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I am a recent graduate of the 07th Department of Nursing xxx. After four years of theoretical knowledge, the school arranged a one-year clinical practice study for us according to the needs of the study. We entered Hai'an People's Hospital in January 2019 for a one-year clinical nursing practice. Clinical internship is the consolidation and strengthening of the theoretical study phase, as well as the training and training of nursing skills and the best exercise before employment. The internship is coming to an end. I was confused and ignorant, and now I am full of rewards. Here we would like to thank Hai'an People's Hospital for providing us with such a good internship environment and various excellent internship conditions. During the internship period of the hospital, according to the careful arrangement of the nursing department, we have familiarized all the departments in turn. I would also like to thank all the teachers who have taught us for their careful guidance and patience, so that we can have such a good opportunity to exercise ourselves before we embark on a job.

In a busy and fulfilling internship, time is always very fast. With a hope and a sudden arrival at the Hai'an People's Hospital, we began our internship. Our identity has changed from a student to a trainee nurse. The environment of life has also changed from a school to a hospital. The target of contact has changed from a teacher and a classmate to a doctor, a nurse and a patient. Although the school has already held a mobilization meeting and training before the internship, the teacher is also very versatile to us. However, we are still uneasy about how to adapt to these three major changes and become a qualified intern nurse. Just entering the ward, always have a feeling of sorrow, we are in a relatively unfamiliar state for the work of nursing. Fortunately, a teacher introduced us to each class, so that we can quickly adapt to the nursing work of various departments of the hospital, and can adapt to the hospital environment as soon as possible, laying a good foundation for internship and work in the hospital. This is also an internship. The first harvest of the stage: learn to adapt and learn to grow and survive in a new environment. With the pace of time, the environment is already familiar, and learning has gradually entered the regular track. In the internship stage of various departments, the most common are the various diseases and their commonly used therapeutic drugs, such as the usage and dosage of drugs. Master the basic operations of each care. The biggest and ultimate goal of an internship is to develop good operational skills and improve the ability to work with a variety of care. Therefore, under the principle of teaching teachers to let go and not worry, we actively strive for every exercise opportunity, such as oral care, intravenous infusion, nasal feeding, intramuscular injection and other basic care operations. We know that the nurse's work is very heavy and complicated, although I feel some before I go to the clinic, but after I really enter the ward, I feel deeper. Indeed, the nurse's work is very fragmentary, very messy, but it can be said to be low, but through the majority of people do not understand, we found that nurses have their own unique charm. Doctors can't leave nurses, patients can't leave nurses, hospitals can't have nurses, and the whole environment can't be separated from nurses. This shows the importance of nurses. It can be said that the sparrows are small and complete! It is precisely because of this that they can play. Its indispensable role. Because of the clinical internship, we have a more comprehensive and profound understanding of nursing work, and a more specific and detailed understanding of the industry. The second gain in clinical practice: correct understanding of nursing and develop a good working attitude.

Under the patient guidance of the teacher, the students' aseptic technique, dispensing liquid technology, intravenous infusion, etc. have made a qualitative leap, mastered the essentials of their technology, and know how to do an operation.

Through the internship, we deeply realized that the profession of nurses is very ordinary but great. A good nurse must do every job in a down-to-earth manner. Everything must be done with heart, because every action Every little thing is about the patient's life. In the work, we are often irritated and involved, so communication is also very important, and I also learn to take the initiative to communicate with patients under the guidance of the teacher, so that patients can get satisfactory care services, and can boldly put forward their own ideas. When you find that you have irregularities in the nursing operation, you can ask the teacher in time.

I know that I still have a lot of things to improve. In the future work, I will work harder to improve my business ability and make my theoretical knowledge and operational skills to a higher level so that I can better serve patients. Strive to be an excellent caregiver.

Part 2: Summary of nursing practice

Time is fleeting, and the blink of an eye is December, and our graduation internship has entered the middle and late stages. Looking back at the past six months, my heart is filled with the joy of harvest, and every day is learning and progressing, and the days are busy and full. Compared with the first time in the clinic, I came to the People's Hospital of Zhejiang Province with the expectation of internship life. I didn't realize that the six-month internship time passed quietly and I learned a lot, especially the recent internship this month. The harvest is quite fruitful. This is a summary of my internship life for nearly a month.

Thoughts and attitudes: During the internship, the hospital and department rules and regulations are strictly observed and observed.

Practice code, respect teachers, unite classmates, care for patients, don't be late, don't leave early, be positive, all patient-centered, strictly demanding the standards of an excellent nurse, in love, care, patience, care, responsibility The principle of earnestly fulfilling the duties of the intern nurse and strictly demanding yourself. Adhere to the quality of medical services as the core, patient satisfaction as the standard, and firmly establish a team spirit. In addition, since I have already been in the middle and late stages, I have been relaxed and slack in my mind when I entered the internship. Especially after the work has been confirmed, I can find the defects in time and after a short adjustment, I still face the internship with a positive attitude. . At the same time, because of the internship in the operating room, the principle of aseptic operation must be strictly observed. However, if it is a bit embarrassing, it will inevitably be scolded by doctors, and it can still be treated with a more harmonious attitude.

