In the study around orthopedics, with the guidance of the teaching teacher and the help of other teachers and nurses, I can better link the theory I have learned with practice, and learn to watch X-rays, CT films and MRI films under the careful guidance of the teacher. At the same time, the teacher also taught me how to basically judge the common fracture position, fracture type, fracture healing and joint condition. Moreover, I further consolidated and expanded my theoretical knowledge when I accompanied the director and teacher in rounds every morning, and at the same time formed a general habit of thinking and summarizing, which created conditions for better study in other departments in the future.
For four weeks, I changed the dressing for the patient every morning, got familiar with the operation method of dressing change, strictly grasped the steps and precautions of dressing change, strengthened the concept of sterility during the operation, basically judged whether the wound was infected and healed, and grasped the time and precautions of stitches removal in various parts.
The purpose of dressing change:
Check the wound, remove the wound secretion and necrotic tissue, smooth drainage, control infection and promote wound healing.
Precautions for dressing change:
1。 Strictly abide by aseptic surgical techniques. If the dressing changer touches the bandage and dressing of the wound, they should not touch the dressing changer or sterile dressing bowl again. When things are needed, they can be supplied by nurses or taken after washing hands. All kinds of sterile cotton balls and sterile dressings shall not be put back in the original container after being taken out of the container.
2。 To change the dressing, you should first change the clean wound, such as taking out stitches, then change the infected wound, and finally change the dressing for the seriously infected wound.
3。 When changing dressing, we should pay attention to removing foreign bodies from the wound, such as thread ends, dead bones, shrapnel and carrion. , and check whether the number of drainage objects is correct.
4。 Dressing should be gentle to protect healthy tissues.
5。 After each dressing change, all instruments must be put back to the designated position, and the dressing can be changed for another patient after careful hand washing.
Indications for removing stitches after operation:
1。 Sterile surgical incision
2。 Local and systemic manifestations are normal.
3。 It's time to take out the stitches
4。 The wound healed well.
5。 If the wound is obviously infected with redness, swelling, heat and pain, the stitches should be removed in advance. Taboos for removing stitches after operation:
1。 Severe anemia, emaciation and mild cachexia.
2。 Severe water loss or electrolyte disorder
3。 Elderly patients and infants
4。 When the cough is not controlled, the incision in the chest and abdomen should be delayed. When a new patient is admitted to hospital, the general treatment for the new patient is as follows:
1。 For patients with open trauma, emergency surgery should be performed under general anesthesia, combined spinal-epidural anesthesia, epidural anesthesia and local anesthesia according to the specific conditions of patients.
Disinfect the skin around the wound with iodophor first, and repeat it three times from the center to the periphery. Then wash the wound alternately with hydrogen peroxide and normal saline, which must be thoroughly cleaned for three times, and then suture layer by layer after removing foreign bodies and necrotic tissues.
2。 Closed fracture and simple joint dislocation were fixed by plaster or suspension.
(When the plaster is fixed, the upper limb 12 layer and the lower limb 14 layer shall be soaked in hot water above 40 degrees. When bubbles are no longer generated, remove the excess water, flatten the plaster, and put a towel to shape and fix it. )
3。 Those who have surgical indications and manual reduction can be bandaged and fixed. Improve all kinds of preoperative examinations before choosing surgery.
Strictly observe the aseptic principle and some basic operations during the operation.
In a word, I want to thank all the teachers for their careful teaching and other teachers for their patient guidance. I will walk into the next department with a more proactive working attitude, more solid operational skills and more profound theoretical knowledge, improve the theoretical basis of medicine, enhance my clinical work ability and treat my work with a dedicated attitude!
The precious life of the health school has come to an end. Now it is necessary to sum up the gains and losses in recent years, inherit the good aspects and the shortcomings, so that you can see the road you want to take in the future while reviewing the road you have traveled.
