Summary is to analyze and study the relevant situation at a certain stage and make written materials with guiding conclusions, which can give people the motivation to work hard. So review well and write a summary. How to write a summary without becoming a mere formality? The following is my internship summary of general surgery interns. Welcome to reading. I hope you will like it.
Summary of general surgery practice 1 In general surgery practice, we have mastered common diseases in our department, such as cholecystitis, cholecystolithiasis and appendicitis. During the undergraduate internship, the teaching teacher also talked about how to wear gloves and surgical gowns, how to disinfect patients when changing medicine, and how to take pliers. In 20xx, 165438+ 10 month, 13, the teacher took the stage and had the first operation. During the operation, he helped the teacher pull the hook and cut the thread. This is the first time I have entered the operating room since my internship, and everything around the operating room seems so strange. I recalled the steps of hand washing before operation and the concept of aseptic operation in my mind. Under the guidance of the teacher, I finally successfully put on a sterile surgical gown and gloves. I am very happy. The clinical manifestations, diagnostic points and simple medication principles of cholecystitis, cholecystolithiasis and appendicitis were mastered in our department. I know what to prepare before the operation and what to do after the operation. I am deeply touched.
How time flies! In a blink of an eye, I stayed in Xinyu for a month and a half, and my initial anxiety and depression turned into stability and pleasure. In this short time, I have basically mastered some common and frequently-occurring diseases in general surgery, and my relationship with teachers is also quite good. I have many opportunities to do it myself, and I have done more than a dozen minor surgeries. Generally speaking, Xinyu People's Hospital is a good practice place, with many patients and directors.
Get up at 7: 13 every day during this time, 70; I went to the department at 30: 00, and I was very busy all morning: I had to help the teacher get the medical record folder, change the medicine, and post the laboratory test sheet. After that, I went to the operating room on the tenth floor most of the time, and I had at least one operation every day, up to four, from 80; 30 to 50 o'clock; 30. My lunch break at school is usually ruined. The most soothing thing is the free lunch in the operating room at noon. My teacher works night shifts twice a week at most, and most of them ask me to take the initiative to study by myself to thoroughly understand many unfamiliar parts and operation methods and skills during the day. A little tired, but I think it's worth it. After all, it's difficult to operate here.
I am crazy in Xinyu, too. I climbed Yangtiangang (Sun City) twice, went to KTV three times and went to Chuanmei Hot Pot five times. Xinyu is small, but there are many interesting places. Yangtiangang is not very high, but it is steep and exciting. This is a steep slope of 80 degrees. This is a good place to relax. Besides, there is no need for tickets. KYV here is cheaper than Dolemi in Nanchang. Chuanmei is as affordable as Ji. If you practice in Xinyu, you should have a good time.
Summary of general surgery practice in xx month of 20xx, I came to xx industrial injury rehabilitation hospital for nearly 8 months. After studying and teaching by teachers, I have the basic conditions to step into society. The following is my experience.
1, focusing on the learning of "methods" in practice.
The rehabilitation hospital for work-related injuries focuses on adult rehabilitation and is divided into three sections: orthopedic rehabilitation, neurological rehabilitation and burn rehabilitation. Because I have practical experience in nursing practice, I can fully demonstrate and pay close attention to basic skills training, find out the similarities of different medical records of the same disease (for example, patients with spinal cord injury and hemiplegia are good examples), use the special learning methods of general surgeons, systematically summarize a disease by combining basic medicine, clinical medicine and rehabilitation orthopedics nursing practice, and be diligent in asking questions, giving inferences and writing good practices. One-on-one training for vascular surgical therapists in xx Provincial Hospital summarized my nursing practice of working in study and making progress in work. The professional books and materials in the hospital library provide me with a good place for brain surgery in Beijing Tiantan Hospital and a platform for seeking knowledge. I should make full use of resources and learn to be good at grasping them.
2. Have the qualities that a rehabilitation therapist should have.
Patients often ask me, "You rehabilitation doctors and clinicians are really different. Aren't you tired of helping us move every day? " I smiled at them and thought to myself: we have the same goal as clinicians. Einstein said, "Love is the best teacher", which is well reflected in the rehabilitation therapists in the hospital. So the first thing is to love your major, and every business study in rehabilitation department is basically full. The therapist's questioning and teaching all reflect his open-minded learning attitude, rigorous work style and scientific attitude of seeking truth. It is worth learning and doing. For eight months, I didn't see a therapist who was late for work and left early. When treating one patient after another, they take it seriously and tell us knowledge, which fully embodies their spirit of being brave in suffering and good ideological quality.
3. Learn the ability to solve problems.
In the internship, we have the dual identities of interns and doctors. For the status quo and prognosis of hospital patients, most of them are poor, especially those with sci, hi, cva and burns, and most of them are young and middle-aged, who will treat us as good friends and say something from the heart. Facing these patients, we need to know where we are, how you will answer him, what he will think in the future, and what kind of problems will it bring him, good or bad? But this is worth thinking about and saying responsibly. This is the principle of being a doctor. Therefore, under the guidance of teachers, combined with our own personal experience, we should learn to be good at observing faces and colors, learn the ability to communicate with patients, learn the ability to deal with unexpected accidents or situations, and learn the ability to think logically. You should know more about these knowledge, laws and regulations. For example, work-related injury patients consult work-related injury identification and compensation. It shows that we should learn to correctly handle the relationship between doctors and patients, so that patients can get maximum rehabilitation.
