Summary report of nursing practice 1

Nursing is a practical subject, especially obstetrics and gynecology, which is related to the safety of two people. Obstetrics and gynecology is not a key subject for nursing students, and the knowledge learned in school may not be impressive. Teachers should pay special attention to the ability training of nursing interns, which requires the understanding and cooperation of patients. To achieve this goal, teachers and students should first have a good service attitude, communicate with patients and their families, speak kindly and gently, and treat patients like relatives; Secondly, we should strictly abide by the nursing rules and regulations, and there should be no negligence; Thirdly, we should create conditions to strengthen basic skills training, teachers should give careful guidance, and students should study hard with an open mind to minimize the pain of patients. "Thank you more and apologize early" is an effective way for nursing students to prevent medical disputes. Only in this way can the quality and safety of clinical nursing teaching be guaranteed.

Objective: To analyze the changing trend of social factors in curettage and explore the influence of medical and non-medical factors on it.

Methods: The data of obstetrical inpatients in Duanzhou Maternal and Child Health Hospital from 65438 to 0999 were analyzed retrospectively.

Results:

① The rate of cesarean section is increasing at the rate of L%-2%-2% every year, with an average of 40.86%, and social factors account for nearly half of cesarean section.

② Social factors The sex ratio of newborns in cesarean section is 1.77: 1, compared with the whole 1.34: 1, P

③ The incidence of postpartum hemorrhage after cesarean section due to social factors was 65438 0.29%;

④ Social factors increased cesarean section rate and decreased neonatal asphyxia rate; ⑤ Due to social factors, the psychological tendency of doctors greatly affects the rate of cesarean section.

Conclusion: The non-medical factors that affect the social factors of cesarean section are mainly the psychological tendency of medical staff and the subjective factors of pregnant women, and the social recognition of cesarean section comes from both medical and non-medical factors.

At present, as an alternative mode of delivery, cesarean section is increasing year by year. However, the existence of social factors as "surgical indications" without surgical indications is questioned, among which the influence from doctors' psychological tendency deserves attention. In this paper, the related data of social factors cesarean section in our hospital in recent 7 years are analyzed retrospectively, and the report is as follows.

1 data and methods

1. 1 data

The complete original medical records of 1999-_ _ _ years recorded in the medical record room of our hospital. The doctor's psychological tendency is the result of the interview. . Social factors ":① No surgical indications were recorded; (2) those who are not in labor or have not fully tried labor or have been in labor and the labor process is progressing smoothly, but the mother insists on the operation.

1.2 method

To analyze the cesarean section rate, social factors cesarean section rate and neonatal sex ratio over the years. Volume method and visual method were used to estimate the amount of bleeding during operation. Weigh the amount of bleeding for 24 hours with blood cell counting paper. Doctors' psychological tendency towards social factors of cesarean section adopts questionnaires and interviews. Statistical processing adopts test method.

Two results

2. 1 Changing trend of cesarean section rate caused by social factors

In recent seven years, the rate of cesarean section in our hospital has increased year by year, and the proportion of social factors in cesarean section has increased rapidly, with the largest increase in _ _ _ _ _ _, which is 2.33 times higher than that five years ago, and the social factors in cesarean section have increased by 2.5 times compared with that in _ _ _ _ _ _ _.

2.2 neonatal sex ratio

The average sex ratio of newborns in our hospital is1.34:1(7159: 5342). Social factors: the sex ratio of newborns in cesarean section is1.77:1(907: 510); Male newborns account for 57.27% and " There was significant difference between them (23.73, P

2.3 Intraoperative bleeding

There is no difference between cesarean section and social factors, and the average blood loss is (203.73±92.93)ml, which is similar to vaginal delivery. The incidence of postpartum hemorrhage was 2.32% and 65438 0.29% respectively. There was significant difference between them (5.49, p0.05). The primary healing rate of abdominal wound was 99.80%.

2.4 Social factors

The changing trend of cesarean section rate and neonatal asphyxia rate shows that the cesarean section rate is rising due to social factors. The incidence of neonatal asphyxia has decreased, and the rate of cesarean section caused by social factors is _ _ _ _ _ > 40%. The incidence of neonatal asphyxia decreased by 2%, and the difference was significant (P

2.5 Investigation situation

32 medical staff participated in the survey, including 16 doctors and 2 anesthesiologists. I am a nurse. Due to social factors put forward by pregnant women, more than 70% doctors choose not to encourage cesarean section. Adults' choices will not discourage people. To the question: "If it were you or your wife, would you choose social factors for cesarean section?" The answer was yes (56.25%), among which 7 unmarried young doctors chose yes (1.000%), while 4 of the 5 midwives surveyed chose no.

