Nursing Internship Experience 1 In the past month of clinical internal medicine internship, under the careful guidance and patient teaching of the teaching teacher, I carefully studied the "Medical Accident Handling Regulations" and its laws regulations, and actively participated in the medical accident nursing regulations training organized by the hospital, and participated in nursing studies many times. Through the study, I realized that the modern nursing quality concept is to satisfy the patient in an all-round and whole-process manner, which is what people have for medical nursing services. Put forward higher and newer demands, thus enriching legal knowledge and enhancing safety protection awareness, which can enable nursing staff to understand the law, use it and reduce the occurrence of medical accidents in accordance with the law. During the internship process, I strictly abide by the hospital rules and regulations. Seriously perform the duties of a trainee nurse, strictly demand yourself, respect teachers, unite classmates, care about patients, do not be late, do not leave early, study diligently, lead by example, and be proactive. Through this month of hard work, I learned a lot of things that I never knew in class. During the internship, I learned about the general process of treating patients: such as measuring vital signs; asking about the patient’s medical history, allergy history, etc., carefully writing nursing records, observing the patient’s appearance, and cooperating with the teacher’s guidance to understand the effects of antibiotics on various Basic applications of the digestive system. At the same time, I also learned about the general process of thoracoabdominal puncture and the strict aseptic operation. Through this period of internship, I understood my responsibilities as a nurse. I should put the patient first at all times and use the best attitude and the most responsible actions to care for the patient's suffering. In future internships, I will definitely work hard to learn more knowledge.
Nursing internship experience Part 2 With expectations for the internship and fear of the unknown, on April 24, I came to Wuxi Third People's Hospital and started my internship career. After reporting in the administrative building, the head nurse sent us to various departments. My first department was the oncology department. The head nurse knew that I had just come to the hospital for internship, so she asked the teaching teacher to take good care of me. On the first day, the teaching teacher introduced me to the department and told me some of the hospital's rules and regulations. Then I followed the teacher to observe and learn from the teacher's operations. The next day, under the guidance of the teacher, I started to do some basic operations, such as changing fluids, electronic moxibustion, weekend treatment, etc. At the beginning, I didn't know where to start and could only perform the tasks mechanically. Later, with the careful guidance of the teacher and the encouragement of the patients, I became more proactive. When I first started doing it, I asked the teacher to watch from the side. If there was anything wrong, the teacher could help. After that, the teacher will explain whether there are any omissions or deficiencies in the previous operation. The same will happen when the operation is performed again until the teacher feels that it is OK and there is no problem. I have practiced in oncology, thoracic and cardiac surgery, cardiology, operating room, infusion room, orthopedics, general surgery, emergency department and other departments. Each department has its own characteristics, and I have benefited a lot from them. But when I first arrive in a new department, I will always be more or less confused and at a loss. At this time, the teachers and internship partners are particularly important. With their help, I will integrate into the department faster. The teachers teach carefully and are responsible. Whenever I make a little progress, the teachers will encourage me. Even if I make a mistake, they will tell me the reason, help me correct the mistake, and play a good role in guiding me. Apply the theories I have studied for three years to clinical practice. Clinical practice is the consolidation and strengthening of the theoretical learning stage, the cultivation and exercise of nursing skills, and it is also our pre-employment training. After more than six months of internship, I learned basic nursing operations such as intravenous infusion, ECG monitoring, and replacement of drainage bags, and also gained the following experiences. 1. Theoretical knowledge: In school, we passively accepted so much knowledge and thought we had remembered it. However, when the teacher asked me questions, I was speechless time and time again. Only then did I realize that I had not learned well enough, so I had to keep studying. Turn over the book to consolidate. 2. Learn to learn actively: At the beginning, I was always worried about whether I would make a mistake, and I was always timid in doing things. Later I discovered that we can no longer wait for the teacher to teach us like we did in school, but we must learn to take the initiative to ask questions and do the required operations. 3. Work with speed, technology and quality: When I see patients sighing in pain, I always hesitate during the operation for fear of hurting them. Only by being bold, careful, accurate and quick can I solve the patient's pain early. 4. Asepsis concept and checking system: During the internship in the operating room, the concept of sterility is the top priority. If you violate the principles of aseptic operation when washing your hands and going on stage, the consequences will be unimaginable; three checks and seven pairs, The most basic, it is the prerequisite for all operations. 5. Attitude and communication: We must use friendly smiles and effective communication to make patients trust us and understand our operations. Especially because our skills are not skilled enough, we must communicate with patients well before operations.
