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Sample of nurse's internship experience
Nurses must carry out corresponding nursing projects in accordance with the relevant legal standards of the Health and Health Commission and nursing industry norms, observe the patient's weight, understand the patient's condition, cooperate with doctors, handle medical disputes in time, and prevent medical accidents. The following is a sample of nurse's internship experience I compiled for you, which is for reference only and I hope it will help you.
1 I have studied various management systems, medical accident handling regulations and related laws and regulations through 20 years and x months of nursing graduation practice, under the careful guidance and patient teaching of the teaching teacher, and participated in the study of nursing staff many times. Through study, I realize that the concept of modern nursing quality is to satisfy patients in all directions and in the whole process, and strive to organically combine theoretical knowledge with clinical practice, and my ideological level has also been improved to a certain extent.
During my internship, I will strictly abide by the rules and regulations of the hospital, earnestly perform my duties as an intern nurse, strictly demand that I respect my teachers, unite my classmates, never be late and leave early, and strive to achieve standardized nursing work, high-quality skills and services, flexible basic nursing, planned and focused theoretical study, and recorded nursing measures. During the internship, I always take "love, care and patience" as the foundation, and strive to be diligent in eyes, hands, feet and mouth, think about what patients think and worry about their urgent needs, provide quality services to patients wholeheartedly, and establish a good medical ethics.
In department practice, we should strictly abide by the department system, attend nursing rounds on time, be familiar with patients' condition, correctly answer teachers' questions, standardize and be familiar with various specialist operations and basic operations, strictly implement three inspections and eight pairs, and strictly implement aseptic operations in our work. When I find a problem, I can analyze it carefully and solve it in time. In the rescue work, I was meticulous and methodical, and won the trust and praise of teachers and patients.
At the same time, I also participated in the physical examination activities of medical institutions in the countryside, constantly enriching my business knowledge. Through internship, my theoretical and practical level has been improved. In the future work, I will continue to work hard, keep in mind the responsibilities of nurses, constantly strengthen ideological study and professional study, comprehensively improve my comprehensive level and provide quality services for patients. Here, I sincerely thank every teacher for their support and let me successfully complete the internship plan.
One month's emergency practice time is fleeting. From the initial unfamiliarity and even a little contradiction to the present understanding, the strict discipline of the teacher really made me realize my own gap and let me know how to improve myself and correct myself in various competitions and lectures.
In the emergency department, it is a form of one-to-one teaching. Generally, the teacher manages us. What makes me feel very different is that I almost work with my teaching teacher, which is very convenient for the teacher to understand us, and we can also master the knowledge and operation that we can't know in time. The rigorous and responsible attitude of the head tutor also makes me feel sincere and warm in many cases. When my operation is not done well enough, I can give careful guidance and suggestions in the lecture, so that I can realize my own shortcomings. I think internship is not only a process of operation and theoretical mastery, but also requires me to practice more.
I spend the most time in the emergency room. At first, I thought I had transferred to another department and had many meetings. But through practice, I found that many places are different. In emergency surgery, I pay more attention to speed, stability and accuracy, but the general principle will not change. I also found that my own operation and theory are lacking. After the rescue of several patients, I know how to cooperate with doctors and how to record vital signs.
Teacher Zhao has always said that no matter the competition or the lecture, it is a process of discovering the advantages of others, adjusting ourselves and correcting ourselves. In our beautiful youth, we should seize the opportunity to show ourselves, no matter whether there are good results or not, at least we have struggled. Although Mr. Zhao is strict in our management, it can be said that I have benefited the most from the emergency department in just four weeks. Every teacher's words and deeds deeply warm me. I will seize the opportunity to improve myself in the future.
In the hot June, we ushered in the third department of internship-pediatrics.
In the days of pediatrics, every day is lively and leisure, all of which stems from the particularity of pediatric patients. As soon as you walk into the pediatric ward, you will inevitably hear "wow" crying and hip-hop laughter. I still remember that the pediatrician said that pediatrics is a promising department, because children are sensitive to diseases, and once they have any discomfort, they will show it. Pediatric illness is also urgent, but the course of disease is short and the cure effect is good, that is, it comes quickly and goes quickly.
