefore, nursing students should not only master advanced medical technology, but also have the character of caring for their posts, being honest and dedicated, serving the people wholeheartedly and promoting the humanitarian spirit of saving lives, so as to make better contributions to the country's medical and health undertakings!
Model Report on Nursing Social Practice Part II: The clinical practice of more than two months is over. In this short time, I deeply realized that clinical practice is the consolidation and strengthening of theoretical learning stage, the cultivation and exercise of nursing skill operation, and the best training before our employment. Although this period of time is short, it is very important to each of us. During the internship, under the careful guidance and patient teaching of teachers, I earnestly studied the Regulations on Handling Medical Accidents and its laws and regulations, actively participated in the training of the Regulations on Nursing Medical Accidents organized by the hospital, and participated in the study of nursing staff many times. Through study, I realized that the legal system is becoming more and more perfect, and the people's legal concept is also 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. Moreover, the theoretical level and practical level have been improved to a certain extent under the careful work plan of nursing staff.
In practice, we should strictly abide by the rules and regulations of the hospital and various departments, attend rounds and shift changes on time, earnestly perform the duties of nurses, be strict with ourselves, respect teachers, unite with classmates, work hard and think of patients wholeheartedly. At the same time, we can understand family members, correctly handle the relationship between nurses and patients, do a good job of explanation and comfort, say "I'm sorry" more, let family members understand the work of nurses, and reduce unnecessary misunderstandings or excessive behaviors. In ward practice, I have the most contact with patients, the deepest understanding of diseases and the most 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 basic nursing operations such as catheterization, inserting stomach tubes, washing hair in bed, bathing in bed, oral care, automatic gastric lavage, intravenous infusion and various enema methods. At the same time, we should constantly enrich clinical theoretical knowledge, actively think about various problems, consult teachers or other teachers modestly for questions that we don't understand, take knowledge notes, focus on theoretical study in a planned way, take measures and record in nursing work, and better strengthen the combination of theoretical knowledge and clinic.
Especially during the internship in cardiology, we learned that hypertension, arrhythmia, coronary heart disease and heart failure are the most common diseases in undergraduate course. Under the guidance of the teacher, we learned how to strengthen the observation of the patient's condition, improve our understanding of the patient's disease, and also learn how to educate the patient with various health knowledge, and exercise our ability to apply what we have learned. I have a new understanding and improvement of the diagnosis and treatment of common diseases and frequently-occurring diseases in internal medicine, and realized the importance of "three checks and seven pairs" and "aseptic operation". I have mastered the nursing and basic operation of some common diseases, and also mastered how to rescue and care for critically ill patients. At the same time, I actively participated in various case discussions and academic lectures, constantly enriched my professional knowledge, and gained a more comprehensive understanding and understanding of holistic nursing technology and ward management knowledge through learning.
In this short practice, we have gained a lot. If summed up in simple words, it will look pale and powerless, at least it can't be expressed accurately and clearly, but we have benefited a lot. With a more proactive working attitude, more solid operational skills and more profound theoretical knowledge, we should take up their respective jobs, improve clinical nursing ability, keep in mind the responsibilities of nurses, constantly strengthen ideological study and professional study, comprehensively improve our comprehensive level and provide better services for patients.
Model report on nursing social practice Part III: In neurology, common diseases include cerebral hemorrhage, cerebral infarction, transient ischemic attack, encephalitis, etc. In terms of diet care, the diet of patients with nervous system diseases is generally low in salt and fat. In skin care, patients with nervous system diseases accompanied by limb movement disorders are prone to pressure ulcers due to long-term bed rest. Patients should be assisted to turn over on time, once every 2 hours. In order to prevent infection and keep the respiratory tract unobstructed, take a lateral position with your head tilted to one side. If you vomit or have secretions in your throat, suck them out in time. Do a good job in oral care, observe the oral situation at any time, and choose the appropriate mouthwash. Try to avoid blood transfusion in lower limbs, because deep veins of lower limbs are prone to venous thrombosis. In the aspect of rehabilitation, we should work out a physical function exercise plan with patients and their families, emphasizing the principle of reasonable, moderate, gradual, active and passive exercise. Do a good job in psychological care of patients and their families. Learn to master new technology.
In a blink of an eye, two months of real life is over. I have been practicing in neurology for two months. Although the time is short, the gains are enormous. Here, I need to know the causes and inducing factors of common diseases, the application of professional special instruments and specialized detection and treatment methods, such as lumbar puncture, cerebral angiography, cerebral vascular interventional therapy, ECG monitoring, pacemaker defibrillator, hyperbaric oxygen chamber treatment, various endoscopic examinations and so on. Familiar with the clinical manifestations, treatment principles, toxic and side effects of common diseases, the normal values and clinical significance of clinical tests, able to identify common abnormal electrocardiogram, functional tests and test methods of various system diseases. Although I have worked in the clinic for many years, I feel fresh and uneasy about studying again as an internship student this time. What is new is my student status, and what is worrying is whether I can gain something and use it. With the development of nursing discipline and society, many new requirements are put forward for nursing work. The content of practice is no longer a simple injection and infusion, but a comprehensive evaluation of patients, care from all aspects, maximum recovery of patients' physical and mental health, and return to normal life. Let me summarize my practice.