All in all, in the process of more than 6 months, I have learned a lot and grown a lot, but I still have many shortcomings that need to be improved, such as speaking less, not actively asking questions when studying, and sometimes Not being meticulous enough in handling things, etc., these are all things I need to pay attention to. Therefore, in my future work and study, I will definitely work hard to improve my abilities in all aspects, set goals, and move forward steadily.
Nursing internship experience Part 3 The two-week nursing internship has come to an end. We have benefited a lot from these two weeks of internship life. During this period, we abide by the rules of trainees, work actively, study hard, and obey the instructions of our superiors. First, let me briefly introduce our work. On the morning of July 9, we decided to choose Tongji Hospital as our internship location. Later we arrived at the Department of Integrated Traditional Chinese and Western Medicine. Since it was our own specialty, Nurse Yan quickly nodded and agreed and asked us to put on our white coats at 7:30 on Monday. Come and report. On the morning of July 11, we reported to the Department of Integrated Traditional Chinese and Western Medicine of Tongji Hospital. Through the head nurse’s explanation, I learned that nurses are divided into different classes: Responsible Nursing, which is responsible for infusion and dressing change. Class 83 is a continuous shift at noon, but gets off work at 3 p.m. Night shift, starting at 3pm and leaving at 8:00pm. The head nurse divided us into three groups and followed different nursing teachers respectively; then, we received disposable masks, gloves, and name tags for us, informed us of relevant matters, and introduced the hospital's work procedures. After that, we followed the teacher to the ward to make the beds, and then participated in the 8am shift handover and followed the doctor for ward rounds. After the ward rounds, we watched the nurse give the patient injections, change dressings, and perform other inspections. In the rest of my free time, I read medical records in the doctor's office, listened to the doctor discuss the condition, and watched the intern copy the will. On the afternoon of the 11th, a new patient was admitted. We chose to follow a new inpatient, and finally chose the patient in bed No. 6. Throughout the afternoon, I read medical records in the office and occasionally visited the ward. In the remaining days, I arrived at the hospital at 7:30 every morning, basically repeating the same thing as the first day, and doing other things in the afternoon. During this process, I followed the instructor, listened carefully to the explanations and guidance, learned about the basic operations of many medical equipment, observed and practiced many medical operations, such as vital sign measurement (blood pressure, respiration, pulse, body temperature, blood sugar) , ECG monitoring. Aerosol inhalation, intravenous drip, intramuscular injection, instrument sterilization, etc. There were many professional instruments that I saw for the first time. There are many seemingly simple nursing operations, but it is not until you actually do them that you realize they are not. I also learned how to sort hospital trash cans. Not only that, when accompanying the patient for examination, I saw examination and treatment methods such as CT, color ultrasound, thoracentesis, pleural effusion extraction, moxibustion, and debridement; while accompanying the nurse to give injections, I also saw indwelling needles, filtration Devices etc. All these things have expanded our knowledge. Ten days of work is not static. On July 14th, we went to the outpatient clinic to participate in the treatment of winter diseases and summer diseases. Under the leadership of our senior brothers and sisters, we learned several acupuncture points and applied plasters to the patients. On the afternoon of the 15th, I listened to Professor Hu Shaoming talk about the basic principles of TCM treatment of tumors. I learned a lot and learned the importance of concepts in the treatment process. For trainees, it is more important that we can get in touch with clinical practice as early as possible. Through internships, we can understand the hospital and inpatient environment, hospital management, doctors' work, nursing work methods, medical and nursing collaboration methods, and the importance of medical and nursing relationship communication in the process of disease diagnosis and treatment. status, laying a good foundation for future clinical learning. Let’s talk about the hospital work issues we learned from several aspects:
1. Hospital inpatient environment The Department of Integrated Traditional Chinese and Western Medicine has one floor, including a doctor’s office, a doctor’s lounge, a nurse’s workstation, and a meal preparation room. , disinfection room, equipment room, and 10 wards. There are 2 large wards with 8 people in each room and 8 small wards with 4 people in each room. Male patients and female patients are separated in different wards, with curtains separating the beds. The wards are equipped with TV sets and washrooms. When the ward is full, extra beds can be added in the corridor.