Although my academic performance is not very good, I have gained a lot in the process of learning. First of all, I corrected my learning attitude. When I was admitted to the health school, I originally wanted to liberate myself, but I soon understood that the study in the health school needed to work harder. Seeing that all the students around us are studying hard and starting the learning journey of the health school, I feel that I am behind. The study of health school is not the kind of rote learning in junior high school, but the teacher watches and understands after class. At this time, self-study ability and self-control ability are very important. Since long-term self-study, I understand that it is not enough to study hard, but also to learn "methods" and ways of doing things. The ancients said, "It is better to teach people to fish than to teach them to fish." The purpose of my coming here is to learn to "fish", to be diligent in thinking about everything, and to be diligent in asking questions if I don't understand anything. When studying, take "independent thinking" as the motto and never forget to be alert. During this period of learning knowledge, I have established a profound friendship between teachers and students. The teacher's earnest teaching made me realize the fun of learning. I have also established a good learning relationship with many students around me, helping each other and overcoming difficulties.
It is not enough to learn the theory of nursing list, but also to have good nursing skills. Therefore, when I am in the internship class, I will strive for more opportunities to operate. In addition, there are few students in the health school and there is a lot of room for students. So I can practice more after school.
The fourth year of the health school is our internship time in the hospital, and basically we stay in the hospital for one year to study. Here I am proficient in my nursing operation technology, combining theory with practice, and under the guidance of the teaching teacher, I care for patients with all my patience and love, so that patients can get good care and recover as soon as possible. When I went to the hospital for internship, I realized that many students were also studying nursing, which increased the opportunity to exchange and learn with other students, exercised my communication skills, learned the strengths of others, and realized my own shortcomings. So I like internships.
Although I feel a little tired sometimes, I am very happy.
Personally, I think my biggest weakness is that I like dual-use or even multi-use. I am eager for quick success. I like to learn a lot at once, but I can't finish it. Even if I can learn it in the end, I have already made myself very tired. Now that I think about it, it's actually not good. As the saying goes, thin but not wide. If I concentrate on learning a knowledge for a period of time, I believe I can understand and master this knowledge more deeply. Since I found out that I have this shortcoming and problem, I have been telling myself that I can't do two things at once after entering the society.
Through four years of life in health school, I have learned a lot of knowledge, and more importantly, I have mastered the nursing operation technology. My thoughts have become more mature and my character has become more determined. I have met many classmates and teachers, established friendship, and improved my quality in the interaction with them, realized some of my shortcomings and tried to correct them.
Four years of health school life is a short period in my life, a flashing short period, including sweat and harvest, which plays a vital role in leveling the lines of my life.
Busy college life quietly passed, but she became a big part of my good memory. These days, there are joy of success and hesitation of failure. But it has cultivated me into a modern college student, improved my comprehensive quality in all aspects and laid a solid foundation for my future life. Opened up a path of its own. In terms of professional skills, in order to meet the needs of social development, I seriously study all kinds of professional knowledge and give play to my own specialties; Tap their own potential, combined with the annual summer social practice opportunities, so as to gradually improve their learning ability and ability to analyze and deal with problems, as well as certain coordination, organization and management capabilities.
In terms of study, I think the primary task of college students is to learn basic knowledge well, so I am down-to-earth in my study and don't relax myself at all. I think good learning methods are very helpful to learn knowledge well, so I will sum up my learning experience after every exam. No pains, no gains. Every time I see my excellent achievements, I will have more confidence in myself. Nothing is impossible. For us modern college students, it is not enough to just learn the knowledge in books.
In social practice, I often read all kinds of books in my spare time, and participated in the training of software testing engineers with excellent results, and obtained the certificate of senior engineer. Learning is a student's occupation, and this occupation also needs wisdom, perseverance and perseverance. In today's rapidly developing information age, only by constantly absorbing new knowledge can we not lag behind and overcome ourselves.
Learning is of course important, and the cultivation of ability can not be ignored. Four years of college life has given me many opportunities to challenge myself, such as running for president of the student union. In the process of participating in various club activities, I made some good friends, learned the methods of dealing with people and exercised my ability. These experiences have taught me that if you try something, you have a half chance of success. If you don't try, you have no chance of success. When the opportunity comes, we should seize it.