Pediatric diseases are single, and pneumonia and diarrhea in children are common diseases in departments. Its main drugs are anti-inflammatory, anti-virus, liver protection, myocardial nutrition and gastric mucosal protection. Of course, it is worth mentioning that children's medication measurement, because children are in the growth and development period, liver and kidney function and some enzyme systems are not perfect, drug metabolism and detoxification function is poor, and children of different ages have different reactions to drugs. Therefore, children must be cautious and accurate in drug use, which requires us nurses to be more serious and do a good job of "three checks and seven pairs".
The most difficult thing in pediatrics is venipuncture. Maybe in other departments, we interns have the opportunity to have venipuncture, but in pediatrics, we can only look around. Because there is only one child in a family now, every child is the treasure of the family, and parents are reluctant to let interns practice their hands. Another point is that the vein on the back of the child's hand is deep and he can only choose scalp vein. In the process of puncture, the child has been moving, which increases the difficulty of puncture. In pediatrics, parents' evaluation of nurses' ability depends on whether they hit the nail on the head, which requires us nurses to be strict with ourselves, strive for perfection in venipuncture and master the communication skills with children.
In addition, pneumonia, bronchitis and so on. Children should also keep their respiratory tract unobstructed, and be given sputum suction, back patting and atomized inhalation. At the same time, we should also communicate with family members and introduce them to relevant knowledge, such as etiology and main manifestations. Teach parents the correct method of tapping the back to assist expectoration, guide parents to use drugs correctly, and give health guidance when leaving the hospital, such as reasonable feeding and strengthening physical exercise. In the usual practice, teachers are often seen preaching to parents, which requires flexible use of what they have learned in practice, which is a relatively high level in nursing work. Only by relaying it to the patients' families can it be shown that they really understand the book knowledge and can achieve mastery through comprehensive study, which is beneficial to both doctors and patients.
In pediatrics, I feel deeply and benefit a lot, and have a deeper understanding of the role of nurses. Nurses are not only executors of nursing activities, but also health defenders and missionaries. You should have good professional quality, physical quality and communication skills, apply what you have learned flexibly to your work, and have keen observation. Watching the teachers take care of every child, I feel warm inside. Although the teacher will feel tired in this process, it is also instantly relaxed to see the children's smiles. I think this is the charm of pediatrics.
In a blink of an eye, the one-month internship in anorectal department has ended. Although this internship is a bit bitter and tired, it is quite enjoyable. Ward rounds, dressing changes, writing course records, following surgery, and writing discharge summary, every day's life is spent in such repeated busyness. In general surgery, I make rounds at eight o'clock in the morning and then change my dressing. Of course, the most difficult thing in the operation is to follow the operation, and often one stop is several hours. Learn to look up tables, write medical records, change medicine, take out stitches, and operate. Basically starting from scratch, it is so difficult to realize the seemingly simple operation for the first time. Although not everyone actively participates in the operation, they are still very knowledgeable even by stages, such as thyroidectomy, cholecystectomy, splenectomy, appendectomy, subtotal gastrectomy, internal hemorrhoid and external hemorrhoid, radical resection of colon cancer, hernia repair and so on. My knowledge of laparoscopic technology and interventional therapy has made me refreshed.
After staying in a department for a long time, I feel that everyone really feels like a family. The care and instruction of teachers and the cooperation of the whole department make the busy work full and happy. Surgeons are mostly temperamental people. No matter how good they are at ordinary times, once they do something wrong, they criticize others and leave you no face. After the operation, I will play with you again as if nothing had happened. Doctors are under great pressure when doing surgery, especially when the operation is not smooth. All we can do is try not to make mistakes, otherwise we really want to cry and get scolded.