4. Be brave in trying and innovating.
The industrial injury rehabilitation hospital is the first specialized rehabilitation hospital in China, which is a bold attempt and a success. It's like we innovate in our work and try to treat patients in new ways. Of course, this is the result of experience accumulation and theoretical transmission. This method has no side effects and negative effects on patients. Young people are at the peak of their entrepreneurial and learning abilities. I want to do a good job in professional basic skills, integrate theory with practice, and improve my scientific research ability and technical level in combination with the present situation.
Summary of general surgery practice 3 The general surgery practice in just one month has come to an end. Looking back on the internship during this period, I am deeply touched.
During the internship of general surgery, with the help and guidance of Song Ling, combined with my own practice, I mastered the rules and regulations of general surgery, carefully studied the specialized nursing operations such as bladder irrigation, venography puncture, urethral orifice nursing and indwelling catheterization, strictly observed the aseptic operation principle required by general surgery, and further standardized and mastered the basic nursing operations such as intravenous infusion, subcutaneous injection and intradermal injection.
Conscientiously perform the duties of nurse interns, be strict with yourself, respect teachers, unite classmates, care for patients, never be late, never leave early, work hard, try to standardize nursing work, and combine theory with practice. During the internship, I always take "love, care and patience" as the basis, strive to achieve "eye diligence, hand diligence, foot diligence and mouth diligence", wholeheartedly provide quality services to patients, and strictly implement the "three".
Every link of general surgery is an indispensable part. For me, every part is a test and a rare and precious experience. Today, with the improvement of this legal system and the enhancement of people's legal consciousness, it has become common sense for people to act according to law and safeguard their legitimate rights and interests, which requires modern nursing quality to satisfy patients in all directions and in the whole process. Nurses should not only know the law and usage, reduce the occurrence of medical accidents according to law, but also improve their theoretical and practical level.
Through this period of internship, I am especially grateful to all teachers and seniors for their careful guidance. I will keep in mind their excellent work style and serious and rigorous work style.
Summary of general surgery practice 4 Practice is an essential learning stage for every medical student. As a beginner who is very short of clinical courses, all the doctors, nurses and patients in the ward are worthy of consulting except their own teachers. Therefore, I maintained a humble and serious learning position, actively participated in all the study, medical treatment, discussion and other sports in the ward, and gradually honed myself from the most fundamental physical examination and course record.
Before entering the icu, I took my teacher to teach me the management system and disinfection system of the icu, introduced the environment of the icu, and let me know about the ICU and work hard. Specially arranged a lecture on common knowledge of specialized diseases, that is, the introduction of common diseases in thoracic and cardiac surgery, which made me have a certain understanding of thoracic and cardiac surgery diseases and was conducive to postoperative monitoring. In addition, we also provide basic nursing guidance, such as preoperative guidance, psychological care and occupational care.
First of all, let me understand the significance and importance of central venous manometry, which is an objective yardstick to directly reflect left ventricular function and measure blood volume, guide fluid replacement speed and evaluate blood volume. Factors affecting central venous manometry:
① Determination of zero point;
(2) The fourth rib of axillary midline in supine position and the fourth rib of axillary fire line in semi-supine position;
③ Patients must measure their blood pressure in a quiet state;
④ The piezometer tube must be kept unobstructed to ensure that the catheter is in the vena cava or the right atrium;
⑤ When breathing machine peep is used, the peep value must be subtracted, which is the true central venous pressure. At the same time, the teacher and I distinguish pressure measurement and compare the accuracy of my measurement. Pay attention to sterility, prevent the manometer from injecting vasoactive drugs and ensure the patency of the catheter.
After entering the clinic, surgery is often the main task, while theoretical study and clinical thinking practice are relaxed, especially in thoracic and cardiac surgery. There are many kinds of diseases and operations in cardiothoracic surgery, so it is easy for me to focus on the operation. Therefore, I take doing more surgery and practicing more hands as the important purpose of my internship, and the attention of pathological students has changed greatly after operation. I must comprehensively and correctly 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 accurate treatment methods. 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 a good understanding of postoperative monitoring of thoracic and cardiac surgery, and mastered the clinical application and matters needing attention of monitors, ventilators, defibrillators and micropumps. , and can independently realize monitoring skills such as detecting core venous pressure, endotracheal intubation sputum aspiration, writing nursing records, and summarizing the amount of entry and exit. Finally, they can pass practical and operational skills tests.
With the development of medical science and the wide use of electronic instruments in clinic, it also puts forward higher requirements for nurses, not only to have a high sense of obligation, but also to learn intensive care and intensive care skills. During my internship in the intensive care unit of cardiothoracic surgery, I mastered intensive care and intensive care skills, and improved the overall quality and professional level of clinical nursing. In the process of practice, I know the goal, significance, precautions and the danger of improper operation. Secondly, I know that some operations must be postponed in person, so that I can master the skills, control methods and skills, and operate on the length of the patient.
During the internship. I always strictly demand myself from the perspective of catching shadows, starting from bit by bit, because this is responsible for patients, myself, society and superstition.
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