Surgical practice self-identification

Part 1: Self-identification of surgical practice

In a blink of an eye, more than a month of surgical internship has come to an end. During the internship process, I strictly abide by the hospital rules and regulations, conscientiously fulfill the duties of the intern nurses, guided by Marxism, Mao Zedong Thought, Deng-Xiao-Ping theory, and strict requirements. Self, respect teachers, unite classmates, care for patients, don't be late, don't leave early, work hard, strive to standardize nursing work, improve quality of skills, make basic care flexible, regularize love activities, combine theory with practice, and There are plans for theoretical study, there are key points, and there are measures and records for nursing work. During the internship, we always take "love, care, patience" as the basics, and strive to achieve "eyes, hand, diligence, diligence", think of the patient's thoughts, urgency, and provide quality services to patients wholeheartedly. , established a good medical ethics.
In the surgical internship work, I strictly abide by the departmental system, participate in the nursing rounds on time, and be familiar with the patient's condition. Can correctly answer questions with teachers, standardize the implementation of various basic nursing operations and specialist nursing operations, correctly implement medical orders, strictly implement three checks and seven pairs, and complete the handover-shift records in time. Can do preoperative preparation guidance and complete postoperative care and observation. In the work, the problems can be carefully analyzed, solved in time, skilled in all kinds of nursing operations, and the patients in the department are acute, dangerous, old and heavy, and can quickly become familiar with the disease and respond. Through study, my theoretical level and practice level have improved. In the future work, I will continue to work hard, keep in mind the duties of nurses, continuously strengthen my thoughts and business learning, comprehensively improve my overall level, and be a qualified nurse.
After three months of internship in surgical nursing work, I carefully studied the important thinking of the "Three Represents" under the careful guidance and patience of teaching teachers, and earnestly studied the "Regulations on Handling Medical Accidents". Through learning, I realized that With the establishment of a socialist market economic system, the improvement of the legal system, and the increasing awareness of the people's legal system, it has become the consensus of the people to act in accordance with the law and safeguard their legitimate rights and interests in accordance with the law. The concept of modern care quality is to provide patients with all-round and whole process satisfaction. This is a higher and newer demand for medical care services, thus enriching legal knowledge, enhancing awareness of safety protection, and enabling nursing staff to understand the law, usage, and reduce the occurrence of medical accidents according to law. The theoretical level and practice level have been improved. During the internship process, I strictly abide by the hospital rules and regulations, conscientiously fulfill the duties of the intern nurses, and follow the Marxism-Leninism, Mao Zedong Thought, and Deng-Xiao-Ping theory as the guide, strictly demanding myself, respecting the teachers, uniting the students, caring for the patients, not late, Do not leave early, work hard, work hard to standardize nursing work, quality service, flexible basic care, regular activities of love, combine theory and practice, and do theoretical planning, focus, care work Measures, records, during the internship, always based on "love, care, patience", and strive to achieve "eyes, hands, feet, diligence", think of the patient's thoughts, the emergency of the patient, wholeheartedly Providing quality services for the suffering, and establishing a good medical ethics. In the internship work of general surgery and brain surgery, I strictly abide by the departmental system, participate in the nursing rounds on time, familiar with the patient's condition, can correctly answer questions from the teacher, standardize the basic nursing operation and professional nursing operation, correct Execution of medical orders, strict implementation of three checks and seven pairs, can standardize the writing of various types of nursing documents, complete the handover-class records in a timely manner, and do a good job in patient admission and evaluation of health care and health education, can do a good job in common diseases, frequently-occurring care work Carefully implement the aseptic operation procedures, be able to do preoperative preparation guidance, and complete postoperative care and observation. In the work, the problems can be carefully analyzed and solved in time, and can be skilled in various nursing operations of surgical and hypothermia intensive care. For the emergency, critical, old and heavy patients of the department, they can quickly become familiar with the disease and respond to it. In the nursing work, they are meticulous and methodical, and they have won the trust and praise of the patients. Through three months of surgical internship, my theoretical level and practice level have improved. In the future work, I will continue to work hard, keep in mind the duties of nurses, continuously strengthen ideological learning and business learning, and comprehensively improve their comprehensive standards for patients. provide excellent service.

