Summary of plastic surgery nurses' practice
Is a new challenge, as the saying goes? Do you hate when books are used? Now I really understand the truth of this sentence. Work practice every day. There is too much knowledge to master. Only by studying persistently can you become a real doctor. At the same time, we also need to review the past and learn new things. If you forget something, you should turn to the books in time. The internship in dermatology is over half, but the knowledge is endless. We should follow the teacher's example, always empty ourselves and be a good doctor serving the people.
The teacher began to scrape off the dander samples for me. I was nervous when I scraped the specimen for the first time. Feel the internship experience of doctors in dermatology and STD room. Is it completely disinfected? Did you scrape successfully? What effect does tabletting have? These problems are related to the detection rate of the results. Under the guidance of the teacher, master the importance of scraping specimens.
I remember the light rain that day, the month and the day. With the blessing of teachers and classmates, the car slowly drove out of the campus gate and went straight to the First People's Hospital of the city, and started a one-year internship with excitement and anxiety.
The first department is the dermatology and venereal disease laboratory. In these two weeks, according to the internship arrangement. From the initial hesitation and ignorance of the department, I can basically keep up with the work rhythm of the department now, which will be a valuable experience in my life experience.
Dermatology laboratory mainly deals with direct microscopic examination of skin dander. Syphilis, herpes simplex, HIV test and STD test. There are few instruments, mainly manual operation. At first, the teacher assigned me to take charge of receiving and inoculating samples of mycoplasma and chlamydia, and routine smear staining of leucorrhea. I thought I was an intern at school, and this job would be handy, but it's not the case. We are facing not only specimens but also patients here. When you receive each specimen, you should explain in detail to the patient when and where the results will be produced. Communication with patients' families, the hospital is an important knowledge, which requires more care and patience.
So, because there were not many physical specimens in school before, I was contacted. When I look at leucorrhea specimens, I basically start all over again. In fact, judging the cleanliness of leucorrhea in all aspects can not apply the theory in books, but more is the sense. At the beginning, I had to ponder over every film with leucorrhea for a long time before I could make an uncertain result. Fortunately, the teacher who taught me this article reprinted it. Please keep this mark. Very enthusiastic to explain the main points to me, watching more films also mastered the main points. Now I am more and more proficient in judging the routine results of leucorrhea. I am very happy to see that my results have changed less and less after the teacher's examination.
The teacher began to scrape off the dander samples for me. I was nervous when I scraped the specimen for the first time. I started this week. Is it completely disinfected? Did you scrape successfully? What effect does tabletting have? These problems are related to the detection rate of the results. Under the guidance of the teacher, master the essentials of scraping specimens. If there is desquamation between the toes, the detection rate of scraping between the little toe and the fourth toe is higher; The detection rate of nose blackheads in follicular keratosis is high; If it is a plaque with obvious boundary, should the red and swollen part around the plaque be scraped?
In addition, watching movies in the mirror is also a science. Microscopic examination of dermatophytes should first observe the large epithelial cells with a low-power microscope to see if there are strip-like substances with strong shading, and then use a high-power microscope to confirm after localization. When spores are observed, it is necessary to dye them with Gram solution to see if there are melon seeds or teething spores. Observing keratosis folliculi, we should pay attention to the black part of its tail and the prominent features of its feet. Of course, it is impossible to master all these points in an instant. In the process of watching movies every day for two weeks, I gradually mastered various essentials. I was very excited when the teacher promised me to help me watch the movie.
Summary of Practice of Plastic Surgery Nurses (Ⅱ)
After three years' study of book knowledge, the school arranged for us to spend the summer vacation in a famous school in China? One month's internship in Xijing Hospital has narrowed the distance between us and doctors and really touched the clinic and patients. I learned a lot from this internship experience, and I really gained a lot of knowledge. It is also of great help to study medicine in the future. Personally, I feel that I have gained the most in the following four aspects. The first is the consolidation of basic theory.
