? Summary of continuing education for nurses 1

? After three months of further study, under the careful guidance of teachers, I have learned a lot, and my professional level and communication skills have been qualitatively improved.

? In the process of further study, while I am relearning the theoretical knowledge, I humbly ask the teaching teacher for advice, and have a deeper understanding of the handling of various key periods in natural childbirth. For example, in the first stage of labor, we have a combination of theory and practice in the reflection of labor charts; In the second stage of labor, I will be more clear about the method and opportunity of perineal protection after the fetal head is exposed and pushed out, and the treatment methods before and after the fetal head is delivered, so that the umbilical cord can be tied in an orderly way and the newborn's respiratory tract can be cleaned, and the delivery experience can be recorded in time; Perineal suture can be performed lightly, quickly and accurately after placental abruption in the third stage of labor.

? In the process of my further study, I realized the importance of mental health care for pregnant women during childbirth. In the process of labor and delivery, I can observe the parturient with a calm and objective attitude, guide and help in a scientific and effective way, and encourage with warm words and deeds to make the delivery complete smoothly. Establish mutual trust with the parturient, meet the needs of the parturient for independence and dependence during delivery, make them feel comfortable and relaxed, and generate self-confidence. Only in this way can we ensure and promote the safety and health of mother and baby.

? Generally speaking, in this rare study, I have benefited a lot from my own efforts and the selfless help of my teachers. In the future work, I will use my proficient business level and people-oriented communication skills to serve more pregnant women and truly apply what I have learned! "

? In xx, I was fortunate to study in the Department of Obstetrics and Gynecology of Qilu Hospital, which I have admired for a long time. Qilu Hospital of Shandong University is a hospital directly under Shandong University and the Ministry of Health. It is a large-scale comprehensive third-class first-class hospital integrating medical treatment, teaching, scientific research and preventive health care. Obstetrics and Gynecology in this hospital is a national key discipline and a key discipline in Shandong Province. It is divided into seven majors: gynecological tumor, gynecological minimally invasive surgery, gynecological urology, gynecological endocrinology, perinatal medicine, family planning and reproductive medicine, and enjoys a high reputation in the field of obstetrics and gynecology in China.

? There is an endless stream of patients here, with extra beds in every corner, and a considerable number of cases are critical or difficult cases. After I was familiar with the working environment for a short time, I attended the patient's separate admission. I saw many diseases that I only saw in textbooks before. When I encounter a problem, I humbly ask the teacher. After work, I looked through books and materials to consolidate my knowledge.

? The appearance of hysteroscopy is a great progress in medicine. Hysteroscopy is the modern gold standard for diagnosing uterine cavity diseases. Hysteroscopy is regarded as a successful model of contemporary minimally invasive surgery because of its low trauma ratio and high cost ratio. During my study, under the careful guidance of teachers, I strive for practical operation opportunities and constantly use books to experience and explore. I have mastered hysteroscopy, such as the diagnosis of abnormal uterine bleeding and intrauterine adhesions, the positioning and removal of intrauterine devices, the diagnosis of abnormal echo and occupying lesions in the uterine cavity, the examination of tubal intubation under hysteroscopy, and the examination of intrauterine factors of unexplained infertility. Basically master hysteroscopic electrotomy of endometrial polyps and O-type submucous hysteromyoma. Have a thorough understanding of difficult operations such as hysteroscopic hysterectomy and intrauterine adhesions. During this period, I read through the third edition of Hysteroscopy edited by Xia Enlan, the originator of hysteroscopy in China, and Clinical Gynecology and Obstetrics Endoscopy edited by Dong Jianchun, which made the theory and practice well combined.

? Through this study, my theoretical knowledge, diagnosis, treatment and surgical skills of gynecological diseases have been significantly improved. More importantly, my biggest gain is to broaden my horizons, broaden my thinking and change my theory.

? Summary of nurses' continuing education II

? In a blink of an eye, my further study in PICC treatment group will be over. Although the time is short, I feel deeply and gain a lot, which makes me see my own shortcomings and the places where I need to continue to work hard. I remember when I first arrived in PICC treatment group, the head nurse Joe said to us, "The slogan of PICC treatment group is to put an end to two needles." That's what she said, especially so. Whether it is a five-month-old baby, a psoriasis patient with pustules all over his body, or many patients with extremely poor blood vessels, he has to bear the pain of venipuncture and the side effects brought by some chemotherapy drugs every day, often many times or even a dozen times a day. When there was nothing other hospitals could do, they all came to the PICC treatment group in our hospital and asked the head nurse Joe to intubate. Hit the nail on the head, complete it at one time, and successfully place the tube at one time. Great! It is they who establish a safe venous access for patients, relieve the pain of repeated puncture and protect the health of patients.

? What impressed me most today was receiving a four-year-old patient. At that time, I was doing maintenance work of PICC tube for a patient. I want to help after I finish my work. The child loves to cry and doesn't cooperate, but after I finished the maintenance, Head Nurse Joe's tube placement work was over, so fast. How skilled and exquisite skills this requires! I sincerely admire!

? In this short rotation time, I have gained a lot. If I summarize it in simple words, my words will look pale and weak, at least I can't express my benefits accurately and clearly. Thanks to the treatment team, head nurse Qiao for her careful teaching, and teachers Chen and Ma for their patient teaching. I will complete the maintenance of PICC subway with a more proactive working attitude, more solid maintenance skills, richer theoretical knowledge and more rigorous methods.