I was deeply impressed by the practice of anorectal department, and I learned a lot. We feel the warmth from the care of the head nurse and the teachers of all previous generations in the department. Our clinical interns are always suspicious. When they see some diseases, they always compare their symptoms and gradually admit that they have similar diseases. I began to doubt myself, too. As a result, when I checked, I really had hemorrhoids. It was really unbearable! Some things will come, and you can't avoid them. I can only face it, just like being sick. If you are sick, you must treat it!
After entering the department, the teacher first introduced us to the basic composition structure and basic precautions of anorectal department, and explained that we were only familiar with the environment two days ago. At first, I was very nervous and my voice was low. I am timid in doing things. It was not until I got familiar with the environment that I was relieved. I started my internship with my tutor. A few days later, accompanied by the teacher, we began to contact the clinic.
When I was a freshman, I worked as an intern in Minxian People's Hospital in Dingxi City, my hometown for just one month. It was not until I really entered the internship position that I realized that the essence of internship and internship was completely different. The general feeling is that more internships are seen and less done, and more internships are done. Simply put, it is a word: tired. Especially in the first week, due to the particularly hot weather and heavy workload in Lanzhou, my other sisters and I were so tired that we lay motionless in bed like a pile of mud every day when we came back from work. But every time I talk about learning new basic nursing operations and taking care of patients, I am praised by patients, and all the fatigue disappears instantly. Now, we have gradually adapted to this lifestyle and the environment in Lanzhou, and everyone's enthusiasm for internship is getting higher and higher.
A month later, I found that all I studied at school was theory. Now that I am in contact with the clinic, I find that what I saw in my actual work is not as simple as I imagined, nor is it as typical as what I wrote in the book. Many times, I have to rely on my usual work experience. Therefore, only by putting it into practice and experiencing it well can we gradually accumulate experience. Under the guidance of the teacher, I have basically mastered the nursing and some basic operations of some common diseases in anorectal department, which is also an important turning point for me to gradually transition from an intern to a nurse.
I remember the first sentence my teacher taught me was: I can't stand it any longer. After a brief contact with the clinic, I also realized that for those of us who have just left campus and stepped into the society, it is very important to face today's complicated doctor-patient relationship and we have to put up with these eight words again. Therefore, I always keep this sentence in mind when I am in contact with patients. If I don't know anything, I will ask the teacher at once.
The anorectal internship is almost over. During this month's internship, I abide by the laws and regulations of the hospital and anorectal department, respect teachers, unite with my classmates, be strict with myself, and strive not to be late, leave early, be absent from work without reason and leave my post without authorization. Every day, I will follow the intern teacher to make nursing rounds on time, be familiar with the patient's condition, be able to answer the teacher's questions correctly, be able to carry out simple basic nursing operations independently, and strictly implement three checks and seven pairs. After work, I will carefully review the relevant knowledge of anorectal diseases and postoperative nursing methods, evaluate the nursing and health education of patients under the guidance of teachers, do a good job in simple nursing of common and frequently-occurring diseases in anorectal department, and strive to apply the theoretical knowledge and basic skills I have learned to practice. And in this month's internship, I have always been careful, careful and patient, striving to be diligent in eyes, hands, feet and mouth, thinking about patients' thoughts, being anxious about patients' urgency, being kind to patients and having a good attitude, which has won unanimous praise from teachers and teachers.
The complex taste of this kind of surgical internship experience may only be realized by those who have experienced it personally. Whatever it is, it's worth remembering. Of course, it is more important to know a lot of things that can't be learned in books and meet a few good friends. Maybe this is more valuable than books.
A month's pediatric practice passed quickly, and time slipped through my fingers. Time that can't be grasped is like a blink of an eye. The end of one internship is also the beginning of another internship stage, preparing for another relay in the internship stage.
Entering pediatrics, I learned from the teachers that pediatrics is a comprehensive department, covering various diseases of internal medicine and surgery. However, the types of children's diseases are very different from those of adults: the onset is urgent, the momentum is fierce and the changes are rapid. Therefore, we nurses should formulate a series of corresponding nursing measures according to the characteristics of their diseases. Because of children's own characteristics and young age, they can't or can't accurately describe their illness, and they don't know how to cooperate with medical staff. Pediatric nursing has many contents, great difficulties and high requirements. In addition to basic nursing and disease care, there are a lot of life care and health education. The patient's condition should be carefully observed, and the doctor should be informed in time if any changes are found.
