Experience of college students' hospital practice

Internship is something that every medical student has to go through, and he has to pass the final internship examination. College students who go to the hospital for internship must have some experience. The following is my "Practice Experience of College Students' Hospital" for your reference only. Welcome to reading.

College students' hospital internship experience (1) The internship is over. I was originally confused and ignorant, but now I am full. Therefore, we are very grateful to the First Affiliated Hospital for providing us with such a good internship environment and various superior conditions, and to all the teachers for their hard teaching, so that we have such a good internship opportunity before we set foot on our posts.

Clinical practice is the consolidation and strengthening of theoretical learning stage, as well as the cultivation and exercise of nursing skill operation, and it is also the best training before our employment. Although this period of time is short, it is very important to each of us. We cherish this time, cherish the opportunity of daily exercise and self-improvement, and cherish this rare mentoring relationship with teachers.

When I first entered the ward, I always felt at a loss I am in a strange state about nursing work, and I still don't have a formed concept about what I can do in such a new environment. Fortunately, we have a teacher to introduce the ward structure, the work of each class and rich experience in teaching teachers, which makes us quickly adapt to the nursing work of various departments in the hospital. Being able to adapt to the hospital environment as soon as possible has laid a good foundation for internship and work in the hospital, which should be regarded as the first harvest in the internship stage: learning to adapt and learn to grow and survive in the new environment.

A nurse's job is very heavy and messy. Although I felt something before I entered the consulting room, I felt it more deeply after I really entered the ward. Indeed, the work of nurses is very fragmentary and messy, which can be said to be humble, but through the incomprehension of most people, we find that nurses have their unique charm. Hospitals cannot live without nurses, which shows the importance of nurses. Doctors can't do without nurses, patients can't do without nurses, and the whole environment can't do without nurses. This kind of trivial work has a complete system, which can be described as "the sparrow is small and complete", and it is precisely because of this that it can play its unique role and produce an indispensable role. Because of clinical practice, I have a more comprehensive and profound understanding of nursing work and a more detailed understanding of this industry. The second gain from entering the clinic is to correctly understand nursing, establish correct professional ethics and develop a good working attitude.

When I go to the ward for internship, I have the most contact with patients, and I have a deep understanding of diseases and a thorough grasp of basic nursing operations. The biggest and ultimate goal of practice is to cultivate good operating skills and improve the ability of nursing work. Therefore, under the teaching principle of "let go, don't look around, don't worry about looking around", actively strive for every exercise opportunity, such as basic nursing operations such as catheterization, inserting stomach tubes, washing hair in bed, bathing in bed, oral care, automatic gastric lavage, intravenous infusion and various enema methods. At the same time, I constantly enrich my clinical theoretical knowledge, actively think about various problems, humbly ask teachers or other teachers for questions that I don't understand, and take knowledge notes. When teachers don't have time to answer questions, we will consult books after work, or consult teachers and more people, so as to better strengthen the combination of theoretical knowledge and clinical practice. Most of the internship departments in the First Affiliated Hospital are whole wards, and most of us are nurses in charge. While following the teacher in charge of patients, we should strengthen the observation of patients' condition, enhance the understanding of patients' diseases, educate patients with various health knowledge and exercise their ability to apply what they have learned. According to the requirements of schools and hospitals, I actively completed medical record writing, teaching rounds and lectures, and cultivated my writing, organization and expression skills. Generally speaking, the third harvest during the internship is also the biggest harvest: the nursing operation skills have been improved, the level of disease awareness has risen, and various nursing work has gradually become proficient. While cultivating excellent professional skills, they also cultivate good study habits. By thinking, we can draw inferences from others.

During the internship in the hospital, everything we do is for the health of patients and the prognosis of diseases. We strictly abide by the rules and regulations of the hospital, all operations strictly follow the aseptic principle, and strictly implement the "three inspections and seven pairs". In orthopedics, internal medicine, surgery, gynecology, ICU, operating room, emergency, acupuncture and other departments, we all do a good job, abide by the principle of sterility, implement the check-up system, and cultivate a good work style. This should be regarded as the fourth harvest. Although it can't be said to be great, it is also an important and indispensable harvest.