? Summary of nurses' further study 3

? 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 in the neonatal department of Chongqing Children's Hospital, I not only broadened my horizons, but also greatly improved my ability to care for critically ill newborns, enriched my knowledge and improved my professional ability and technical operation level. During the six months of study, I learned a lot. I have constantly summed up my experience in my work practice, and I would like to share with you the gains of my six-month study here, so as to draw a satisfactory conclusion to this rare training experience.

? First, humanized management.

? 1, first of all, good teamwork, multiple nursing staff echelon. The neonatal department of the Children's Hospital of Heavy Medical Care implements the duty management scheduling mode and grouping management to improve work efficiency. The ward is divided into four nursing groups. Each nursing group consists of three nurses with different working years, with a team leader in charge, who takes turns to rest at noon (11:00-13: 00, 12: 00). 13:00- 15:00), so that the responsible nurse can effectively ensure the seamless care of children and the quality care can be effectively guaranteed. Everyone cooperates with each other while completing their own work to ensure the nursing quality of the ward. In addition, in order to improve work efficiency, there is a special dispensing class, which is responsible for preparing drugs at 7: 30 in the morning to ensure that children take drugs in time, and in the afternoon, it is responsible for touching children after dispensing work to promote the recovery of children's brains. There is also a sorting class, which is responsible for the daily management, debugging, cleaning and maintenance of the instrument to ensure its normal use.

? 2. Each division of the neonatal ward is very clear. All kinds of articles used in the ward are identified by the five-routine method (regular sorting, regular cleaning, regular rectification, regular standardization and regular self-discipline). Every child is equipped with a first aid kit, an injection pump and an ECG monitor for fixed use before going to bed. They are not allowed to move at will. After leaving the hospital, they must be disinfected at last. All instruments are marked with upper limit, lower limit, listing mark, switch mark and operation flow.

? 3. With the sickbed as the center and a hanging tower beside the sickbed, the equipment is advanced, scientific and effective. The hanging tower is equipped with embedded devices such as negative pressure aspirator, oxygen source, compressed air and power supply. The resuscitation emergency tube is placed in a fixed position on the instrument rack, which is clear at a glance and convenient to use. In addition, there are experienced doctors and nurses in the neonatal ward, who have advanced medical standards, such as the application of curosurf, arterial blood pressure monitoring, umbilical artery and vein intubation, picc and so on.

? Second, warm and meticulous nursing service

? When CPAP is used, an artificial protective film will be placed between the nose and the stuffy nose to prevent crush injury. The head is covered with absorbent cotton, and the pipeline is fixed with elastic bandage to avoid indentation. When tearing off the adhesive tape on your face, lubricate it with paraffin oil before tearing it off. When taking a bath every day, the skin wrinkles all over the body will be cleaned with paraffin oil, which is very gentle. Film gloves are placed on each incubator. Wear gloves to check children before touching, avoid cross infection, and apply "developmental care" mode to each child to promote their physical and mental development.

? 1, nesting simulates the uterine environment.

? 2, keep the ward environment quiet, reduce noise.

? 3. All incubators will have a cartoon cover, mainly to reduce light and external stimuli.

? 4. Minimize unnecessary operations and concentrate necessary operations. Make every child feel comfortable.

? Under the leadership of so many excellent teachers, I deeply realized that nurses should not only take injections and take medicine, but also have a sense of love and thinking ability. We should use our mother's heart, scientific brain and dexterous hands to bring safety and comfort to our children and be a good temporary mother.

? In addition, the replacement room of the department is equipped with related knowledge and nursing videos of various neonatal diseases, and there are medical knowledge pamphlets of various diseases for people to consult for free. A hotline has also been set up for discharged patients, which is responsible for providing all kinds of consulting services 24 hours a day, so that patients can keep in touch with the hospital through the hotline and get professional guidance on medical services at any time.

? Third, the integrity and infinite expansibility of the service system.

? In children's hospital, many newborn patients who see a doctor in the outpatient department make an appointment, and the discharged newborn directly makes an appointment with the outpatient department before discharge. If a premature baby is discharged from the hospital, he will contact the parents of the child who is preparing to leave the hospital to learn nursing knowledge in the reception room of the department, such as bathing, feeding and changing diapers. Nurses will demonstrate on the spot until their parents fully grasp the baby before they can safely give it to them. This naturally extends the nursing work to the family.

? Fourth, standardize training.

? During the study period, the teacher's requirements are very strict and the concept of sterility is particularly strong. Be sure to wash your hands before starting work, wear gloves to look after the children before touching them, take off your gloves and wash your hands and close the door. The newly assigned students and senior nurses should be taught by specialized nurses. First of all, they should understand the environment of the ward and the storage places of various items, learn the use and precautions of various equipment, and various nursing techniques applied to clinical work. Only by passing the exam can they be appointed as teaching teachers. Arrange nursing rounds and nursing lectures every month, and study together in the form of slides. There will be nursing questions every Monday morning, and nursing operation will be tested once a month.

? Through this study, I feel the rapid development of nursing field now. I am so young and have a lot to learn. In the future work, I will apply what I have learned to our clinic, make contributions to the hospital, contribute to the nursing cause of our hospital, and spare no effort for the well-being of patients. Finally, thank you again for giving me this precious learning opportunity, which made me think more about my life and work. I hope it can penetrate into my mind and give me new ideas in my life.