I used to like watching stories about emergency departments in movies and TV shows. I felt that the doctors and nurses in the stories were so decisive, capable and charming, which made me envious. Unexpectedly, many years later, when I grew up and graduated from college, I would be lucky enough to become an emergency department nurse. From being in a hurry at the beginning to gradually finding a routine, I truly realized how easy it is to be a good emergency department nurse!

The emergency department is one of the most important windows in the hospital. The hospital I am located in is one of the top comprehensive tertiary-level hospitals in the province. It not only treats normal emergency and severe patients, but also treats patients from other counties. Critically ill patients who are transferred to hospital are characterized by urgency, busyness and complexity. Faced with the first diagnosis and rescue of critical and emergency patients, emergency patients often have unclear diagnoses, unclear conditions, and rapid changes. If not handled properly, medical disputes may easily occur. Patients and their families are prone to feelings of impatience, worry, and fear. The emergency room is different from the ward. Medical staff have sufficient time to communicate with patients and their families, understand the patient's needs in a timely manner, and establish a good nurse-patient relationship. In the emergency department, patients and their families have not yet established a good sense of trust within a short period of contact with medical staff. They are very sensitive to every detail of medical staff. The words and deeds of medical staff will have a great impact on the patient's psychology. . As a result, the treatment behavior of medical staff is not understood, and patients and their families are left with the illusion that they are "not taken seriously" and that "emergency care is not urgent." Therefore, I increasingly feel that communication is the most easily overlooked and most important thing in the emergency room.

Nightingale said: Nursing work requires not only exquisite technology, but also art. First of all, you must learn to observe in order to be good at discovering the existence of problems, including observing the patient's condition, psychology, needs and family members. For example: Some family members of patients are picky about the behavior of nurses, but they have no idea that their patients have finished transfusion of fluids. For family members like this, we should patiently remind them every time the fluid is replaced where the nurse should be called when the fluid is transfused. At the same time, we should also patrol the ward on time and observe the progress of the liquid. This can largely avoid conflicts with the patient's family members because the liquid is not replaced in time. Secondly, we must learn to communicate. Mutual respect and trust between people are based on communication. For patients who come to the emergency department, we should proactively ask and guide them enthusiastically. For example: for patients with limited mobility, we can support or assist them in transporting them to the clinic on a cart, measure their vital signs, and hand them over to the nurse in the clinic; for patients who need and can go to the ward for treatment, we can give them detailed instructions The location of the ward prevents patients from taking the wrong path. For patients who have been ill for a long time but are not critical, we can recommend that they go to the outpatient clinic for medical treatment, and patiently and carefully inform them of the location of the outpatient clinic and the time of medical treatment, so as to facilitate the patient's arrangement. Although a smiling expression or a supporting movement cannot solve the patient's physical pain, it can quickly shorten the distance between nurse and patient and effectively meet the patient's psychological needs of being taken care of, thus making it easier for us to carry out the following nursing work. Finally, learn to judge through observation and communication, and have an accurate understanding and judgment of the patient's condition and needs, which is beneficial to the medical staff's treatment work and also buys time for the patient. For example, patients with trauma can understand the location and severity of their injuries through observation and general questioning, and find a doctor to treat them as soon as possible, while registration and other procedures can be completed later.

The above is just a brief introduction to my short-term work in the emergency department. There are still many things to learn. Everyone in the emergency department is my teacher, and everything is my experience, teaching me a lot of things, both as a person and in work. Of course, if you want to be a good emergency department nurse, just communication is not enough. You also need a solid theoretical foundation, rich rescue experience, quick response, and deft movements. This is how you can withstand an emergency. The guarantee of testing.

Internship experience in the emergency department 2

The emergency department, as the name suggests, is a place to rescue critically ill patients. It is very exciting and full of incredible things. You can feel the fragility of life and the strong will of human beings. It is a department that is powerful and thrilling. It is a department where death and survival compete, and medical staff race and fight against death to fight for a glimmer of life. This is my understanding of the emergency department when I was studying critical care nursing.

Due to the shortcomings of the emergency department of my internship hospital, I did not see a busy and tense atmosphere, and I immediately felt very disappointed. The emergency department has completely become a general internal medicine department. , there are many patients with heart failure, coronary heart disease, diabetes, pyelonephritis, and pneumonia living in the department. The medicines used in the department are diverse, and almost all are chronic diseases. There are very few critical cases, and gastric lavage, defibrillation, cardiopulmonary resuscitation, simple respirators, and ventilators are of no use at all. Those infusion pumps, ECG monitors, etc. have all become decorations. The working environment is very simple, with poor sanitary conditions, old instruments and equipment, and the working conditions are equally difficult. The cases are still in the handwriting stage of doctors, and blue oxygen cylinders are still used. In short, it makes people feel pitiful. Although the working conditions and environment are not satisfactory, the patient's understanding attitude and eyes eager for disease knowledge make us feel how happy we are, and we have no regrets in choosing this profession. The patient's cooperation greatly improved my venipuncture skills. Anyone in the department can instruct us interns to do some physical work such as cleaning. I feel quite aggrieved, considering that the patient has a good rest environment. , I endured it for the sake of the patient. I came here to study, not to work as a free labor force. I felt deeply unwilling and angry. Our arms can't twist our thighs. Who let others be the leaders? We have no status! Even though I don’t want to, I still have to smile, it’s so painful! Through two weeks of internship in the emergency department, I saw with my own eyes their work style, attitude, and ability to deal with others. I really can’t praise them! Doctors and nurses do not have a strong sense of responsibility, they push back when problems arise, they are passive and lazy, and their laziness will become obstacles in their work. This is probably because the outpatient clinic is too far from the hospital and the inspection and supervision are not strict, which caused this situation. Quick hands and feet, no comparison, and a harmonious relationship between doctors and nurses are the foundation for good medical and health services. Hospital hardware equipment is on the one hand, soft power rules and regulations, and interpersonal relationships are equally important. Good equipment also needs to be maintained and cherished by everyone. If it is not cleaned and cleaned, good things will be like old equipment.

