internship summary
Name: XX
Student ID: U20 1 1XXXXX class: prevention 20 1 102 class internship time: 2013.7.17-2013.7.
Trainee Hospital: XX Central Health Center, XX District, XX City
Before going to the hospital, I always doubted the correctness of the school's arrangement for sophomores like us who have just come into contact with medicine and have never attended nursing classes. Will the hospital recognize and accept us? Will my unprofessionalism bring inconvenience to the hospital? From school to hospital, the living environment will change, and the contact objects will change from teachers and classmates to doctors, nurses and patients. They are afraid of being scolded by the teacher, of not doing well, and of not knowing where to start. But at the same time, I am also very much looking forward to it. I imagine being a member of angels in white, being busy with doctors and patients, and learning useful knowledge and skills during my internship.
The ten-day nursing probation period in the health center will soon end. I have to say that my summer vacation is not as pure as before because of nursing probation. It's a short time to go out of campus, into the society and into the hospital, but for me, every minute I see, hear and learn is very important and precious. The opportunity of daily exercise and self-improvement is precious, the friendship with teachers is precious, and the contact and communication with patients is precious. In the process of study and practice, I have sweat and gained more.
As the saying goes, "a new official takes office with three fires", and the fire that a novice takes on the road is really hot enough to burn the whole desert, but at the same time he really doesn't know the direction and how to burn it.
I am in the inpatient department of the town health center, with only one floor, six wards and no branch. A general practitioner is on duty every day and a nurse is on duty every day. When there are many patients, there are more than a dozen, and when there are few, there are only four. As soon as the first day arrived, the nurse on duty took out a set of work clothes and put them on me. After putting on the nurse's uniform, I feel that the momentum of the whole person is different! She introduced me to the structure and work content of the ward, which made me quickly understand the nursing work in our inpatient department. Being able to adapt to the hospital environment as soon as possible has laid a good foundation for internship and practice in the hospital, which should be regarded as the first harvest in the internship stage.
Due to the limited hospital conditions, patients with serious or complex diseases will be transferred to district hospitals or municipal hospitals. In addition to measuring the basic signs, the patients in the inpatient department only need infusion, and things like "catheterization" written in the trainee's manual are invisible. So, in the morning, I have been following Sister Wang's ass to watch her give needles to various patients-the first one was a boy of 14 years old, and Sister Wang confirmed his name information back and forth three times to ensure that he would not hang the wrong liquid. The little boy is obedient and clever, and Sister Wang's work naturally goes smoothly. The second is an old man in his sixties and seventies. His hand is very thin, and his veins are obviously prominent, which is higher than other parts of his hand, so that he can smoothly enter the needle without tying a rubber tube. The third is four-year-old shota. He began to cry when he saw the nurse's sister come in. He doesn't cooperate at all. In addition, his blood vessels are very thin and hidden deep. Sister Wang didn't give them two injections. What's more, shota struggled very hard. His parents bound him, and the small blood vessels would roll around. I was so worried when I looked at them. Fourth and fifth?
As a young non-nursing student who has just been exposed to medical study for one year, I position myself as a professional handyman, good at making beds and dispensing medicines. Every time the nurse sister asks me to go to the warehouse to get the quilt cover, I feel that I can still "do great things"; Dispensing medicine is all thumbs. When Sister Wang taught me to make medicine, she spoke too fast and moved too fast. I was rejected by myself after operating at the speed of a novice turtle. I dare not take an injection. Of course, Sister Wang didn't give me an injection, but asked me to pull out the needle for the patient. First of all, my extremely unprofessional technique was looked down upon by the old man's son, and then I made shota with big eyes and eyelashes cry (he pulled his face and cried from the moment I touched his hand). Fortunately, the patients and their families have good temper, otherwise I would definitely be complained.
Look at medical records and various tests. When I see an electrocardiogram and stare at a person with two sharp points and depressions, I just can't remember what P wave and T wave are. When I look at various items and indicators of blood test and urine test, when I think about it and find that I don't even know a person's normal blood sugar concentration, I am ashamed that my sophomore knowledge has not been mastered seriously. Looking at all kinds of technical terms you don't understand, you will realize your shallowness and that there is much more to learn as a medical student. Watching Sister Wang say different things to different patients, sometimes like a sister, sometimes like a daughter, sometimes like a mother, you will feel the sincerity and enthusiasm that a medical worker needs to pay. Looking at her, you will see that medical workers don't even have time to sit down and rest.
The next morning, the nurse handed over her shift, and a sister named Liu came. I didn't know until I went to work that every patient's situation was different. I am surprised and admired that nurses know almost everything in shifts and can say it casually. For the newly admitted patients yesterday, Sister Wang clearly explained her situation before leaving. Then Sister Liu began to infuse every patient. I followed her with a plate of liquid and an infusion set. Although I can't operate it, it's quite rewarding to watch the nurses help to install rubber tubes, find blood vessels, give injections and fix them with tape over and over again. Later, a patient failed to inform us in time after transfusion. When I went to change the dressing, I found a long section of air in the tube. I didn't know what to do, so I had to ask Sister Liu for help. Sister Liu calmly pulled down the small catheter in the front section of the infusion set, and then connected it after the air circulated. The whole process takes less than ten seconds. Knowing how to deal with this situation, when there is air in the pipeline again, I can handle it very calmly.
