Experience of surgical nurses in 2020 (1) In a blink of an eye, the one-month surgical internship has ended. Although this internship is a bit bitter and tired, it is quite enjoyable. Ward rounds, dressing changes, writing course records, following surgery, and writing discharge summary, every day's life is spent in such repeated busyness. In general surgery, we make rounds at 7: 30 in the morning and then change the dressing. Of course, the most difficult thing in the operation is to follow the operation, and often one stop is several hours. Learn to look up tables, write medical records, change medicine, take out stitches, and operate. Basically starting from scratch, it is so difficult to realize the seemingly simple operation for the first time. Although not everyone took the initiative to take the stage, even if they followed, they were still very knowledgeable, such as thyroidectomy, cholecystectomy, splenectomy, appendectomy, subtotal gastrectomy, radical mastectomy, radical colon cancer surgery, hernia repair and so on. My knowledge of laparoscopic technology and interventional therapy has made me refreshed. I can't forget the fear of the first radical mastectomy, and the beautiful structure was cut off by the doctor bloody. Although it is aimed at treating diseases, it is cruel to look at it.
I can't forget the fear of seeing patients with knife wounds in the emergency department. Xx-year-old man was chopped 6 times in the head, several times in the wrist and ankle, and the great saphenous vein was broken. He kept bleeding and was stabbed four times in the back and one in the chest. Fortunately, he only hurt his colon. When his bloody body was carried to the dressing room, I was shocked by the sad cries of my family. At that moment, I didn't know what to do. After a while, the nurse came and dealt with it in a tolerant way. I ran back to the doctor's chair and sat there crying. I dare not let others see it for fear of losing face. Maybe it's because I was really scared, maybe I was exhausted after a few days of operation, maybe I was scared by the crying of his family, maybe I sympathized with the poor appearance of the injured family kneeling in front of the doctor, and I had mixed feelings. In short, I came home crying and my heart was full of confusion. Isn't that what doctors have to face? The nurse has courage, but I dare not face it.
After staying in a department for a long time, I feel that everyone really feels like a family. The care and instruction of teachers and the cooperation of the whole department make the busy work full and happy. Surgeons are mostly temperamental people. No matter how good they are at ordinary times, once they do something wrong, they criticize others and leave you no face. After the operation, I will play with you again as if nothing had happened. Doctors are under great pressure when doing surgery, especially when the operation is not smooth. All we can do is try not to make mistakes, otherwise we really want to cry and get scolded.
Because I am not a formal nurse, the teacher is not too strict with me. She rarely tells me what to do, and she doesn't often put me on stage. Maybe it's because my bad experience of fainting left a bad impression on everyone. Director xx always thinks that my girl's physical quality is not good. Xx is my mentor. He is kind and rigorous and has taught me a lot. Although I am his follower every day, he still patiently demonstrates and explains. Young people communicate easily. Teacher xx's operation is worth seeing, neat and skilled. No wonder he is the deputy chief physician in his thirties. He is young and promising, which is quite admirable.
Maybe in a few years, I will have a chance to go back to the hospital, and he will become the chief physician or the leading backbone of the hospital. However, when the forest is big, it is inevitable that there will be all kinds of birds. Some nurses with low quality are quite contemptible. They dislike poverty and love wealth, and they are frivolous and dissolute in front of male doctors. It really makes me want to throw up. Maybe Feng is right. It would be nice if they could find an undergraduate as a husband after graduating from the health school. Society is so realistic. No matter what others think of you, a beautiful face can really make people have a good home. Aunt said that their goddaughter lived in a single dormitory in the hospital. Those little girls will be injected with Demerol if they can't sleep at night. It's terrible to hear these things, but sometimes it's close to seeing their performances. I admit that I am sometimes too simple, but I really want to live tenaciously in simplicity, so there is nothing wrong with it.
Of course, there is an episode in this work. A graduate of xx University who just joined the work, originally, we thought he was nice and seemed to be a very kind person. At first, he taught me to write medical records and so on. After a long time, he always sends me short messages. When he gets to the medical record department, he always goes back to the department to chat with us. I didn't take it seriously either. I texted the day before yesterday that there was a meteor shower to watch together. The more I talk, the more ridiculous I get. I have been texting for the past two days. Hey, this is interesting. It feels like being tickled by others. I don't know what he is thinking. Maybe he just started work and was bored. Make fun of me. You know people, but you don't know your heart Although I have no idea about him, even if I have an idea, I will not accept it. I don't know where to go in the future, so it's better not to waste each other's time.
The complex taste of this kind of surgical work experience may only be realized by those who have experienced it personally. Whatever it is, it's worth remembering. Of course, it is more important to know a lot of things that can't be learned in books and meet a few good friends. Maybe this is more valuable than books.
