Practice summary of obstetricians and gynecologists Part I
Time flies. I've been practicing for almost five months. Considering my five-month internship experience, it's really substantial. Society is really a big school. I learned a lot at school, but few of them were really applied to clinic, and half of them failed to achieve it. I have to sum up my experience and practice hard. During my internship in the hospital, I also met new teachers, new colleagues and new things. It feels fresh. The fifth department I transferred to was obstetrics and gynecology, and I was not afraid. Because I can study this course. On the first day in the department, I was dumbfounded. It's not as simple as I thought. I've been standing all day, and I don't know what to do.
Only the teacher is busy. The next day, under the arrangement of the director, I had a designated teacher, surnamed Chen. Under the careful guidance of Mr. Chen, I became familiar with the functions of various commonly used medical instruments and drugs, and gradually learned to do fetal heart monitoring and listen to fetal sounds. Obstetrics and gynecology is not too busy. Going to the delivery room to see the Qing palace operation, I was a little overwhelmed for the first few days. I think it's too cruel, but after a long time, I don't feel strange after watching too much. I think girls should respect themselves and lead an honest and clean life, or they will suffer. What I do every day are: morning rounds, listening to fetal sounds, doing fetal heart monitoring, doing abdominal microwave therapy, adjusting doctor's orders, making prescriptions, perfecting cases and recording the labor process. All this is going on in an orderly way. Although I am very tired, I feel very fulfilled. Smile at every patient every day and patiently explain the problems they don't understand. And guide them how to take care of the baby, what to pay attention to and so on.
You can see the baby here. They are the cutest. Every time I hear them cry, I think they are cuter. Some wards have two or three babies. If one baby cries, the other baby will cry, as if it were a game. I also
I remember the scene (feeling) of holding the baby for the first time. I didn't know how to hold it at that time, and I was particularly scared, but I finally learned it under the careful explanation of the teacher. The baby is so cute and the pink skin is so light. That feeling is unforgettable, after all, the first hug. The obstetrics and gynecology internship is over. Time is short, but it is enough for me to grow. I was very confused and came home with a full load. Although I don't know what my future work will be like, I believe that with the help of teachers in various subjects and my own efforts, I will successfully complete my internship and become a qualified medical worker!
Practice Summary of Obstetricians and Gynecologists Part II
"I feel very shallow on paper and don't know how to do it." This summer training made me fully realize the importance of social practice. During the obstetric internship, time passed quickly. I think my two-week summer internship at Rongxian People's Hospital in Yulin City has ended. Looking back on my internship experience in the past half a month, I am both cautious and full.
In the past half month's clinical practice, I have contacted many teachers, including professors, residents and nurses. Although their positions are different, their persistence and enthusiasm for work and their attitude of being responsible for patients are the same and persistent. Every teacher left a deep impression on me, and their serious working attitude. Although obstetricians are mostly pregnant women, it seems simple, but it is not that simple, and there is no room for carelessness. Obstetrics is a high-risk department and a very special department, facing expectant mothers who need patience and care and witnessing the arrival of a little life. As a doctor's assistant, I always remember to treat pregnant women with "patience, love, care and responsibility", and try my best to relieve their anxiety and childbirth pain and bring them peace of mind and new hope.
The department I reported to is obstetrics. Under the arrangement of Director Su, I have a designated teacher. The first day I went to the department, I was dumbfounded. Obstetric inpatient department is not as easy as I thought, only doctors and nurses are busy coming and going. As a newcomer, I have been standing all day, and I don't know what to do, because I don't have any obstetric experience. All I see are pictures of obstetricians busy with pregnant women. As the saying goes, "Newborn calves are not afraid of tigers."