In addition to nursing work, nurses should also receive various consultations from patients and their families and make lists of admission cards, bills and admission agreements. Two days later, I became familiar with the medicine handed over by the patient, put away all kinds of documents, and answered questions such as where the patient lives, when the doctor goes to work, where to pay, and how to fill it here. Sister nurse is very happy about this. On the third day, the head nurse was on duty, and another intern was ushered in, which happened to be a junior high school classmate I hadn't seen for many years. Sister Xie taught us to measure blood pressure. Although it is mentioned in the textbook, there is still a difference between reading a book and actual operation. However, my classmates and I were mice for each other and soon mastered it. When a new patient came in, we measured her blood pressure. At first, I didn't know how to communicate with patients naturally. I got along well with patients slowly and asked them how they felt. Sometimes I talked a lot. Gradually, I have more and more communication with patients. I told them that I was a trainee and came to study. They understood me very well and made me feel very happy to communicate with patients. An old woman lives alone in the hospital. She lived a long time and didn't like to talk. I have never seen her children come to see him. Maybe her children are outside. There is an old man who was sent by two tall sons. He stayed in the hospital for less than half a day and was still escorted by two people. What impressed me the most was an elderly woman with liver metastasis from pancreatic cancer. She was sent in by her son and daughter-in-law, and then a large group of people came and crowded the ward. The nurse's sister told me that she came to take ascites. She came a week ago and sucked 2500 ml. When signing the operation agreement, her son said, "Take good care of it. Don't worry. If something goes wrong, we will never bother the hospital. Mom is still alive every day. We just did our filial piety. " I work as an assistant to a doctor who pumps ascites. Every time he pumps a tube full, I clip hemostatic forceps. The old woman looks miserable. She had ascites in her abdomen and had to put a needle in her hand. Her blood vessels are very fragile and burst as soon as they are tied. She failed to hold on to her left hand and feet. Finally, her right hand finally accepted the needle as expected. The doctor asked her if it was easier to smoke 2500ml. After getting a positive answer, the doctor sealed the needle after 3000ml. A week later, the same scene was staged again, but the assistant was replaced by my classmate. After a week, the old woman didn't come and changed to a broken funeral? Every day, we have to face different patients, smiling people, crying people, suffering people, sad people and happy people. Anything can happen. When a new patient moves in, is critically ill, is discharged from the hospital, or someone leaves this world, I am also facing different stories, such as filial piety, loneliness and turning to seek medical treatment. Sometimes I really think that the lover's heart is more important than anything else, and the hearts of doctors and benevolent people also need a calm heart to see through birth, illness, illness, joys and sorrows. Time flies, and two weeks will soon pass. I found that all my troubles before my internship were my own fault. These two weeks are really full. What I saw and heard made me feel full of people. In the past two weeks, under the leadership of all teachers, I have learned a lot in thought, study and work. Probation, as its name implies, is the practice of focusing on the subject and operating by the way. This is the first step for us to apply theory to practice and clinic. In this process, I have gained a lot and learned a lot. Respect leaders, unite colleagues, care about patients, not be late, not be absent from work, work hard, and strive to achieve standardized nursing work, high-quality skill service, flexible basic nursing, regular love activities, combination of theory and practice, planned and focused theoretical study, and recorded nursing work. During my work, I always strive to be diligent, diligent and diligent on the basis of love, care and patience. In order to meet the urgent needs of patients, serve patients wholeheartedly, establish a good medical ethics, strictly abide by the hospital system, be familiar with the patient's condition, be able to correctly look at the problem, standardize the basic nursing operation and specialist nursing operation, correctly implement the doctor's advice, and strictly follow the aseptic technology operation to carry out three inspections and seven pairs of operations. These are all what others say nurses should do. In my opinion, although the language is too much like a model essay in a political textbook, every word is clearly spoken in place, and a qualified nurse should do this. Through practice, we deeply realized that the profession of nurse is ordinary and great. A good nurse must do every job well and do everything with her heart, because every action and every little thing is related to the patient's life. At work, there is often anger and pain, so communication is particularly important. I actively communicate with patients, so that patients can get satisfactory nursing services and boldly put forward my own ideas. When you find yourself in the nursing operation is not standardized, you can ask the teacher in time. Actually, the profession of nurse is very tiring. A nurse here has to take care of more than a dozen patients, and she has to go to work at eight in the morning, 24 hours a day. Handover, observe the patient's condition, take temperature, take blood pressure, dispense medicine, give injections, infusion and change medicine. When the patient needs anything, he should go to the ward at once. The infusion tube will let air in and expel air, and the liquid will be treated if it doesn't leave. After transfusion, we have to change the fluid or pull out the needle, and the rest time is pitiful. Even if you sleep, you should be prepared to be woken up