Complete the self-evaluation of further study 1 In many people's eyes, we are angels. There are sweet smiles and gentle eyes. Have a kind heart. But there are also a few people who don't understand the profession of nurses and the true connotation of nursing. Think that nurses are only senior nannies at best. So they lack a little respect and understanding.
I don't deny that there are indeed some phenomena of lack of professional ethics among nurses. But most nurses are very serious. They are writing their own stories with their own commonness and creating their own beauty.
I remember when I first joined the work, I was also very confused, working the night shift endlessly, and I could never stop. Every day, all I hear is the patient's groans, and all I see are painful faces. So no matter how happy you are, your mood will become heavy, and your young face will be worn away. So I put all my enthusiasm into my chosen career. I thought my sincere efforts would be rewarded with the same sincerity. But it is often misunderstood and not understood. So I almost gave up my original ideal. Only a few years later, a young mother met me with her children. She pointed at me and said to her children, honey, you know what? That's what took you out of your mother's stomach. Thank you, auntie. At that moment, I was full of emotion and happiness. Because I immediately understood the meaning of my career. We are caring for life! So, I chose to keep working hard. I put in more enthusiasm than before.
Slowly, after so many years, I have fallen in love with my career deeply. I devoted all my enthusiasm and was moved by myself every day. I am proud of having such a noble career. Really!
1, improve the strain capacity.
Clinical emergency nursing observation and treatment are very different from general clinical diagnosis and treatment. The life-threatening changes of patients are often sudden, except for a few foreseeable situations, most of them are random. Therefore, nurses are required to respond quickly to emergencies and have strong handling ability. Taking effective and scientific emergency treatment measures for clinical emergency and emergency patients, as well as the ability to use quick wits, seize the opportunity and make judgments without hesitation, and taking a series of specific contingency measures will play a practical and important role in saving patients' lives at a critical juncture.
2, nursing technical operation ability
Professional study and strict training have enabled me to master not only the rescue techniques, such as the performance, operation methods and indications of drugs and rescue instruments, the operation of nursing techniques for various diseases, the use of ventilators, the use of bronchoscope to suck sputum for patients, the use of electrocardiograph to monitor patients' electrocardiogram and correctly diagnose electrocardiogram, but also the skills of nurses to observe patients' myocardial blood supply, ECG stability and cardiac function, and the skills of using defibrillators to treat critically ill patients.
3. Improve the ability of medical cooperation.
With continuous study and study, my knowledge level and quality have been comprehensively improved, and our cooperation ability with doctors has been enhanced. On the premise of good care, actively cooperate with doctors. It is generally believed that a nurse's job is to carry out the doctor's orders and complete all kinds of nursing work, while diagnosis and treatment are doctors' business. The concept that nurses don't need intervention or participation has been proved wrong. The nurse is waiting around the patient for 24 hours. They are the patron saint of patients and direct observers of patients' condition. Therefore, they must be able to comprehensively, accurately and accurately reflect the patient's condition. Nurses are no longer passive doctors, but should be able to work closely with doctors, communicate with each other and learn from each other's strengths. * * * shoulders the sacred task of saving lives.
The delivery room has a fast pace of work, saves many patients and is highly concentrated. In the process of midwifery, it is not only high-intensity physical labor, but also high-energy mental labor. The delivery process requires patience. Observe uterine contraction, cervical dilatation, decreased presentation and changes of fetal heart rate. Persuade and explain the uncooperative parturient patiently. The work in the delivery room needs great love, and the process of delivery is the most unforgettable moment in a woman's life. At this time, care is the confidence and motivation of the parturient to give birth smoothly. Even a sip of water, a bite of rice and a pair of supporting hands.
It is extremely important to observe closely and find out the abnormal situation carefully. A high sense of responsibility, each class does its job well. You know, no matter how good the service attitude is, it is impossible without excellent technology; Only through constant practice can we improve and enrich ourselves. Every day's work is full and busy. After a class, I feel that I have no time to sit and rest, and there are no doctors and nurses to drink tea and chat. Only when writing medical records, record sheets and computer entry can we have time to sit down. There are more than 600 newborns born in 10 month, and more than 500 newborns born in10 month, which is a heavy workload; There are only three nurses and one obstetrician in each class, which cooperate with each other. In our work, we carry forward the spirit of ownership, strengthen ourselves internally, do things seriously, regulate our words and deeds everywhere, try our best to do everything well, and then do things well. Check the leaks and fill the gaps in each class, serve in advance, and cultivate your vision, thinking and advanced consciousness. In addition to taking the initiative to work in the delivery room, if you do a lot of things, you will feel touched, inspired and experienced; Experience must be constantly summed up, reflected and clarified, which is of great practical significance to practice.
