Surgical summary (general type)

1. A certain number of clinical patients were treated under the guidance of the department director and the teaching teacher, and the internship task of neurology department was successfully completed.

2. Treat the patient patiently and meticulously at work, report the patient's condition changes to the superior doctor in time, put forward the questions and difficulties in the process of diagnosis and treatment and give corresponding treatment, and earnestly study various clinical experiences.

3. Be able to combine theoretical knowledge with clinical work, master the routine diagnosis and treatment of various frequently-occurring diseases and common diseases in neurology, such as stroke, transient ischemic attack and intracranial infection, and be familiar with various specialist skills such as lumbar puncture and typical lesions of head and neck CT and MR(DWI).

4. Seriously study advanced medical science and technology at home and abroad, and improve professional skills through internal study and lectures.

Practice summary-pediatrics

After the surgical internship was busy, I went to pediatrics. Pediatrics is divided into children's rooms and children's rooms, which last for four weeks. The first time I went to the children's room, I felt very clean when I first entered the ward. The hospital bed suddenly became smaller by one size, and all I saw were children. The whole ward is divided into two parts. Common diseases are in the front, such as bronchopneumonia, diarrhea and endocrine diseases, and there is also an emergency room. However, there are 1 children actually suffering from amebic dysentery (oral transmission, mainly manifested as abdominal pain, diarrhea, discharge of jam-like feces, with a foul smell, mainly prevalent in tropical and subtropical areas, rare in Shanghai). In general, medical staff also try to avoid the second half of the ward. Because these children are all chemotherapy patients, their own immunity is low, and if the personnel flow excessively, it is easy to cause these children to be infected. Under the action of a large number of chemotherapy drugs, they are all bald and pale. And because of long-term chemotherapy drugs, their venous fragility increased. Every day, they often have scalp injections several times. I saw the oldest child, 12 years old, and the youngest was only a few months old. Later, I heard her classmate say 18. However, that was when I left the department later. The internal medicine department is the busiest in the morning, and I'm almost deaf. The whole ward was in tears, tore heart crack lung.

Compared with internal medicine, surgery is much cleaner. Children treated outside the hospital are mainly circumcised. I saw 1 the child was hospitalized in a car accident. I met these two children when I was outside the hospital. They were both circumcised. As soon as I entered the ward, I saw the two children lying naked on the bed. The doctor stipulated that the children by the window should take photos. In the morning, the children by the window are sunbathing, and the children next to them are sunbathing. His father moved the window aside and saw a penis basking in the sun. In the afternoon, the child by the window continued to bask in the sun with a pillow. I said to him, let your father hold an umbrella for you and dig a hole in it, so that you can't get a sun in other places, so you can get a penis. But the other child can't bask in it. His father ran to the nurse's desk and said, nurse, when are you coming to roast your penis? What impressed me was a little boy who was only 3 years old and still wrapped in diapers. The boy is cute, with curly hair and big eyes. Show two tiger teeth when you laugh. Later, I turned to his case, which was undifferentiated nephroblastoma (abdominal malignant tumor, which often occurs in children and has a poor prognosis). Once I went to his bed to call him baby, and he smiled sweetly. He smiled and nodded and said, I like it. Once I saw his father and carried him to the hospital for a kidney puncture. When I came back, I was in tears. Now, I don't know how he is. The turnover rate of the whole operating bed is not high. Even after leaving the hospital, the staff inside haven't changed much.

In fact, I don't like children, but I still feel sorry for them from the bottom of my heart when I see these children. Now think about it, living is a kind of happiness, because nothing is more meaningful than the existence of life. Live well!

How time flies! In a blink of an eye, I will soon end my internship in four departments: internal medicine, surgery, gynecology and pediatrics. Looking back on these days, I believe everyone has a taste of their own in their hearts. Practicing in pediatrics for nearly a month, I have benefited a lot, but I am about to leave the department. Teachers in our department attach great importance to our internship, and the weekly internship arrangement is also orderly.

During my internship, I will strictly abide by the rules and regulations of the hospital and all departments, earnestly perform my duties as a nurse, be strict with myself, respect teachers, unite with my classmates, work hard, love children's cause and think of children wholeheartedly. At the same time, it is necessary to understand family members, correctly handle the nurse-patient relationship, do a good job of explanation and comfort, say "I'm sorry" more, let family members understand the work of pediatric nurses, and reduce unnecessary misunderstandings or excessive behaviors. Under the guidance of the teacher, I have basically mastered the nursing of some common diseases in pediatrics and some basic operations. Especially for children's scalp needle puncture technology, I have been learning, and I am also summing up my experience. I can be diligent in observation, be good at observing the condition of children, grasp the changes of the condition in time, and make accurate judgments. In a word, I think I learned a lot in this internship. Although I am only a student, maybe my ability is limited, I use my efforts to enrich my knowledge and skills. I hope to send patients away healthily with my smile, and I am eager to grow up in my study and really be a angels in white who sings silently and flies hard.