I admit that I have no intention of studying in this department, and I am more complaining. I think a person who can truly learn and make progress is not someone who is taught step by step by others, but is good at discovering and asking questions on his own, and then, by collecting, organizing, and analyzing information, he can achieve the ability to solve problems independently. As a famous saying goes, there is no road in the world, but it becomes a road when people walk too many times. We must have the courage to blaze a trail and strive to be the first to open a new road.

This experience is entirely my personal experience. Others may not feel the same way. I am not at liberty to comment on others. Please forgive me if I offend anyone.

Three experiences from the emergency department internship

The emergency department is the department in the hospital that has the largest concentration of critically ill patients, the most complex diseases, the tightest time, the most emergencies, and the heaviest rescue tasks. , is a window that reflects the comprehensive level of a hospital, in order to adapt to the development of modern emergency medicine and improve the success rate of patient rescue. How to cultivate emergency department nursing students' pre-examination and triage abilities, condition observation abilities and emergency cooperation abilities to achieve teaching goals is the direction of our efforts. Our emergency department's teaching experience is summarized as follows.

1 Existing problems:

1.1 Teaching and learning are not coordinated. Due to the time-sensitive emergency work, which requires a high success rate of various nursing operations, many tasks are not allowed to be completed by nursing students. , such as sputum suction, gastric lavage, etc. During practical operations, nursing students are worried about being blamed by patients and their families, or are worried about losing the opportunity to practice due to insufficient rescue efforts, which makes nursing students lag far behind the requirements of the internship plan.

1.2 The quality of teaching teachers varies. In clinical practice, there are solid professional foundations and high professional quality. There are few teaching teachers with high seniority and many intern nursing students. However, some teachers are not willing to teach, and some teachers’ teaching methods It is very dogmatic and cannot teach according to individual needs. Students with poor foundations will have a hard time working, while students with good foundations cannot realize their potential and cannot better mobilize students' enthusiasm.

1.3 High learning difficulty There are many and complex rescue instruments in the emergency department, and there are many nursing operations that need to be mastered, such as cardiopulmonary resuscitation, gastric lavage, use of ventilators, etc. However, the internship time of nursing students in the emergency department is short, and it is indeed difficult for nursing students to be familiar with and master these operating techniques. Some nursing students are afraid of operations due to strict requirements. They are often at a loss in a stressful working environment and even lose confidence in learning.

1.4 Lack of communication. Some teachers have a strong sense of responsibility and mission. They have strict requirements for nursing students to standardize management and teach in a certain order and to proceed in an orderly manner. Although such teachers have a certain degree of dignity, they lack human touch, resulting in There is a lack of communication between teachers and students.

2 Teaching Methods

2.1 While teaching nursing students, strengthen basic emergency operations, practice more on simulators, see and ask more questions when encountering patients. Afterwards, read more books and combine it with theory, and be aware of it if you encounter the same disease again. Provide guidance based on practical examples so that nursing students can practice more and operate more. For example, when emergency patients visit, they instruct nursing students on how to receive them, wound treatment procedures for trauma patients, rescue procedures for critically ill patients, etc. The teacher explains and the students operate, and complete the treatment of emergency patients under the guidance of the teacher.

2.2 Improve the overall quality of teaching teachers. In the process of clinical practice teaching, the department selects teaching teachers and admits the best. The teaching teachers also use teaching materials and combine themes to help the intern nursing students learn to think about problems from different directions and aspects, and produce multiple perspectives and multiple perspectives. level of thinking activities, improve problem-solving abilities, and achieve the expected results of teaching.

2.3 Strengthen the cultivation of first aid skills in practical work. For operations such as catheterization, gastric tube insertion, sputum suction, and gastric lavage, we must "let go and not look away". While providing opportunities for nursing students to practice operations, we also strengthen guidance, supervision, and help for them, so that nursing students can continue to perform operations. When this kind of difficult operation occurs, encouragement is given, which gradually overcomes the situation of being helpless at the rescue scene and improves the nursing students' rescue cooperation ability.

2.4 Learn to communicate Communication is the process of transmission and feedback of thoughts and feelings between people and between people and groups, in order to achieve consensus of thoughts and smooth feelings. Teachers must understand the active thinking of modern young people, adopt eclectic teaching methods, diversify learning forms, and ensure effective communication and application in teaching work.

In short, through standardized teaching and combined with the characteristics of the emergency department, nursing students have mastered the first aid theory and operational skills required by the syllabus during their internship in the emergency department, and the first aid operations and theoretical assessments upon discharge are up to standard. , achieved our expected results.