As the saying goes, it is difficult to wear Wang Yang with a single sail; Together, we can ride the wind and waves. Now is the era of win-win cooperation. Whoever has an efficient team will have the competitiveness and fighting capacity in the era of knowledge economy. A department needs an idea to guide and integrate people with different experiences, experiences, academic qualifications and majors. This concept, that is, the team concept, can give full play to the comprehensive strength of the team to create a positive, United, collective efforts, work hard and achieve the goal.
Two months flies, thank you for giving me this precious learning opportunity. At present Dushanzi is in a stage of great development. We don't want to be omnipotent, but we must do our best. As a grass-roots medical staff, only doing their own job in a down-to-earth manner is the best interpretation of Dushanzi's great development.
Self-evaluation of the completion of further study 2. First of all, I would like to thank the hospital leaders and the nursing department for providing me with the opportunity to go out for further study. Through this study, I have greatly broadened my horizons, enriched my knowledge, enhanced my business ability, defined my future study and development direction, and laid a solid foundation for my future study and improvement of my business skills. Further study, I learned a lot about hemodialysis knowledge and skills. Like an intern student, I humbly ask the teacher for advice and study and practice by myself. Under the patient guidance of the teacher and the education of the head nurse, I have mastered the nursing and operation of common diseases in hemodialysis. Such as puncture and nursing of arteriovenous fistula, nursing of temporary central venous catheter, nursing of hemoperfusion, nursing of hemodialysis, nursing of permanent deep venous catheterization, etc. Familiar with hemodialysis work, clear working procedures and direction, improve working ability.
The First Hospital of Medical University has advanced instruments and equipment, a huge medical team and an independent and unique ward structure, creating a quiet and comfortable treatment environment for patients. All nursing appliances are marked with eye-catching, standardized, orderly, convenient and quick marks. Because of the complicated condition, rapid change and many complications of hemodialysis patients, their nurses have exquisite skills, high sense of responsibility and keen insight, high theoretical basis of nursing and skilled operation skills, and have a more rigorous, agile and decisive work style. Each of them is in charge of five patients, always closely observing the changes of patients' vital signs, not ignoring any symptoms, not relaxing any hemodialysis links, not missing any rescue opportunity, operating quickly and skillfully, and preventing mistakes and accidents. When they were working as nurses, they focused on strengthening the system of self-inspection and double check. Self-check is to check the computer first, and double check is to check the treatment parameters carefully with the team leader and the tube bed (according to the doctor's advice). Nurses in each class must master the condition of patients in charge of dialysis, so as to prevent patients from being unable to correctly judge and delay their condition due to changes in other diseases during dialysis. Strictly implement the notification system and educate the patients who use arteriovenous fistula for the first time. Strict aseptic technical operation and disinfection and isolation system. Disinfection of dialyzer 100 person-times, glove replacement 100 person-times, strict control of engineers' maintenance of the machine and disinfection of water treatment, to ensure that dialysate is in a safe range and ensure the dialysis safety of patients. Cultivate dialysate and dialysate regularly every month and monitor ph value. The sampling pass rate of provincial CDC is 100%.
As the saying goes, stones from other mountains can attack jade. Through learning > training, the good experience of medical university will be brought into practical work in the future, and the quality control of nursing will be strengthened: the post responsibilities, workflow and operation norms of dialysis center will be defined, and dialysis risk plans and emergency treatment plans will be formulated; Provide quality services, establish a people-oriented nursing management model and strengthen service awareness. After patients start dialysis, they often have a lot of stress, such as the risk, pain and freedom of dialysis, the influence of the disease itself on the body, the cost of dialysis, the change of family relationship and so on. Strengthen the management of work details; Work hard and seriously. Hemodialysis is risky. As a nursing operator, we should establish a correct and positive awareness of nursing risks, strengthen the concept of legal system, give full play to subjective initiative, control and avoid risks to the maximum extent, improve nursing quality and better serve patients. During dialysis, blood pressure is measured and recorded every hour, and vital signs are measured and monitored at any time when the condition changes.
Finally, thank you again for giving me this valuable learning opportunity. Learning is a form, feeling is an experience and gain, and applying what you have learned is our goal. Perhaps this study will not bring me earth-shaking changes, but I have more thoughts on my life and work. I hope it can permeate my thoughts and bring new ideas to my life. I will continue to study hard, learn more knowledge and skills, and serve patients more and better.