Chapter 1: Overview of cardiologist's personal work. The short month is over, and the internship in cardiology is over. In this month, under the hard guidance of teachers, I have gained a lot.
Hypertension, arrhythmia, coronary heart disease and heart failure are the most common diseases in cardiology. Common diseases include coronary heart disease, hypertension, arrhythmia, atrial fibrillation, paroxysmal supraventricular tachycardia, heart failure, myocarditis, congenital heart disease, cardiomyopathy, atrial septal defect, rheumatic heart disease, myocardial infarction, angina pectoris, acute infective endocarditis, myocardial ischemia and other symptoms.
During my internship, under the guidance of my teacher, I basically mastered some common diagnostic methods, such as the determination and significance of troponin and myoglobin, the meaning represented by the data on the report of cardiac color Doppler ultrasound, and the change and significance of electrocardiogram. Treatment measures, commonly used drugs to rescue patients with heart failure, commonly used instruments. Learn to use defibrillators and master the working principle of temporary pacemakers.
Every morning, our interns go to the department early to take the blood pressure of each patient. Blood pressure is often used as a very important basis for patients' response to drug treatment, so the accuracy of measurement is very important. Put two fingers on the elbow, put the stethoscope on the brachial artery pulse, and then measure it. Because the arterial pulse of some critically ill patients is very weak, blood pressure can not be measured by non-standard measurement methods. During my internship, there was a patient with heart failure and weak pulse, so I went to take blood pressure.
Then I learned more about the fragility of life in cardiology. During this month in the Department of Cardiology, I encountered three major rescues. Once, when I was on duty with my teacher, my ventricle escaped. First, pump dopamine continuously and push adrenaline. All the medical staff pressed the heart in turn, and they took the time to defibrillation and install temporary pacemakers. This process is directly a battle. By the time the patient stabilized a little, it was already past 1 o'clock in the morning, and I was soaked through.
Another time, a patient had a massive myocardial infarction. When the nurse arranges the bed, the patient has myocardial infarction, rescue, defibrillation, intubation, continuous pumping of dopamine and adrenaline. All the medical staff took turns to perform external cardiac compression, defibrillation and temporary pacemaker installation, but the patient just left. Arriving at the ward at eleven o'clock, a life ended at one o'clock. The child's sad cry is really distressing.
I left school, but I have a lot to give up. I feel that I haven't learned enough, and I still have a lot to learn. But the internship arrangement and weekly internship arrangement are also orderly, so let's learn and grow step by step. At the same time, it also made me know more about professionalism. In this month, I strictly abide by the rules and regulations of hospitals and departments, earnestly perform the duties of interns, be strict with myself, respect teachers, unite with classmates, work hard and care for patients.
Don't be late, don't leave early, and strive to be standardized in work, integrate theory with practice, study theory in a planned and focused way, and have measures and records in work. I will constantly improve my professional knowledge, keep in mind the teacher's teaching and internship experience, and keep learning and making progress. At the same time, I will apply these experiences and teachings to the next internship department and strive to do better.
Chapter 2: Summary of personal work of cardiologists. The practice of cardiovascular medicine is coming to an end. During this period, I strictly abide by the rules and regulations of hospitals and departments, be strict with myself, not be late and leave early, unite my classmates, respect teachers, be strict with myself, have a correct learning attitude, have a rigorous work style, listen carefully to teachers' teachings, and always integrate theory with practice. Under the patient guidance of the teacher, I successfully completed the internship tasks and requirements at the undergraduate stage, and basically mastered the subject.
Cardiovascular diseases are mainly diseases of the circulatory system, with the highest mortality. Because of the complex diseases in cardiology, the symptoms are often atypical. If you don't observe carefully, ask patiently and give feedback to the doctor in time, you will delay your illness and must follow strict medication guidelines. Patients with heart disease should strictly control the number of drops and monitor their blood pressure and pulse according to the doctor's advice. Because the therapeutic dose of some drugs in cardiology is quite close to the toxic dose, we should pay close attention to the patients' reactions before and after taking the drugs.
Because of the short practice time, the teacher first introduced me to the normal electrocardiogram, and then explained the common abnormal electrocardiogram in clinic. Combined with the actual ECG of clinical patients, I deepened my impression and explained it repeatedly until I could correctly identify some common ECG and teach me the common sense of monitoring instruments.
During this month's internship, I have been practicing in the inpatient department, but I have seen many diseases and all kinds of cardiovascular diseases. The teacher's psychological teaching of patients has always made me unforgettable. The treatment and medication nursing of heart failure, coronary heart disease, congenital heart disease, pulmonary heart disease and supraventricular tachycardia are still fresh in my memory. Through my combination with book theoretical knowledge, I consolidated this point. Can accurately and timely detect the changes of blood sugar and blood pressure, and timely feedback to the teaching teacher.
Tired and busy, I have been exhausted this month, but my physical difficulties make me feel particularly comfortable, because I feel full. I am very busy in the department, and everything I do seems to increase my knowledge. So I am happy to do what every teacher needs me to do.