3 discussion

The concept of cesarean section indications has changed from medical factors, that is, maternal and fetal factors, to the coexistence of medical and non-medical factors. The change of these concepts is the main reason for the increase of cesarean section rate. In the past seven years, the cesarean section rate in our hospital has increased by 1%-2% every year, with an average of 40.86%. The cesarean section rate is still in the middle level, and some hospitals have exceeded 70%. Individual as high as more than 90%. As can be seen from the above data, the proportion of cesarean section caused by social factors has risen sharply since _ _ _ _, and has been close to 50% by _ _ _ _. The reasons mainly come from the influence of non-medical factors: ① social recognition of cesarean section; ② Subjective factors of pregnant women; ③ Psychological tendency of medical staff.

The author thinks. Social recognition stems from the continuous progress and improvement of obstetric surgery technology. The application of anesthesia technology is mature, postoperative analgesia is effective, the risk of complications is low, and the healing rate of abdominal wounds is good. The incidence of postpartum hemorrhage and neonatal asphyxia in this group were 65438 0.29% and 65438 0.65438 0.07%, respectively, which were lower than the reported incidence of postpartum hemorrhage and neonatal asphyxia of 65438 0.6%-6.4% and 3%-65438 0.00%.

Subjective factors of pregnant women such as fear, fear of pain, timing, baby, etc. As well as the influence from family, colleagues, relatives and friends, many pregnant women in the same office, school or aunt have chosen cesarean section and have many second children. Cesarean section was chosen because of the need for ligation in family planning. There is still a certain market for son preference. The existence of underground B-ultrasound makes the sex ratio between men and women unbalanced. Fortunately, this phenomenon has obviously improved.

Another problem worthy of attention is the psychological tendency of medical staff. The above questionnaire is a good proof. This kind of direct "guidance" and indirect "suggestion" greatly influenced the choice of pregnant women and their families. There are the following links: ① The doctor told me that the pelvis is too small, the fetal head is too big, and the fetal head is not well connected. ② The attitude of the B-ultrasound doctor during the B-ultrasound examination, especially the doctor's suggestion or "suggestion" when the umbilical cord is around the neck, the amniotic fluid is less or the biparietal diameter is larger, and the placental maturity is Grade III. (3) The doctor's statement about the possible adverse effects on the fetus and other accidents during delivery will aggravate the fear of pregnant women and their families. (4) When the fetal movement is too much or too little, the fetal monitoring shows that the variation is not ideal, the pelvis is narrow, and there are small fibroids and cysts. Willing to avoid risks and give up the opportunity of trial delivery, if the conversation has its own tendency, the probability of pregnant women choosing cesarean section will greatly increase. Some doctors even changed to cesarean section when the maternal cervix was completely open and the maternal pain was unbearable. The reason why doctors are so cautious about the imperfection of the current medical market and medical system. Ask for compensation at every turn.

As for the low incidence of postpartum hemorrhage, it may be related to strict operation during operation, accurate estimation of bleeding volume and strict observation of preventive nursing after operation. It can be seen that postpartum hemorrhage is preventable to a great extent. The neonatal asphyxia rate is low. The author thinks that cesarean section avoids umbilical cord factors, placental factors and possible risks during delivery.

Nevertheless, most doctors do not agree with social factors for cesarean section. 75% will try to discourage it. There are 1 cases with 36 weeks' pregnancy in our hospital. However, B-ultrasound showed that the fetal binomial diameter was full-term, and pregnant women and their families strongly demanded surgery. After repeated persuasion failed, a cesarean section was performed. The premature boy weighed 3. 1kg and his appearance was normal. However, the next day he began to have breathing problems until he was put on a ventilator and transferred to several hospitals. It took more than 1 month and more than 200,000 yuan, but it failed to save the life of this child with congenital respiratory dysfunction. Another case of epidural anesthesia complicated with lumbosacral plexus injury after cesarean section has been 2 years, and the motor function of one limb of the patient has not returned to normal.