at any time and face the patient and his family in high spirits. When a new patient comes to the emergency department, it is necessary to measure the patient's temperature and blood pressure immediately and establish the admission medical record? Some people look down on nursing and think it is a career of "serving people". I just want to say that there is no distinction between high and low occupations, not to mention that nurses are professionally educated and diligent in making contributions to society. In the hospital, I saw the patient's painful expression, just like the old woman with ascites. She endured the pain and stabbed twice at the same time. Because the blood vessels are fragile and easy to break, she pricked one needle after another, but she didn't say a word from beginning to end, so I think she is strong and the patient is strong. Seeing the death of a patient, I feel that human life is very fragile, so we should cherish the present life, a happy life and a meaningful life. It is very important to practice medicine seriously, dispense medicines, give injections and infusions, and check Sanqishuang. Before, during and after the operation, the patient's information, drug name, usage, concentration and dosage should be checked. Wear a mask when dispensing, and wear a mask and gloves for aseptic operation to prevent cross-infection of drugs. Many things in the hospital are disposable, and they are lost after one use. If they are polluted when not in use, they will also be lost. In short, we should always have the concept of infertility. At the same time, speed, technology and quality are emphasized, and the division of labor is clear, especially in rescuing patients. Nurses should not be lazy and procrastinate in their work. In a sense, nurses can represent the image of the hospital better than doctors because they have more time to face patients. I think patients want to meet professional and excellent nursing staff. Skilled nursing operation technology is the basic condition of an excellent nurse. Excellent nursing technology can not only greatly reduce the pain of patients, but also enhance patients' self-confidence, give people beautiful enjoyment, master the use of first-aid technology and equipment, be familiar with the application of first-aid drugs, and skillfully cooperate with doctors to complete the rescue of emergency or critically ill patients. Doctors are kind-hearted and will love and sympathize with others. During my internship, I learned to treat every patient with good morality. The nurse is angels in white, and it is our duty to save lives. Therefore, we should have good professional ethics, receive patients warmly in time, listen to their complaints with sympathy and compassion, try our best to meet their reasonable demands and provide humanized medical services. It is very painful for patients to come to see a doctor. Be kind to them, even if they have emotions, learn to be tolerant. As we all know, to establish a harmonious nurse-patient relationship, we must first compare our hearts, imagine the patient's pain, contradiction and hesitation with a loving heart and a thinking of empathy, treat the patient's pain as our own pain, feel the patient's loss and confusion with our hearts, and extend a pair of warm hands in time to make the patient feel strength. Nurses think from the patient's point of view, and patients' families should also think from the perspective of medical staff. Patients are suffering and their families are anxious. We are all doing our best, and sometimes some patients are too busy to understand. I sincerely hope that patients and their families can learn to think from our perspective. At the same time, doctors should have a high sense of responsibility, strictly observe the changes of patients' condition, strictly implement the operating procedures, conscientiously do a good job in checking the system, always bear in mind that medical safety comes first to prevent medical errors and accidents. They are observant, good at capturing useful information, strong in language expression, master communication skills, and can flexibly use language for psychological care according to the specific situation of patients.
Take the initiative to talk with patients and be good at communicating with patients. One is our concern for patients, and the other is to see if their consciousness is the same as yesterday or before. When I was an intern, I liked the child with big eyes very much. I will go to see him as soon as I have time. I always laugh at everyone he meets. Once, his forehead was very hot when he touched it. After telling the doctor, the doctor cooled him physically. Then one day, I didn't go to the hospital for something. After coming back, his mother told me that the teacher asked Braided Sister why she didn't go to see him. Smile is a surprise sword. Whenever I see a smiling face, it makes me feel relaxed, warm and comfortable. If I were a patient, I would live here with peace of mind. Therefore, I ask myself not to bring emotions to work, and to keep full of spirit and smile every day.
In just ten days, the nursing knowledge I can learn is just the tip of the iceberg. Although I have not received professional and systematic nursing education and practice like nurses and sisters, I have learned a lot from my contact with nurses, patients and doctors, not only limited professional knowledge, but also an attitude towards patients, work and medicine: professionalism, diligence, rigor and continuous transcendence.
These two weeks can not only improve our professional level and skills, but also improve our social communication ability, so that we have more understanding and respect for the profession of nurses, and let me see the hardships and difficulties under the aura of nurses. When I walked out of the hospital, I knew that I was less unfamiliar with this place and more cordial. Here, I realized the importance of doing things seriously and being a down-to-earth person, and also learned a lot of knowledge and operational skills, but I also realized that I still have a long way to go to become a qualified and excellent medical worker, and I need more study and experience.