2019 Hospital Apprentice Report

Trainee unit: Department of Hematology, Hematology Hospital, Chinese Academy of Medical Sciences, Hematology Hospital, 2 wards

On the first morning, I followed the caregiver to do morning care, send blood and urine specimens to familiarize with the ward and the hospital. Since most of the patients lived in the hospital for a long time, I can see that I am new, and I am in the middle of the room. Finish the morning care in a smile. I realized that communicating with patients was such a wonderful thing! Easy, happy, simple and warm.

In the afternoon, after the body temperature was finished, a teacher taught me to paint my body temperature. I don’t know if I was unfamiliar or not enough. I made a few mistakes before and after. I was very ignorant and asked: “Can you change it?” Someone immediately told me: “Medical Medical records, very rigorous things, are to be preserved forever, how can there be traces of changes? Repainting!" Repainting and redrawing again, if I am not careful enough, I can only draw a few body temperature when I work for one day. Single!

When I was fine, I sat there and turned over the medical records. I had a medical record of admission. It was written by graduate students. The superior doctor gave him a lot of corrections, full of red pens. "Urine urgency, frequent urination" was changed to "frequent urination, urgency". In the past history, "no blood transfusion history" was changed to "denial blood transfusion history"...all are very subtle places, but the meaning of changing words is different. The analysis of positive signs in the medical records, patients with lung disease, the case originally said that the patient may have emphysema, with a few lines of red characters next to it, "× × signs may also be pulmonary heart disease, chronic bronchitis, should be compared And..." It is a change. The next page is directly rejected by the red pen. I don’t know if this graduate student has not studied well or the blood hospital is too rigorous. The first course of a medical record, the change of the superior doctor is more than the written by her. many!

Fortunately, on weekends, patients have to take picc intravenous indwelling needles. I want to "train", and I will suppress it while watching. It is actually a high-grade intravenous indwelling needle, which is inserted into the superior vena cava from the arm. The indwelling needle is imported from the United States, one rmb 1550. Just such a small pipe, the vast China can not do the same good, a catheter of more than a thousand yuan, most of the profits have to be given abroad, which is worthy of our reflection.

Before the operation, in order to alleviate the patient's fear and communicate with the patient, the patient was very optimistic. He chatted and suddenly asked: "Do you say that I can cure this?" The teacher used the phrase "Trouble you to turn your body to the right again" skillfully. Turned the topic away. I suddenly found the skill of talking in the hospital, then artistically changed the topic without letting the patient feel any unnaturalness. It seems that there is really much to learn!

On the sixth day of the trainee, I followed a patient to do a ct scan. The technician who just did ct just graduated. I was not much older than me. When I told him that I was a trainee nurse, I wanted to see ct when he was a little. Tell me a little bit about how to look at ct. Although the time is not long, the things that teach me are very limited, but when I return to school, I will not know what to do when I pick up a "Image Diagnostics" in the library. I can try to understand something by myself. , just because that guides.

With the director to check the room, the first time to feel the "professional, dedicated, professional" expert style. Discussing the condition between each patient and jokes, treating the patient with goodness and being funny, not giving the patient any pressure and leaving laughter and confidence; erudition and superb medical skills can accurately judge the disease in a short time and make quick decisions. Correct treatment; leukemia treatment drugs are expensive, he can timely consider the patient's economic situation to regulate medication, reducing the patient's economic pressure. The evaluation of his online use of four words is more appropriate: "German medicine"! If every medical worker can do this, will the doctor-patient relationship be so bad?

On the last day, I followed a care worker to send a medical record, and then listened to her being beaten by the medical record department. For her, it was the nurse who compiled the medical records. For me, I really know the importance of the medical record - its meaning is more than just a file, the level of the hospital, the fate of the doctor, can be revealed from these thin sheets of paper, is still rigorous.

Ten days of internships have passed quickly, leaving me more than that. I will always remember these six words: "rigorous, knowledgeable, benevolent."