Nursing practical experience

Nursing practical experience (23 selected articles)

When we are inspired and have a new understanding of life, it is better to sum up and write an experience, so as to develop a good summary method. Have you figured out how to write your thoughts? The following is the nursing practice experience compiled by Bian Xiao for everyone, which is for reference only and I hope it will be helpful to everyone.

Nursing practical experience 1

During the one-month clinical internal medicine practice, under the careful guidance and patient teaching of the teaching teacher, I studied the Regulations on Handling Medical Accidents and its laws and regulations seriously, actively participated in the training of medical accident nursing regulations organized by the hospital, 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 it is a higher and newer demand for medical nursing services, thus enriching legal knowledge and enhancing safety.

During my internship, I strictly abide by the rules and regulations of the hospital. Seriously perform the duties of nurse interns, be strict with yourself, respect teachers, unite students, care about patients, never be late, never leave early, study hard, set an example and be proactive. Through this month's hard work, I learned a lot that I didn't know in class. During my internship, I learned the general process of treating patients: for example, measuring vital signs; Ask about the patient's medical history, allergy history, etc. Write nursing records carefully, observe the patient's condition at the same time, cooperate with the teacher's guidance, and understand the basic application of antibiotics to each digestive system. At the same time, I also learned the general process and strict aseptic operation of thoracoabdominal puncture. Through this period of internship, I understand the responsibilities that a nurse should have. At any time, I should put patients first and care about their sufferings with the best attitude and the most responsible action. In the future internship, I will definitely try to learn more knowledge.

Nursing practical experience II

With the expectation of internship and fear of the unknown, on April 24th, I came to the Third People's Hospital of Wuxi and started my internship career.

After reporting in the administration building, the head nurse always sends us to various departments. My first department is oncology. The head nurse knew that I had just come to the hospital for internship and asked the teaching teacher to take care of me more.

On the first day, the teacher introduced me to the department and told me some rules and regulations of the hospital. I followed the teacher and learned the teacher's operation.

The next day, under the guidance of the teacher, I began to do some basic operations, such as replacing rehydration, electronic moxibustion, weekend treatment and so on.

I didn't know where to start at first, so I had to perform the task mechanically. Later, with the careful teaching of teachers and the encouragement of patients, I became more active. At the beginning, I asked the teacher to watch, and if there was anything wrong, the teacher could help. After that, the teacher will explain whether there are any omissions in the operation just now, and it will be the same when it is operated again until the teacher feels ok, no problem.

I have practiced in oncology, cardiothoracic surgery, cardiology, operating room, infusion room, orthopedics, general surgery, emergency department and other departments, and each department has its own characteristics, which has benefited me a lot. However, when I first arrived in a new department, I was always at a loss. At this time, teachers and internship partners are particularly important. With their help, I will integrate into this department more quickly.

Teachers are serious and responsible. Whenever I make a little progress, they will encourage me. Even if I make a mistake, they will tell me the reason, help me correct my mistake and play a good guiding role. Let me apply the theory I have studied for three years to the clinic.

Clinical practice is the consolidation and strengthening of theoretical learning stage, as well as the training and exercise of nursing skill operation, and also our pre-job training. After more than half a year's practice, I learned the basic nursing operations such as intravenous infusion, ECG monitoring and changing drainage bags, and also gained the following experience.

1. Theoretical knowledge: At school, we passively accepted so much knowledge that we thought we had memorized it. However, under the teacher's question, I was speechless again and again, only to find that my study was not solid enough, so I could only keep turning over books to consolidate.

Second, learn to learn actively: at first, I was always worried that I would make mistakes, and I was always timid in doing things. Later, I found that we can't wait for the teacher to teach us like in school, but learn to ask questions and do the prescribed operations.

3. Pay attention to speed, technology and quality: when patients sigh in pain, they are always hesitant and afraid of hurting them. Only by being bold and cautious, accurate and quick can I solve the patient's pain as soon as possible.

Fourth, aseptic concept and check system: during the internship in the operating room, aseptic concept is the most important. If you violate the aseptic operation principle when washing your hands on the stage, the consequences will be unimaginable; Three checks and seven pairs are the most basic and the premise of all operations.

5. Attitude and communication: We should make patients trust us and understand our operation with a friendly smile and effective communication, especially our technology is not skilled enough, and we should communicate with patients well before operation.