Clinical practice: In this month, I have mastered the basic operation of the operating room in Russia and actively strive for operational opportunities. I participated in the cooperation of multiple operations, clarified the scope of duties and precautions of the equipment nurses, and basically grasped the operational procedures and scope of duties of the roving nurses. And participate in a number of major surgery to ensure smooth operation. In the work, he can actively participate in the rescue work of critically ill patients, and is more proficient in the use of nursing first aid technology, rescue procedures, rescue equipment, and rescue drugs. Every day, we must strictly check, rigorous and meticulous, to prevent the occurrence of small and small mistakes, and to improve the operation level while maintaining the quality and quantity.

Theoretical study: I ​​feel that “there is less hate when the book is used”, and in this month, it has been strengthened.

The study of theory, at the same time, finds that there is a distance between theory and practice and cannot be flexibly linked and applied. Therefore, while paying attention to practical training, it does not neglect the learning and application of mechanics. In the work, the problem can be carefully analyzed, solved in time, skilled in the monitoring of patients in various routine operations, etc., and can be familiar with the unexpected situation during the operation and take corresponding measures. In addition, we participate actively in lectures and nursing rounds, and are familiar with the monitoring points and conditions of various operations to enrich our knowledge and apply them.

Internship is a process of constant adaptation, and many deficiencies need to be improved. This is learning.

The process, many concepts have been revised, although there will be occasional small setbacks, but I believe that I can certainly overcome. In the remaining four months of internships still need to constantly explore, and must have their own requirements, will have some Harvest. I think the next internship will still be full of challenges and opportunities. I will work harder to grasp this opportunity and make progress.

Part 3: Summary of nursing practice

I was from the First Affiliated Hospital of Xiamen University and Xiamen Xianyue Hospital from June 2019 to March 2019.

Internship, has experienced swelling, surgery, general, heart, respiratory medicine, GICU, emergency department, orthopedics, Xianyue Hospital psychiatry, cadre wards, neonatology, obstetrics and gynecology rotation learning. Through this 10 months of practical study, I feel that if I want to combine the theoretical knowledge I have learned with the actual clinical work, I must strictly ask myself to ask for a teacher and use it on the other hand. In my spare time, I study hard and study the essentials.

During the internship of cancer surgery, the first exposure to cancer expertise is relatively unfamiliar to cancer chemotherapy regimens, chemotherapy indications, chemotherapy contraindications, and complications. After half a month of study, I feel that I have learned a lot of useful knowledge, such as: different types of chemotherapeutic drugs have different irritating effects on peripheral veins; during chemotherapy, if the drug extravasation occurs immediately, the nursing measures should be taken; Nursing after deep vein catheterization. In addition, during the chemotherapy process, patients will have a series of chemotherapy reactions such as gastrointestinal tract, skin mucosa, and mental state. At this time, our nursing staff needs to be enthusiastic about caring for patients, respect and patiently listen to the patient's complaint, and do a good job at bedtime. Take over and give the patient emotional support.

During the internship of obstetrics and gynaecology, I learned about gynecological surgery and the knowledge of pregnant women waiting for delivery and delivery. Pregnancy and gynaecology preparations have psychological counseling and bowel preparation, diet guidance, pregnant women also need to detect fetal heart sounds. Postoperative vital signs monitoring, incision observation, assisting cough and expectoration, observing infusion volume and infusion speed, nursing of various drainage tubes, urinary tube care, diet care, postoperative complications observation and nursing, etc. Due to the particularity of obstetrics and gynecology patients, in daily work, we are required to communicate and communicate with them more patiently. Only in this way can we better improve the quality of care and let patients trust us to work.

Through nearly one year of study, in addition to being familiar with the business knowledge of various departments, I also pay attention to the professional image of nurses, pay attention to civilized and polite service in the usual work, adhere to civilized language, work dignified, dress neat, courteous, Attitude and ambiguity, language norms. Under the active and conscientious guidance of the head nurse, I have made great progress and improvement in many aspects. I usually insist on attending the monthly business study of the hospital. In the course of one year's work, I can always adhere to the dedication and dedication of the patient. As the center, the quality as the core of the service concept, improve their own quality and emergency response capabilities.

Of course, there are still some shortcomings in my body that need to be improved. For example, in learning, sometimes there are still impetuous emotions, feeling that there are too many things to learn, and feelings of anger, especially in the face of setbacks, can not calmly deal with. At work, there are sometimes low standards. Although they can basically fulfill their duties and obligations, they still need to be further improved in terms of initiative. This is where I need to improve and improve in the future. In the coming year, I would like to thank the hospital leaders, head nurses and teachers for their education, guidance, criticism and help. Thank you for your concern and support. Looking back on the past, there are many advances and improvements, and there are also some shortcomings. Looking into the future, we should carry forward our own strengths and strengths and overcome the shortcomings.

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