2. Normal working procedures: At 7:30, the nurse starts to make the bed; at 8:00, the doctor and nurse take over the shift, and the night duty nurse reads out the vital signs and conditions of each patient, and the night duty doctor supplements them , the doctor on duty explained some situations, and finally the director and head nurse made a summary; at 8:30, the doctor made rounds, led by the professor, followed by doctors, interns, and trainee doctors; at 9:00, the doctor went to the office to look through the medical records and write medical orders , the nurse begins to give the patient an injection; at 10:00, the temperature, blood sugar, and blood pressure are measured, and the patient undergoes various other examinations; at 11:00, lunch care is provided. (We are not involved in the afternoon work program, so we will not list it here)
3. Work of doctors and nurses Doctors are responsible for making rounds, talking to patients, diagnosing conditions, and writing long-term and temporary medical orders. ; Nurses are responsible for various basic nursing tasks, such as making beds, dispensing medicines, collecting and distributing medicines, giving injections, changing dressings, measuring blood sugar, blood pressure, and body temperature, etc. Doctors and nurses are generally very conscientious and responsible in their work: doctors always smile and are amiable when looking at, hearing, and asking questions about patients. When patients and their families cannot describe their condition clearly, doctors also take the trouble to make their descriptions easy to understand; When a patient gets an injection, the name of the patient and the name of the medicine are also checked repeatedly. Every time a patient arrives, the nurse calls out his or her name until the patient responds to prevent unnecessary mistakes.
The work of doctors and nurses is very tiring, and we can only have a profound understanding of this when we actually enter the hospital. In my previous impression, nurses were synonymous with patience and carefulness. I always thought that their work was very easy and simple. They only needed to carry out the doctor's orders and "take medicine according to the prescription". The other tasks were also trivial. This time, through the nursing internship, I went deep into the daily work of a nurse for the first time. I personally experienced the bitterness and sweetness of being a nurse, and then I discovered that being a nurse is not as simple as I imagined. The job of a nurse can be said to be "tiring". I remember on the first day, we followed the doctors and nurses around all morning and didn't sit down much. When we got home, our feet hurt and we were very tired, so we fell asleep. Even those of us who don't do much work are like this, and nurses not only have to move around the ward constantly, but also give patients injections and change dressings. You can imagine how tired they are. But they didn't complain at all, which is really embarrassing to say. As a nurse, she is full of strength as long as she is at work. They devote themselves wholeheartedly to a battle: fully displaying their vitality inside and outside the ward; dedicating their energy and smile to the patients without reservation.
4. Basic nursing operations: Make the bed: The teacher said that the bed must be flat so that the patient can sleep comfortably; the bed is not changed every day, but it is cleaned every day, which is also for the health of the patient. Sometimes some seriously ill patients cannot turn over, and nurses have to try their best to turn them over and clean their beds. Measuring blood pressure: The class 07 senior taught us how to measure blood pressure. There are two different types of blood pressure monitors, one is electronic and very convenient, and the other is traditional. Taking your blood pressure may seem simple, but you must take it seriously. Take the temperature: The head nurse said that when taking the blood pressure, you must wipe off the sweat under your armpits. These instructions are very simple, but they are crucial. Measuring blood sugar: Some diabetic patients in the hospital have to measure blood sugar before and after meals. The method of measuring blood sugar is relatively simple, but there are many problems during the operation, such as the method of disinfecting fingertips. The important thing is that measuring blood sugar is accurate. , simply and neatly, otherwise the patient will be in great pain. They have to check their blood sugar at least 6 times a day. They only have 10 nails and their fingertips are full of pinholes. If the blood volume for the first time is not enough, the test will have to be done again, which will undoubtedly increase the patient's pain.
5. The importance of communication 1. Between nurses and patients and their families: Sometimes the patient’s requirements conflict with the nurse’s responsibilities. For example, Patient No. 5 had a mastectomy and her chest was full of bruises. The nurse has to turn him over and make the bed because of the scar. What should the nurse do? He cannot leave everything up to the patient, as that will cause more serious consequences. 2. How the nurse handles a quarrel among family members: remain silent. I remember one time when a family member yelled at a nurse for ignoring a patient's pain, and the teacher remained silent. At that time, they felt that the teacher was worthless. But maybe they're used to it. The patient is God. 3. Between doctor and patient: A 52-bed old woman refuses to continue treatment because of pain. What should the doctor do? Comply with the old woman’s wishes? Or force the treatment? The best way is to try his best to persuade the old woman to accept treatment. It is neither forced nor forced. do not give up. This of course requires excellent communication skills. 4. Between patients: The 60-bed extra patient in the corridor was unable to sleep because he neglected to take injections at night, while the 61-bed patient played music in the corridor out of boredom during the day, and was noisy to the 60-bed patient to rest. At this time, How to deal with it? I went to talk to Bed 61 at that time, and he expressed his understanding, although he showed an unhappy expression. 5. Between patients and interns: Patients do not trust the interns and think that their blood pressure and blood sugar measurements are incorrect, and their attitude is even unfriendly. At this time, the interns should accept criticism. All in all, there will be many contradictions in this process, and how to resolve them is very important. We must always practice that the patient is God, accept teachings with an open mind, and communicate in a friendly manner in order to gain the trust of the patient. Although sometimes patients and their families can be harsh, they are also sometimes very friendly. Once I helped an old lady get a stool, and the old lady kept saying thank you. Of course, communication between doctors and nurses is also important. I remember that when I was measuring blood sugar for 46 patients, I had a conflict with a classmate and fell out in front of the patient. This is a sign of our extreme immaturity. No matter what happens, we should remain calm in front of the patient and continue to do what we need to do. Unity and cooperation between doctors and nurses are also important.