In short, I have learned a lot and grown a lot in the past six months, but I still have many shortcomings to improve, such as speaking less, not asking questions actively when studying, and sometimes not handling things carefully. These are all things I need to pay attention to, so I will strive to improve my ability in all aspects in my future work and study, set a good goal and make steady progress.

Nursing practical experience 3

The two-week nursing practice has come to an end, and we have benefited a lot from it. During this period, I will abide by the intern rules, work actively, study hard and obey the instructions of my superiors.

First of all, let me briefly introduce our work. On the morning of July 9th, we decided to choose tongji hospital as the internship site, and later went to the Department of Integrated Traditional Chinese and Western Medicine. Because it is our own major, head nurse Yan quickly agreed to let us put on white coats and report at 7: 30 on Monday.

On the morning of July 1 1, I reported to the Department of Integrated Traditional Chinese and Western Medicine in tongji hospital. Through the head nurse's explanation, I learned that nurses are divided into different classes: nursing, responsible for infusion and dressing change. Class 83, it is a continuous shift at noon, but it gets off work at 3 pm. Night shift, go to work at 3 pm and get off work at 8 pm. The head nurse divided us into three groups and followed different nursing teachers. Subsequently, we received disposable masks, gloves and badges for us, and told the relevant matters and introduced the hospital workflow. After that, we followed the teacher to make the bed in the ward, then took part in the shift at 8 am and made rounds with the doctor. After rounds, the nurse will give the patient injections, dressing changes and other tests. In the rest of my spare time, I read the medical records in the doctor's office, listened to the doctor discuss the illness, and watched the interns copy the will. 1 1 In the afternoon, the hospital admitted a new patient. We chose to follow a newly hospitalized patient and finally chose the patient in bed 6. All afternoon, I read the medical records in the office and occasionally went to the ward.

For the remaining few days, I went to the hospital at 7: 30 every morning, basically repeating the first day's things and eating something else in the afternoon. In this process, I followed the teacher, listened carefully to the explanation and guidance, learned a lot about the basic operation of medical equipment, observed and practiced many medical operations, such as vital sign measurement (blood pressure, breathing, pulse, temperature, blood sugar), ECG monitoring and so on.

Atomization inhalation, intravenous drip, intramuscular injection, instrument disinfection and so on. There are many professional musical instruments that I saw for the first time. There are many seemingly simple nursing operations, and only when they are really done will they know that this is not the case. I also learned the classification of hospital trash cans. Not only that, when accompanying patients for examination, I learned about ct, color Doppler ultrasound, thoracic puncture, pleural effusion, moxibustion, debridement and other examination and treatment methods; During the injection with the nurse, I also learned about indwelling needles and filters. All these have broadened our knowledge.

Ten days' work is not static. On July 14, I went to the clinic to take part in the treatment of winter disease in summer. Under the leadership of all the brothers and sisters, we learned several acupoints and put plaster on the patients. 15 In the afternoon, I heard Professor Hu talk about the basic principles of treating tumors with traditional Chinese medicine, and I also gained a lot, knowing the importance of thinking in the process of treating diseases.

For interns, it is more important to get in touch with the clinic as soon as possible. Through interns, they can understand the hospital and hospitalization environment, hospital management, doctors' work, nursing methods, ways of cooperation between doctors and nurses, and the important position of communication between doctors and nurses in the process of disease diagnosis and treatment, so as to lay a good foundation for future clinical study.

Let's talk about the hospital work problems learned from several aspects:

First, the hospital environment

Room 10 on the first floor of the Department of Integrated Traditional Chinese and Western Medicine, including doctor's office, doctor's lounge, nurse workstation, dining room, disinfection room, instrument room and ward. Among them, there are 2 large wards with 8 people each; Eight small wards, each with four people. Male patients and female patients are in different wards, and the beds are separated by curtains. The ward is equipped with TV and toilet. When the ward is full, you can add beds in the corridor.

Second, the normal working procedure

At half past seven, the nurse began to make the bed; At 8:00, the doctors and nurses handed over, and the nurses on duty at night read out the vital signs and illness of each patient, which were supplemented by the doctors on duty at night, and the doctors on duty explained some situations, and finally the director and the head nurse summarized them; At 8:30, doctors make rounds, headed by professors, followed by doctors, interns and trainee doctors; At 9 o'clock, the doctor went to the office to see the medical record and write the doctor's order, and the nurse began to give the patient an injection; 10:00, take the temperature, blood sugar and blood pressure, and the patient will do other tests; 1 1 point, lunch care. We attended the afternoon work program, so I won't list it here. )

Third, the work of doctors and nurses.