The purpose of modern nursing education in the 20th century is to cultivate nursing talents with high quality and practical ability. Teaching measurement and evaluation is an important part of nursing teaching process, and it is also the last stage and feedback of teaching activities. It includes not only the evaluation of students' knowledge and ability, but also the organic combination of various elements that constitute the teaching process, the success of teachers' teaching activities and the overall evaluation of curriculum evaluation.
Examination questions can measure students' performance and let students show their level to the maximum extent, so students should be fully prepared. For example, arrange the relevant contents of the exam in advance before class, let students know the relevant information of the exam (such as the date and time of the exam, the time required for answering questions, the content, type and quantity of the questions), review with students and conduct simulation tests on similar topics, so as to reduce students' pressure and anxiety, mobilize students' positive attitude towards the exam, enhance students' self-confidence, improve their exam skills, avoid fatigue caused by excessive study before the exam, and ensure that they can fill in the answers accurately and neatly, and read and understand the answer guide.
The goal of modern nursing education is to cultivate nursing talents with practical ability, and one of practical ability is nursing operation skills. Its measurement and evaluation methods are teacher observation, skill examination and evaluation.
Teachers observe that teachers describe and summarize students' natural behaviors in nursing experimental classes. This can enhance the communication between teachers and students, evaluate a specific behavior, ask questions and give feedback, embody personalized teaching and better achieve learning goals.
Skills assessment uses a checklist to assess skills operation, that is, every step in a nursing operation procedure is listed on the checklist, and inappropriate steps are listed at the same time, and a place is reserved for teachers to check whether students show these behaviors. This will help teachers and students review the wrong operations together and help students objectively evaluate themselves and their teachers. Each student is required to participate in the nursing operation skill assessment project in the teaching plan, and the students are divided into different classrooms for assessment, with the aim of training and cultivating students' psychological quality. Finally, the operation results are analyzed and evaluated. For example, after students fully practice closed peripheral intravenous infusion, there will be an operation skill test. In the simulated hospital ward environment, each student will be given intravenous infusion on a real person, and then the operational skills (independence, proficiency, accuracy, standardization and perfection) of the students will be evaluated in the form of a checklist, and the results will be given. After the exam, students exchange feelings and experiences, and write a written report on the problems, experiences and feelings in operation. This method not only understands the situation of students' learning operation skills, but also exercises and cultivates students' psychological quality and the concept and action of nursing service.
Since taking part in undergraduate correspondence study, I have earnestly studied medical nursing theory and related laws and regulations, strictly observed the rules and regulations of colleges and practice hospitals, conscientiously fulfilled my students' responsibilities, been strict with myself, be lenient with others, be diligent and enterprising, and strive to standardize my nursing work, provide high-quality skills and services, make basic nursing flexible, make caring activities regular, closely combine theoretical study with nursing practice, and make theoretical study planned, focused and focused. In order to provide high-quality nursing service for patients wholeheartedly, I have made all efforts and established a good nursing image. He was rated as an excellent student for many times, and his year-end assessment was excellent.
During the internship, I will strictly abide by the department system, attend nursing rounds on time, be familiar with patients' condition, standardize and skillfully carry out various basic nursing operations and specialized nursing operations, correctly execute the doctor's orders, strictly implement three checks and seven pairs, standardize the writing of various nursing documents, complete the handover records in time, do a good job in nursing evaluation and health education for patients entering and leaving the hospital, do a good job in nursing common diseases and frequently-occurring diseases in various subjects, conscientiously implement aseptic operation procedures, and make good preparations and guidance before operation.