After understanding the basic situation of pediatric nursing work, I began to devote myself to internship. Under the tireless teaching of clinical teachers, I have been studying and exploring professional knowledge and accumulated some work experience. Perhaps these experiences are just a drop of water in the vast ocean; A pebble in the vast desert is a precious treasure to me, just like a wave on the vast beach, leaving countless shining shells, which are worth cherishing and remembering. Perhaps these gains are relatively small, but I believe that success is accumulated on every small progress. Rome was not built in a day
After a month's pediatric practice, I have grown a lot, gradually getting rid of the childishness of the school and becoming mature. In the "post", I not only learned the most basic skills of a nurse, the knowledge of disease care, but also learned how to communicate with patients' families. The nursing object of pediatrics is children. For every parent, the most precious thing is their children. Family members and medical staff are based on the idea of thinking about their children. In addition to superb infusion techniques to minimize patients' pain, they should also educate patients' families, covering a wide range of topics, such as diet education, environment, clothing, psychological care and so on. After preaching to my family, they expressed great gratitude to me, and I was particularly gratified that the fruits of my labor were appreciated.
To be an excellent pediatric nurse, it is not enough to have skills. We should fully embody the value of the role of "nurse" instead of working like a machine. We should be bosom friends of health educators and sick children. I have a deep understanding of pediatrics. For example, many hematological diseases and tumors in the department are the first choice for chemotherapy. Besides some routine operations, we should also do symptomatic nursing. The symptoms of a cold are fever, cough and even systemic symptoms, so we should do symptomatic nursing, pay attention to the indoor environment, light diet, rest and a series of education, suck more sputum, keep the child's respiratory tract unobstructed, suck sputum, pat the back and inhale atomized.
At the same time, we should also communicate with family members and introduce them to relevant knowledge, such as etiology and main manifestations. Teach parents the correct method of tapping the back to assist expectoration, guide parents to use drugs correctly, and give health guidance when leaving the hospital, such as reasonable feeding and strengthening physical exercise. In the usual practice, teachers are often seen preaching to parents, which requires flexible use of what they have learned in practice, which is a relatively high level in nursing work. Only by relaying it to the patients' families can it be shown that they really understand the book knowledge and can achieve mastery through comprehensive study, which is beneficial to both doctors and patients.
Two weeks' experience has made me feel deeply and benefited a lot, and I have a deeper understanding of the role of nurse. Nurses are not only executors of nursing activities, but also health defenders and missionaries. You should have good professional quality, physical quality and communication skills, apply what you have learned flexibly to your work, and have keen observation at the same time. We send warmth to patients with our hands, and every operation gives patients hope of recovery and makes them see the dawn. Maybe we just sent a little care, but these are Noah's ark to help patients tide over the difficulties.
Nursing students' practice is the process of applying the theoretical knowledge learned in school to practice under the guidance of clinical teachers, and it is also the key to realize the transformation from nursing students to nurses. Due to the particularity of undergraduate work, nursing staff must have good professional ethics, psychological quality, skilled operation skills and extensive subject knowledge, and more importantly, they should be sharp-eyed and flexible. Therefore, the teaching of nursing students must be combined with the characteristics of undergraduate departments, so that nursing students can closely link theory with clinic through practice, and lay a solid foundation for future clinical nursing work to meet clinical needs. Making undergraduate teaching plan based on nursing students' internship outline.
Goal:
Familiar with undergraduate course room environment and layout, understand undergraduate course room rules and regulations, disinfection and isolation system, responsibilities of each class; Master the use of ECG monitoring, electrocardiograph, microinjection pump, infusion pump and electric sputum aspirator, and understand the use of various anti-tuberculosis and antiviral drugs and the adverse reactions of drug injection; Familiar with the nursing routine and health education of common and frequently-occurring diseases in infectious diseases department; Strengthen the training of rescue ability; Emphasize the strict "three inspections and seven pairs" system and the principle of aseptic operation, and establish a strict aseptic concept.