Doctors are responsible for patient rounds, talking with patients, diagnosing diseases and writing long-term and temporary medical orders; Nurses are responsible for all kinds of basic nursing work, such as making beds, dispensing medicines, sending and receiving medicines, injections, dressing changes, measuring blood sugar, blood pressure and body temperature. Doctors and nurses are generally very serious and responsible in their work: doctors always smile and are amiable when asking patients questions, and doctors take pains to make their stories easy to understand when patients and their families can't clearly describe their illness; When nurses give injections to patients, they will also double-check the names of people and medicines. Every time a patient comes, the nurses will call his name until he answers, so as to avoid unnecessary mistakes.

Doctors and nurses are very tired at work, and only when they really enter the hospital can they deeply understand it. In my previous impression, nurses were synonymous with patience and carefulness. I always think that their work is very easy and simple, just follow the doctor's advice and "take the medicine according to the prescription", and other work is also very trivial.

This time, through nursing practice, I went deep into the daily work of nurses for the first time, and experienced the ups and downs of being a nurse, only to find that being a nurse is not as simple as I thought. The job of a nurse is a word "tired". I remember the first day, we walked around with doctors and nurses in the morning and didn't sit there much. When I got home, my feet hurt and I was tired, so I fell asleep. Even people like us who don't have much work are like this. Nurses not only have to keep walking around the ward, but also give patients injections and dressing changes. Their fatigue can be imagined. But they didn't complain at all, which was really shameful. Nurses are full of energy as long as they are working. They are engaged in a battle: fully display their vitality inside and outside the ward; Give the patient your energy and smile without reservation.

Fourth, the basic nursing operation

Make the bed: the teacher said that the bed must be flat so that the patient can sleep comfortably; The bed is not changed every day, but cleaned every day, also for the health of patients. Sometimes some seriously ill patients can't turn over, so nurses should try their best to turn them over and clean their beds.

Measuring blood pressure: Grade 07 seniors taught us to measure blood pressure. There are two different sphygmomanometers, one is electronic and convenient, and the other is traditional. Taking blood pressure seems simple, but it must be taken seriously.

Take your temperature: The head nurse said to take your blood pressure, you must dry the sweat under your arm. These explanations are simple, but they are crucial.

Blood sugar measurement: Some diabetic patients in the hospital should measure their blood sugar before and after meals. The method of measuring blood sugar is relatively simple, but there are many problems in the operation process, such as the method of fingertip disinfection. It is important that the blood sugar measurement should be sharp and neat, otherwise the patient will be very painful. They have to measure their blood sugar at least six times a day, with only 10 nails and pinholes in their fingertips. If the blood volume is not enough for the first time, it has to be re-measured, which undoubtedly increases the pain of the patient.

Verb (abbreviation for verb) The importance of communication and communication.

1. between nurses and patients and their families: sometimes the requirements of patients contradict the responsibilities of nurses. For example, patient No.5' s breast was cut and his chest was covered with scars, so the nurse had to turn over and make his bed. What should a nurse do? You can't leave everything to the patient, which will cause more serious consequences.

2. When a family member quarrels, the nurse's handling method: silence. I remember that once the family members taught the teacher to be silent and shouted at the nurse because the nurse ignored the patient's pain. At that time, I thought the teacher was worthless. But they may be used to it. The patient is God.

3. Between doctors and patients: Grandma Bed 52 refused to continue treatment because of pain. What should doctors do? Obey grandma's wishes? Or compulsory treatment? The best way is to try our best to persuade grandma to accept treatment, without forcing or giving up. This of course requires excellent communication skills.

4. Between patients: 60 patients with extra beds in the corridor couldn't sleep because they ignored injections at night, 6 1 patients played music in the corridor because they were bored during the day, and 60 patients clamored for a rest. What should I do at this time? At that time, I went to talk to 6 1 bed, and he understood, although he showed an unhappy expression.

5. Between the patient and the intern: The patient distrusts the internship, thinks that his blood pressure and blood sugar measurement are incorrect, and even has a unfriendly attitude. At this time, interns have to accept criticism.