Complete nursing and observation during and after operation. At work, problems found can be carefully analyzed and solved in time. I can skillfully carry out various nursing operations such as internal and external nursing, maternal and infant nursing and intensive care. Be able to get familiar with the illness quickly and deal with acute, dangerous, old and serious patients in various departments. In the rescue work, I was meticulous and methodical, and won the trust and praise of patients. At the same time, I actively participated in various case discussions and academic lectures, constantly enriched my professional knowledge, gained a more comprehensive understanding of holistic nursing technology and ward management knowledge through learning, and greatly improved my nursing level. During my study, I independently wrote the paper "Experience of Nursing for Many Cases of xxxx" and published it in the national publication "xxxx in China". The paper "Nursing Experience of Aged xxxx" was published in the provincial periodical xxxx and widely exchanged.
During the correspondence study, I actively participated in the undergraduate course training organized by the medical college, carefully studied all the contents of each course, never arrived late and left early, graduated from all subjects, and achieved excellent test results in all subjects; During my study, I also took part in the foreign language examination for bachelor's degree organized by the college, and my score ranked first in our school district.
I am determined to devote myself to medical care! In the future study, I will work harder, constantly enrich myself and improve myself. I will always be enthusiastic about nursing work with positive faith and diligent attitude, and will be patient, careful, enthusiastic and responsible throughout the whole nursing work in the future. I will seriously study my business, constantly strengthen my business study, apply the new theories and concepts I have learned to the specific practice of nursing work in time, and truly achieve the service tenet of taking patients as the center and quality as the core, and work dutifully. Save the wounded and rescue the dying, spare no pains, pursue persistently, and strive for the development of medical and health undertakings in the motherland for life.
Self-evaluation of nursing: February 25th, 5 XX-March 23rd, xx.
Unconsciously, we have been in obstetrics for a month. During this month, I have learned a lot of professional knowledge comprehensively and solidly. Obstetrics and gynecology is different from other departments and has strong professional skills. Only when you really study hard and understand thoroughly can you be considered excellent.
Under the guidance of Mr. Wang, he instilled theories into us every week, such as knowledge points, precautions, nursing operation and so on. In this way, I can combine theory with practice more deeply. For example, what should I pay attention to when bathing my baby? Although it's not our turn to bathe the baby, I can learn from it. In addition, I also have some shortcomings in disinfection of patients' skin during delivery, but I prefer to learn from it, try to correct it and do it well.
During the internship for more than half a year, we got a good exercise in life, interpersonal relationship and nursing work, which made us mature and knowledgeable.
Obstetric practice is very busy, but it pays off. No matter what department, I will work hard and actively to do it well!
Unconsciously, we have been in obstetrics for a month. During this month, I have learned a lot of professional knowledge comprehensively and solidly. Obstetrics and gynecology is different from other departments and has strong professional skills. Only when you really study hard and understand thoroughly can you be considered excellent.
Under the guidance of Mr. Wang, he instilled theories into us every week, such as knowledge points, precautions, nursing operation and so on. In this way, I can combine theory with practice more deeply. For example, what should I pay attention to when bathing my baby? Although it's not our turn to bathe the baby, I can learn from it. In addition, I also have some shortcomings in disinfection of patients' skin during delivery, but I prefer to learn from it, try to correct it and do it well.
Through the practice of obstetrics and gynecology, we can consolidate the theoretical knowledge of obstetrics and gynecology and be familiar with the normal process of pregnancy, childbirth and postpartum and its nursing, abnormal process, nursing of sick women, family planning and women's health care guidance. At the same time, it is necessary to understand the progress of new technologies and new therapies at home and abroad, such as family-centered nursing techniques such as interactive family-friendly delivery, baby touching, baby swimming, etc., to carry out nursing research, write papers, cultivate students' comprehensive quality and improve practical skills.
Obstetric practice is very busy, but it pays off. No matter what department, I will work hard and actively to do it well! The 7-week educational internship is coming to an end. At this moment, I found myself in love with this school, my students, and my tutor, Miss Gao, and I felt reluctant to leave teachers and students for the first time.
Being a teacher for the first time is not about courage or overcoming nervousness, because I helped my teacher do some exercises in high school. At that time, they called me "Teacher Mao", and some of my classmates were students. Four years later, I heard the name "Teacher Mao" again, and this time I thought it was so true.