Practical model essay on surgical learning experience 1
It's a great honor to divide the internship of major surgery into gastrointestinal surgery. Here, teachers regard us as their sisters, and nurses care about our interns, which makes us feel the warmth of this big family.
Surgery, mainly surgery. I remember that I was not very busy when I first arrived at gastrointestinal surgery. I may have one or two operations every day, which is basically not a major operation. Under the patient guidance of the teaching teacher, I am trying to cope with it every day. Slowly, the number of operations gradually increased, and I kept going after work every day. Busy, except for lunch break, until after work. Although busy, I learned a lot. I have practiced a lot from basic operation to specialized operation. Through the correct demonstration and guidance of teachers, many operations have also been standardized. There are mainly CVP measurement, intravenous infusion, intramuscular injection, enema, the use of intravenous indwelling needle, artificial anus nursing and so on. Gastrointestinal surgery is mostly for stomach, intestine, hernia, anal fistula and other operations, and many of them are hospitalized because they are found to be cancer. In this department, we can feel that cancer is getting younger and younger now, and some people only find it as intestinal cancer when they are twenty years old. Life is really precious and should be cherished.
In this department, there are also many family members who ask to keep their illness confidential, which also shows that psychological care of patients is very important. Gastrointestinal surgery is mainly for surgical patients, so special attention should be paid to skin care and drainage tube care. Health education for patients before and after operation also needs our earnest implementation. Especially in diet. Because most operations are gastrointestinal operations, it is generally necessary to wait until the gastrointestinal function is restored. Some family members don't understand, they start eating on the day of operation, or they have been afraid to eat. Therefore, diet health education is very important. In addition, it is necessary to teach patients and their families how to properly care for the drainage tube, prevent the drainage tube from coming out, and observe the color, quantity and nature of the drainage fluid. Observe the patient's condition changes in time.
Surgery is a dynamic department; The teachers in the department are extroverted and treat people well. I hope my future job can be in surgery.
Practical model essay on surgical learning experience II
I have been doing cardiothoracic surgery for four weeks, and I will leave in a blink of an eye. Meet in parting. This sentence is used to say that we are too suitable but. Always leave, always meet. Say goodbye to familiar teachers and arrive in a new environment. Maybe we can only meet if we leave! I understand that this is a kind of growth.
I learned a lot in cardiothoracic surgery. My tutor is a diligent, conscientious and responsible teacher. I still remember the first thing she said to me when she came to the department was "Let's study together!" Cardiothoracic surgery is the first real benefit of contact surgery. Because the last department is respiratory medicine, I really feel the difference between internal medicine and surgery through comparison. Most patients with lung cancer are treated conservatively by internal medicine, and most patients with lung cancer will undergo surgery in cardiothoracic surgery, while most patients with conservative medical treatment will choose chemotherapy or put down treatment.
In respiratory medicine, there are few surgical patients, but in surgery, on the contrary, there are many surgical patients. Personality is cardiothoracic surgery. Generally, the operation is large. Usually after surgery, people rarely go directly back to the ward. Generally, it is sent to ICU for observation first, and then sent back to the ward after the condition is stable. Pneumothorax is the most common in cardiothoracic surgery, followed by lung mass, heart disease patients (ventricular septal defect and aortic insufficiency are more common), and then esophageal cancer patients. There is a great difference between patients with esophageal cancer before and after operation. When they see a doctor before surgery, they may not be able to swallow anything at all and find it difficult to swallow. After the operation, patients usually need to fast for a week. This week, patients will feel uncomfortable, because the wound hurts. Esophageal cancer surgery will lift the stomach to the chest, which will make the lungs compressed and prone to atelectasis. Patients may have symptoms such as irritability, dyspnea, chest tightness and shortness of breath. We should encourage and assist patients to take a deep breath, cough and expectorate effectively, and help them turn over and pat their backs. If the patient's respiratory secretions are sticky, chymotrypsin and ambroxol can be inhaled by ultrasonic atomization to dilute the sputum. Usually, after the patient's condition is stable one week after surgery, he will gradually start eating, and his recovery will be smoother. In addition, the number of infusion drops in surgery is not as strict as that in respiratory medicine, because most of them are elderly patients. The heart function is not so good, but in the operation, except for the number of drops of patients with heart disease, the rest of the patients can basically drop about 70 drops.
Thoracic and cardiac surgery has seen many patients with closed thoracic drainage caused by pneumothorax intubation. Although it has been seen in respiratory medicine before, it has not been really treated. In cardiothoracic surgery, the teacher not only taught me how to see the fluctuation of water column to decide whether to block the tube, but also taught me how to replace the closed drainage bottle and drainage bag in the chest cavity. Let me learn a lot. In other departments before, I didn't use a concept for what I had to do every day. Under the guidance of teacher Zhao, I understand my daily work, instead of relying on the teacher blindly as before. Teachers are very strict in their work and strict with me. Although people often say that they are depressed, they are even afraid of teachers and blame them in their hearts. But when I got home, I thought about the teacher's words carefully and gained something. I am very grateful to the teacher for bringing me growth. Although I am not your best student, what you have brought me is really immeasurable wealth!
The future is always on the road. I hope I can do better tomorrow. Come on!
Practical model essay on surgical learning experience 3
1, process. This internship in gastrointestinal surgery is to go to the Second Hospital. Firstly, we led our senior nurses to systematically introduce the anatomical structure and physiological characteristics of the gastrointestinal tract (senior nurses read it according to the printed PPT because of some problems with the multimedia in the conference room), as well as the postoperative nursing characteristics and main observation contents of common diseases in their departments, such as gastroduodenal ulcer and other diseases; Later, the senior took us to visit the intensive care unit (all patients were in surgery at that time, so there were no patients in the ward). In the intensive care unit, we visited the air cushion bed, the patient's nutrient solution preparation process, ECG monitoring equipment and gastrointestinal decompression tube. Senior demonstrated the use of monitoring equipment and introduced the main observation indicators, and also briefly introduced the use method and precautions of gastrointestinal decompression tube. After the house call, Senior Sister gave us a brief introduction to the nursing record sheet and the main contents to be filled in before the hospitalized patients were admitted to the hospital and before the postoperative patients were admitted to the intensive care unit. This internship is over.
2. experience. Through this clinical practice and visit, my theoretical knowledge of gastrointestinal surgery has been consolidated and strengthened. At the same time, my basic nursing knowledge and skills are no longer limited to books, and I have achieved a qualitative leap from theory to practice in the nursing work of corresponding departments. With the rapid development of modern medical science and technology, the phenomenon that the knowledge in books is relatively divorced from clinical practice is widespread, which requires us to master the skills of refining and processing the core knowledge in books, integrating theory with practice and applying it to practice. Clinical practice can help us to complete this process and let us master this skill better. So I hope I can have more opportunities to do it in this way in my future study, and I will work harder to master the professional knowledge of nursing and strive to train myself as a doctor.
3. Suggestions. Through nursing probation, learning through experience and visit, boring theoretical knowledge can be made vivid, which is of great benefit to our study of surgical nursing. However, if we can visit more deeply during the internship, for example, in the internship of gastrointestinal surgery, we can visit nurses for specific nursing operations such as gastrointestinal decompression, which will be more helpful to our study, and also allow us to discover the similarities and differences between clinical practice and theory, find specific problems and think about them during observation, and better master the corresponding basic knowledge.