Part 2: Self-identification of neurosurgery internship

After more than half a year of nursing work internship, I carefully studied the "Regulations on Handling Medical Accidents" and its laws and regulations under the careful guidance and patience of teaching teachers, and actively participated in the training of medical accident care regulations organized by hospitals. Through the study of nursing staff, I realized that the legal system has become more and more perfect, the people's legal concept has been continuously strengthened, and it has become the consensus of people to handle affairs according to law and protect their legitimate rights and interests according to law. The concept of modern nursing quality is an all-round and whole process. Patient satisfaction, this is a higher and newer demand for medical care services, thus enriching legal knowledge, enhancing awareness of safety protection, and enabling nursing staff to understand the law, usage, and reduce the occurrence of medical accidents according to law. Fan Wenzhi self-identification: Neurosurgery internship self-identification. The theoretical level and practice level have been improved. During the internship process, I strictly abide by the hospital rules and regulations, conscientiously fulfill the duties of the intern nurses, strictly demand myself, respect the teacher, unite the students, care for the patients, not late, do not leave early, work hard, Efforts to standardize nursing work, quality service, flexible basic care, regular activities of love, combining theory with practice, and planning for theoretical studies, with emphasis, nursing work, measures, and internships During the period, we always take "love, care, patience" as the basics, and strive to achieve "eyes, hands, feet, and diligence", think about what the patient thinks, urgency, and provide quality services wholeheartedly. Established a good medical ethics. In the internship work of each department, it can standardize and write all kinds of nursing documents, complete the handover-class record in time, and do a good job of patient admission and evaluation of health care and health education, and can do common diseases in various subjects. , frequently-occurring nursing work, conscientiously implement the aseptic operation procedures, can do pre-operative preparation guidance, and complete intraoperative, post-operative care and observation, in the work, find problems can be seriously analyzed, When solving, we can be proficient in internal and external, women and children and intensive care, and strictly carry out three checks and seven pairs. At the same time, I actively participate in various case discussions and academic lectures, and constantly enrich my business knowledge through learning. , have a more comprehensive understanding and understanding of the overall nursing technology and ward management knowledge.
Through more than half a year of internship, my theoretical level and practice level have improved. In the future work, I will continue to work hard, keep in mind the duties of nurses, continuously strengthen ideological learning and business learning, comprehensively improve their comprehensive standards, and provide quality for patients. Service. In a blink of an eye, one month of surgical internship has been a paragraph, although this internship is a bit tired, it is quite happy. The ward round, dressing change, writing the course record, surgery, and school discharge summary, the daily life spent in such repeated busy. In the general surgery, the house was checked at 7:30 in the morning, and then the dressing was changed. Of course, the most bitter thing in surgery is surgery. It is often a few hours to learn to open a test, write medical records, change medicines, remove wires, and perform surgery. Basically, they all started from scratch. For the first time, I knew that the seemingly simple operation was so difficult to implement. Although not every operation is actively on the stage, even if you follow the stage, it is still very insightful. Cut the thyroid gland, cut the gallbladder, cut the spleen, cut the appendix, remove most of the stomach, cure the colon cancer and so on. My understanding of laparoscopic techniques and interventional treatments are refreshing.
Staying in a department for a long time, I feel that everyone is really like a family, the teacher's care and teaching, the collaboration of the entire department, so that busy work becomes full and happy. Surgeons are mostly temperamental people, usually good again, once they do something wrong, they criticize people from coming and not giving you a little face. After the surgery, I will be bothering and playing, as if nothing happened. Doctors have a lot of pressure during surgery, especially when the surgery is not going well, so all I can do is try not to make mistakes. Otherwise, I really want to cry without tears. My teacher, my good and very rigorous, taught me a lot of things, patient demonstrations, it’s easy for young people to communicate.