Experience of surgical nurses in 2020 (II) Under the correct leadership of the Health Bureau and hospital leaders, and with the joint efforts of all colleagues in the department, surgery has basically completed various tasks of the hospital, and many tasks have been well received by the hospital. Comrades are not afraid of difficulties in their work, bravely shouldering heavy burdens, and have made certain achievements, but of course they also have shortcomings.
In the work, always adhere to the patient as the center, quality as the core, treat patients as relatives, and serve patients wholeheartedly. Establish the concept of practicing medicine in good faith and taking patients as the center, all general practitioners consciously resist unhealthy trends, conscientiously implement democratic centralism, hold scientific affairs meetings on time, and strengthen employees' democratic participation in department management. The main work is as follows.
1. Strengthen the continuous improvement of department quality, and hold regular department meetings: for the problems related to the daily diagnosis and treatment process and management of the department, hold regular department meetings every month, and the general medical staff will put forward problems and deficiencies according to the relevant situation of the department in the past month to achieve continuous quality improvement. It effectively reduces the occurrence of medical hidden dangers and disputes, and really improves the service quality and medical quality of the department.
2. Effectively solve the problem of expensive medical treatment: it is the responsibility and obligation of every doctor to reduce medical expenses, reduce the economic burden of patients and use drugs rationally. By strengthening the management of departments, both the average hospitalization expenses and the proportion of drugs have obviously decreased, which has played a demonstration role in clinical departments and had a great impact in our hospital, which really benefited patients and reduced their economic burden.
3. Strengthen the patient-centered, quality-centered service concept: To do this, we must work hard to improve the level of medical technology and service attitude, work sincerely and earnestly, exchange ideas carefully and patiently, make friends with patients, and make positive publicity for us with patients' mouths. The patient information feedback system is adopted to communicate with discharged patients in time, so that the number of patients coming here to see a doctor is gradually increasing.
4. Rational drug use, reasonable fees, and effectively reduce the economic burden of patients: rational drug use is not only manifested in symptomatic drug use, but also in rational drug use. We should not only strengthen the study of all kinds of knowledge about drugs, especially the study of side effects, but also communicate with pharmaceutical experts frequently to truly use drugs rationally. Under the premise of not affecting the treatment effect of patients, it is also the direction of our surgical efforts to provide medical services with the least cost. Strictly implement the one-day settlement system, patiently and meticulously explain the problems raised by patients, so that patients can clearly see the doctor and clearly spend money.
5. Actively carry out business study and strengthen communication and contact with experts in the First Affiliated Hospital: the staff of the department pay attention to their own study. This year, 3 people passed the senior professional title examination, 1 person was promoted to chief physician, and 2 people were promoted to deputy chief physician. Regular business study every month, and departmental staff take turns to give PPT lectures. Experts from affiliated tumor surgery and hepatobiliary surgery were also invited to give business study and exchange lectures, which broadened our horizons and enabled us to keep abreast of the academic trends at the forefront of surgery.
6. Actively develop new technologies and new businesses: new technologies and new businesses are the source of departmental development and the foundation of departmental survival. This year, laparoscopic inguinal hernia treatment was focused on, which achieved good results and was well received by the majority of patients.
Experience of surgical nurses in 2020 (III) I was fortunate enough to participate in the nursing internship this time, went deep into the daily work of nurses, and personally experienced the ups and downs of being a nurse, only to find that being a nurse was not as easy as I thought. Being a nurse is really difficult. Sometimes it is infusion to draw blood, sometimes it is injection to take medicine ... If the patient is unwell, he will first think of the nurse. If he has any problems, he will call a nurse ... there is always a busy nurse in the ward.
I remember that in the first day or two, I just followed the nurse teacher's ass and watched them give injections, injections, dressing changes and help with morning care. Later the teacher taught me slowly. First, he taught me how to exhaust. Then he taught me how to change a patient's dressing and asked his name. Finally, he taught me how to find intravenous injection.
The head nurse also taught me how to draw a temperature chart and fill in information for patients. Although I always make mistakes at school, the head nurse is not angry, but teaches me to draw calmly step by step. Every time there is a patient who has just been admitted to the hospital, the head nurse will say, "classmate, take this patient's blood pressure, P, T, R and weight, and then make the bed for the patient in the xx ward." At first, I was not very good at measuring blood pressure. Every time the head nurse asked me to take my blood pressure, I was very nervous, but slowly I finally learned to take my blood pressure.
Ten days' probation made me understand that I should learn more nursing knowledge in class. Take an injection for example. Although I have practiced it several times, I still feel a little nervous when I really get to people.