As a medical student, the study of theoretical knowledge is the most basic and necessary. You must always consolidate your basic knowledge to keep up with the clinical needs, and clinical probation is a good review process. In various departments, surgery or rounds, professors or teachers may ask some basic questions that need to be reviewed. If you don't understand, you can ask the teacher, and the teacher will explain it carefully. During the rounds, the professor will explain the cases in detail. Some knowledge may not be available in the textbooks of internal surgery, so you can write it down appropriately. Such as cochlear implants in otolaryngology. In the department, what you see is basically common diseases, which can be strengthened with textbooks to strengthen understanding. The second is the study of basic clinical skills.
Medicine is a discipline that pays great attention to practice, and the basic operation should be learned in the process of probation. During the week of plastic surgery, I learned a lot of surgical skills, such as dressing change and stitches removal, some simple suture, catheter insertion and extraction, as well as some basic aseptic techniques and operating room surgical skills. There are many learners in the department, including interns, graduate students and doctors, so there are not many opportunities to do it yourself. You should consciously find a job yourself, don't be idle. In internal medicine, you can look at medical records, check wills, study some tests and so on. You can try to do ECG and take blood pressure several times. You must find your own opportunities, so as not to waste the opportunities of study and practice. Otolaryngology Head and Neck Surgery This week, I went to the operating room several times, and I have seen all the common operations. The teacher is really nice and willing to take us students. Although I am still a resident, they patiently told us the basics, which made me learn a lot. After all, the knowledge in books is limited, and medicine is still a very practical subject with profound knowledge. I didn't go into the operating room for a few days and learned a lot. I can also help nurses and sisters learn from them the operation of injection, which is very necessary in the future.
The third is the experience of communicating with patients.
As a doctor, you must deal with patients, so you can learn the skills of consultation from your teacher and apply the knowledge in books during your internship, which will bring you good results. Every time a new patient is admitted, the teacher should have a consultation and physical examination, and the nurse should also have some basic vital signs tests, such as body temperature and blood pressure. You can practice your skills appropriately. In daily ward management, communication with patients is also very common. Only by communicating with them can we care about patients and do better treatment. In otorhinolaryngology head and neck surgery, my teacher and I had a preoperative conversation with the family of a patient who was about to undergo surgery. The teacher's explanation is very clear, and it is easy for patients and their families to accept. Then I did it by myself. After the teacher's guidance, I also successfully completed the dialogue.
The fourth is medical ethics.
Can medical workers bear it? Heal the wounded and rescue the dying, relieve the pain, prevent and treat diseases, and recover health care? The mission of. Therefore, doctors must master advanced medical technology, and at the same time, they must have the character of caring for their posts, being honest and dedicated, and serving the people wholeheartedly. To be a good doctor, you should not only have good medical skills, but also have a kind heart. During my internship, I found that there are still many good doctors in Cory. I really feel lucky to have them as teachers. What impressed me the most was Qiu Jianhua, director of Otolaryngology Department. His 30 years' experience as a doctor makes him our role model. All doctors in the department learn from the director of the department and treat patients as parents. From the actual observation these days, I was deeply moved by the sincere smile of every medical staff and the cordial greetings to patients and their families. The original intention of doctors to save lives has always existed. Clinically, seeing the painful expressions of so many patients and the joy after recovery, I believe you will feel that it is worthwhile to be tired again. In the hospital, the doctor is a person that patients can trust completely, and your every move gets great attention. Therefore, please don't be stingy with your smile, even a simple greeting can sometimes help patients recover. As for the protection of patients' privacy, I learned it through practice. To be a good doctor, you must first have good moral quality. I will keep that in mind.
In a word, one-year clinical practice has come to an end, but the gains from it may be endless for life. Thank you for teaching us hard. Thanks to the patients, you have improved our clinical knowledge; Thanks to the classmates in the same group, you care about each other when necessary; I am more grateful to myself. It was my persistence that brought the internship to a successful conclusion and benefited a lot.
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