Chapter 3: Personal work summary of cardiologists. A short month is coming, and the internship in cardiology is coming to an end. In this month, under the hard guidance of teachers, I have benefited a lot through constant practice. Among them, there are bitterness and joy, and there are sour and sweet. I believe that everyone has their own taste in their hearts and is about to leave the department, but there are also many disappointments. I feel that I haven't learned enough, and I still have a lot to learn. But here, teachers in Cory attach great importance to it, and the weekly internship arrangement is also very orderly, so let us learn and grow step by step. At the same time, it also let us know the professionalism.
During my internship, I will strictly abide by the rules and regulations of hospitals and departments, earnestly perform my duties as a nurse, be strict with myself, respect teachers, unite my classmates, work hard and care for patients. Don't be late, don't leave early, and strive to achieve standardized nursing work, high-quality skill service, flexible basic nursing, regular love activities, combination of theory and practice, planned and focused theoretical study, and measured and recorded nursing work.
Hypertension, arrhythmia, coronary heart disease and heart failure are the most common diseases in cardiology. Common diseases include coronary heart disease, hypertension, arrhythmia, atrial fibrillation, paroxysmal supraventricular tachycardia, heart failure, myocarditis, congenital heart disease, cardiomyopathy, atrial septal defect, rheumatic heart disease, myocardial infarction, angina pectoris, acute infective endocarditis, myocardial ischemia and other symptoms. During the internship, under the guidance of the teacher, I basically mastered the nursing and basic operation of some common diseases. Attend the shifts arranged by the hospital and the teaching rounds of departments on time; Welcome the new patient with a smile. Actively cooperate with doctors, take the initiative to understand the patient's situation, solve problems for patients in time, and try our best to help them.
After nearly a month's internship in cardiology, I have re-recognized and improved the diagnosis and treatment of common and frequently-occurring diseases in internal medicine, and learned the knowledge and skills to deal with sudden diseases. In a word, I benefited a lot from my internship in cardiology. Although I am only a student with limited ability, I will continue to explore, warm patients' hearts with smiles and enrich my knowledge and skills with efforts. Review the old and learn the new, and consolidate what you have learned with practice. At the same time, I constantly improve my professional level and enrich my professional knowledge.
In a word, although I have only experienced for a month, there may still be many things I haven't really realized, but I respect all the medical staff in the Department of Cardiology very much and like their superb technology and professionalism. I think it is the beginning of internship, a challenge and an opportunity. I will constantly improve my professional knowledge, keep in mind the teacher's teaching and internship experience, keep learning and making progress, and apply these experiences and teachings to the next internship department to do better.
Chapter 4: Personal Work Summary of Cardiologists Another year has passed unconsciously in the busy work. In the process of work growth in the past year, I felt the help of leaders and colleagues. I mainly undertake the post of material clerk in the project department. This year, with the care and help of leaders and colleagues, I practiced and learned a lot in my work, and also exercised myself. Materials account for a large proportion in the construction cost. How to strengthen and improve material management and improve the economic benefits of enterprises is an important task in enterprise management. Material management has a wide range of work, large quantity, many links, complex and changeable nature, and is prone to problems. After a year of material management, I have summarized the following experiences:
I. Material storage
Do a good job in the custody of purchased materials, reduce losses and waste, and prevent loss. According to the characteristics of all kinds of materials, take effective storage measures and establish and improve the storage system. Used for bulk materials, such as sand and stones. The yard should be leveled, the scarification should be compacted, the ground should be hardened if conditions permit, and the steel should be stacked separately according to the steel grade, variety and entry order, and the relevant account should be carefully recorded, and the material system should be strictly implemented. Warehousing materials are placed scientifically and reasonably according to different specifications, with clear marks and easy access and inspection. In order to ensure the safety of warehouses and prevent the deformation of materials, warehouses are classified according to the performance of materials, and corresponding measures are taken to prevent seepage, moisture, corrosion, fire and aging.
Second, the material distribution
In the management of engineering materials, strictly control the sending and receiving of materials, and do a good job in the incoming inspection of various materials, and check whether the materials are consistent with the name, specification, model and quantity on the issuing list and whether the appearance is in good condition. If unreasonable materials are found, they will be replaced. It is expected to be put into storage at the construction site in strict accordance with the requisition form filled out by the competent technician. Insist on saving withholding, returning the remaining materials to the warehouse, completing the receiving and dispatching procedures, and doing well the unit project accounts to promote the saving and rational use of materials. Materials and tools used in construction should be cleaned at any time, so that there is no surplus material on site. When the construction team completes the construction task, it should also go through the formalities of returning leftover materials, leftover materials and old waste materials. If the site is unclear and the leftover materials are not returned, you can directly write a written deduction certificate to the project leader. Old materials are classified according to their use value and recycled. Waste formwork, scaffold materials and metal fittings that are of no use value should be recycled, and the packaging of materials should also be recycled in time.