6. The principle of doctors informing patients about their condition. Some patients cannot tell them the truth. This is not just the case in TV dramas. Take patient No. 34 as an example. He suffered from advanced gastric cancer and had infiltrated into the omentum. The doctor told him that it was a tumor, so the patient could eat and drink with confidence and have hope for life.
7. The difference between clinical practice and textbooks. Many times, what is learned in textbooks is far from enough, and the understanding at the time is not thorough enough. One day, a classmate and I were arguing about AFP in the office. If a patient with liver cancer has AFP positive, what about liver metastasis from gastric cancer? Is AFP positive or negative? For another example, does a patient with yin deficiency have a floating or sinking pulse? There was no question during class. I understand it thoroughly, but I am at a loss when encountering examples. This also inspires us that studying medicine should be used in clinical practice, not just for exams. We should keep certain knowledge in mind so that we can apply it freely in clinical practice. Clinical practice is an effective complement to theory.
8. Talking to patients It is a pleasure to talk to patients. They will tell us some principles of life and warn us to study hard, take good care of the body and pay attention to health. Sometimes they will also recall Some remarkable events from the past. I believe that during this process, patients will also be happy because someone listens. We are insignificant trainees who can only see and do nothing, but our listening and comforting is the warm spice that is lacking in the hurried world. When I chatted with Uncle 34 while giving him moxibustion, I told him that it would be better to just give it a try. Just three miles, he agreed. Then he joked with him, saying not to be too concerned about face and drink less when he goes back. A smile appeared on his increasingly thin face, even though he was still suffering from illness. Perhaps, at this moment, I have a deeper understanding of the phrase "sometimes to heal, often to help, and always to comfort." My favorite professor xx always chats happily with patients. Even words of warning can be accepted by patients because they are his sincere care.
9. The problem of difficult and expensive medical treatment. The difficulty of medical treatment may be secondary, but the high cost of medical treatment is a big problem. It costs about 1,500-20xx yuan every day in the hospital, and patients without medical insurance simply cannot afford to stay there. I remember that 8 good patients stayed in the hospital for many days, but their fever was still undiagnosed. In the end, the cause of the disease was not found out, so they were discharged because the medical expenses were too expensive. 6 Good bed patients too. What touched me the most was what Professor xx said. Chinese rural women have very strong endurance. A rural woman had terminal cancer when she came for a check-up. It is said that she had endured the pain for more than ten years. The root of his endurance is that he has no money. Who doesn’t want to be treated if he is sick? Although there is cooperative medical care in rural areas now, according to the family members of 60 beds, the proportion of cooperative medical reimbursement is still very small, and most of the expenses are paid by the patients themselves. A patient joked: "Unless you open a bank at home, who can afford to live there!"
10. The inability of medicine There are many diseases that cannot be cured in life, and there are even many diseases that do not even have causes. find out. Current medicine is not a panacea, and can truly cure very few diseases. Among the more than 50 patients in traditional Chinese and Western medicine, most of them are suffering from cancer, cerebral infarction, hypertension, etc. The patient takes injections and medicine every day, and his arms are full of pinholes. What the doctor hopes is to relieve the patient's pain and prolong his life. The above aspects are the issues I learned and thought about during my internship. On xx, xx, we bid farewell to the ward, and the 10-day internship life officially ended. No matter what, we still feel a little reluctant to give up. After all, I have been involved with those doctors, nurses, and patients. I have gone through rounds with the doctors again and again, and I have a little understanding of their conditions. I will also be concerned when I leave. Especially the 34-bed uncle, I would go and sit there every morning. There is also nurse xx, only he allows us to measure blood sugar alone and take care of us fledgling trainees. In short, this internship has taught us a lot, from basic nursing operations to hospital management systems, from medical care work to how to handle the doctor-patient relationship. These have given me a certain perceptual understanding of the work I will do in the future. It laid a solid foundation for me to work in the future.