In the first week of hepatobiliary surgery rotation, I was assigned to Director Liao's group, which was led by teacher Liu Yuan, because I taught Zhou Jiangshan, a secret teacher, to do nucleic acid detection of nasopharyngeal swab. Even if there are many patients (about 17), we are rarely asked to change the medicine and write a big medical record. Of course, you can provide it if you want. The first week is a rainy week.
This week, Mr. Zhou came back, and the internship in hepatobiliary surgery was completely different. Teacher Zhou is very, very responsible. She said she was too busy reviewing her grades to take care of our interns. She said she was very sorry. She should teach us well this week. On the first day back, I gave our three interns nearly 1 hour induction training. Every moment of every day, as long as he is in front of him, he will ask us surgical questions, assign homework, and ask questions in the exam the next day. I remember one day at noon, he warmly invited Danny and me to the hospital cafeteria for dinner. I don't know why we suddenly started asking medical questions and told us to make ourselves at home. ...
Many times, after collecting the bedside medical history, he will give us a small lecture with the patients in front of younger and more considerate patients. Speaking of which, we are all quiet people who are thirsty, and he hasn't stopped. I feel that surgical teachers are all immortals, so they don't need to drink water or go to the toilet. Sometimes in the office, the three of us are all around him. He gives lectures on ppt, reminds us in turn from time to time, translates English documents and answers questions on ppt.
After writing a big medical record, it will be revised in person.
I will also warmly ask you to watch the operation together. I'm lucky to be on stage to help the mirror. With luck, I can hold the laparoscopy for an hour. In Mr. Zhou's words, how can an operation be performed without looking at it? Knowing how to help cows is also a science ... If you help the mirror well, you will have the opportunity to have an operation ... Stay in our department for another month, and I guarantee that you can learn to cut your appendix. Do you want me to help you apply for science and education? ...
I just learned that my roommate Xiao Kui will go to hepatobiliary surgery next week and has asked him to visit him in the outpatient clinic next Monday ... I wonder what will happen?
Generally speaking, Mr. Zhou is really suitable to be a teaching teacher in the affiliated hospital of medical university. This department is very suitable for students who want to further consolidate the surgical knowledge and operation of abdominal hernia, appendicitis, cholecystitis, pancreatitis and stomach diseases.
There are many special techniques in thoracic surgery, such as closed thoracic drainage nursing, tapping on the back, guiding patients' respiratory function training, etc. Each one is not as difficult as I thought, but I must be careful with every move. In the process of replacing the pleural cavity drainage bottle, if the seal is not tight, gas will enter the pleural cavity, leading to respiratory dysfunction. Life is like the soil of nature, small and fragile. Respect life and let us be responsible for every action in our hands. In the future career, I will be cautious in my words and deeds, be responsible for my own life, treat every patient with full enthusiasm, relieve the pain, recover my health and raise the sail of life again.
In short, these two weeks are an adaptation process, and many shortcomings need to be improved. This is a learning process, and many concepts have been revised. Although I am very tired, I believe I can beat them. Knowledge is accumulated bit by bit. With the selfless teaching of our teacher and my own efforts, I firmly believe that everything is not a problem. I will cherish every opportunity to learn. The road is bumpy but happy, and the road is hard but persistent. Only by understanding with your heart can you know that the rainbow will be brighter and more dazzling after the storm.
Experience of 2022 Surgical Nurse Practice Demonstration Model 3 We have been in Hechuan District People's Hospital for almost half a year. I came to the hospital as an intern from school, as if it happened yesterday. I deeply realize that today in our internship life is a tomorrow that many people who lived yesterday can't get, and it is a past that we can't come back tomorrow. I cherish every day, every minute and every second here.
In a blink of an eye, the general surgical practice is coming to an end. Think carefully about our internship life. Clinically, we strictly implement the system of three checks and seven pairs and three checks and eight pairs, and we work very hard and seriously in everything for fear of making any mistakes. I feel very tired. I feel my feet are heavy after work every day. I really want to sleep on a mat at night. We girls break up once a day. When I open QQ to see the students' internship sentiment, I feel a lot of * * * ringing in my heart. Every time I go home, I want to read for a while, but I fall asleep as soon as I pick up the book. Think of the sentence "It's getting better!" The teacher shook his head when talking about the future of the school. Now we look at flowers in our dreams. So the first thing to do when you get up every morning is to give yourself a bright smile in front of the mirror, say "getting better" and smile. Try your best to do everything well. I think it is necessary for both nurses and staff in other industries. I said to myself silently that I must give the patients the greatest comfort and let them recover as soon as possible. Seeing that the patient's spirit is getting better every day after operation, we feel very happy and have a little sense of accomplishment at work. I make some progress every day, and my progress cannot be separated from the tireless teaching of teachers. Although I don't know much now, I'm working hard.
