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Operating room training summary


I am grateful to the leaders of the hospital for giving me this opportunity to study. Through this study, I have broadly opened my eyes and enhanced my business ability. I have recognized the professional skills of our hospital and large domestic high-level hospitals. The gap has clarified its future direction of learning and development, laying a solid foundation for future learning and business skills training.
The People's Liberation Army General Hospital is the largest comprehensive hospital of the whole army. It integrates medical care, health care, teaching and scientific research. It is one of the important health care bases of the country. It is responsible for the medical care work of the Central Committee, the Military Commission and the Headquarters. It is responsible for all military regions and military units. In the diagnosis and treatment of difficult diseases, the hospital also treats local patients from all over the country. The hospital has launched more than 4,000 beds, with more than 150 clinical and medical technology departments.
The annual outpatient volume of the hospital is 2.5 million, and the number of patients is more than 80,000. The number of operations is nearly 40,000. At the same time, the hospital carries out a number of new businesses and new technologies every year, which has formed obvious technical characteristics and advantages, which has effectively diagnosed and treated many difficult diseases. Many complex operations and major rescues have been successful, and some diagnostic and therapeutic technologies have reached international advanced level.
First, the technical cooperation of advanced technology during the 7-month study period of the General Hospital of the People's Liberation Army, with the help of the majority of doctors and nurses in the General Hospital, successfully completed the rotation of each group. Through learning, it has been able to independently complete the surgical treatment of orthopedic internal fixation, cervical anterior and posterior approach, thoracolumbar internal fixation, percutaneous low-temperature plasma ablation of nucleus pulposus; general surgery portal shunt, rectal cancer radical, total stomach Resection, retroperitoneal tumor; esophagus, lung surgery and esophageal incision in thoracic surgery; neurosurgical cervical anterior and posterior approach, orthonasal pituitary tumor, meningioma, carotid aneurysm clipping, acoustic neuroma resection, etc. Surgical cooperation.
Second, advanced equipment and equipment went to the PLA General Hospital for further study, saw and hand-operated a lot of advanced instruments. Such as ultrasonic scalpel, warm blanket machine, circuit electrode, navigation system of orthopedics and neurosurgery, neurosurgical craniotomy drill and pneumatic drill, nerve electrical stimulator, rapid disinfection pot, low temperature disinfection pot, ultrasonic cleaning pot, ethylene oxide disinfection pot.
The operating room of the General Hospital has eliminated the chemical sterilization method of glutaraldehyde soaking and formaldehyde re-steaming. They usually choose autoclaving, ethylene oxide sterilization and low temperature sterilization. Therefore, the types of disinfecting pots are also complete and easy to operate. It not only ensures the sterilization requirements of the device, but also greatly saves the time for the operation of the station. The nerve group uses advanced navigation system to cooperate with the operation. Through navigation, the accurate positioning advantage can be used to determine whether the position, size and intraoperative resection of the lesion are thorough, which greatly improves the quality of surgery. The use of a navigation system in orthopedic surgery for an orthopedic surgery can help the doctor determine whether the nail is in the cone, whether there is damage to the nerve, etc., which increases the safety factor of the operation.
Third, the management of the operating room The PLA General Hospital's logistics management, human resources management, equipment management, high-value items storage has many advantages that we should learn from, the department printed a list of toll items, each operation is completed by the toll collector Check and record the accounts in a unified manner. On the same day, the expenses will be closed on the same day, and the arrears and leakages will be eliminated. The device is responsible for the use of conventional and special instruments for all operations on the second day, as well as the supply of emergency surgical instruments. After the operation, it is responsible for cleaning and maintenance of the instruments and packaging for disinfection. The general hospital is very strict in the teaching of new nurses and advanced students, and is managed by a teaching team leader. In order to avoid the blindness of the training personnel, the training staff first studied the rules and regulations of the operating room in the hospital, and laid a solid foundation for the smooth cooperation of the advanced training personnel. Each operation was unified training to prevent the operation. Personal habits. Take the one-on-one teaching method. In this process, the faculty members can learn from each other through the words and deeds, so that all the trainees can understand the cooperation process of each operation, the habits of the customary surgeons, and the precautions during the operation, so that all the students benefit greatly.
Fourth, personal talk through the comparison during the training period, found that we have a gap with the PLA General Hospital and also have our advantages. For example, the external hospital will indicate on the operation notice the surgical position, special supplies, whether the autologous blood recovery instrument is needed, whether the patient has special infection, etc., so that the head nurse can arrange the operation; our hospital does the equipment cleaning, maintenance and disinfection. It is very meticulous, and our equipment is also in place for the maintenance of the equipment, basically eliminating the strike phenomenon of the instruments in operation.
7 months of advanced study, in the operating room of the General Hospital of the People's Liberation Army, the doctors and nurses of the general public and the active learning of the individual, I have greatly improved the theoretical knowledge and professional skills, achieved the established internship goals, and completed Completed the training task and won the praise of the teacher. Strive to combine the training income in the future work to further improve my work, and implement the advanced management concepts and practices of the foreign hospital in our hospital.

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