Whether you are a good girl, a rich girl, a rich girl in Jiao Jiao, and you are too lazy to swallow your food at home or send it to your mouth, I have to admit that the good times are really over.
I don't know what system is implemented in other hospitals. I am in the Second Hospital of the City, so I know it better. I formally mourn for the comrades who don't want to be arranged by the school or entrust others to practice.
First of all, I highly recommend you to buy a pair of flat-bottomed soft shoes. I think it would be very helpful if you were divided into comrades in internal medicine and surgery from the beginning. I feel sorry for your running feet.
My first department is internal medicine. It's silly to go on the first day. I envy watching others sign the water distribution and insert the infusion set, but please don't be like an object. I think if that subject is busy, you will learn it in a week.
There were already many interns when I went, because it was June 5438+ 10, but there were probably no interns when you went. So you may be assigned a teacher right away.
A good teacher can decide what kind of vision you will win in any department in the future.
For comrades who have just left, your work is probably very boring. Of course, you may feel very, very fresh.
After the placement, most of them may go to the day shift. Many departments and metropolis are doing early education. If you go early, you will catch up. You follow the teachers, give a proper wink, pull the sheets, make a bed unit, and get to know the ward by the way, remember that the patient in that bed didn't come. Then at the next water distribution, you can report to the teacher that the bed has not come, of course, only when she asks.
Because the general water supply is anti-inflammatory, such as clindamycin and cephalosporin. Once these medicines are ready, if they are not lost within three hours, then this bottle of medicine can no longer be used.
After dividing the water, the next step is to prick the needle. Generally, the nurses in the main class don't stick needles because they have to hand over the shift or write nursing records. Unless, of course, you are busy. Then you will start to annoy the day nurses. If your intravenous infusion technique is not particularly good, I suggest that you don't rush to inject needles this day. First, look at the patients in that ward whose blood vessels are better, thicker and straighter, which is suitable for you to inject needles. Then your task is to hang water. Vent, prepare pulse pressure band, iodophor cotton swab and adhesive tape for the teacher, and finally ask the teacher before filling in the infusion card (that is really important, and the director of nursing department should check it every time). Then you can start to repeat the actions behind the teacher with something like a therapeutic tray.
The water finally stopped. What are you going to do at this time? Oh, yes, of course, not going back to the treatment room to rest, but sending samples. General medical staff will ask patients to put the specimens into the specimen box before 6: 30 the night before, because some people collect them, but it is impossible to collect all the specimens of urine and feces before 6: 30. Similarly, blood is the same, draw blood on an empty stomach, and at this time you have to take the trouble to send these things. So, what do the students who stay in the treatment room do? Yes, change the water
The drug store is not for novices. But students, you can learn to see if those pipes are special pipes or ordinary pipes. The technology of dispensing medicine. The most important thing is those chemotherapy drugs. Generally, we all know that chemotherapy drugs can kill both tumor cells and normal cells, so students must protect themselves. Always wear gloves and masks when preparing those medicines. When it comes to protecting yourself, the second point is hospital infection. Those patients will have some blood tests on the first day of hospitalization, so you should know that there are many infectious disease carriers by reading these words. Therefore, you must wear a mask when entering or leaving the ward. Be sure to take medicine when pulling out the needle, and be careful not to let those bloody needles prick yourself. Then, when drawing ampoules, be sure to pay attention (I have a small scar on my thumb and middle finger). If I am accidentally pricked by those bloody needles, immediately turn on the tap and flush the affected area against the water, and then squeeze the skin around my affected area with the other hand to let the blood flow out.
There are countless security measures. When pulling out the soft needle tube, we must pay attention to avoid the blood sprayed by the soft needle tube from entering the mouth and eyes. If you send the above, report to the teacher or consult the resident immediately.
Change the water, change the water. Let's change it.
If your leg is about to break, if it happens that one of your departments is also an intern, but she stays longer than you, you don't have to run errands, so put away your contempt or something. In that place, seniority is everything.
If you are finally free, don't think about finally resting or anything. You have many tasks, and cleaning is one of them.
No needling, no hanging water, no exhaust, no materialization, no minor treatment, but I believe you will clean it up. Pick up a rag that you didn't even take yourself, clean the treatment table and sweep the floor, but don't drag it. Sort the garbage. You have to believe that the head nurse or the teacher is watching this. You don't have to be favored for outstanding performance. Remember, there is no need to be partial, just use each other, and it is best for you and your teacher to spend only one month. When you leave, someone new will come.
If the students in your department are saturated, then you can only go to the day class. Remember that the rest time for the day shift is 1 day and a half a week. Of course, it is also possible to be detained.
It's my first time to take an internal medicine class, and the class I hate most is Bai Xia.
The main class of the Second Hospital is divided into three classes, from 8 am to 2 pm; 2 pm to 8 pm; Night shift, 8 o'clock to 8 o'clock.
I usually take a night shift and then go to work the next afternoon, that is, from 2 to 8 o'clock. That is to say, I 1 worked the night shift at 8 o'clock in the evening until 8 o'clock the next morning, so you have a rest the next day and you also have a rest the next morning. But in vain! My fingers are shaking! Depressed mood has nothing to say! ) That is to say, you have to come on the morning of the 3rd, and your flight is from 8 am to 1 1: 40, and from 3 pm to 8 pm. Your teacher needs to go to class this afternoon.
So, if there is still this class, I will sympathize with you. Really.
What to do in the afternoon? Hehe, the number of patients delivering water has obviously decreased. You won't be very free this afternoon. First, the main teacher will ask you to measure vital signs. What are vital signs? It's temperature, pulse, respiratory blood pressure.
Maybe at the beginning, you will feel that it is good to measure it and it will keep you going for a long time. However, in the next 10 months, you will all have to face it except for emergencies. Collapse. collapse
The most annoying thing is that you ask him if you take your blood pressure? He said it makes no difference whether you take it or not. You're going to turn around and leave. He said, take it. You hold it for him. He said you can't even take it home. I'm so angry ...
What should I do after the test? Is to release water. Because we have to paste the water the next day, put away the medicine. It depends on what medicine is, how many milliliters of water, and what medicine? Just give it to the teacher for beginners. I remember the teacher saw the concentration and dosage of the medicine after setting it. Get familiar with it.
Finally, string bottles. My bottle string career finally ended this month!
At present, most infusion bottles are plastic bottles with a hanging place at the bottom. Cut an infusion set, start, string all those things together and throw them into the warehouse!
If the patient leaves the hospital, close the bed, cover the quilt and use it at night. This trick is particularly valued in gynecology. What's more, there is a "BMW" in gynecology (in fact, that "BMW" is a flat car). You can take him to bed in the afternoon.
It's really hard.
This is the case in most cases.
It is really bitter. I may not feel anything, but it's really bitter. Two months before I went, the soles of my shoes were worn out several layers of skin and two bubbles were worn out.
No rest, no holiday, and neither do Qingming lovers, unless the head nurse in the department is better and arranges it for you.
Our slogan should be consistent with the outside world.
It should be fire prevention, theft prevention and anti-aging.
Anti-robbery, anti-color, anti-Qiao Liu.
I sincerely hope that you will practice hard.