In a word, there will be many contradictions in this process, and how to solve them is very important. We should always practice that patients are God, accept teaching with an open mind and communicate with each other in a friendly way, so as to gain the trust of patients. Although sometimes patients and their families are fierce, sometimes they are friendly. Once I helped an old woman move a stool, and the old woman repeatedly said thank you.

Of course, communication between doctors and nurses is also very important. I remember when I was testing the blood sugar of 46 patients, I had a conflict with a classmate and turned my face in front of the patients. This is our extreme immaturity. No matter what happens, keep calm in front of patients and continue to do what you should do. The unity and cooperation between doctors and nurses is also very important.

Six, the doctor told the patient's condition principle

Some patients can't tell them the truth, which is not just the case in TV dramas. Take patient 34 as an example. He has advanced gastric cancer and was implanted with omentum. The doctor told him that it was a tumor, and the patient could eat and drink with confidence and have hope for life.

Seven, the difference between clinical and textbooks.

Many times, what we learned in textbooks was far from enough, and our understanding at that time was not thorough enough. One day, a classmate and I argued about afp in the office. Patients with liver cancer are afp positive, so what about liver metastasis of gastric cancer? Is afp positive or negative? For another example, is the pulse of patients with yin deficiency floating or sinking? If you don't understand thoroughly in class, you will be helpless when you encounter examples. This also inspires us that studying medicine should be used in clinic, not just for exams. We should remember some knowledge so that we can apply it freely in clinic. Clinical practice is an effective supplement to theory.

Eight, talk to patients

Talking with patients is a pleasure. They will tell us some truths about life and warn us to study hard, cherish our health and pay attention to our health. Sometimes they will recall some extraordinary past events. I believe that in this process, patients will also be very happy because someone is listening. We are little apprentices who can only watch but not do. However, our sense of hearing comfort is a warm seasoning that people who are in a hurry lack. I chatted with my uncle in bed 34 during moxibustion. I told him that I just had to visit Zusanli, and he agreed. Then make fun of him and say don't be too face-saving and go back and drink less. A smile appeared on his thin face, despite his illness. Perhaps, at this moment, I have a deeper understanding of the sentence "Sometimes for healing, often for helping, always for comfort". My favorite professor xx always chats happily with patients. Even words of exhortation can be accepted by patients, because it is his sincere concern.

Nine, the problem of difficult and expensive medical treatment

It is difficult to see a doctor, but expensive is a big problem. It costs about 1500-20xx yuan every day in the hospital, and patients without medical insurance simply can't afford it. I remember eight good patients who stayed in the hospital for many days, but they always had a fever to be investigated. Finally, the cause was not found out, because the medical expenses were too expensive, and they were discharged from the hospital. So are patients with good beds. What moved me most was what Professor xx said. The endurance of rural women in China is very strong. A rural woman came to check, terminal cancer. It is said that he has been suffering for more than ten years. The root of his patience is that he has no money. Who is sick and doesn't want treatment? Although there is cooperative medical care in rural areas now, according to the family members with 60 beds, the proportion of reimbursement for cooperative medical care is still very small, and most of the expenses are paid by patients themselves. One patient quipped: "Unless you open a bank at home, who can afford it!"

Ten, medical strength beyond.

There are many diseases that can't be treated for life, and even many diseases have not been found out. Nowadays, medicine is not omnipotent, and there are very few real cures. In more than 50 beds of Chinese and Western medicine patients, most of them are cancer, cerebral infarction, hypertension and so on. Every day, patients have injections to take medicine, and their arms are full of pinholes. What doctors expect is to relieve their pain and prolong their lives.

The above aspects are the problems I understand and think about during my internship.

On xx, xx, xx, we bid farewell to the ward, and the internship life of 10 officially ended. Anyway, we will be a little sad in our hearts. After all, I have dealt with doctors, nurses and patients, and I have made rounds with doctors again and again, and I have a little understanding of their illness. When I leave, I will also be noticed. Especially my uncle in bed 34, I go there every morning. There is also nurse xx, who is the only intern who lets us measure blood sugar alone and take care of the fledgling students.

In short, this internship has taught us a lot, from basic nursing operation to hospital management system, from medical care to the treatment of doctor-patient relationship, which has given me a certain perceptual knowledge of my future work and laid a solid foundation for my future work.