In neurology, common diseases include cerebral hemorrhage, cerebral infarction, transient ischemic attack and encephalitis. Except encephalitis, the onset age is mostly over 40 years old, and it is younger in recent years. Most patients have a history of smoking, drinking or hypertension all the year round, often with acute onset and recurrent attacks, and some patients have nerve damage. Symptoms and signs of nervous system diseases can be manifested as disturbance of consciousness, sensory perception and movement (such as paralysis, involuntary movement, abnormal gait and ataxia). ), abnormal muscle tone, headache, dizziness, dizziness, abnormal reflex, dysphagia, speech disorder, muscle atrophy, urination, defecation, sexual dysfunction, etc. In addition to various abnormal signs, cerebrospinal fluid (CSF) is often abnormal in nervous system diseases.
Nervous system diseases have their own characteristics in diet, skin, infection prevention, rehabilitation exercise, psychological care and so on.
In terms of diet care, the diet of patients with nervous system diseases is generally low in salt and fat. Generally speaking, the dietary principle is to eat foods rich in vitamins, high protein, low salt, low fat and low starch, such as coarse grains, black rice and soybean milk. Do not eat cold, greasy, spicy and irritating food, but eat more fruits, vegetables and beans. Eat a diet rich in zinc and magnesium, such as lean pork, beef, mutton and fish, and avoid fat. Many patients with nervous system diseases are confused or confused, accompanied by dysphagia and restlessness, unable to eat normally, and often need to keep the stomach tube and nasal feeding diet. Before nasal feeding, the patient's nasal cavity should be evaluated for inflammation, bleeding, ulcer, deformity and surgical history. Patients with vague consciousness are often anxious. In order to prevent the stomach tube from pulling out, it is usually inserted into the paralyzed nostril. If the gastric tube accidentally comes out, re-insert it from the other side. The reactivity of coma patients to external stimuli decreases, so food overheating should be prevented to avoid damaging gastric mucosa. Patients with cerebral hemorrhage should eat more fruits and vegetables to keep their stools unobstructed. When patients are complicated with other basic diseases, they need to be considered comprehensively.
In skin care, patients with nervous system diseases accompanied by limb movement disorders are prone to pressure ulcers due to long-term bed rest. Patients should be assisted to turn over on time, once every 2 hours. Don't drag, pull or push when you turn over, so as not to scratch your skin. After turning over, a sponge or a soft pillow should be placed in the gap between the body and the body to increase the area of the body and reduce the pressure on the prominent parts. The compressed bony process should be padded with sponge or sponge ring to avoid oppression. Change the wet and dirty bedding, underwear and wound dressing soaked by secretions in time. Don't let patients sleep on wet beds, and don't sleep directly on rubber mats or plastic sheets. Pay attention to keep the patient's skin clean and dry, avoid urine soaking the skin and wounds, regularly wipe the body with a hot towel, wash hands and feet, and promote skin blood circulation. Avoid high temperature or cold stimulation, and use hot water bottles or ice packs with caution to prevent burns and frostbite.
Aseptic operation. Patients who stay in bed for a long time can take a semi-lying position, which is beneficial to the discharge of sputum and the recovery of lung function. If the sputum is sticky and difficult to cough up, it should be inhaled by ultrasonic atomization. Assist the patient to turn over regularly to prevent lung infection caused by congestion and secretion deposition in the lower lung. Turn over and pat the patient's back on time to promote sputum discharge. Do a good job in oral care, observe the oral situation at any time, and choose the appropriate mouthwash. Try to avoid blood transfusion in lower limbs, because deep veins of lower limbs are prone to venous thrombosis. For patients who stay in bed for a long time, the lower limbs are raised by 20-30 degrees, and the distal end of the lower limbs is higher than the proximal end. Try to avoid putting pillows under your knees. Excessive flexion of hip joint will affect venous return. In fact, the most effective way to prevent limb paralysis is to increase the activity of patients. Encourage patients to get out of bed early, and urge patients to actively flex and extend the plantar flexion, dorsiflexion, varus movement and ankle rotation movement of lower limbs; Passively massage soleus and gastrocnemius of lower limbs.
Model Report on Social Practice of Nursing Part IV: With the end of clinical nursing practice, according to the requirements of our school of nursing, we conducted a four-week nursing practice in _ _ _ community health station. Thank you for giving us the opportunity to experience and get in touch with community nursing. I learned the following from this practice:
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 if the goal of establishing a complete social health service system in China was basically completed in 20 10, 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.
Article 5 of the Model Report on Nursing Social Practice: The practice stage 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, get exercise, further enrich and improve their theories in practice, standardize their behaviors, and lay a good foundation for future independence. Let's discuss it with you.
1, we should establish the humanistic service concept of "people-oriented".
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.
2, we must strictly abide by the rules and regulations and operating procedures.
In the nursing work system, there are various operating rules, such as "check system", "on duty, shift change system", "carrying out doctor's advice system", "rescue work system", "disinfection and isolation system" and "graded nursing system", which are clearly stipulated 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.
3. Achieve "Four Diligences"
People are lazy. Especially now that there are many only children, this kind of inertia and dependence is relatively strong, which should be overcome in practice. 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 of various nursing operations and use gymnastics techniques, 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 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. On the basis of division of labor, cooperation is needed. 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.
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