Hospital practice experience

Part 1: Hospital practice experience essay

I participated in the summer social practice activities this summer. Although the 20-day time activity made me feel very tired and hard, I exercised myself and learned a lot of things I couldn't learn in class. Through 20 days of practice, I have a deeper understanding of the profession of doctors.
Practical content;
The unit of social practice is the Second People's Hospital of the Public Security County where my family is located. The master who I follow is an old doctor in his 70s. The old doctor learned that I am a freshman. I still don't know much about clinical knowledge, so I started. Let me grasp the four pointers of life in these 20 days. Under the guidance of the old doctor, I first learned the measurement of blood pressure. Understand that the person under test should take adequate rest before measuring blood pressure, do not smoke, drink, drink coffee, do not urinate. The person to be tested should take a sitting position or a lying position. The airbag should be tied to the upper arm 1/3. Do not loosen or tighten too much, otherwise the blood pressure value will decrease. The gas injection rate should be slow, and the mercury column can be raised by 20 mmHg after the auscultation sound disappears. The deflation speed is preferably 2 mmHg per heartbeat. The stethoscope should be placed at the elbow artery, and then the systolic pressure will appear when the first sound appears after deflation, and continue to deflate until the sound disappears as diastolic pressure. He told me what is atrial fibrillation, let me listen to the patient's heart and let me compare with my heart.
Practice experience and experience:
It is impossible to learn a lot of professional knowledge in just 20 days, but I have gained something more important than professional knowledge. Many of the patients who came to the clinic with the old doctors were from the parents and the old doctors came to see the doctor. A doctor can make the children and grandchildren believe that they are really difficult.
Health and life
Choosing medicine as a lifelong career I should understand that these eight words are not just eight words, but the most serious promise you have made to the world. The master said: Sometimes you may feel that you are powerless, but what you still have to do now is to alleviate the suffering of patients and their families. I met a family member of a liver cancer patient that day. A man in his 30s may be too painful. His sigh made me feel helpless and saddened by a man. Some people did not believe him at first, just like this. Many people in the world think that these patients do not believe in him, but he is not arguing for reason, but just explaining everything with the improvement of his condition.
I saw a very painful patient a few days ago. When I entered the family, I came to Mawei. He said: We went to many county-level hospitals. All kinds of inspections have been done. The pain is not reduced, but I don’t know if these people are doing it. Whatever you eat, are some quacks. Today, I heard people say that you can do well with old doctors. I don’t know if it’s true. Anyway, one day after today, I really despise you doctors. We go to Wuhan, go to Beijing, I I have to see what this is. Listening to these words, my heart is not good, I really want to marry him two sentences, but the old doctor said: I will give you a shot of medicine, the next day should be better, this group of people go indignantly. The old doctor said nothing after the man left. The next day, the illness was much better. The patient's attitude came to a 180-degree change and a bag of eggs was given. But the doctor just smiles.
From the patient, I also understand that my responsibility is significant.
This is the time to give me the most sense during the entire trainee process. The old doctor told me by his actions that sometimes the argument can't solve any problems, use actual actions to prove himself, prove himself with superb medical skills, and prove himself with good cultivation! This is not just me as a medical student. Understand, I really understand the sentence of the teacher at this point: learn medicine and learn to be a man.

Part 2: Experience in hospital practice

I have been working for ten days, I feel good, I have a lot of income, just write about the recent situation.
My first stop: Pediatrics. When I first came, I complained that the first department did not enter the internal surgery, but now I found that there are many benefits to entering this subject. I thought that the teacher would not let us take the needle and would not let us carry out some operations. After all, the children are parents now. The baby eggs, as well as the current medical disputes, are also very special. In fact, I don’t have any confidence in giving the children a needle. Thanks to the cheerful Yingying teacher who encouraged me. Now my technology is much better than before. I have no fear in my heart. After going out of the pediatrics, it is much easier to enter the other departments at least. Older nurses generally don't teach us anything, we are their legs. The teacher I want to thank most is the little nurse who has been in the hospital for less than half a year. She taught me a lot of things. The dosage of pediatric administration is different from other subjects. It is calculated according to the weight of the child. You gave it to you. I added the medicine; the configuration of the test solution is different from that of the school. You taught me to configure the test solution; the skin test does not use the old method, but you taught me to use that machine; Other subjects are different. You taught me to do atomization. The indwelling needle was only said in the school. The specific situation is not very clear. You explained it to me. You gave me a seal. And you didn't let me do the errands. You taught me all the knowledge. I really thank you from the heart. This class has no you. I may only learn to run after I leave the department. Dear. Thank you teacher. Also, my acting teacher and head nurse, thank you for your optimism, I will work hard in the future work.