In practical work, we feel that ICU has more advantages than ordinary wards in the treatment of severe patients. At the same time, due to the concentration of a variety of advanced instruments and equipment, the patient's condition is complex and changeable, so the requirements for nursing staff and equipment management are very important. Nurses in ICU ward

Summary of pediatric surgery. Hello, the format is printed, just fill it in according to the above requirements. For example, name, age, diagnosis, date of admission, date of discharge, what medicine was used, what examination was done, and special medical record: penicillin skin test was positive. Current situation, discharge guidance, medication, follow-up and so on.

A month's pediatric internship has passed in a blink of an eye, and time has 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 the relay of another internship stage.

After entering pediatrics, I learned from the teaching teacher 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. Besides basic nursing and disease nursing, there are a lot of life nursing and health education. The patient's condition should be carefully observed, and the doctor should be informed for treatment in time if 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 continuously absorbed and explored 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 a vast beach, leaving countless shining shells, which is 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 learned not only the most basic skills of a nurse, the knowledge of disease care, but also 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 concept of thinking about children. In addition, in addition to minimizing the pain of patients, it is also necessary to educate patients' families, covering a wide range of topics, such as diet education, environment, clothing and psychological care. After the education, they thanked me. I was particularly pleased and appreciated my work.

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 experience in pediatrics. For example, there are many hematological diseases and tumors in the department, and chemotherapy is the first choice. Also do a good job of symptomatic care. The symptoms of a cold are fever, cough and even systemic symptoms. We should do a series of education such as symptomatic nursing, attention to indoor environment, light diet and rest. If there is too much phlegm, keep the child's respiratory tract unobstructed, and give him sputum suction, back pat, and atomized inhalation. At the same time, we should communicate with his family members, introduce them to relevant knowledge, such as etiology, main manifestations, etc., teach parents to pat their backs correctly and help expectorate. Instruct 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 often preach to parents, which requires flexible use of what they have learned in practice, which is a relatively high-level nursing work. Only by relaying it to the patient's family can I show that I really understand the knowledge of books, which is beneficial to both doctors and patients. I was deeply moved by the experience of two weeks. Benefiting a lot, I 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 at the same time. We send warmth to patients with our hands, and every operation gives them hope of recovery and makes them see the dawn. Maybe we just send insignificant care.

As an intern nurse, what I can do may be insignificant, but I have a correct understanding of the role of "nurse", give full play to my potential, and give full play to my ability in future work to strive for better.

Internship is my first step out of clinical work. There are still many bumps and hardships waiting for me. I will not shrink back, but face the challenge bravely! The mountain of "work" is waiting for me to climb fearlessly!

"Xiu Yuan Road is long and its Xiu Yuan is awkward, and I will go up and down."

I will move forward!

I'm moving forward!

For reference, please refer to the guiding diagnosis summary.

Writing method of work summary

Summary is a comprehensive and systematic overall inspection and evaluation of the work done in a certain period, and a specific overall analysis and research; It is to see what achievements have been made, what shortcomings and deficiencies exist, and what experiences and improvements have been made.

(1) Basic information.

1. Summary must have an overview and a description of the situation, some simple and some detailed. This part mainly analyzes the subjective and objective conditions, favorable and unfavorable conditions, working environment and foundation.

2. Achievements and shortcomings. This is the center of summary. The purpose of summing up is to affirm the achievements and find out the shortcomings. What are the achievements, how big, how to use them and how to achieve them; How many shortcomings there are, what aspects they show, what nature they are, and how they come from, we must make it clear.

3. Lessons learned. Once you do something, there will always be experience and lessons. In order to facilitate the future work, it is necessary to analyze, study, summarize and concentrate the experience and lessons of the past work, and rise to the theoretical level to understand.

4. Future plans. According to the tasks and requirements of future work, draw lessons from previous experience, make clear the direction of efforts, and put forward improvement measures.

(b) Write a summary of the problems that need attention.

1. Make full use of materials before summarizing. It is best to listen to the opinions of all parties in different forms, understand the relevant situation, or put forward the ideas and intentions of summing up and discuss with the cadres and the masses in all aspects. We must avoid giving opinions from leaders and find facts among the masses.

2. Seek truth from facts, do not exaggerate achievements, do not narrow shortcomings, and do not resort to deceit. This is the basis of analysis and learning lessons.

3. Clear organization. The summary is written for people to see. If it is not clear, people will not understand it, and even if they do, they don't know why, so the purpose of summary will not be achieved.

4. Be tailored and appropriate. Materials are essential and phenomenal; There are important things and minor things, so when writing, we should go to the weeds and save the essence. The problems in the summary should be divided into primary and secondary, detailed, detailed and abbreviated.

5. The specific writing method of summary can be discussed first, then the first draft is written by a special person, and then the revision is discussed. It is best for the headmaster to write it, or to preside over the discussion, drafting and revision in person. Secretary hodgepodge network: rrrwm.