Fortunately, the teachers taught me patiently. But maybe I was a little flustered and scared the first time or two, and the angle of intravenous injection was slightly larger, and I got stuck in a blood vessel. Subcutaneous injection does not tighten the patient's skin when inserting the needle. The intramuscular injection didn't tighten the patient's skin, and all the drugs to be injected flowed out, so that the hands were shaking all the time when pushing the drugs.
Later, I slowly and successfully injected the patient. I am very excited, thanks to the teachers in the hospital. They taught me how to give an injection, how to give an injection and how to dispense medicine. I should be careful in my future work.
In fact, for everyone, "the first time" will inevitably be a little nervous, not to mention the particularity of our customers. But through this practice, I will face the "first time" on the road of studying medicine in the future more calmly.
The ten-day probation period is also very helpful for me to realize medical cooperation in my future work. Doctors and nurses have the same responsibilities, both to solve the patients' physical and psychological pain. Only the close cooperation between doctors and nurses can bring the greatest benefits to patients. To do this, we must first understand our own work and each other's work. As a future nurse, I must understand the work of doctors, so I think this internship not only plays a bridge role in early clinical contact, but also improves my clinical thinking ability, cultivates my practical ability and enhances my self-confidence.
Here I am very grateful to these teachers in the hospital. They have taught me a lot of knowledge and let me know how to be careful in my future work. In the future, I will definitely study professional knowledge seriously, better serve others and help patients relieve their pain.
Experience of surgical nurses in 2020 (IV) This year is my first year of work. Under the care and direct leadership of hospital leaders and head nurses, with the service tenet of "patient-centered, patient-centered", we successfully completed all the nursing work assigned by hospital leaders and mastered all the clinical operation skills. The work is summarized as follows:
Since xx joined our hospital this year, after less than a year's practical study, I feel that if we want to combine the theoretical knowledge we have learned before with the clinical practice, on the one hand, we should be strict with ourselves in our daily work and consult more teachers, on the other hand, we should study hard and understand the essentials in our spare time.
There are relatively many surgical patients, and they have also learned relevant knowledge before and after operation. Preoperative preparation includes psychological counseling, intestinal preparation and dietary guidance. Postoperative vital signs monitoring, incision observation, assistance in coughing and expectoration, observation of infusion volume and infusion speed, nursing of various drainage tubes, nursing of catheter, diet nursing, observation and nursing of postoperative complications, etc. In our daily work, we are required to communicate with them more patiently. Only in this way can we better improve the quality of nursing and make patients trust our work. Because the pace of surgery is faster, work is busier than talking on the phone. Trivial. I remember when I first arrived in surgery, I was not used to it. In order to do a good job and obey the arrangement of the leader, I am not afraid of trouble. I asked the teacher, learned from my colleagues and groped for it myself, and soon I became familiar with the work of surgery. Understand the responsibilities of each class, clarify the procedures and direction of work, improve work ability, form clear working ideas in specific work, and be able to carry out the work smoothly and complete the work skillfully and smoothly.
After nearly a year's study, I am familiar with the professional knowledge of the department and pay great attention to the professional image of nurses. I pay attention to civilized and polite service in my daily work, adhere to civilized language, have a dignified appearance, dress neatly, do not wear heavy makeup, do not wear high heels, do not ring shoes, have a polite attitude and have a standardized language. Seriously study the Regulations on Handling Medical Accidents and its laws and regulations, and actively participate in the learning activities of the Regulations on Handling Medical Accidents organized by the hospital, which enriched the legal knowledge and enhanced the awareness of safety protection. Under the active and serious guidance of the head nurse, I have made great progress and improvement in many aspects. Usually, I insist on participating in the business study of the department and the three-basic training of nursing staff every Friday. In the past year's work, I have always adhered to the service concept of "patient-centered, quality-centered" and improved my quality and emergency response ability.
Of course, I still have some shortcomings to improve. For example, in study, sometimes I feel impetuous, I feel that I have too much to learn, and I am impetuous, especially when I encounter setbacks, and I can't handle it calmly. At work, sometimes the standard is low. Although I can basically perform my duties and obligations, my initiative needs to be further improved, which is what I need to improve and improve in the future.
In the coming year, I would like to thank the hospital leaders, head nurses and teachers for their education, guidance, criticism and help, and my colleagues for their concern and support. Looking back on the past, there have been many advances and improvements, but there are also some shortcomings; Looking forward to the future, we should carry forward our own advantages and overcome our own shortcomings. 202 1 in the coming year, I will continue to carry forward the spirit of the past year, do my job well, be anxious about the patient's urgency, be responsible for the patient, and never let the patient's condition deteriorate because of my reasons. I will be absolutely responsible for my work, which is the minimum work a good nurse should do to save lives.