Pediatrics is one of the most popular sections in the hospital. It is a lot of people, and the number of patients is more than other departments. Plus the children are so squeaky, the seven aunts and the big ones are all there. The floor is full of heat all day, and the weather is hot. Work is cumbersome, people who work in this environment must be irritated, but I am not qualified to face you, I must face you with a smile, thank you for saying that I have a good temper, but it is not like that, it is precisely because of this I have more opportunities to practice. I have to wear a badge when I go to work. The four characters of "Internship Nurse" are very eye-catching. Some parents are far away from us, but some are different. Some children's blood vessels are not easy to find. Qing, some parents have been encouraging me to tie up. I know that you said that it is for me to practice but I am also very distressed by my children. I can’t tie them. I can’t let them be my experimental products. In case of failure, painful It is a child, thank you for your kindness, I am very touched. The most direct contact with us is those little children, and they are deceived all day long, but some children are still crying and crying, but after you cry, they don’t hurt, it makes me feel warm, my The first shot failed. The second needle succeeded, but the heart was hanging on the old high. I still remember the third shot of my tie. Although you have been discharged from the hospital, your words have been encouraging me. The hand is shaking and giving you a tie, but you said to your mother that the inside of the cockroach is not hurting. I was crying when I heard it. I’m internship in all the babies. My technique is the worst, and the next day you also specifically look for me, I am really touched, the child thank you for giving me confidence. Of course, some people think that we are internships, deliberately blaming me, yelling at me, once there was someone who was embarrassed. I counted the number of drops in front of his bed. I know that you are teasing me, but I endured it because I put on that holy The hat is a responsibility, I have to answer your questions; someone once told me to push him when he pushed heparin, but dear big sister, do you know? The infusion pump for your child, I have never touched the child with the pump, and I have argued with you a few words. I stopped. After all, the medical staff has no good things in your eyes. When you argue, others will think that I am shirking responsibility. I can only sulking myself; others have lost their thermometers and said that they are handed over to me. My clothes and badges are different. You will remember me right! But it is too unfair to push the responsibility on my head. Who will bear my responsibility? Fortunately, the teacher has found out from your bed, or I can't wash it if I jump into the Yellow River. There are many touches, there is a lot of bitterness, society is society, I have to work hard to adapt.

Part 3: Experience in the internship of college students

Internship is an expectation, an expectation for one's own growth, an expectation for the transformation of one's own character, and an expectation of one's own dreams; learning, there is also a fear, there is a lack of confidence in oneself, and there is no way to adapt to it. Concerns about the new environment are even more fearful that they will be at a loss of anxiety.
I came to the xx hospital with a copy of Yixi and a copy and started my internship. From then on, my identity will change from a student to an internship nurse. The living environment will be transferred from a school to a hospital. The target of the contact will be changed from a teacher and a classmate to a doctor, a nurse, and a patient. For these three major changes, how to be a qualified intern nurse, although the teacher is already very numerous to us, but my heart is still uneasy, strange and uncomfortable, afraid to be taught to teach, afraid to do better than others I am afraid, I don’t know where to start...
