Summary of clinical medical production practice

Clinical medical production practice summary, change it yourself

It’s almost two months of internship .
Everyday life seems to be so stylized.
8:00 handover, then round the room, then open the doctor, prescribe, change the medicine, remove the line, open the test sheet... or mix it into the operating room to see the surgery.
In the afternoon, I am usually very free. When I have something, I will go to it.
It’s okay at night, and there’s time to control.

Maybe this is my life for many years to come...

Just write about the internship experience. Maybe it's useless to others, because basically no one is coming, huh.

Handover shift.
The time in each ward is not the same. When you go on the first day, ask clearly.

Round the room.
Going with the teacher is pulling, now the hospital's hierarchy is not so strict, but it is better to walk behind the teacher...

Open a doctor.
Some teachers don't let intern students do it, but they also let go. It's not so difficult to pull. Now there are too many antibiotics, and there are many trade names, but the most used are penicillin, cephalosporin, quinol. Ketones. If you look at the things that the teacher opened before, you can get familiar with pulling, the antibiotics are expensive, and the medicine representatives often run to sell...

The basic medical advice is still to be a little bit open.
Like long-term medical advice:
** Department of Nursing
*Level care general diet or semi-liquid or fluid or fast


......

Like a temporary doctor:
Blood in the morning, check r, e4a, liver and kidney function, blood sugar...
Stay in the morning and check the urine
Urgent blood test...

The most common rehydration still needs to understand
10% glucose 500ml /
Vitamin C 2.0 /
Vitamin b6 0.2 /
10% potassium chloride 10ml / ivgtt

Dressing change.
Perhaps the intern is doing the most, the principle of sterility is the most important, and if you don’t follow it, you will be embarrassed...
The mask hat is to be brought, although sometimes the teacher who teaches does not bring...
Pay attention to the time limit after the sterilized instrument is opened. For example, the cartridge can only be used for 4-6 hours...
The complex iodine used in the dressing change is not too much, or the nurse will say that you are wasting...
Generally, the dressing change is two pliers. It should be noted that one is not in contact with the contaminant, and the other is in contact, so the cotton ball must be touched when the clip is taken, and the cotton ball is soaked in too much Iodine should not be squeezed into the dressing bowl...
The dressing change of the wound is generally started from the middle and disinfected to the outside. The range of each time is smaller than the last time. After the change, the gauze is re-covered. It is necessary to pay attention to the smooth surface to contact the wound, and the uppermost surface should also be smooth. ...

Disassemble the line.
Generally, the teacher will demonstrate that once you disassemble the line, you will be allowed to do it. In fact, it is still simple. It is nothing more than using scissors to cut the thread. However, there are still things to pay attention to. The pliers of the thread should be exposed to contaminants. Put, after thread trimming, pull the thread out of the wound to prevent the wound from being pulled open, although this is rare...

Open the test.
The shorthand for many things is still to be understood.
Blood-blood urine-urine stool-stool routine-r electrolyte-e4a liver function lft kidney function-sps blood sugar-bs coagulation function-pt aptt
Blood type - bg ... there are a lot of, even just list some commonly used.
There are also general surgery patients to do chest X-ray, b-ultrasound, ECG...

Into the operating room, perhaps a lot of people yearn for, but here is very easy to be embarrassed, the legendary nurses in the operating room are very fierce, huh, huh.

Into the operating room is to change clothes, do not change clothes into it is to die... bring a special mask hat into the sterile area, do not go around after entering, smash something, but can not afford to lose. Surgery if If you can go to the stage, you need to wear a surgical gown. Before you wash your hands, the current hand washing has not been the original complex iodine disinfection a few years ago, and the disinfectant is changed. Sometimes you may feel very irregular when you look at other people’s hands washing. But when you do it yourself, you will not pay much attention to it in many places. If you are familiar with it, it will be good. If you wash your hands, you must maintain a good posture. Otherwise, the nurse sister will ask you to wash it again, huh, huh.
Wearing a surgical gown, in fact, is to pay attention to the right and wrong, to have someone to help. In short, practice makes perfect. But I feel that as long as someone looks at me when I wear it, I will be more nervous, huh, huh. Gloves are also, hands do not touch the gloves In the outer part, only the hand with the glove can touch... understand this and know what to do.

Interns usually do not have too much hands on the operation, it is also pulling the hook, the most can be done is the seam skin. Also have to pay attention, vertical needle, vertical needle, can not leave a dead space under the skin, knotted, want Just practice a lot and practice.

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