During this short internship, we gained a lot. If summed up in simple words, it will look pale and powerless, at least it can't be expressed accurately and clearly, but we have benefited a lot. There are fifth, sixth and even more gains, but there is no need to list them one by one, because we know that the gains during the internship will be better reflected in the future work, so we use some dotted lines instead of face and special to represent individuals. In short, while thanking the First Affiliated Hospital for cultivating our dribs and drabs, we will take up our respective jobs with a more proactive working attitude, more solid operational skills and deeper theoretical knowledge, improve our clinical nursing ability and do our best for the nursing cause!

College students' internship experience in the hospital (2) Chinese medicine, many people feel very strange. What department is this? It seems that there is no such department in the general hospital. Yes, it seems only in our hospital. Although the provincial people are Chinese medicine hospitals, they have basically been westernized. In order to preserve, or characterize, or cope with the examination, such a department has been set up to treat diseases while retaining the traditional characteristics of traditional Chinese medicine. Indeed, I feel that the atmosphere of Chinese medicine here is stronger than any other department, and it is the only one here. Chinese medicine is the first choice for patients here. I have to admit that the prescription prescribed by the director is good, and many diseases that can't be diagnosed by western medicine have been well solved here. But I also have to deny that the traditional ward gives me the feeling of being like a nursing home. Many old people live here all the year round and refuse to leave, and some are terminally ill, waiting for that day to come.

These three weeks, it was really a good rest, really too idle, compared with the war-like working state of the previous department. For some personal reasons, my tutor didn't accept patients for several weeks, so I had to watch over these two or three poor patients. Fortunately, teachers in other groups accept patients and can study. Here, the advantage of leisure, catching up with professional certification, N more exams and training, just use these three weeks to read a good book and enrich the theoretical foundation. In fact, we have been complaining about too many exams and too much training. Do you want us to practice? Actually, it's good to think about it. It is necessary for us to strengthen our theoretical knowledge. In addition, we have a lot of clinical skills training. I suddenly feel how lucky I am to be an intern here. I can't handle it again and again. We should take it seriously!

The end of the internship in this department means that I will officially start the rotation of the big internal medicine department. The following arrangements are respiratory medicine, cardiology, nephrology, endocrinology, Chinese New Year, gastroenterology, neurology and emergency department. I'm really busy. It's time to study really hard. The case discussion in cardiology department two days ago really made me anxious. I am puzzled by the case under discussion. I haven't seen the west for a long time. I don't know anything about myocardial infarction, angina pectoris, stability, diagnosis, differential diagnosis and rating. I feel really sad. I think I have a lot to learn. Be sure to work hard and don't like the feeling of being ignorant and at a loss.

Ok, next, relax and practice seriously. Strive to be worthy of the title of "angels in white".

Experience of college students' internship in hospital (3) Internship is an expectation, an expectation of their own growth, an expectation of role change and an expectation of their dreams; Learning, there is also a fear, lack of confidence in themselves, fear that they can not adapt to the new environment, but also fear that they will be at a loss.

With a hope and a loss, I came to xx Hospital and started my internship. Since then, my identity has changed from a student to an intern nurse, my living environment has changed from a school to a hospital, and my contacts have changed from teachers and classmates to doctors, nurses and patients. For these three changes, how to be a qualified intern nurse, although the teacher has given us thousands of instructions, is still uneasy, strange and uncomfortable, afraid of being scolded by the teaching teacher, afraid of doing worse than others, and don't know where to start. ...

The first rotation department is icu, and my teacher is xx. She is an expert in surgery in the hospital. She is quick in doing things, beautiful in action and standardized in operation, which invisibly puts a lot of pressure on me. At the beginning of my internship, I felt a sense of frustration. I feel so small in front of my teacher that I don't even have a brain in my work. I just perform tasks mechanically. Every time I just want to do a good job, the more I want to do it first, the more I make mistakes, the more I am afraid of making mistakes, and the more I am afraid of making mistakes. This forms a vicious circle. Well, I dare not take the initiative to ask for the operation, but the teacher thinks that I am not active in my work, and sometimes I cry when I feel wronged. Facing the teacher's busy figure like a duck to water every day, I only have a sigh in my heart, complaining that I can't apply theory to practice, complaining that I didn't study hard when I was a trainee before, and I wish I were all thumbs. Maybe I have poor adaptability and can't communicate with teachers. I'm still at a loss when I enter ccu, but I'm also very grateful to my tutor, who is patient and cares about me. In the operating room, Teacher xx can see my progress every day. Even a little, she encouraged me. Even if I was stupid and made a mistake, she would tell me the principle and let me know the root of the mistake instead of scolding me. Played a guiding role. I began to have my own ideas and rekindled my enthusiasm for work. No matter how hard and tired you are, as long as you feel comfortable, you can spend every day happily!

