Graduation summary of nursing students

With the development of society and the advancement of science, people's material living standards have been significantly improved, and human needs for health are also increasing, which has promoted the pace of reform of the medical and health system. The hospital is gradually developing into community health service agencies, and the care has also been clinically extended to communities and families. As a secondary school nurse, I feel that although the employment environment is much looser, the diploma is low, the knowledge is scarce, and the pressure is still great.

In today's nursing talents, only continuous learning and efforts to improve their professional knowledge and comprehensive quality can not be eliminated by the wave of reform. Just because I realized this, I participated in the xxxx college entrance examination and wished to enter the xxx specialist class to continue my studies. During the study period, I listened carefully to the teacher's lectures and explained the difficult problems; completed various homework assignments and exams, and further recognized and improved the professional knowledge, and passed the national nurse qualification examination and obtained the certificate.

During the work, under the careful guidance and patient guidance of the teacher, I carefully studied the Regulations on Medical Accident Treatment and its laws and regulations, actively participated in the training of medical accident care regulations organized by the hospital, and participated in the nursing staff for many times. Through learning, I realized that the establishment of a socialist market economic system, the improvement of the legal system, the increasing awareness of the people's legal system, and the maintenance of their legitimate rights and interests have become the consensus of the people. Therefore, enriching legal knowledge, enhancing the awareness of safety protection, enabling nursing staff to understand the law, usage, and reduce the occurrence of medical accidents.

In the course of work, I strictly abide by the hospital rules and regulations, earnestly perform the duties of nurses; strictly demand myself, respect the elders, unite my colleagues, care for the patients; do not leave early, work hard; always take "love, care, patience" as the basic; To achieve "eyes, hands, feet, diligence", and wholeheartedly provide quality services to patients. In clinical work, I strictly abide by the departmental system, attend nursing ward rounds on time, familiarize with the patient's condition, and standardize the basic nursing operations and specialist nursing operations. Correctly implement the doctor's advice, strictly implement the "three checks and seven pairs", standardize the writing of various types of nursing documents, complete the handover records in a timely manner, and do a good job in patient admission and evaluation of health care and health education.

Carefully perform aseptic procedures, prepare for preoperative preparation, and complete intraoperative, postoperative care and observation. In the rescue work, meticulous and methodical. At the same time, I actively participate in various case discussions and academic lectures to continuously enrich my business knowledge. Through learning, we have a more comprehensive understanding and understanding of holistic nursing technology and ward management knowledge.

After applying what I have learned to clinical practice, after more than three years of observation and accumulation, I have summarized a set of clinical infusion room nursing work experience, as follows:

First, the dispensing aspect: sterile debris in the sterile solution often appears in the sterile solution, often causing many concerns and misunderstandings to the patient. In order to avoid this phenomenon, I usually insert the needle bevel and the angle of the cork at an angle of 120° to 130° during dispensing. When multiple insertions are required, the needle from the same needle hole or the needle on the stopper is selected to be inhaled by another needle and then injected through the needle on the stopper.

Second, intramuscular injection: in the intramuscular injection of suspension, due to the long preparation time, prone to needle occlusion, resulting in multiple injections, increased patient suffering. In order to improve the success rate of injection, I advocate that the patient take a sitting injection, take the gluteus maximus to position and disinfect, then slowly inject the solvent along the bottle wall, shake it and then suck it, the air inside the medicine bottle is drained, and the horizontal needle holding method is fast deep intramuscular injection. ,good results.

Third, infusion: intravenous infusion is a regular basic operation in clinical work. Venous puncture is tricky. For superficial and straight blood vessels, a 60° angle between the needle and the skin can be used to relieve the pain of the patient; for a thin, short, slippery, unfilled blood vessel, local heat or gently tapping to the blood vessel After filling, fix the blood vessels, use a small needle to enter the needle at an angle of 15 ° ~ 30 °, can improve the success rate; for deeper blood vessels, touch the anatomical position with the finger abdomen, have a full sense, master the depth, Explore the needle.

In the infusion process, there are usually several situations:

1. Can not be vented smoothly before infusion: My method is to insert the infusion set without closing the regulator. When the infusion bottle is hanged, the Maofei dropper is inverted, and the vertical surface is at an angle of 60°. When it reaches 2/3, slowly turn the Maofei dropper to the positive direction, let the liquid flow into the infusion tube until the air in the needle is drained, and then turn off the regulator. This method is very successful.

2. Puncture failure: There are many reasons for this, including technical factors, psychological and physical factors, and patient factors. My experience is: First, say sorry to the patient, then stabilize your emotions, and choose the vascular puncture after getting the patient's understanding. For the leaking part, the patient should not press the sputum, do not burn it within six hours, heat it after 24 hours, and massage to promote its absorption.

3. Infusion to the skin cold pain: When the temperature is low, long-term infusion will cause local skin chills, pain, heat can be relieved with hot water bag; if there is pain caused by irritant drug input, in addition to hot compress can also be infusion Massage or massage around the area, but the action should be gentle to prevent the needle from slipping out of the blood vessel.

4. Change the vial to the infusion tube in time: If the air only enters a small amount, quickly turn off the regulator and use the plucking method or the coiling method to bomb the air into the surface of the Maofei dropper. If the air has reached the lower section of the infusion tube, the rebound is time consuming and can be drained through the filter plug.

5. When the two drugs are used together, turbidity or crystallization will occur until the drip rate is slowed or not dripped: in clinical operation, I found that the compatibility of vitamin b6 and Shuanghuanglian will be turbid until the drip rate is slowed; the combination of Chuanhuning and fleroxacin will crystallize. Blocked into the infusion tube. Therefore, it is not compatible. If it is necessary to use it, the infusion tube should be washed with saline between the two.

6. Subcutaneous hematoma after needle removal: This may occur because the compression site is below the puncture site. A better method is to press the needle at the point of one centimeter above the puncture point or press the big fish with the palm of your hand when you pull the needle. After 24 hours, the hot compress can promote absorption and relieve pain. You can also use potato chips to help reduce swelling.

The above is a summary of my experience. Today, I can make progress and improve. First of all, I would like to thank the teachers and teachers for their hard work and guidance. Thanks also to the clinical teachers for their serious help and mention. In short, in the clinical nursing work, we must be bold and careful, diligent observation, diligent hands-on, diligent thinking, good at summing up experience, in order to improve their own nursing technology, better solve problems for patients. The nurse is a sacred profession.

As a qualified nurse, I love my motherland and are loyal to my career; I have a high sense of responsibility and compassion; I have a healthy physical and psychological quality; I never forget my duties and mission; I wholeheartedly serve human health. Whenever I wear a nurse's uniform, I am extremely proud of my heart, and I know that my shoulders are of great responsibility. I hope that in the future work, continue to work hard, make unremitting efforts, be an excellent white angel, and dedicate your youth and blood to the nursing cause.