Self-evaluation of doctors' completion of advanced studies
Three months of study and research life is over. In this short three months, I learned a lot of knowledge and realized a lot.
I still remember that when I received the notice of further study, I was very excited. I am very grateful to the hospital and departments for giving me this rare opportunity to continue my studies. Before my further study, I carefully reviewed the related contents of clinical orthopedic nursing to strengthen my professional theoretical level. And make plans and ideas for this further study.
Maybe my requirements and expectations are too high, and I feel depressed in the first three weeks of further study. The reason is that in the past three weeks, apart from completing much heavier nursing work than our hospital orthopedics, teachers rarely give lectures to our advanced students and give us very formal nursing rounds. Of course, there are objective reasons: I am too busy at work, so it would be great to hand in my shift on time every day.
Lost, can only take the initiative to ask the nurse? Check with the professor once or twice a week, and attend the study class of "Application of Clinical Pathway in Quality Nursing Service" after 3 pm. After the head nurse promised, I changed my work clothes before 7: 30 every day, and gave one or two postoperative patients a bed bath before going to the shift to make rounds. After studying the course "Application of Clinical Pathway in High-quality Nursing Service", I often attend study lectures held by some universities or hospitals after work. On the one hand, there are many opportunities for learning. As long as you are not afraid of hardship and fatigue, you have the opportunity to attend classes every day. During these three months, I participated in many learning courses organized by the school and the First Affiliated Hospital, such as the course "Application of Clinical Pathway in Quality Nursing Service", and? Understanding of pressure sore in hospital. 、? Cause analysis and treatment of PICC tube infection? 、? New progress in surgical wound management? And the course of "new theory and practical skills of clinical nursing teaching". And have the honor to participate? 20 1 1 Symposium on Multidisciplinary Diagnosis and Treatment of Bone and Soft Tissue Tumors? . These courses, workshops or seminars not only enrich my professional knowledge, but also let me know more, newer and more advanced technologies, and more importantly, let me see the bright future of nursing.
In addition, what impressed me deeply was that the way of further study was different from other studies. If I walk into the study area with the attitude and method of internship ten years ago, I may not gain much, just like my experience in the first three weeks of study, I have been thinking? The teacher will take the initiative to teach me? ,? Will the head nurse arrange his further study properly? In the end, I can only be disappointed. Is further study a kind of? Self-seeking, self-thinking? study In the process of further study, you should study? Steal? . Self-study and stealing learning are very important for every advanced student. Most teachers in the First Affiliated Hospital have a strong awareness of intellectual property protection. What's the excuse when you want to copy some valuable materials? Can you take it back to the dormitory? Return it in a few days. ? They always tell you politely? Sorry, these things are made by our department. Just sit here and have a look. ? So, we can only find a way to go back? Study? Yes As a top student, we should pay attention to our eyes and ears at work. If you find a senior nurse tutor giving a demonstration to some specialties or giving a primary class to junior nurses, you should learn to seize this learning opportunity. Sometimes, when you know that the head nurse or specialist nurse is going out for consultation or attending a meeting, it's not too late to seize the opportunity to follow, so don't listen.
I was deeply impressed by the perfection and execution of the attached system. In Annex I, doctors and nurses attach great importance to the two-person check system. Nursing operations such as infusion bottles and dispensing medicines are all done by two people together, even if a bottle of glucose and a bottle of Ringer's solution are all played by two people; In joint microsurgery, when doctors perform manual reduction and plaster external fixation, they always ask others for help before using lidocaine for local anesthesia, and they can only use it after the other party confirms it.
In Annex I, I am deeply impressed by the practice of appointing knowledgeable people. For example, in orthopedics, the old nurses with 23 years' service still go to the early shift (class 7 ~ 14) like the young nurses with 1 ~ 3 years' service; Those who have only worked for four or five years have become general tutors and become specialist nurses after six or seven years, and they pay much more attention to their nursing ability. The head nurse can arrange the quality control of ward nursing management according to the nurse's personality characteristics and ability.
Learning life is hard, and learning is full of hope and excitement. Only when you have tasted hardships in the process of further study can you cultivate sweet fruits. Today, I think I returned home with a full load, hoping to better serve patients and make my due efforts for the nursing development of hospitals and departments!
