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Hospital trainee practice report


★ Introduction to the hospital background:

Trainee Hospital: Liaocheng Second People's Hospital

Location: Liancheng Linqing

Hospital grade: dimethyl

The basic situation of the hospital: The hospital occupies more than 100 acres, with a construction area of ​​72,000 square meters, more than 1,000 employees, 650 beds, 30 clinical departments and 26 medical technology departments.

★Event time:

XX years.7.10--XX years.8.10

★Event schedule summary:

7.10-8.10

7.10 Enter Linqing, arrange the dormitory, understand the hospital and the surrounding environment.

7.11am meets with the hospital, and the hospital representative, Director Yang & Wang, will receive the hospital's overview & layout & department and the overall arrangement for the event.

Because we are juniors, we don't have much to learn in professional courses. We can only arrange them in the marginal department. This activity has little significance in improving clinical skills. It is designed to familiarize with the hospital environment and understand the operation of the hospital.

Pm led by Director Han Hailin to visit the imaging center to visit the excellent imported equipment such as magnetic resonance, spiral ct, c-arm, 1000 mA x-ray machine, abdominal color ultrasound, heart color ultrasound, body color ultrasound, automatic biochemical analyzer, etc. The teacher gave an explanation of the instrument & operation & detection & judgment. Among them, I was impressed by the Department of Magnetic Resonance, Tumor and Radiotherapy\Spiral ct\Interventional Therapy\Nuclear Medicine.

7.12-7.13 Sunday, move the dormitory, familiar with the environment.

7.12-7.19 to the science and education department, to understand the activities of hospital scientific research, teaching, etc., mainly participate in the relevant work of the hospital doctors continuing education assessment, implement the authenticity of the paper & results report, in addition, help organize the intern training and data collation, study Some master's thesis.

7.20 Sunday, go to the emergency center and follow the bus.

In the case of a traumatic patient, the patient with a forearm injury is bleeding or drinking a pesticide.

7.21-7.27 Monday to Wednesday in the b-room, there are teachers and teachers of Huang Tao and directors to guide the operation of the instrument and case detection.

From Thursday to Sunday in the physical examination office, learn about the card and physical examination process to assist patients.

7.28-8.10 triage, go to each outpatient department. Understand the doctor's diagnosis and treatment process, and assist the doctor to perform a physical examination.

7.28-7.31 Internal Medicine

8.1-8.3 maternity

8.4-8.5 digested

8.6-8.7 heart / god

8.8ct room

★ Practical insights

The one-month internship has ended, and the bumpy and warm hospital survival journey has passed most of the time, and the feelings are quite deep.

At the beginning of the summer vacation, with excitement and embarrassment, we drove to Liaocheng Second People's Hospital early in the morning. The teachers at the school stood at the hospital entrance and greeted us on the whole hospital. From their cordial greetings and eager actions, We have abandoned the speculation and uneasiness of many days. Because of the large amount of luggage, I have been picking up for a long time. We feel hungry and tired after a hard day, but because the first impression that Liaocheng Second Hospital gave us was kind, let us feel comforted away from our alma mater. 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 next few days, Mr. Yang, a teacher of science and education, arranged uniform training according to our needs and requirements for the post. The heads of the various departments of the hospital personally guided us to let us know some basic common sense of hospital survival, including: 1. Introduction to the hospital. Second, the relevant provisions of student management. Third, the general knowledge of public security management. Fourth, medical ethics education. 5. Explain the knowledge about the use of the instrument. 6. Lectures on nosocomial infections. In the meantime, Director Han Hailin led the video center to visit the excellent imported equipment such as magnetic resonance, spiral ct, c-arm, 1000 mA x-ray machine, abdominal color ultrasound, heart color ultrasound, body color ultrasound, automatic biochemical analyzer, etc. The teacher gave an explanation of the instrument & operation & detection & judgment. Among them, I was impressed by the Department of Magnetic Resonance, Tumor and Radiotherapy\Spiral ct\Interventional Therapy\Nuclear Medicine.

The first week of officially entering the hospital was to go to the science and education department. In the past, I was passively accepting the management of the hospital. Now I am actively participating in the hospital management work, understanding the research activities of the hospital, teaching, etc. Relevant work, the implementation of the essay and the report of the authenticity of the report, in addition, also helped organize the intern training and data collation, learned some of the master's thesis, and at the same time, familiar with the distribution of personnel in various departments,

After half a month of hospital life, I had a preliminary understanding of the hospital's situation and learned a lot of new knowledge. First of all, Director Yang 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 management regulations on teaching 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 sacred and pragmatic nature of being a medical worker. 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 get patients and colleagues. Respect. Secondly, lectures on clinical specific work, such as writing medical documents, nursing knowledge and nosocomial infections, let us have only theoretical knowledge, and we realize how difficult it is to do clinical work. It is impossible to master theoretical knowledge. Finally, we have a perceptual understanding of the correct handling of the relationship between doctors and patients, and cultivated the spirit of humanistic care. Patients have come to the hospital with certain anxiety. Doctors should pay attention to communication while treating patients with diseases. Inadequate mutual understanding leads to medical disputes and medical accidents

The next two weeks are triages and trainees in various outpatient departments. Internal medicine has many branches, mainly respiratory, digestive, and endocrine systems. Common diseases include diabetes, chronic bronchitis, and upper gastrointestinal bleeding. The second hospital is characterized by the inner heart of the gods, and the doctors have higher standards. 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: basic diagnosis methods. 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 precautions and contents of each operation. 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 the meantime, I also went to the emergency department, cardiovascular medicine, blood endocrinology, obstetrics and gynecology. The deeper impression was that during the maternity training, some people asked for a drug flow to ask how to use the medicine. The teacher was very busy and said that you asked the classmate, and then said to me, "Classmates, explain to her." I thought that The instructions can be said, and then it is said that the first morning mifepristone two tablets, one night, the second day bid, the third day, with misoprostol tid. In fact, the usage is not like this. According to our textbook: mifepristone bid*3d, the fourth day and then misoprostol tid. This will ensure a success rate of 90-95%. Later, it was corrected by the teacher, and the impression was too deep. At the same time, I also got a lesson: I can't take it for granted.

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 patient recovery. I am touched, I am excited, I will fight for my upcoming career! In just one month, I established a good relationship with the hospital medical staff, which made me feel a little reluctant. Into the clinic, missing a stranger, more than a kind; less 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! ......

I would like to thank Liaocheng’s Second People’s Hospital for giving me the opportunity to train, and also thank the teachers for leading the trainees and guiding us in the right direction when they are busy at work. They are also very happy to work with other trainees in a compact internship. Not only do they learn from each other, but they also become good friends who have nothing to say. Although the internship time is tight, it is inevitable to feel tired, but this time has given me tremendous 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, and this kind of fulfilling life, I think it will be an unforgettable time in my life.

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