Part 3: Self-identification of surgical practice

Surgical internship work is also a combination of theory and practice, a job for the intern test. At the end of the internship, how does the intern self-identification write? Here is an example of a self-certification model for surgical interns.
Self-identification of work internship: Internship is an indispensable learning stage for every medical student. As a beginner who is very lacking in clinical experience, in addition to his own teacher, other doctors, nurses and patients in the ward are worthy. Ask the teacher. Therefore, I maintain a modest and serious learning attitude, actively participate in all the activities of the ward, such as study, medical treatment, discussion, etc., starting from the most basic physical examination and disease record, and gradually grinding myself.
Before entering icu, I took the teacher to explain the management system and disinfection system in ICU, and introduced the icu environment, which made me understand the intensive care unit and work very well. Special arrangements for special disease knowledge lectures, that is, the introduction of common diseases in thoracic surgery, have made me have a certain understanding of chest and heart surgery diseases, which is conducive to postoperative monitoring. In addition, basic nursing is taught, such as pre-operative education, psychological care and life care.
First, let me understand the significance and importance of central venous pressure measurement. It is an objective standard for direct response to left heart function and blood volume measurement, guiding fluid replacement rate and assessing blood volume. Factors affecting central venous pressure measurement: 1 zero point determination; 4 ribs in the middle of the 2nd position, 4th rib in the semi-recumbent anterior line; 3 patients must be measured under quiet; 4 pressure tube must be maintained Smooth, ensure that the catheter is in the vena cava or right atrium; 5 sets of ventilator peep, must subtract the peep value, is the true central venous pressure. At the same time, the teacher and I measured the pressure separately and compared the accuracy of my measurements. Pay attention to sterility, avoid injecting vasoactive drugs from the pressure tube and ensure that the access is in place.
After entering the clinical internship, I tend to focus on the operation, but relaxed the training of theoretical study and clinical thinking, especially in thoracic surgery. Chest and heart surgery has many diseases and many operations. I can easily focus on the operation. Therefore, I have more surgery and more hands as the main purpose of internship. The pathophysiology after surgery will change a lot. I must comprehensively and accurately comprehensively analyze the medical history, physical signs, condition, and surgical methods to be able to accurately grasp. The key point is to see the essence, understand the impact of surgery on patients, and develop correct treatment measures. It is possible to know more about it and gradually improve its ability to analyze and solve problems in its clinical work.
After one month of internship, I have an understanding of the postoperative monitoring of thoracic surgery, and basically master the clinical application and precautions of monitors, ventilators, defibrillators, micro pumps, etc., and can independently complete the detection of central venous pressure. , intubation in the tracheal intubation, the writing of nursing records, the summary of the amount of access and other monitoring skills. In the end, you can pass the theoretical and operational skills exams.
With the development of medical science, the advanced application of advanced electronic instruments in the clinic has put forward higher requirements for nurses, not only to have a high sense of responsibility, but also to learn the skills of intensive care and intensive care. I have intensive care and intensive care skills in my internship in the intensive care unit of thoracic surgery, which has improved the overall quality and standard of clinical care. During the internship process, I understand the purpose, significance, operational precautions, and misuse of the operation. Secondly, I know that some operations must be experienced first, so that I can master the skills and master the methods and techniques before I can operate on the patient.
In the internship. I always take the view of seeking truth from facts and strictly demand myself to start from bit by bit, because this is responsible for patients, themselves, society, and science.

