Summary of internal medicine nursing work

1. Characteristics of patients with cardiology: Into the cardiology department, we know what is the value of life, and also realize the true meaning of saving the wounded and dying. Most patients with cardiology are patients with coronary heart disease and acute myocardial infarction, especially those with acute myocardial infarction. When they come, the patient has severe symptoms, chest pain, palpitation, shortness of breath, sweating, or nausea and vomiting. Speed ​​is the key. I am almost a trotting job. The first thing every patient does is vital signs. First look at blood pressure, heart rate, blood oxygen, breathing, follow the doctor's oxygen, ECG monitoring, and immediately establish an intravenous channel. Then, immediately follow the medical record, let the doctors take care of the doctor in the shortest time, and then immediately execute the doctor's advice, explain the condition and related precautions to the family. The doctor issued a critically ill or sickly notice and quickly completed the first care record. Cardiovascular disease is not limited to some young patients, 30 years old or 40 years old, is the golden age of life, but the disease has never been ruthless, these patients generally develop fast, infarct size, a few days before admission When you are alive and kicking, you will report your illness in a blink of an eye. It really proves the fragility of life. It is not a taste to see the grief of your family. When sending patients to a higher level hospital for treatment, all the way to the eyes of the scorpion, monitor the vital signs to observe the changes of the condition, comfort the patient, inform the patient's family condition and calm the family's emotions, when the patient is successfully sent to the designated department of the superior hospital At the time, my heart was very practical, and I was very happy to have a hope for the patient. Some patients with myocardial infarction have been good during the recovery period, and somehow died suddenly. All kinds of situations have made me realize that patients with cardiology are not light, and they should be highly vigilant at all times, because life may disappear in a flash. Patients with coronary heart disease have heart failure due to various reasons. At this time, the doctor should give the treatment bill as soon as possible. The nurse should use the fastest time to perform the doctor's advice, high-flow oxygen inhalation, diuretic and other symptomatic treatment, and watch the patient's heart rate slowly drop. Down, the symptoms of panic and shortness of breath are alleviated, and there is an unspeakable sense of happiness and accomplishment in my heart, and I feel the meaning of the race against time.

2. Risk of work: Cardiology is a risky department. Doctors often need interventional treatment for patients. The risk of interventional therapy is faced by everyone. Many cases are difficult to predict during surgery. Postoperative monitoring of the condition is also a test for nurses. The pressure hemostatic balloon bandage is deflated on time, monitoring blood pressure, and the night shift is a test of physical strength and will. At the moment, you can't relax your vigilance. It seems to be a very calm ward. Because of the special nature of the disease, there are many risk factors. Every hour, the ward is inspected once, and the critically ill patients are inspected at any time. When listening to the snoring of the patient's sleep, watching the thoracic rhythm of the thorax, the heart is solid, some patients will die suddenly in the evening, the doctor and nurse will not be rescued. Many family members don't understand. In fact, do doctors and nurses want to save them? However, medicine has limitations, so doctors and nurses are not omnipotent. If family members can understand this more, it is a comfort to the dead patient and a psychological relief to the living family.

3. Requirements for nurses: The nurses in cardiology are a bit like surgical nurses. They are generally tempered in their work, and they are vigorous and vigorous, without any delay, because they know that time is life. And I require a high degree of professionalism and dedication. I am thinking that the doctors and nurses in the Department of Cardiology are under great pressure, because the patients who come are urgent and heavy. Without dedication, they can't be nurses.

In short, although I have only experienced it for 3 months, there may be many things that I have not really experienced, but it still gives me great encouragement. I respect all the medical staff of the Department of Internal Medicine and like their superb skills and professionalism. This is me. The precious wealth has motivated me to make continuous progress, and I have benefited a lot from the goal of progress.