Gradually, under the careful guidance of Teacher Li, I became familiar with the use of various commonly used medical instruments (such as curettage bags, induction needles, dressing change bags, etc.). ) and related uses of routine medication for pregnant women (such as ethacridine hydrochloride, iodophor, kaiselu, magnesium sulfate, ceftazidime, etc. ), and I also deeply realized the importance of aseptic concept (aseptic operation dare not slack off); Every time the accompanying teacher enters the operating room to watch the operation, he should honestly put on visiting clothes, disposable hats and masks, learn from the teacher to practice the "seven-step washing method" of the operation, and then thoroughly wipe the disinfectant to ensure the aseptic effect. It can be seen that doctors are meticulous in their work and strive to do every detail, which contains a high sense of responsibility for patients' lives and health. At the same time, Teacher Li slowly taught me how to carry out routine maternal examination (such as four-step palpation), dressing change after operation, and screening for neonatal diseases (such as syphilis, hepatitis B, HIV, phenylketonuria, G-6-P deficiency, etc.).
According to official national statistics, 4-5 babies are born every second in the world, among which China children account for 1-2. It is precisely because of the steady stream of pregnant women giving birth in hospitals that obstetricians seem to have only endless work to do. In obstetrics, what teachers often do every day are: morning rounds, dressing changes, listening to fetal sounds, fetal heart monitoring, abdominal microwave therapy, obstetric surgery, adjusting doctor's orders, prescribing prescriptions, perfecting cases, recording labor process and leaving the hospital. Shocking. It can be said that the busiest department is obstetrics. Obstetricians are very busy. Every day, all these things are going on in an orderly way, and so on. Under the daily listening and reading in obstetrics, I also learned to smile at every pregnant woman every day and patiently explain some details that need attention during labor (such as urging them to lie on their left side and counting fetal movements every day). ), and told them to seek medical attention in case of emergency (such as sudden and large vaginal discharge, vaginal bleeding, sudden dizziness, vomiting, abdominal pain, etc.). ). I report to the department on time every day and put on my white coat. I always put a small notebook in my white coat pocket and take some notes from time to time. Unconsciously, my little notebook has been written in dense.
Full of things. There are strange doctor's orders, syndromes, drug names and usage, stage summaries to be written on the laboratory sheet to be opened in today's consultation, and various telephone calls. Looking back now, these transcripts have just become the testimony of my internship, which is full of my excitement, admiration and doubts (I still can't bear to throw them away). After a period of probation, I also learned to deal with various interpersonal relationships. In the department, the relationship between doctors and nurses, the relationship between doctors, the relationship between doctors and patients and their families, and the relationship between doctors at lower levels and doctors at higher levels ... The biggest experience is to keep a low profile-don't take yourself too seriously. The so-called "threesome, there must be my teacher." Needless to say, doctors, nurses and teachers are quite good. The patient is also respectable and needs our care. Only by mutual respect and trust can we defeat our common enemy-disease.
In obstetrics, you can often see touching scenes of calf. Here you can see the lovely and shy baby and the loving eyes of your mother. I still remember the feeling of having butterflies in my stomach when I first held my baby. I didn't know how to hug at that time, and I was very nervous, but the teacher who taught me by hand made me feel much better. It's lovely to look at the babies. Their pink and ruddy skin is so soft and warm to hold. In addition, under the patient guidance of the teacher, I learned how to judge whether the newborn is healthy and needs further observation or transfer to pediatrics for further treatment by checking whether the newborn's skin is yellow, whether the anterior fontanel is not long and whether the umbilical cord mouth is swollen. And by observing the postpartum uterine involution, perineal lateral incision and postoperative incision exudation, we can know whether there is infection in perinatal period and how to prevent it. Through such close and meticulous observation, we can ensure the health and happiness of mother and baby.
Time flies, and the obstetric practice will be over in a blink of an eye. In this short period of half a month, I have gradually grown from a medical student with no obstetric experience to a little assistant who takes care of pregnant women, takes them to take color Doppler ultrasound, makes a civilized checklist, changes the dressing for pregnant women after operation, hangs water and fills in the questionnaire of pregnant women's cases. Originally confused, I returned home with a full load, and my heart strengthened my lofty belief of trying to be a doctor to heal the wounded and rescue the dying in the future, and I will contribute my enthusiasm and sweat to the medical and health undertakings in China in the future! At this point, I eagerly read the oath of medical students:
"Health depends on life."