Part 4: Self-identification of urology practice

The life of urology in just one month is nearing completion. I am deeply impressed by the internship life during this period.
During the urology practice, through the help and guidance of Song Ling teacher and my own practice, I mastered the rules and regulations of urology, and carefully studied bladder irrigation, venography, urethral nursing, indwelling catheterization, etc. Specialized nursing operation, strictly abide by the aseptic operation principle of urology requirements, further standardize the basic nursing operations such as intravenous infusion, subcutaneous injection, intradermal injection, etc. Seriously fulfill the duties of the nurse nurse, strictly demand yourself, respect the teacher, unite the classmate, care Patients, not late, do not leave early, work hard, strive to standardize nursing work, combine theory with practice, during the internship, always take "love, care, patience" as the basic, and strive to achieve "eyes, hands and feet We have been able to provide quality services wholeheartedly, strictly implement three checks and seven pairs, strictly abide by the departmental system, and participate in nursing rounds on time. Through my own hands-on practice, I have learned a lot of knowledge that is not available in textbooks.
Every part of urology is a part that cannot be ignored. For me, each part is a test and a valuable experience. Today, as the legal system is increasingly perfect and the people's legal concept is constantly strengthened, it is a consensus of people to act in accordance with the law and safeguard their legitimate rights and interests in accordance with the law. This requires a more comprehensive quality of modern care, patient satisfaction throughout the process, and nursing staff. Not only need to understand the law, usage, and reduce the occurrence of medical accidents according to law, but also must improve their theoretical standards and practice standards.
Through this internship during this time, I am especially grateful to the teachers for their careful advice. I will remember their excellent style of work, cautious and rigorous work attitude, and will continue to motivate themselves and constantly remind themselves to improve their deficiencies. We will maintain our own advantages, comprehensively improve our comprehensive standards, and provide quality services to patients. We will strive to make greater progress in our future work.
The life of urology in just one month is nearing completion. I am deeply impressed by the internship life during this period.
Urology is the second stop of my internship, and it is not so busy relative to hepatobiliary surgery. I am most impressed by the business experience in urology. I feel that it is called real learning, not to cope with it. The teacher told us about the problem of urinary stones, in which the teacher informed me in the health guidance of the stone. A new knowledge point, calcium oxalate is a major component of the stone. In our health guidance, patients were told to eat less calcium-containing foods. In fact, this is a wrong view. The Chinese themselves are prone to calcium deficiency and Oxalic acid is a more important component of calcic acid than calcium. If you lack calcium oxalic acid, it will be even more rampant. Therefore, Chinese people should not only eat less calcium-containing foods but also calcium. Patients with stones should also eat more citrus and alkalinize urine. Eat less food like nuts. The ureter is divided into upper, middle and lower segments, the upper part of the ankle joint is the upper part, the ankle joint is the middle part, and the lower part of the ankle joint is the lower part. The middle part of the ureter can not be used for ureteral sacral laser lithotripsy to avoid damage to the pelvis. In daily work, it is emphasized that it is the normative operation and the patient's disease and the anesthesia methods, surgical methods, preoperative and postoperative care routines, and health guidance. Teachers will also take the time to explain the cause and pathogenesis of the disease. Thanks to the encouragement and guidance given by the teacher, I will work harder.
During the internship of urology, through the help and guidance of the teacher and my own practice, I have mastered the rules and regulations of urology, and carefully studied the special nursing operations such as bladder irrigation, urethral mouth care, indwelling catheterization, and strict compliance with urology. The aseptic operation principle required by surgery further standardizes the basic nursing operations such as intravenous infusion, subcutaneous injection, intradermal injection, etc. Seriously fulfilling the duties of the intern nurse, strictly demanding himself, respecting the teacher, uniting the classmates, caring for the patient, not late, not leaving early Work hard, work hard to standardize nursing work, combine theory with practice, and always take "love, care, patience" as the basics during the internship, and strive to achieve "eyes, hands, feet, and diligence" wholeheartedly Providing quality services for the affected people, strictly implementing the three-check and eight-pair system, strictly abiding by the departmental system, participating in nursing ward rounds on time, and through my own hands-on practice, I learned a lot of knowledge that was not available in textbooks.
Every part of urology is a part that cannot be ignored. For me, each part is a test and a valuable experience. Today, as the legal system is increasingly perfect and the people's legal concept is constantly strengthened, it is a consensus of people to act in accordance with the law and safeguard their legitimate rights and interests in accordance with the law. This requires a more comprehensive quality of modern care, patient satisfaction throughout the process, and nursing staff. Not only need to understand the law, usage, and reduce the occurrence of medical accidents according to law, but also must improve their theoretical standards and practice standards.
Through this internship during this time, I am especially grateful to the teachers for their careful advice. I will remember their excellent style of work, cautious and rigorous work attitude, and will continue to motivate themselves and constantly remind themselves to improve their deficiencies. Maintain your own advantages, comprehensively improve your overall level, and provide quality services to patients. Strive for greater progress in future work.