The first rotation department is icu, my teaching teacher is xx teacher, she is the operating expert in the yard, working hard, beautiful movements, operating specifications, which invisibly gave me a lot of pressure. The beginning of the internship life has made me feel frustrated. I feel very small in front of the teacher. I don’t even have a brain at work. I only perform mechanical tasks. I only want to do my work every time. I want to do it first. The more mistakes, the more mistakes and the more fears, the more fear the more mistakes, which creates a vicious circle. So I didn't dare to ask for an operation, but the teacher felt that I didn't take the initiative to work. Sometimes I felt like I was wronged and I was crying. Every day I face the busy figure of a teacher like a fish. I only have a complaint in my heart. I can’t complain that I can’t apply the theory to practice. I complain that I didn’t study well when I was a trainee. I wish I was clumsy. It may be that I have poor adaptability and I don't communicate with the teacher. I am still in the ccu, but I am also very grateful to my teacher. I am very patient and caring about me. In the operating room, xx teacher can see my progress every day. Even a little bit encourages me. Even if I am stupid, she will tell me the principle and let me know the root of the error instead of reprimanding. It played a guiding role. I began to have my own ideas and renewed the passion of work. No matter how much hard and tired, as long as I feel comfortable, I can have fun every day!
Now I am entering the fourth round of the departmental bone three. I thought I could adapt quickly, but the reality did spill me a cold water, I felt that I became more stupid, I don’t know what to do, and the teacher thought that we had been intern for so long, and it was an undergraduate. It’s handy, I’m so helpless in the face of the teacher’s helplessness! Once again, I fell into a trough and returned to a life without a brain. I didn’t do anything about it. However, xx teacher knew that when I did not get exercise due to inferiority and inactivity, she gave me the importance of operating skills and helped me find opportunities for exercise. It is the teacher who once again inspired my enthusiasm. I really appreciate the teacher’s concern for me. I will also work harder and live up to the expectations of the teacher!
Now, for the "internship," I am still embarrassed and scared. The reason is that internship is an opportunity to connect theory with practice. It is very fresh and interesting to apply the theory of four years to clinical practice. Then, to operate on the patient, if you really want to see the nature of the disease through the symptoms, but the bottom of your heart, it will inevitably be scared. I have also asked a lot of intern students, and they have different opinions. In short, it is "if people drink water, they know how to keep warm." But one thing is that the clear use of knowing the true mastery of knowledge is to use it in practice, to verify and consolidate what is learned with practice. Learn how to communicate with patients and teachers isveryimportant! Not good contact with people is a big weakness of me. That kind of timidity and unnaturalness will make me lose a lot of learning opportunities, so I think communication is also an art. Learning well will benefit you. Shallow. After nearly five months of internship, I also had this experience. Here, I summarize the following points:
First, the problem of theoretical knowledge: the former has always been a student, the school is student-centered. The Chinese-style education has always been crammed: passively accepting so much knowledge, although the exam has been tested so many times, but now my knowledge seems to have disappeared in my mind, so I have to constantly read the book. When I was dumb and speechless under the teacher's question, I realized that I remembered the shallowness. The memory that didn't have time passed was like the footprint on the beach. It seemed to be profound and obvious, but I couldn't stand the cleaning of time.
Second, the role of conversion problems. At the beginning of the internship, many things were not understood. Although I have been in the past, I still feel that I have no confidence in the actual operation. I will not make a mistake, what should I do if I make a mistake. Everything is always shrinking, and the students who have an internship with me are doing very well. I think the teachers like them. It seems that things don't turn to me. Every day, blindly follow the basic care and follow the operation. I wanted to say "Let me try it too," but I didn't dare. Therefore, I think the role transformation is a hurdle, I must try to overcome this. The method is mainly based on initiative, I found that as long as the initiative to ask questions and take the initiative to ask for the operation, the teacher is very happy to teach. I can no longer wait for what the teacher asked for in the school.
Third, the exercise of timidity. In the face of patients, especially those in surgery, it is common to see blood. When patients are seen in pain, especially when they are operating, the heart will always mention the eyes of the scorpion. Therefore, they will be careful and will cause more damage to the patient. Great pain. Therefore, the timidity has to be exercised a little bigger and bigger. Being bold and careful is the goal I pursue. Only accurate and rapid can solve the pain of the patient earlier.
Fourth, the concept of sterilization and standardized operation. During the period of the surgical internship, each teacher emphasized the concept of sterility. Because of this, I deeply understood the concept of sterility, and I did not consciously obey it during the operation. The standardization operation is also a very conservative and safe approach! As for the new approach, innovative thinking, then you have to be familiar with the situation.
5. Smile service: Here, I saw a smiley face, and I feel very beautiful and cute. It makes me feel like. If I am a patient, I will not hesitate to live in it. Here. Therefore, I also ask myself not to bring emotions to work, keep a sunny smile every day, and make patients feel warm!