It is reported that the long-term complications after cesarean section, such as pelvic inflammatory disease, irregular menstruation and low back pain, are significantly higher than vaginal delivery. The probability of cesarean section is increased, such as infant syndrome, wet lung and respiratory distress syndrome. From the perspective of baby's growth and development, social factors of cesarean section are not superior to natural delivery. It is likely to have a certain potential impact on the baby's sports development. Therefore, it is necessary to guide pregnant women and their families to look at cesarean section objectively, clarify its advantages and disadvantages, especially emphasize long-term complications, not blindly choose cesarean section, and let delivery return to nature with the support of the whole society. Especially the efforts of doctors.

Summary of nursing practice report II

Time flies, it's already April, and our nursing practice is drawing to a close. Looking back on this journey, my heart is full of joy of harvest and I am making progress every day. My life is very busy, but it is also very quiet and practical. Thinking of myself when I first entered the clinic, I came to Hubei Provincial People's Hospital (the First Affiliated Hospital of Wuhan University College) with perfect vision and expectation for my internship life, and my heart was full of passion. I didn't realize that the nine-month study time passed quietly, and I gained a lot. Below I make a summary of my internship life.

First, medical work.

In this short and long nine months, I rotated 13 hospital departments, including internal medicine, surgery, pediatrics and gynecology, according to the requirements stipulated by the school guidance office. The internship in the past year is the most important transition from students to medical work. The intern's job is nothing more than taking part in formal work. The treatment class provides patients with treatment, dispensing and injection and various specialized nursing operations. The main class helps patients get medicine, send medical records and ask questions. The assistant main class just sits in front of the computer to keep accounts for patients, print infusion cards, label bottles, write nursing rounds and make up nursing records. The information seems simple and boring, but the process is tedious. After all, every moment of this day's work is worth an inch of land, and only at night is your own.

It is very important to sum up the day's work. You must force yourself to remember what happened that day: what medicine was added, what medicine was withdrawn, what medicine was added and what medicine was lost, but why did the professor change the usage of these medicines? What is the evidence of the use of this drug? Sometimes the professor will deliberately not tell me and exercise my thinking potential. I will start with its clinical symptoms and signs one by one, but I often make mistakes. When I went to talk to the professor the next day, I was often hit, but it was such a blow that I firmly engraved these knowledge points in my heart. Even in the three months after looking for a job, I never forgot to come back to the clinic for three months.

In the past internship years, I have constantly felt the strong difference between internal medicine and surgery. One of the important differences is that internal medicine emphasizes the idea of diagnosis, while surgery emphasizes the process of surgical treatment. In addition, laboratory and imaging examinations must be supplemented to gradually eliminate the corresponding diseases and finally get a clear diagnosis.

Second, ideology and morality and medical ethics.

In the clinical practice in the past year, I deeply feel that nursing is not only a highly professional discipline, but also a highly comprehensive discipline. As a nurse, in addition to excellent professional knowledge and skills, personal morality and style should reflect everyone's demeanor.

Third, clinical teaching.

During this year's internship, I and other internship members of the group experienced three rounds of teaching. Although it took us a lot of energy and time to prepare, we gained a lot of clinical knowledge that can't be seen in textbooks, deepened our understanding and understanding of diseases, and opened our thinking of diagnosing diseases. Now that I think about it, I really appreciate that busy moment, which gave us many opportunities to learn.

The internship is almost over. In addition to summing up my own gains, I also make a summary of my own shortcomings. I am not generous enough to get along with people, I don't talk much, I don't take the initiative to ask questions when I study, and sometimes I don't pay enough attention to things. So I must strive to improve my potential in all aspects, set a good goal and make steady progress in my future work and study.

Summary report of nursing practice 3

On xx, xx, I stepped into X Hospital with hesitation and nervousness and started a clinical nursing practice for xx months. I am very grateful to xx Hospital for providing me with such a good internship environment and various superior conditions. Thanks to the hard work of all the teachers, I had such a good practice opportunity before I set foot on my post.

The internship 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 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.

Through more than half a year's nursing practice, under the careful guidance and patient teaching of the teaching teachers, I learned Theory of Three Represents Theory, studied and implemented the spirit of xx, learned 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 for many times. Through study, I realize that with the establishment of the socialist market economic system, the legal system is becoming more and more perfect. People's awareness of the legal system has been continuously enhanced, and it has become common sense to act according to law and safeguard legitimate rights and interests. The concept of modern nursing quality is to satisfy patients in all directions and in the whole process, which is a higher and newer demand for medical care services, thus enriching legal knowledge, enhancing the awareness of safety protection, enabling nurses to understand and apply the law, reducing the occurrence of medical accidents according to law, and improving the theoretical level and practical level to a certain extent.

