1.ICU nurses' self-identity
Practice is an essential learning stage for every medical student. As a beginner who lacks clinical experience, other doctors, nurses and patients in the ward are all teachers worthy of consulting except his own teaching teacher. Therefore, I keep a modest and serious attitude towards learning, actively participate in all the study, medical treatment, discussion and other activities in the ward, and gradually hone myself from the most basic physical examination and course record. Before I entered the icu, I took my teacher to explain the management system and disinfection system in the icu, and introduced the environment in the icu, which made me understand the ICU and made my work very easy. Specially arranged a special disease knowledge lecture, that is, the introduction of common diseases in thoracic and cardiac surgery, so that I have a certain understanding of thoracic and cardiac surgery diseases, which is conducive to postoperative monitoring. In addition, basic nursing teaching is also carried out, such as preoperative education, psychological nursing and patient life nursing.
First of all, I understand the significance and importance of central venous manometry, which is an objective standard for directly reflecting left ventricular function and measuring blood volume, guiding fluid replacement speed and evaluating blood volume.
After entering the clinic, surgery is often the main task, while theoretical study and clinical thinking training are relaxed, especially in thoracic and cardiac surgery. There are many kinds of diseases and operations in thoracic and cardiac surgery, so it is easy for me to focus all my attention on the operation. So I take doing more surgery and practicing my hands as the main purpose of my internship. The pathophysiology will change greatly after the operation. I must comprehensively and accurately consider the medical history, signs, degree of illness, surgical methods and other aspects, in order to accurately grasp the key points, see the essence, understand the impact of surgery on patients, and formulate correct treatment measures. Only by letting them know more about why can they gradually improve their ability to analyze and solve problems in clinical work.
Through one month's internship, I have some knowledge of postoperative monitoring of thoracic and cardiac surgery, basically master the clinical application and matters needing attention of xx, and can independently complete the detection of xx. Finally, they can pass the theoretical and operational skills exams. With the development of medical science and the wide application of advanced electronic instruments in clinic, it also puts forward higher requirements for nurses, not only to have a high sense of responsibility, but also to learn intensive care and intensive care skills.
I mastered intensive care and intensive care skills during my internship in xx intensive care unit, which improved the overall quality and professional level of clinical nursing. During my internship, I learned the purpose, significance, precautions and harmfulness of improper operation. Secondly, I learned that some operations can only be mastered by my own experience, and only by mastering the methods and skills can I operate on patients.
During my internship, I always strictly demand myself from the viewpoint of seeking truth from facts, starting from bit by bit, because this is responsible for patients, myself, society and science.
2.icu nurses' self-identity.
As the first stop of my internship, Icu is full of challenges for me, because I am completely unfamiliar with the operation of these advanced precision instruments, let alone proficient, but I believe I can overcome all this. Under the guidance of the teacher, I prescribe xx, xx, etc. to patients regularly. And actively complete various treatments, not afraid of being dirty or tired. Almost all patients living in icu need to use ventilator to assist breathing, so to be an excellent icu nurse, we must master the application of ventilator skillfully.
In the past xx weeks of internship, I have seriously studied the related matters of ventilator, and also actively participated in the small lectures of the department to continuously improve my theoretical knowledge.
During my internship in icu, through the enthusiastic guidance of teachers and the example of patients, I became familiar with first-aid drugs, learned the method of xx, the use process of xx, and various nursing operations such as intravenous infusion, skin test and intramuscular injection. Only by putting yourself into the internship and having a good experience can we gradually accumulate experience. A nurse's job is very heavy and messy. Although I felt a little before I entered the clinic, I felt more deeply after I actually entered the clinic. Because of clinical practice, I have a more comprehensive and profound understanding of nursing work and a more detailed understanding of this industry.