All in all, these five months are the process of adaptation. Many deficiencies need improvement. This is the process of learning. Many concepts have been revised. Although I am tired and tired, I believe that I can certainly overcome it. This is just the beginning of the internship. In the future, we need to constantly explore and must meet the requirements of ourselves. I think the next internship is a challenge and an opportunity. I must take this opportunity seriously.

Part 4: Experience in hospital practice

On July 18, XX, my classmates and I left the alma mater and came to the internship hospital where I will spend a year. Beijing Aerospace Center Hospital, because I am in my hometown of Beijing, I feel familiar and kind.
With excitement and embarrassment, we drove to the hospital early in the morning. The teachers of the school and the teachers of the nursing department stood at the door of the hospital to welcome us on behalf of the whole hospital. From their cordial greetings and eager actions, we I feel home. It’s like being put into the arms of the mother. Because of the lot of luggage, I have been picking up for a long time. We feel hungry and tired after a hard day, but because the space center hospital gave us the first impression is kind, let away from the alma mater. We have comfort in our hearts. We also made up our minds that we must be in this good internship, integrate with the hospital, and live up to the expectations of the teachers.
In the following week, Mr. Liu from the Nursing Department arranged uniform training according to our needs and requirements for the post. The directors of each department of the hospital made 8 reports, including: 1. Introduction to the hospital. Second, the relevant provisions of student governance. Third, the general knowledge of public security governance. Fourth, medical ethics education. Fifth, the writing of medical documents. Sixth, the explanation of nursing knowledge. 7. Lectures on nosocomial infections. Eight, the relevant knowledge of the operating room. In the meantime, the teaching teachers of the department also interspersed us to go to the wards to see medical records, watch expert lectures on medical disputes and video recordings on emergency treatment, so that we have a preliminary understanding of the actual clinical work and laid the foundation for the formal work. .
After a week of training, I had a preliminary understanding of the hospital's situation and learned a lot of new knowledge. First of all, Director Hu Jianjun of the Nursing Department told us about the history and scale of the hospital's development, let me know that our hospital has a long history and glorious background, as well as development potential. At the same time, the teachers in each department have also made strict governance regulations on teaching and management. Let us establish a rigorous style and serious work attitude from the beginning, form our fixed thinking mode, and lay a solid foundation for future work. The police force of the hospital also gives us a sense of security in the fulfillment of the work. I would like to express my gratitude to the police officers for their work, because they are the guarantee for the normal and stable work order of our hospital. Medical ethics education makes me feel the sacredness and pragmatism of being a nurse. We must establish our own image and adhere to the principle of doing things in order to better safeguard the sacred authority of the "white angel" in order to be respected by patients and colleagues. . Secondly, the lectures on clinical specific work, such as writing medical documents, nursing knowledge and nosocomial infections, make us familiar with the theoretical knowledge, how difficult it is to do clinical work, and it is impossible to grasp theoretical knowledge. At the same time, we have a sensible familiarity with the correct handling of medical care. Doctors and nurses are equally important. No matter who is big or small, our ultimate goal is to cure patients. I think the nursing staff's work is more important, the work is more cumbersome, and it deserves the respect of every medical staff.
Come to my home, love my family, in the space center hospital, a united and uplifting family, I must practice internships, enrich my knowledge, lay a good foundation for my future work, and also contribute everything to the hospital.