Part 5: Self-identification of surgical practice

In the blink of an eye, the internship period is about to end. During this time, I will carry out educational and social practice studies, recalling the days of internships, and gaining a lot of income. I especially feel that the following are some internships for my study, and the self-identification of surgical interns .
During the internship process, I strictly abide by the rules and regulations of the hospital and various departments, conscientiously fulfill the duties of nurses, strictly demand myself, respect the teachers, unite the classmates, work hard, love the cause of children, and wholeheartedly consider the children. At the same time, we must understand family members, properly handle the relationship between nurses and patients, do a good job of explanation and comfort work, and say "sorry". It is the family members who understand the work of pediatric nurses and reduce unnecessary misunderstandings or excessive behaviors. Under the guidance of the teacher, I basically mastered the nursing of some common diseases in pediatrics and some basic operations. Especially for the puncture technique of scalp needles in children, I also constantly study and sum up experience while working. I can be diligent and good at observing the condition of children, so as to grasp the changes of the condition in time and make accurate judgments. In short, I feel that I have learned a lot during this internship. Although I am still a student, maybe my ability is limited, but I use my efforts to enrich my knowledge and skills, hoping to send my patients away with my smile. Healthy departure, eager to grow up in learning, really be a white angel singing silently and striving to fly
1. Before the internship, you should master some basic operations of cardiology, such as electrocardiogram, blood pressure measurement, and physical examination of the heart. Don't underestimate these. Take the simplest blood pressure measurement as an example. Many people have no standard control.
2. Engage in book knowledge of common diseases in internal medicine, such as hypertension, heart failure, myocardial valvular and coronary heart disease; then clinically compare the diagnosis and treatment plan of the superior doctor with the book to see how to relate to the patient Individual combination, if you don't understand, ask, the level will improve quickly.
3. Learn some emergency treatments, such as high blood pressure emergency, acute pulmonary edema, arrhythmia, etc. The emergency department will deal with it, and the slower ones don't need to worry. Do this to the heart, "everything is under control", hehe!
4. There is also that doctors not only have to master superb medical skills, but also have good communication skills. They should communicate with patients, colleagues, and other senior teachers to learn, talk, and skill. Get started.
This surgical internship experience, in which the complex taste may only be experienced by people who have personally experienced it, is sour and bitter, no matter what the taste, it is worth recalling. Of course, it is more important to know a lot of books that I can't learn. I also know a few good friends. Maybe it is more valuable than books. Under the hard guidance of the teachers, after continuous efforts, I have an internship in cardiology. It ended very quickly and achieved great results. First of all, in terms of basic theory, it was strengthened and consolidated, and secondly, new knowledge and treatment methods were learned in clinical practice. In short. After internship in my heart, I have re-recognized and improved the diagnosis and treatment of common and frequently-occurring diseases, and learned the knowledge and skills in dealing with sudden illness. I must apply the knowledge I have learned to my future work. I don't forget the teacher's teachings and keep learning and progressing.
It’s been half a month to calculate the internship in the internal medicine, just after the New Year. I feel that I haven’t increased much in my heart science. I stepped into the department, saw a lot of people, and got in touch with a lot of things. Also let me see some people's faces. In other words, is it an internship that means that you have already started to contact half of the society?
Since the internship time is not very long and there is little communication with the students, the current inner world of the students and the existing learning status are still unfamiliar to me. It is not easy to truly understand the students. It is necessary to explore later. In short, after this The internship during the period has been known to the teacher's work, but it is still unfamiliar with some details, and needs to be improved.