Now we have entered the fourth rotation department, bone three. I thought I could adapt quickly, but the reality really poured cold water on me, and I felt more stupid and didn't know what to do. The teacher also thinks that we have been practicing for so long, and we are undergraduates, so we should do things with ease. I am really ashamed of the teacher's helplessness! I fell into a trough again, and returned to a mindless life, with no organization at all. However, when teacher xx learned that I didn't get the operation practice because of my inferiority and lack of initiative, she told me the importance of operation technology and helped me find the practice opportunity. It was the teacher who inspired my enthusiasm again. I really appreciate the teacher's concern for me, and I will redouble my efforts to live up to the teacher's expectations!

Now, I still look forward to and fear "internship". I'm looking forward to it, because internship is an opportunity to combine theory with practice. It is very fresh and interesting to apply the theory I have studied for four years to clinic. Then, if you want to operate on a patient, if you really want to see the essence of the disease through the symptoms, but you have no bottom in your heart, you will inevitably be scared. I have also asked many interns, and they all have different opinions. In short, it is "like drinking water, you know yourself well." But one thing is clear: the real way to master and apply knowledge is to apply it to practice, and to verify and consolidate what you have learned with practice. Learn how to communicate with patients and teachers! Not being good at getting in touch with people is one of my weaknesses, and that timidity and unnaturalness will make me lose many learning opportunities, so I think communication is also an art, and learning it well will benefit you a lot. After nearly five months of internship, I also had such an experience. Here, I have summarized the following points:

First, the problem of theoretical knowledge: I used to be a student, and the school is student-centered. Chinese education has always been spoon-feeding: passively accepting so much knowledge. Although I have taken the exam so many times, now my knowledge seems to have disappeared in my mind and I can only keep turning pages. When I was speechless under the teacher's questions again and again, I realized that my memory was shallow, and memories without time were like footprints on the beach. At that time, it seemed profound and obvious, but it could not bear the cleaning of time.

Second, the problem of role transformation. When I first started my internship, I didn't understand many things. Although I have had a probation period before, I still feel lack of confidence when it comes to actual operation. Will I make a mistake? What if I did something wrong? I am always timid in doing things, and my classmates who practice with me do well. I think the teacher likes it. It seems that it's not my turn. I blindly follow the basic nursing and follow the operation every day. I want to say "let me try", but I'm afraid. So I think the role change is a hurdle, and I must work hard to overcome it. The method mainly depends on initiative. I found that teachers are happy to teach as long as they take the initiative to ask questions and put forward operational requirements. You can't wait for the teacher to ask for something like in school.

Third, exercise bravely. In the face of patients, especially surgical patients, it is common to see blood, and when patients groan in pain, especially during surgery, their hearts will always be in their throats, so being careful and tying their hands behind their backs will bring more pain to patients. Therefore, you should be more bold and exercise more. My goal is to be bold and cautious, and only accurate and quick can solve the patient's pain as soon as possible.

Fourthly, aseptic concept and standardized operation. During the surgical practice, every teacher emphasized the concept of sterility. So I deeply understand the concept of sterility and follow it unconsciously in the operation. And standardized operation is really a very conservative and safe practice! As for new methods and innovative thinking, we must be familiar with the situation.

5. Smile service: When I see smiling faces here, they all feel particularly beautiful and lovely, which makes me feel that if I were a patient, I would choose to live here without hesitation. Therefore, I also ask myself not to bring emotions to work, and keep a sunny smile every day to make patients feel warm!

In short, these five months are a process of adaptation, and many shortcomings need to be improved. This is a learning process, and many concepts have been revised. Although I am very tired, I believe I can overcome it. This is just the beginning of the internship, and we need to explore it in the future. At the same time, we should also make demands on ourselves in order to gain something. I think the next internship is both a challenge and an opportunity. I must make good use of this opportunity.