If you are satisfied, please accept it.

There is an urgent need for a "summary of leaving the preparation room" because I don't know the development status and varieties of preparations in your preparation room, so I can only mention a few key points and start it myself:

1, through the teacher's teaching, familiar with the types of common preparations (you can write down all the prepared preparations in detail), preparation process, operation points, packaging points and storage points. . . Can be carried out in a representative and specific way (for example, the preparation of iodine tincture is very special; The preparation of CMC-Na polymer solution and the preparation and dilution of peracetic acid disinfectant also have particularity. . . Wait).

2. Familiar with the concept, preparation, operation process, several methods and precautions of aseptic operation; The concept of aseptic grade, the requirements of aseptic grade for different aseptic preparations, or the requirements of aseptic grade for a specific process of the same preparation. . . . If there are large infusions, small injections, eye drops, external preparations for traumatic wounds, etc. They can also be explained in detail.

3. In terms of quality inspection, I am familiar with acid-base titration, redox titration and precipitation titration. . . Sterility inspection, heat source inspection, clarity inspection, etc. . .

Summary of rehabilitation department (outline)

1, (internship) work overview, (internship) work target completion.

2, work attitude, work discipline, etc

3. Shortcomings and efforts

I will work hard and improve continuously in the future.

Summary of practice in three subjects of internal medicine Under the guidance of the teacher's efforts, through continuous efforts, the practice in the department of cardiology soon ended and achieved great results. First of all, in terms of basic theory, reviewing the past has strengthened consolidation and improvement; Secondly, I learned new knowledge and treatment methods in clinical practice. Anyway. After heart practice, I have a new understanding and improvement of the diagnosis and treatment of common diseases and frequently-occurring diseases, and learned the knowledge and skills to deal with sudden diseases. I will definitely apply what I have learned to my future work. I will never forget my teacher's teaching and keep learning and making progress.

Summary of Obstetrics and Gynecology Practice I worked in obstetrics for 20 days and went to gynecology yesterday.

During my 20-day internship in obstetrics, under the guidance of my teacher, I basically mastered the diagnosis and treatment of some common diseases in obstetrics, as well as some basic operations, which made me gradually transition from a medical student to a doctor and made me feel the particularity and necessity of clinical work. What I learned in school before was all theoretical, but now I find that what I saw in my actual work is not as simple as I thought, nor as typical as what I wrote in the book. Many times, you have to rely on your usual work experience to accumulate experience. Therefore, only by putting miscellaneous materials into practice and having a good experience will we gradually accumulate experience. In addition, I realized how to deal with different patients in clinical work, so that the doctor-patient relationship can reach a harmonious platform, and both sides are happy in the whole process. Doctors think for patients, patients understand doctors, and create 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 childbirth is very common, and doctors must make a comprehensive evaluation of patients to decide whether they can give birth, how to observe and evaluate during labor, how to deal with corresponding problems, and when to terminate pregnancy ... A series of situations require doctors to have a clear understanding and make correct decisions in time.

During these 20 days, the cases I managed included: full-term pregnancy, natural 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, ectopic pregnancy, hysteromyoma, placenta previa, premature rupture of membranes, intrauterine fetal distress, etc. ...

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 purulent wound, lateral perineal incision, uterine cavity packing, removal of uterine cavity packing gauze, bone marrow puncture and amniotic cavity puncture. ...

Neonatal physiological/pathological jaundice, neonatal horse teeth and neonatal nursing knowledge. ...

In a word, I think I learned a lot during my internship. Here I want to say thank you to my teachers, nursing teachers and my patients. They guide and cultivate me and give me the opportunity to grow up slowly. ...

As soon as I entered the internship, I always felt at a loss. At that time, I was in a relatively unfamiliar state with nursing work, and I had no idea what I could do in such a new environment. Fortunately, we have a teacher to introduce the ward structure, the work of each class and the rich experience of the teacher, which makes us adapt to the nursing work of various departments in the hospital quickly. Being able to adapt to the hospital environment as soon as possible has laid a good foundation for future practice and work in the hospital, which should be regarded as a harvest in the internship stage: learning to adapt is to integrate into the new environment and grow and survive in it.

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 intravenous infusion, muscle injection and other basic nursing operations.

I know that the job of a nurse is very heavy and messy. Although I had some feelings before I entered the clinic, I really felt deeper after I entered the internship. 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.

This department is a turning point for me. It taught me a lot. I know that as a nurse, I should not only learn the most basic needling, but also know many other things.

In my opinion, the profession of nurse is ordinary but great. A good nurse should have good moral and professional qualities, be patient, careful and bold. Nurses will be respected by patients, but they will often suffer indignities and suffer losses, but they should also smile at patients. The head nurse often teaches me that we nurses are also in the service industry. Even if we are tired and angry again, we should always have a smile on our faces.