Third, the turnover materials
Turnover materials have high value, large consumption and long service life. The requirement of turnover material management is to reduce occupation, speed up turnover, prolong life and prevent damage on the premise of ensuring construction and production. Turnover materials shall be managed by the team or the project department in a unified way, and shall be dismantled, collected, cleaned, repaired and maintained in time, all of which shall be delivered to people and neatly stacked. For hand-held small turnover materials, they should be replaced at a loss. Compensation according to the price due to loss or poor protection. Strengthen the warehousing, inventory, distribution, return and recycling of materials. Fourth, buy sporadic materials.
As we all know, procurement is the logistics support of the project operation and an important link related to the whole field operation, so I am very grateful to the project leaders for their trust in me. After purchasing last year, I learned a lot and accumulated some experience that I didn't have before. Understand that the most basic quality of a purchaser is to have a good professional ethics.
On the basis of, adhere to the loyalty to the company, without personal prejudice. In the process of purchasing, I should not only study the price factor, but also save the cost to the maximum extent, shop around and make clear the different characteristics, functions and significance of purchasing in each link. As long as I can reduce the cost, no matter which link, I will study it carefully and save the cost for the company to the maximum extent from the interests of the company. In the future work, I will be more rigorous and pragmatic, and strive to do the work arranged by the project leader. Meet the new challenges with higher work enthusiasm, continue to adhere to the modest and prudent, serious and responsible, diligent and pragmatic work attitude, improve yourself, continue to struggle to become an excellent employee, and do our best for the growth and development of the company.
Chapter V: Summary of Personal Work of Cardiologists As a physician, I can always be consistent with the Party's line, principles and policies in my thoughts and actions, and I can consciously abide by laws and regulations and various rules and regulations of our hospital. Can handle all kinds of business work in the operation alone, and there has not been a medical error accident so far. It is embodied in the following aspects:
The socialist society is a society with all-round development and all-round progress, and the socialist cause is a cause in which material civilization and spiritual civilization complement each other and develop harmoniously. At present, under the impact of market economy, some people's thoughts are corrupt, which is a comprehensive manifestation of insufficient political study.
In the case of relative shortage of facilities and personnel in primary hospitals, as a doctor, I took the lead, accepted the supervision of the masses, worked in the front line for many years, insisted on taking administrative courses and business courses, never shirked my work for any reason, and did not enjoy a good holiday. I remember last year's Eve, I received a patient whose abdomen was injured by firecrackers. At that time, the patient was complicated with shock because of serious wound. I actively organized medical staff to rescue him in time and give him surgery. The operation took up to 4 hours. After the operation, the patient returned to the ward safely. After 65,438+03 days of careful treatment, the patient recovered and was discharged. At this time, I finally felt relieved and didn't have any complaints because of the delay in the Spring Festival break at work.
In the past year, when I was in charge of business work, I deeply felt that I had a great responsibility. I want to make a good start in business, organize and urge everyone to strengthen business learning and constantly update their professional knowledge. In the current market economy society, all walks of life are changing with each passing day, and medical disputes occur frequently at present. Only by constantly strengthening business learning can we improve our business skills and avoid medical disputes and mistakes. Training and studying abroad for many times not only enriched and improved myself. After studying in Wuhan in _ _, he successfully carried out liver rupture repair, spleen rupture resection, cholecystectomy, intestinal obstruction and thyroid surgery, which won the recognition of hospitals and the masses and achieved good social repercussions for units and individuals. He has been commended by his superiors for many times.
Through continuous learning in business, continuous improvement. The new technology and new business work carried out now has achieved two good benefits. After learning high-tech hemorrhoid treatment technology from Shandong Anorectal Research Institute this year, I returned to the hospital to follow up nearly 43 patients with hemorrhoids. Most patients reported that the technique had less pain during and after operation and recovered quickly after operation, which made up for the shortcomings of the original traditional surgical methods.
Excellent technology in health work is the premise to ensure quality. The quality of service directly affects the therapeutic effect. In my daily work, I treat any patient seriously and carefully, and do a good job in follow-up service. In the process of receiving patients, it is inevitable that some patients will not understand the routine process of diagnosis and treatment after entering the hospital, and often lead patients to guide. After the treatment is completed, they will explain in detail the matters needing attention after returning to China. It is inconvenient for patients to move after operation. For the convenience of patients, they often help patients to correctly explain the methods of activities, and provide necessary help in daily life, such as turning on water, flushing bedpans and taking medicine. Through their own practical actions, they have influenced the trust and support of employees, patients and their families, and achieved consistent good results.
Over the past year, although some achievements have been made in our work, thanks to the support of leaders and the trust of the masses, we need to study further in the future, not only to make up for our own shortcomings, but also to continue to work hard to carry forward the selfless dedication of the older generation from scratch, to ensure the health of the people in this community and make further contributions to social development.