The experience of college students' hospital internship (4) I still remember that when I first joined the work, I didn't have much enthusiasm in my heart, because it was my mother's decision to take the examination of the health school! It has been more than five years now, and my mind is blank about nursing, but now I have many indelible memories. I used to be emotional or depressed because I didn't understand the little things at work, and I didn't even want to continue! I often hear that nursing work is noble and respected, but why do patients always have dissatisfaction with me? How hard our work is, the day shift and night shift make people's biological clock disorder, and their legs are weak when they shuttle between wards. We must always be careful, check everything correctly and be foolproof. But with the passage of time, I have learned a lot: the job of a nurse is to care for, benefit, satisfy and recover patients as soon as possible! This is my job! The opinions put forward by patients are my shortcomings, not their unreasonable demands! If I don't even know the patient's needs and don't give them in time, it's my dereliction of duty. I'm not qualified to talk about the nobleness of my work! Only the recognition of patients is the highest honor!

Now I am not the impetuous one I used to be, but a steady, optimistic and positive one! The above is the contribution of the elders of patients who have criticized and guided me these days! They changed me, they made me mature, and they taught me how to be a better nurse.

In nursing work, we should talk while doing, and sometimes talking is more important than doing. Skills occupy a great factor in communication with patients. Nurse Chen, the responsible nurse in our department, has a deep "skill" in this respect, which makes people have to be convinced. After so many years of edification, I also have my own ideas. I think that to carry out nursing work smoothly, we must first gain the trust of patients. Trust is the basis of communication between the two sides and the most beautiful language between people. The eyes of trust can dissolve the ice of contradictions, and the tone of trust is enough to make people unforgettable. For children, trust is kindness in the eyes of mothers; For the elderly, trust is a burden on their shoulders, just like when the elderly can't carry it, their children take it and silently carry it on their shoulders. Take a few minutes to communicate with patients and their families, just like a mother puts her hand on her child's forehead, just like a child holding an elderly and sick parent on a bench for treatment. The warmth of trust exudes fragrance, warms each other's hearts and makes them feel that we are trustworthy. In the process of communication, we should pay attention to the artistry of language and avoid applying blunt medical terms. Good at using nonverbal communication skills, with kind eyes and good words and deeds, to alleviate the tension caused by patients' nervousness, so that patients can actively cooperate with the treatment and finally get androgyny.

"Trust" is the best bridge between nurses and patients. Let's make this bridge stronger.

Experience of college students' internship in hospital (5) During the 20 days of obstetric internship, under the guidance of teachers, I basically mastered the diagnosis and treatment of some common obstetric diseases and some basic operations. It makes me gradually transition from a medical student to a doctor and makes me feel the particularity and necessity of clinical work. I used to learn theories at school, but now I find that what I see in my actual work is not as simple as I thought, nor as typical as what I wrote in the book, and I often rely on my usual experience in my work. Therefore, only by putting miscellaneous materials into practice can you gradually accumulate experience after a good experience. In addition, I realized how to deal with different patients in clinical work and make the doctor-patient relationship reach a harmonious platform. Both sides are happy during the whole process. The doctor thinks for the patient, and the patient understands the doctor and creates a good medical environment.

Obstetrics is relatively simple. It looks simple, but it's not that simple. Doctors' judgment and decision-making are very important. For example, natural delivery is very common. Doctors must make a comprehensive evaluation of patients, decide whether they can give birth through xx, how to observe and evaluate during delivery, how to deal with corresponding problems, and when to terminate pregnancy ... A series of situations require doctors to have a clear understanding, make timely and correct decisions, and corresponding solutions.

During these 20 days, the cases I managed included: full-term pregnant women, normal delivery, hypertensive disorder complicating pregnancy, hyperthyroidism complicating pregnancy, aplastic anemia complicating pregnancy, heart disease complicating pregnancy, ICP, multiple pregnancy, hyperemesis gravidarum, threatened abortion, missed abortion, induced labor and uterus. Ectopic pregnancy, hysteromyoma, placenta previa. Dish, premature rupture of membranes, fetal distress, umbilical cord around neck, amniotic fluid pollution, fetus. Exploit ...

The main operations mastered are: stitches removal, dressing change, four-step palpation, fetal heart monitoring, surgical field disinfection, blood pressure measurement, uterine height and abdominal circumference.

Experienced operations: caesarean section, myomectomy, total hysterectomy, open abortion, curettage, painless abortion, diagnostic curettage, incision and drainage of suppurative wound, lateral perineal incision, intrauterine packing, removal of uterine packing gauze, bone marrow puncture, amniocentesis ...