It is a great honor for me to be assigned to gastrointestinal surgery in 2022. Here, teachers regard us as their sisters, and nurses care about our interns, which makes us feel the warmth of this big family. Let's not talk about it. Let's sum up what we have learned in gastrointestinal surgery in the past two months.
Surgery, mainly surgery. I remember that I was not very busy when I first arrived at gastrointestinal surgery. I may have one or two operations every day, which is basically not a major operation. Under the patient guidance of the teaching teacher, I am trying to cope with it every day. Slowly, the number of operations gradually increased, except for the rest time at noon, from work to work every day. Although busy, I learned a lot. I have practiced a lot from basic operation to specialized operation. Through the correct demonstration and guidance of teachers, many operations have also been standardized. There are mainly CVP measurement, intravenous infusion, intramuscular injection, enema, the use of intravenous indwelling needle, artificial anus nursing and so on. Gastrointestinal surgery is mostly for stomach, intestine, hernia, anal fistula and other operations, and many of them are hospitalized because they are found to be cancer. In this department, we can feel that cancer is getting younger and younger now, and some people only find it as intestinal cancer when they are twenty years old. Life is really precious and should be cherished.
In this department, there are also many family members who ask to keep their illness confidential, which also shows that psychological care of patients is very important. Gastrointestinal surgery is mainly for surgical patients, so special attention should be paid to skin care and drainage tube care. Health education for patients before and after operation also needs our earnest implementation. Especially in diet. Because most operations are gastrointestinal operations, it is generally necessary to wait until the gastrointestinal function is restored. Some family members don't understand, they start eating on the day of operation, or they have been afraid to eat. Therefore, diet health education is very important. In addition, it is necessary to teach patients and their families how to properly care for the drainage tube, prevent the drainage tube from coming out, and observe the color, quantity and nature of the drainage fluid. Observe the patient's condition changes in time.
Surgery is a dynamic department; The teachers in the department are extroverted and treat people well. I hope my future job can be in surgery.
The internship experience of surgical nurses in 2022. What impressed me most during my further study was that their high-quality nursing services were well carried out, providing patients with a whole, integrated and humanized series of services. The hospital is truly "patient-centered" and reduces the number of accompanying staff as much as possible. Patients who can take care of themselves were not arranged before operation. For patients who can't take care of themselves or arrange escort after operation, every escort is issued by the hospital, and it is stipulated that they think that the escort is limited, so the nursing work is heavy. They have more nursing staff, 36 beds, 20 nurses, 23 beds in intensive care unit and 40 nurses. Some departments are also equipped with nurses, so the basic nursing work is well implemented. Adhere to morning and evening care every day, carefully arrange and wet sweep the bed; Every bedside shift, patients will turn over and pat their backs to prevent bedsores from being discovered in time; Prepare warm water for patients twice in the morning and evening to help them wash; Give each patient a bath twice a week and wash his hair once a week. Let patients really feel the warmth of home. No matter how busy they are at work, when communicating with patients, nurses always smile, whisper softly and take pains until patients understand or understand. Nurses have wards to report for work, and after the treatment, they will conduct detailed systematic evaluation, systematic education and psychological counseling for each patient in the ward. The department also regularly holds health education lectures to let patients and their families have a further understanding of the disease. The supporting facilities of the hospital are also complete, and there is a special nutrition canteen. According to the doctor's dietary advice, configure the corresponding diet package and deliver three meals a day to the ward on time; The hospital also has a distribution center, which sends people to the ward every day to pick up patients for various examinations, thus solving many practical problems for patients. All departments in the hospital have access control systems, and only the medical staff's badges can be swiped in, which can ensure the quiet of the ward, ensure the safety of patients and manage the ward well. The whole ward feels very neat and elegant.
Through this study, my theoretical knowledge of neurosurgical diseases, basic nursing measures, ward management and so on have been significantly improved. More importantly, my biggest gain is to broaden my horizons, broaden my thinking and change my ideas. There is no end to service and not enough study. At this time, I remembered a sentence from Dean Cai, that service has only a starting point and no end. Seeing that 30 1 nursing work is done so well not only makes us feel pressure, but also makes us forge ahead. How to strengthen the construction of nursing team, how to improve the process of high-quality nursing service, and how to improve the overall nursing quality including basic nursing and specialist nursing. , has become the focus and direction of our young nursing team in the future. All our nursing staff also have determination and confidence. Through our unremitting efforts, we will certainly be able to provide better services for the society and patients.