In this increasingly fierce social competition, I fully realized the importance of becoming a qualified nurse, but when I really came into contact with patients, I found that there was still a gap between clinical nursing and books. I not only have a solid theory and skilled operation, but also have a caring point of view and so on.

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.

The nursing system includes checking system, duty system, succession system, doctor's advice system, rescue system, disinfection and isolation system, grading 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.

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 is a chance to learn practical knowledge. Four diligence must first be diligent, 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 should take the initiative to do it, and they must never wait and shirk it. Do a good job in treatment and nursing, and have nothing to do. Go to the ward to understand the patient's various conditions, 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 pass on their knowledge and experience to you (take the exam).

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.

Satisfying patients' basic living needs is implemented by nurses using nursing techniques from a physiological point of view, such as breathing, circulation, body temperature, diet, excretion, cleaning, environment, activities, rest, posture and posture. When patients can't gargle and brush their teeth by themselves due to diseases and other reasons, nurses should take care of their oral cavity, which can not only make patients feel comfortable when keeping their oral cavity clean and moist, but also prevent oral infections and complications. Normal physiological activities of people during urination are also their basic needs. For patients with urinary retention with dysuria, a series of measures can be taken when non-urinary tract obstruction is detected, such as changing the patient's lying position, massaging the patient's lower abdomen with hot compress, inducing urination with conditioned reflex, such as listening to running water and washing perineum with warm water. If the above measures are ineffective, urethral catheterization can be carried out under aseptic operation to extract urine from the bladder, so as to alleviate the pain of patients and meet their basic needs for urination. In order to meet the treatment needs of patients, nursing activities include observing vital signs, giving drugs, intramuscular injection, intravenous infusion and blood transfusion. For patients after abdominal surgery, assisting them to take a semi-sitting and lying position can promote the localization of infection, reduce the absorption of toxins and reduce the tension of wound suture, thus alleviating pain and promoting healing. For patients with hyperlipidemia, low-fat diet is often used to limit the intake of animal fat in order to cooperate with drug treatment.

During my internship in the ward, I mastered various methods of making beds and changing sheets for bedridden patients. The significance and methods of patient admission and discharge nursing, oral nursing, prevention, treatment and nursing of bedsore, morning and evening nursing, blood, urine, stool and routine specimen collection. Understand the writing methods of doctor's orders, ward reports, critical records, nursing cases and body fluid discharge records. Familiar with oral administration, aerosol inhalation and injection administration. Methods of drug allergy test and solution preparation, judgment of skin test results, methods of venous blood collection, infusion and blood transfusion, methods of measuring and recording body temperature, pulse, respiration and blood pressure, methods of drawing body temperature sheet, oxygen inhalation, sputum aspiration, nasal feeding, gastric lavage, enema and catheterization for male and female patients. Use and maintenance of monitors and ventilators. The characteristics of ECG waveform, the principle of various drinking channels and nursing points.

During my study in the emergency room, I became familiar with the method of triage, the function, dosage, indications and usage of commonly used first-aid drugs, and the rescue methods of common poisoning patients. For example; Use of gastric lavage machine and matters needing attention in rescuing various poisoning symptoms. Master cardiopulmonary resuscitation

During my surgical practice, I have mastered the aseptic technique operation and isolation gown's threading method. Know the principle of dressing change and the method of gastrointestinal decompression. The clinical manifestations of common diseases are external resistance, preoperative and postoperative preparation and nursing. Mastered the nursing work in the operating room, the preparation and aseptic treatment of articles. Methods of changing clothes, disinfecting arms and wearing sterile surgical gowns and gloves for operators. The patient's surgical position, skin disinfection in the operating area, and the method of laying sheets in the operating area. Master the principle and cooperation of aseptic operation in operating room, and be able to skillfully cooperate with hand-washing nurses and visiting nurses.

Inpatients will have a series of adverse psychological reactions due to the influence of diseases on their bodies and the changes of living environment and lifestyle. It is necessary to understand the complex psychological activities of different patients, provide psychological comfort, support and guidance to patients, respect patients' personality and adjust patients' emotions, so as to relieve patients' various pressures that are not conducive to treatment and rehabilitation.