Nursing Department: A period of further study is actually the epitome of a person's career. A person's career also needs a positive attitude and the spirit of active learning, right? Self-seeking, self-thinking, self-creation? For faster progress and growth, instead of waiting? Being taught by others? Be properly arranged by others for your study and growth? . A period of study experience, taking the initiative to change their situation, has brought full gains, but isn't it the same with their career and even life?
Self-evaluation of doctors' completion of advanced studies (2)
With the help of their doctors and nurses, they successfully completed the rotation of general surgery, thoracic surgery, extracranial surgery and extraosseous surgery through six months of further study in the First Affiliated Hospital. Although this is a general surgery specialty, I only stayed in the general surgery group for more than 2 months, and most of my rest time was in the orthopedic group. General surgery is the most common and basic operation in our operating room. However, as one of the nurses in the operating room, we should all be proficient. This further study made me feel deeply and benefited a lot, and at the same time I realized the shortcomings in my previous work. Now I will report my learning experience as follows.
The First Affiliated Hospital of Nanda is a first-class comprehensive teaching hospital in Jiangxi Province. When I first went there, I was a little uncomfortable and under great pressure, because their daily operation volume was three or four times that of our hospital, but their nurses had the spirit of perseverance, meticulousness and continuous work, which made me admire. During the operation, they strictly followed the technical specifications and effectively prevented all kinds of nursing mistakes. On the basis of being familiar with the operation process, hand-washing nurses actively prepare all kinds of instruments needed for the operation, deliver the instruments voluntarily and quickly, and cooperate with the operation nervously and orderly to ensure the smooth operation. Their doctors and nurses didn't say a word of gossip on the operating table. The whole operating room is quiet and the visiting nurses are very careful. They set up a position to protect every exposed part of the patient with rubber pads or water bags, effectively preventing the formation of pressure ulcers in patients undergoing surgery, especially those undergoing long-term surgery. And every time you hand over to the ward nurse, you should also do a good job of skin handover. During the operation, any request of the doctor will be answered at the first time, and the attitude towards the patient is also very good. Each operating room is equipped with a small blanket, which is very humanized. This is what we should learn. Visiting nurses should also cooperate with anesthesiologists to anesthetize patients. After the operation is successfully completed, input the operation cost into the computer and record the operation data on the operation cost list for checking. The garbage in the operating room is clearly classified, and the sharp tools produced during the operation are put into the sharp tool box, and then the visiting nurses pour them into the big sharp tool box of the whole operating room after the operation and destroy them uniformly.
The operating room is very strict about the basic operation. First of all, it is very serious about changing shoes for the second time. I remember that in the first week, a teacher took me to the equipment cleaning group to put the equipment, because the shoe cover was not changed, and the head nurse saw it. At that time, all the bonuses for one month were deducted. Therefore, the nurses there are very careful in everything. If they are not careful, the bonus may be deducted again. Their surgical gowns have now been replaced by all-inclusive surgical gowns. The hand-washing nurse is the first to wash hands, assisted by the visiting nurse, and the rest of the surgeons are assisted by the hand-washing nurse with gloves, and the belt is tied around the waist. Although our hospital is also full of surgical gowns, we have not really done this, which we need to correct. All kinds of surgical instruments, gauze was counted during the whole operation, and was counted three times by the instrument patrol nurse (before operation, before and after closing the body cavity). Check the instrument carefully, including whether there are teeth with pliers, whether the instrument is loose, whether the connecting screws are lost, and whether there is gauze tape to prevent errors caused by the instrument. After the operation, the nurses in the instrument group received the instruments, checked the number of instruments again when receiving them, and then pushed them to the instrument group for classification.
The operating room insists on timely handover at 7: 45 every day, and the handover procedures are standardized and clear, from equipment to needle and thread. The medical department checks whether the operation has started and whether the operation has been marked at 9: 00 every day on time. The head nurse should match the old with the new in the scheduling, set up a team leader management team, let the surgical nurses know the doctor's habits, cooperate with the doctor tacitly, effectively shorten the operation time and improve the operation efficiency. Regular lectures are arranged in the operating room every week. Friday morning is the study time for each specialist group, and senior nurses will explain the operation and knowledge of this specialist. One week is the study of ordinary nurses, and the other week is the study of young people, new nurses and advanced students. This rotation. Explain the protection of different surgical positions and the use of advanced medical devices, as well as the study of management, and regularly invite specialists to teach, deeply feeling its strong learning atmosphere.