Plan:
On the first day of internship, the contents of educating interns are: explaining the teaching plan, introducing the environment of the undergraduate course and understanding the relevant systems of the undergraduate course.
The first week: be familiar with the environment, layout and goods placement in this area. Mastering morning care can accurately measure vital signs. Strengthening the training of basic nursing can complete all the contents independently. Including intravenous infusion, intramuscular injection, intradermal injection, oxygen inhalation, etc. Let students develop a rigorous and cautious style in these basic operations. And strict "three checks and seven pairs" system and "aseptic operation" principle. At this stage, let students know the nursing of common and frequently-occurring diseases in undergraduate course. Understand the responsibilities of the staff in each class. (The first week of small lecture content: nursing safety)
The second week: during this week, teachers will guide students to familiarize themselves with the clinical manifestations and specialized nursing techniques of common and frequently-occurring diseases in undergraduate courses; Master the entrance education of common undergraduate diseases; Understand the use methods and precautions of various anti-tuberculosis and anti-virus drugs; (Lecture content in the second week: ECG monitoring, use and maintenance methods of microinjection pump, infusion pump and electrocardiograph, and nursing care of viral hepatitis)
The third week: through the guidance of the teacher last week, we can independently complete the basic nursing and specialist nursing techniques under the guidance of the teacher this week. Master the nursing of common diseases; Strengthen the cultivation of rescue ability of critically ill patients. Understand the usage and precautions of insulin and hypoglycemic agents. (Lecture content in the third week: electric sputum aspirator, use of simple breathing airbag, and nursing of pulmonary tuberculosis)
Nursing teaching rounds were conducted this week: the teacher selected representative medical records of the major, the students collected the patient's medical history and clinical manifestations, formulated nursing problems and nursing measures according to the patient's condition, the teacher evaluated and encouraged the correct aspects, pointed out the shortcomings and how to improve them, asked questions about the knowledge points of the major, inspired students to think, and improved their ability to analyze and solve problems.
The fourth week: be able to skillfully, safely and independently complete the basic nursing operation and specialized nursing technical operation, master the common first-aid techniques, and cooperate with the rescue work under the guidance of the teaching teacher. Can collect nursing history independently and complete nursing history. Conduct theoretical and operational evaluation.
Note: The above teaching contents can be adjusted according to the specific situation.
In a word, clinical teaching is an important part of nursing education, a transition from theoretical teaching to clinical practice, and a supplement and extension of classroom teaching. Therefore, nurses have the responsibility and obligation to sum up experience, explore new teaching methods, improve teaching level and make unremitting efforts to train qualified nursing talents in the new period while completing their own work!
The first internship in the new semester, I came to the blood transfusion department, but I didn't come last semester. This time we will finish our one-week internship in the blood transfusion department.
The main work of blood transfusion department is blood group identification and matching. The first thing the teacher taught us was blood typing. The blood group identification done by the blood transfusion department is different from the slide method we did at school. Blood group identification done by blood transfusion department is divided into positive and negative judgments, including RH identification. Blood group identification is not difficult. Under the teacher's demonstration and explanation, several trainee students quickly completed the blood type identification. The second is cross matching. We have only learned theoretical knowledge in this experiment, and we have never used hands-on operation, so we are still very strange to this experiment. The day before the teacher taught us to do the experiment, he asked us to go back and review the knowledge of cross matching.
First, make sure that the blood types of recipients and donors are the same, which uses the cross-matching experiment we have done, then use two test tubes to prepare the red blood cell suspension of recipients and donors, and then use two test tubes to mark the primary and secondary sides.
Main prescription: add the red blood cell suspension of the donor and the serum of the recipient.
Secondary side: red blood cell suspension added with blood recipient+blood donor serum.
Centrifuge in centrifuge, shake well after centrifugal agglutination, add low ion solution and polyamine solution for centrifugation, and the agglutination will disappear after adding suspension, indicating that blood matching is successful and blood transfusion can be carried out.