When I entered the sacred medical school, I solemnly swore:
I am willing to devote myself to medicine, love my motherland, be loyal to the people, abide by medical ethics, respect teachers and attach importance to teaching, study hard, be tireless, strive for perfection and develop in an all-round way.
I am determined to try my best to get rid of human diseases, help improve health, safeguard the sanctity and honor of medical skills, heal the wounded and rescue the dying, work tirelessly and persistently, and strive for the development of medical and health undertakings in the motherland and the physical and mental health of mankind for life. "
Practice Summary of Obstetricians and Gynecologists Part III
On the morning of _ _ _ _ _ 20, I arrived at the first stop of my internship with excitement, excitement and a little uneasiness. The head nurse received us warmly. Considering that we just came to the hospital, I am very moved and grateful for the detailed introduction of the department environment, common obstetric diseases and practice methods. Unconsciously, I have been practicing in obstetrics for nearly four weeks. During this time, I work hard, abide by the law, respect teachers, unite with my classmates, be strict with myself, be not late, leave early, be kind to patients and have a good attitude. I gradually transitioned from the role of a student in school to the role of an intern nurse, and I grew a lot as a whole.
During the four weeks of obstetric practice, I basically completed the internship task and gained a lot. First, familiar with the environment of hospitals and departments, familiar with the workflow and main tasks of clinical nurses, and familiar with the admission process and nursing of patients. Secondly, under the guidance of the teacher, I have basically mastered the characteristics and nursing care of some common obstetric diseases, such as premature delivery, premature rupture of membranes, pregnancy-induced hypertension syndrome, postpartum hemorrhage, pregnancy complicated with diabetes, etc. And master the usage, adverse reactions and observation points of commonly used obstetric drugs magnesium sulfate and oxytocin.
Third, personally observe and participate in the nursing of pregnant women during childbirth and puerperium, participate in the midwifery process of pregnant women, feel the characteristics of the three stages of labor and the physiological and psychological changes of pregnant women, and focus on explaining the contents and key points of postpartum nursing for 2 hours. Fourthly, I practiced nursing operations such as admission health education, fetal heart auscultation, electronic fetal heart monitoring, uterine contraction palpation, perineal scrubbing, wet and hot compress, abdominal palpation, breast-feeding guidance, etc., and practiced Liu __ue86' s anal examination, drawing labor chart, scientific delivery, labor analgesia, vaginal incision, vaginal midwifery, neonatal treatment and vaccination, neonatal bathing, etc.
Through continuous clinical observation and study, I have deepened my understanding and memory of book knowledge, such as what is uterine contraction and its characteristics, how to touch uterine contraction and so on. Similarly, I try to apply what I have learned from books to practice. I understand that clinical work is not simple, especially the need for observation, flexibility and experience accumulation. Just come to practice, we should start from bit by bit, observe more, operate more and accumulate more experience.
I feel that internship is a simple and complicated life. I have to learn to do things as well as to be a man. Doing things enriches theory and operation; As a man, it is very important to handle the relationship with colleagues, teachers, head nurses, doctors, patients and their families, especially to establish a good nurse-patient relationship. In obstetrics, it is easier to establish a good nurse-patient relationship with parturient and their families. Through communication with them, we can not only help them solve some problems, but also get satisfaction in their work. Learning to communicate with patients is an important part of practice.
Summary of articles related to the practice of obstetricians and gynecologists;
★ Summary of personal practice in obstetrics and gynecology
★ Summary of personal practice of interns in obstetrics and gynecology in hospital
★ Practice experience in obstetrics and gynecology
★ 3 pieces of internship experience of obstetricians and gynecologists
★ Practice experience of obstetricians and gynecologists
★ Model essay on practicing self-evaluation of obstetricians and gynecologists
★ Summary of 5 selected articles in obstetrics and gynecology practice
★ Summary of self-evaluation of gynecological practice
★ Personal summary of obstetrics and gynecology interns
★ Model essay on work summary of obstetrics and gynecology interns