The operating room should be flexibly scheduled according to the daily operation volume. The operation sheet must be opened before 12, and the head nurse should queue up for the next day's operation on 14. Nurses work from 7: 45 to 15: 00 every day. If the operation is completed before 0: 00/kloc-5: 00, the head nurse shall be informed as required to arrange the operation. If there are no other arrangements, individuals should truthfully fill in the working hours. If the operation time is too long, the shift change will be completed by our team as usual, and handover is not allowed, except in special circumstances.
Another thing worth learning is that they have a strict management system. Such as equipment disinfection management, including small pressure steam sterilizer. Endoscopic instruments and valuables should be taken over by special personnel, carefully checked with surgical nurses and recorded. Various items used in the operation, such as? Indwelling needle, tee joint, absorbable suture, electrotome, stapler ...? All these are signed and registered by nurses.
The above are just some of my experiences after learning, not very comprehensive. But I will apply the good skills and methods I have learned to my future work, improve my work motivation and enthusiasm, constantly sum up experience and study hard. Finally, I hope that the nursing work in our hospital will flourish and our hospital will be better tomorrow.
Self-evaluation of doctors' completion of advanced studies (3)
After one year's training course for general practitioners, I have a certain understanding and understanding of general practice. Know the meaning of general practice: it is a comprehensive medical academic college facing the society and family, integrating clinical medicine, preventive medicine, rehabilitation medicine and humanities and social sciences. The related knowledge and functions of various disciplines are organically integrated, thus serving the needs of maintaining and promoting health in communities and families. At the same time, I am familiar with and understand that general practice is a medical specialty that provides continuous and comprehensive health care for individuals and families and integrates biomedicine, clinical medicine and behavioral medicine.
As a general practitioner, he will play an important role in general practice. General practitioners are doctors who provide high-quality, convenient, economical and effective integrated primary health care services for individuals, families and communities, and manage life, health and diseases comprehensively and responsibly.
During the one-year study, the teacher taught us community medicine, general practice, community preventive health care, common health problems in the community, rehabilitation medicine, health education and health promotion, traditional Chinese medicine care of common diseases in the community, emergency and first aid, physical diagnosis, psychological disorders and mental health. From this, we learned the characteristics of community health service and the extensive general medical knowledge needed to implement the six-person comprehensive service system, especially highlighting the health and diseases of community health care.
During the clinical skills practice in Gaolan County Hospital 10 month, I mastered the clinical characteristics, diagnosis, differential diagnosis, treatment principles and methods, referral indications and prevention of common frequently-occurring diseases in internal medicine, emergency department, surgery and pediatrics, and earnestly completed the clinical training requirements. What impressed me the most is that all clinical departments have the same characteristics, which fully embodies the problem of solving the problem of difficult and expensive medical treatment for the majority of residents. Convenient, fast, thoughtful, cheap and informed. Accept all-round services. County hospitals have complete basic facilities, rich and cheap drugs, laboratories (routine examination and biochemical examination basically meet the needs of common diseases), B-ultrasound, electrocardiogram and so on. It also provides diversified services such as acupuncture, massage, cupping and sealing, which plays a positive role in the rehabilitation of many sequelae and chronic diseases. During the grass-roots practice training in Blackstone Township Health Center 1 month, I was able to deal with common and frequently-occurring diseases in rural areas independently, solve problems found in my work in time, master general medical service skills, manage chronic diseases in the community, and care for key people.
Through practice, I further realized the importance of being a general practitioner and a hospital doctor in township hospitals. Doctors in health centers can know the health status of residents in the township through various forms (outpatient service, home visits, health files, etc.). ), and often publicize health knowledge through various forms to achieve the purpose of health education and health promotion. Through practice, we have a deeper understanding of the differences and connections between general medical care and specialist medical care, which fully illustrates the important position of general medical care in the needs of community residents in today's society.
Due to the short medical time and lack of in-depth work in villages and towns, the understanding of general practice and community medicine is not comprehensive enough, and many concepts still remain in the mode of specialized medical care. In the process of dealing with patients, there is still a medical-oriented, disease-centered and doctor-centered medical treatment model, and there is still a lack of comprehensive understanding and mastery of common health problems in the community, rehabilitation medicine, Chinese medicine nursing and other general medical knowledge. Therefore, we should make full use of favorable conditions, renew our ideas, improve the quality of service and improve medical services.
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