In the nursing process, we should always run through patient-centered holistic nursing, and use the working method of nursing procedure to solve problems for patients, so that patients can achieve the best physical and mental state needed for treatment and rehabilitation.

I will study harder in my future work and improve my business ability. Make your theoretical knowledge and operational skills by going up one flight of stairs, so as to better serve patients. Strive to be an excellent nursing staff, worthy of the glorious title of angels in white!

Summary report of nursing practice 4

Many people in angels in white call nurses that way. They are holy nurses' hats, beautiful nurses' clothes and respected professions. That's how we are. At a young age, we embarked on the road of nursing work with great expectation. Time flies, I still remember the excitement when I first entered Ruijin. In a blink of an eye, I have been from Ruijin for half a year. The broad love and the pursuit of Excellence around the hospital lawn have long been deeply rooted in the hearts of the people, inspiring me to keep moving forward, telling me that being a Ruijin person is a kind of pride.

This half year has made us deeply realize that nursing work depicts nobleness in suffering and fatigue, and creates brilliance. Countless sunny mornings, we played the concerto of caring for life; Countless sleepless nights, we feel the symphony of life and death. It is the nurse's hands that greet the arrival of life; It is the nurse who fights against the disease; It is the nurse who accompanies the pale life. The person who pulls the curtain of life is a nurse, and the person who pulls the curtain of life is still a nurse.

The starting point of Ruijin is gynecology and pediatrics. The initial loneliness and disappointment have long since vanished. Every day is a challenge and an opportunity. When I first entered the clinic, I felt very different from my internship. From not letting go at the beginning to being on duty independently now, the joy of growing up is coming.

We are assigned to different departments, including pediatrics, pediatric emergency, obstetrics and gynecology. I didn't know anything when I first went in. I don't know where to start. The head nurse asked each of us to work with a master. Under the tireless teaching of the master, we gradually adapted to the responsibilities of each class and learned a lot that we couldn't learn in school. We will be able to work independently soon.

Summary report of nursing practice 5

Clinical practice is an important stage of nursing education, a process from theory to practice, and the first step into medical nursing activities. How to make nurses become qualified nursing talents with excellent skills, medical ethics and theory in the new period is a problem worthy of in-depth consideration by hospital nursing managers and clinical teaching teachers. According to the actual teaching situation in our department, we have explored a set of effective methods in teaching practice and achieved good results. Practice and experience are summarized as follows:

I. Instructors:

1. Our department arranges nurses who have the title of nurse or have worked in our hospital for more than three years as teaching teachers. After the nursing students entered the department, the teaching team leader carried out the education of entering the department, emphasized the labor discipline and department rules and regulations, introduced the ward environment, explained the professional characteristics of the department and arranged the work. Give small lectures to interns regularly, so that interns can master the nursing of closed thoracic drainage tube in our department and the process of emergency plan for occupational exposure of medical staff. At work, the teaching teacher is strict with students, regularly explains the operating rules and precautions in the operation, and personally tries to teach how to communicate with patients, so that students can understand the operating procedures step by step.

2. At the end of the internship, the nursing students evaluate and score the teachers and judge the excellent teachers they think; At the end of each nursing student's internship, the teaching teacher evaluates the nursing students in stages according to the teaching plan formulated by the department, scores them strictly according to the standard, and sincerely points out the shortcomings. In the process of teaching, we should constantly sum up experiences and lessons, constantly improve teaching methods and improve teaching quality.

3. To leave the department of nursing students for theoretical examination and operation assessment, and file the data for future reference.

Second, interns:

Interns can abide by the rules and regulations of the department, strictly abide by the operating rules, respect teachers, unite students and be kind to patients. I have mastered the common nursing operations in our department, such as the nursing of closed thoracic drainage tube, catheterization, observation points of neurosurgery department, nursing routine and health education of common diseases and frequently-occurring diseases in general surgery, and learned the writing norms of various nursing documents. In the graduation examination, the theoretical examination can reach more than 80 points, and the operational examination can reach more than 85 points, and the internship plan in our department has been successfully completed.

After one year's teaching practice, the work has made some achievements, but there is still a certain gap from the standardized teaching methods. Only in the next year's work, constantly sum up experience, do a better job in teaching, and make unremitting efforts to cultivate high-level and high-quality talents for the nursing team.