This is the experimental step of cross-matching, which seems simple, but there are still many problems in the process of doing it, but with the help of the blood transfusion teacher, we successfully completed and mastered the cross-matching experiment. Compared with the teachers in the laboratory, the teachers in the blood transfusion department are not very busy. The main work to be done every day is mixed blood and blood transfusion, but these work must be serious and careful. In the teacher's words, our mixed blood is related to human life.
Although I only stayed in the blood transfusion department for a week, I gained a lot and learned a lot.
Nurse practice is a complicated life. You should learn to be a man and do things. We should constantly enrich theoretical knowledge and nursing operation skills, and strive for more operation and exercise opportunities; Being a man, we should deal with the relationship between ourselves and the teachers, head nurses, doctors, patients and their families in the hospital, which brings us great pressure and good exercise opportunities. It is most important to establish a good nurse-patient relationship, which can bring convenience to our nursing work. The work of nurses is no longer a simple skill operation such as injection and medicine distribution, but a more complex creative activity including psychological nursing. Nurses should not only help patients recover, but also help them recover.
During my internship, I deeply realized the importance of communication and the happiness it brought me. When I get along with patients, I always try to communicate with them with a sincere heart. Feel their pain, understand their needs and give them the care and help they can.
Just two months of internship, we can already see our busy figure in the corridor of the hospital. We kept shuttling between wards. I'm finally up to the task assigned by the teacher. I can finish the nursing work independently. This is a big step for me in the future and I should be congratulated. During the internship, I realized that it is not easy to be a nurse, and it is even more difficult to be a qualified, excellent and quality nurse. With the continuous progress of material civilization and spiritual civilization in today's society, people's demand for the quality and service level of nursing staff is also increasing. It is more and more important for nurses to have good qualities, including not only psychological aspects, professional skills, professional ethics and physical aspects, but also cultural instruments.
Internship gave me a good opportunity to exercise, let me solve problems when I found them, and paved the way for nurses. Nurses are the main body of clinical nursing work. To provide the best nursing service, we must strengthen our self-cultivation and have a good mental outlook and healthy psychological quality. Positive, optimistic and confident attitude towards life; Emotional stability, not discouraged when encountering setbacks, not proud of achievements; Be fearless in times of crisis, and be able to deal with it calmly in a difficult and complicated environment; Broad-minded, able to learn from colleagues' new methods and technologies, listen to different opinions, learn from others' strengths, make up for their own shortcomings, and exchange experiences with each other at work. In terms of professional technology, we should have solid professional theoretical knowledge, master the symptoms, signs and nursing points of various common diseases, and make timely and accurate nursing plans. Master the knowledge of nursing psychology and nursing ethics, understand the latest nursing theory and information, and actively carry out and participate in nursing research; Skilled nursing skills. Skilled nursing operation technology is the basic condition of an excellent nurse. Superb nursing technology can not only greatly alleviate the pain of patients, but also enhance their self-confidence and give people beautiful enjoyment. Master the use of first aid technology and equipment, be familiar with the application of first aid drugs, and skillfully cooperate with doctors to complete the rescue of emergency or critically ill patients; Have a high sense of responsibility, strictly observe the changes of patients' conditions, strictly implement operating procedures, conscientiously do a good job in checking the system, always remember that medical safety is the first, and prevent medical errors and accidents; Have keen observation and be good at capturing useful information; Rich in imagination and brave in technological innovation. Have strong language expression ability, master communication skills, and be able to flexibly use language for psychological care according to the specific situation of patients.
During my internship, I learned to treat every patient with good morality. Nurse is angels in white, it is our duty to save lives, so we should have good professional ethics. We and patients are two individuals with equal status, but the social division of labor is different. We should create a clean, comfortable, safe and orderly diagnosis and treatment environment for patients like friends and relatives, receive patients warmly in time, listen to their complaints with sympathy and compassion, try our best to meet their reasonable requirements and provide humanized medical services.
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