The internal department is a department mainly consisting of respiratory, digestive and endocrine systems. Common diseases include diabetes, chronic bronchitis and upper gastrointestinal bleeding. When I first entered this subject, I felt a little bit of a feeling that the second monk couldn't figure it out, but under the guidance of the teacher, I learned about the daily work schedule: morning care, disinfection time, etc. Learned intravenous infusion, drug extraction, dispensing, exhaust, etc., strict implementation of aseptic operation principles and three checks and seven pairs of systems. After the liquid is delivered, the patient's condition should be observed. When the dressing is changed, the bed number, name, and liquid should be checked again. If there is any error, the teacher should be reported and replaced. Pull the needle quickly and operate skillfully. Do not practice hands for three days! “practicemakesperfect!” See no blood return during intramuscular injection. Use another cotton swab to gently wipe the skin around the injection to relieve the patient's pain. Under the skin, intradermal injection, extraordinary intradermal injection, 20 minutes after careful observation of the skin to determine whether it is negative or positive. Oxygen inhalation is also a very common care operation. For a dying patient, oral care, oxygen inhalation, sometimes enema, and catheterization if necessary. For patients with chronic bronchitis, it is necessary to continue low-flow oxygen, enter a high-protein, high-vitamin diet, and prevent upper respiratory tract infections. Diabetic people should regularly measure blood sugar, fasting, 2 hours after meal, sputum patients into crude fiber food, regular medication, especially within 30 minutes after insulin injection to prevent meals from hypoglycemia. Also learned to draw blood, draw a body temperature list; grasp the new patient's post-hospital work, such as: admission to education, t, p, r, bp determination, body temperature should be measured for 3 days, 4 times a day, normal daily The census was performed once, and the fever was measured 4 times a day. Grasp the writing of the nursing record sheet and the shift report and how to hand over the class.
Practice the truth, practice long talent! In the first clinical practice, I realized the importance of combining theory with practice and realized the importance of good nurse-patient relationship. Without the test of practice, more theory is just on paper. A good relationship between nurses and patients is the key to promoting the recovery of patients. For example, during morning care, ask the patient "Is it a good night's sleep? It looks like you are much better!....." We must be anxious about the patient and think about what the patient thinks. Once I visited the ward, I talked with the patient for a while. One patient said: "The nurse profession is the highest! The nurse is in direct contact with the patient. You see, the child next to the hospital was seriously ill, the whole body was swollen, and now the spirit is good. The symptoms are also eliminated. He also said that it is good to be a nurse! It is you, let us have a second chance of life; it is you, comforting us with kind words, let us have confidence to overcome the disease; it is you, Careful care, let us recover quickly; it is you..." I am moved, I am excited, I will fight for my upcoming career!
Next, I also went to the emergency department, general surgery, outpatient department, cardiovascular department, blood endocrinology department, and help department. In each department, I have learned a lot of different knowledge, many experiences and skills that are not available in books, and the teachers are amiable, patient, careful, and attentive to teach me the various matters of operation and what should be grasped. In the past six months, I have had a sense of accomplishment from a student who does not understand medical social workers until she becomes a "half-practical worker" who can face patients and their families independently and understand how to link other resources.
In just half a year, I have established a good relationship with the patient, which makes me feel a little reluctant. Into the ward, less a stranger, more kinder; less a lonely, more comfort; less worry, more sincere! Here, I not only learned the knowledge, but also understood some truths: to be a real person, to work seriously! ......
From the heart of the words: Thanks for the careful education with the teacher, patient guidance, thank all the teachers for their care, thank the patients for their trust, thanks to the cultivation given to me by the Space Center Hospital!
Finally, I would like to thank the Space Center Hospital for giving me an internship. I also thank the teachers for leading the interns and teaching us the right direction when they are busy at work. They are also very excited to work with other interns in a compact internship. Not only learn from each other, but also become a good friend who has nothing to say. Although the internship lasted for a long time, it was inevitable that I felt tired. However, this time gave me great gains. In addition to the study in practical work, the expansion of interpersonal relationships, the culture of the workplace, and the participation of some activities. I have benefited a lot, so that a full life, I think it will be an unforgettable time in my life.

Part V: Hospital experience experience

The white clouds are floating, the legend is staying in the past, the leaves are sleeping on the earth, and a birth of hope is born. In the winter of 2005, this was my first winter vacation in Shida, the beautiful stone big, carrying my dream - to be a glorious white warrior. The meaning of life is defined by oneself. In order to recharge my medical knowledge, the process of practice is that all textbooks cannot be given. The short winter vacation comes to the internship of Xincheng Red Cross Hospital.
For my student who has only half a year of medical experience, it should start with the most basic nursing work in the hospital. When I came to the hospital, I felt fresh and fearful of everything, even if I had been here as a patient.
In the mirror, I wore a clean white coat, a white hat and a mask. I thought about the pride of my first time wearing a white coat, and the firmness and confidence in my heart survived!