Since my internship, I have strictly abided by the rules and regulations of the hospital, earnestly performed my duties as a nurse, set strict demands on myself and worked hard. All operations strictly follow the principle of aseptic operation, strictly implement the check system, do not be late or leave early, and strive to achieve standardization of nursing work, high-quality skill service, flexible basic nursing, regular love activities, combination of theory and practice, planned and focused theoretical study, and measured and recorded nursing work. During my internship, based on love, care and patience, I always strive to be diligent in eyes, hands, feet and mouth, think about what patients think, be anxious about what patients are in, and provide quality services to patients wholeheartedly.
3.icu nurses' self-identity
Intensive care unit (ICU) refers to a department with serious illness and life-threatening at any time. (1) master the configuration of various instruments, establish monitoring measures, and improve the recovery equipment that can quickly detect changes;
② Correct judgment and treatment must be made immediately according to the change of critical illness;
(3) Mastering all kinds of new rescue technologies can deal with emergencies quickly and timely;
④ Correct diagnosis and treatment of patients of all ages and safe and comfortable holistic care of body and mind.
Compared with the isolated medical environment in general wards, patients have various special psychological changes, such as anxiety, fear, insecurity and anxiety. This requires ICU nurses not only to achieve the above four points, but also to actively explore and update more comprehensive nursing measures and concepts, go deep into patients, gain trust, and strive for patients' right to live without death. We must also have solid theoretical knowledge and skilled operating skills, have a high sense of responsibility, and be responsible for every patient.
4.icu nurses' self-identity.
During my internship in ICU for one month, I saw rescue and death scenes that are difficult to see in ordinary wards. Learn to use various instruments, such as xx, xx, etc. Commonly used rescue drugs are: xx, xx, etc. Rescue cooperation: xx, xx cooperation, etc. Surgery that can be practiced in ICU includes: xx, xx, etc. Since I learned to care for patients independently, I have witnessed my hands-on ability to operate independently, making my theoretical knowledge more solid and my operational skills more skilled.
Xx weeks of ICU internship ended in a blink of an eye. Although the study time is very short, it has gained a lot. Under the guidance of the head nurse and teachers in various departments, I have a further understanding of the nursing work in ICU and learned a lot of knowledge. In my future work, I will redouble my efforts to live up to the expectations of teachers!
5.icu nurses' self-evaluation
He entered xx Hospital in xx, and has been in clinical nursing practice for xx months. Clinical practice is the consolidation and strengthening of theoretical learning stage, the training and exercise of nursing skill operation, and the exercise stage before our employment. During the internship in the hospital, according to the careful arrangement of the nursing department, we took turns to practice in xx Department, xx Intensive Care Unit and other departments.
My internship is in the intensive care unit. Our internship time is only xx weeks, but as it is the first department of my internship, I am full of curiosity and expectation. When I first entered the intensive care unit, my mind was blank and everything seemed so fresh. When we first went, the head nurse arranged a teacher for us. The teacher first led us to familiarize ourselves with the environment here, and then explained the nature of our work.
During these xx weeks, we have carefully studied the knowledge about the intensive care unit, understood the nature of our work, got familiar with the items and special instruments that need to be prepared, and mastered its basic operation methods. For aseptic operation techniques, such as wearing sterile gloves, taking off surgical gown and correct hand washing methods, you can operate skillfully and accurately. However, due to the short time, I don't know much about the names and uses of some instruments, which is really a pity.
I know that the job of a nurse is very heavy and messy. Although I felt something before I entered the clinic, I really felt more deeply after I entered the ward. Indeed, the work of nurses is very fragmentary and messy, which can be said to be humble, but through the incomprehension of most people, we find that nurses have their unique charm. Hospitals cannot live without nurses, which shows the importance of nurses.
This department is a turning point for me. It taught me a lot. I know that as a nurse, I should not only learn the most basic needling, but also know many other things.
In the following months of internship, I learned a lot and added some new ideas and feelings. In my opinion, the profession of nurse is ordinary but great. A good nurse should have good moral and professional qualities, be patient, careful and bold. Nurses will be respected by patients, but they will often suffer indignities and suffer losses, but they should also smile at patients.