It seems that the simple nursing work has made me start to be a little confused. The original confidence has disappeared. I began to learn from the nurses humbly, followed the nurses tightly, and the young nurse patiently explained the knowledge about nursing. Slowly, I shuttled through the wards and learned about their nursing terms and some daily work.
I assisted the nurses to pick up the patients, do a good job in the four tests, mastered the blood pressure and body temperature measurement methods, and contacted the dosing link. Under the principle of “three check and seven pairs”, the patient was given liquid.
Finally, I had the opportunity to practice, thinking of the nurse to lick my operational essentials, carrying a vessel with a tourniquet, tape, and iodine, and came to the ward. With a smile: "Auntie, the injection!" I tied the patient with a tourniquet, disinfected with iodine, then picked up the needle and carefully inserted into the patient's blood vessels. Seeing that there was blood in the tube, a feeling of relief was spreading throughout the body. Unexpectedly, the first time the body was pinned, it would be so smooth!
When the nurse told me about the real case of the patient's death because of a small bubble in the IV tube, I was shocked and began to admire these ordinary nurses.
2005, 2, 21 with the consent of the hospital leadership, I observed a case of high left ligament varicose ligation and exfoliation! The family of the patient before the operation looked at the doctor of the surgeon with a look of anticipation, and suddenly made me feel the great responsibility of the doctor. The operation time is about two hours. The surgeon's superb medical skills have taught me the importance of basic medical knowledge. His care is as careful as taking the patient as his family, just as the physical teacher once said. : Although you are experimenting with animals, you will want to see people in the future! Therefore, I am deeply aware that we must improve our professional quality.
After a short 15-day hospital internship, I finally got a breath. Think about the busy days of these days, and then think about the nurses who work hard every day, only to know that nursing work is not easy.
I feel that nursing work requires not only skilled skills, but also excellent professional qualities:
1. Ideological quality: It is necessary to educate and train every nursing staff to love nursing work, to dedicate themselves to nursing career, and to establish strong professional ideas; to have lofty moral qualities, noble sentiments and good medical ethics, to follow the example of Bethune, and to promote the rescue of the wounded Carry out the revolutionary humanitarian spirit: sincere and frank, full of spirit, modest and prudent, serious and responsible; to be highly organized, disciplined and team spirit, to unite and cooperate, to protect the collective and to protect public property.
2. Professional quality: Nursing staff should be extremely responsible for patients, sincere attitude, enthusiasm, care for patients, master the psychological characteristics of patients, give detailed physical and mental care; strictly implement various rules and regulations, adhere to posts, act according to regulations, operate Formal, methodical, executive doctors and all operations must be concentrated, skilled, accurate, safe, timely, and strive for excellence; must have keen observation, be good at discovering changes in the condition, in case of sudden changes in illness, both calm and wit Flexible, and must be agile, accurate, and decisive in the rescue; do psychological care, require language to be kind, explain patience, do the patient's ideological work in a targeted manner, enhance their courage and confidence in fighting disease; keep clothing Neat, dignified, steady manners, courteous, simple and generous; style is decent, treats patients equally, and is serious about work.
3. Scientific quality: Nursing staff should have the spirit of seeking truth from facts and courage to control. It is necessary to carefully grasp the basic theories of the subject. Every nursing technology operation must know and understand why it is; nursing is a discipline that must be noted. In practice, we have accumulated rich clinical experience, we must master skilled technology and excellent skills; we must study hard and study and introduce advanced nursing technology at home and abroad; we must be good at summing up experience, continuous control, research, innovation, and hard work. Improve the level of business technology, and constantly promote the development of nursing; actively study and understand the knowledge of sociology, psychology, ethics, etc., broaden their knowledge, and better serve the physical and mental health of patients.
Similarly, we should be fully recognized as a dentist.
1. The doctor is a very ordinary profession. His responsibility is to save the wounded and save the patient's life.
2. Doctors should also have certain ideological qualities, professional qualities and scientific qualities. They must have a certain sense of responsibility and regard the patient's life as their own life.
3. Doctors must have the ability to innovate and explore and actively contribute to the future of medicine.
The new semester begins, and a new round of absorption and summarization of medical knowledge is kicking off. I will invest 100% in hard work: cheering - to all people!