Internship report ppt model of traditional Chinese medicine hospital

Time flies, and in a blink of an eye, I have completed the two-and-a-half-year basic course, and I am about to usher in the long-awaited internship career. While I was excited, a question came to my mind: how should I spend this last precious vacation?

Referring to the experience of several seniors and the advice of my mother, I chose the Anorectal Department of Harbin Hospital of Traditional Chinese Medicine as the first stop of my internship.

There are several reasons why I made this choice:

1. My theoretical structure of knowledge has not been fully established, and I cannot learn the essence in a short time in some large departments. Although small, it has all internal organs, including consultation, examination, diagnosis, hospitalization procedures, preoperative examination, ordering of surgery, doctor's order, surgical anesthesia, surgical techniques, and postoperative treatment in the diagnosis and treatment process.

2. I do not have the hardware conditions such as a doctor's qualification certificate. Under the current situation, I cannot enter the sterile operating room, and the anorectal department The operation is a polluting operation, and the requirements for hygienic conditions are not strict. I can observe the whole process of the operation;

3. The anorectal department can be said to be a department that challenges people's ability to bear.

So my first hospital internship began:

On the first day, I suppressed my apprehension and arrived at the hospital gate at 7:30 on time, but Director Liu from the Anal Department was already waiting at the gate. At that time, I was very disturbed. Although Director Liu, who was over sixty years old, did not say anything, the story of the Han Prime Minister Zhang Liang when he was young appeared in my mind. It was his respect for the elderly and his own hard work that created his future success. Brilliant! I told myself that returning home early is the correct attitude for a scholar. Working from 9 to 5 can be applied to any profession, except for doctors, because patients can't wait, and neither can their illnesses!

Under the introduction of Director Liu, I was fortunate to be able to follow the doctor on duty that day to go out to the clinic. Director Wang is a very kind grandmother. First of all, she first learned about my study situation, and then made some suggestions to me:

1. The higher the educational background, the better. Don’t give up your academic qualifications just for the good treatment in front of you. There are too many doctors who find that they are not educated enough after employment. While studying for graduate school, I was miserable and lacked energy;

2. There is a big gap between theory and reality. The gap between doctors does not lie in learning ability, but in the ability to use the same knowledge to solve difficult and miscellaneous diseases. Of course, if you have a certain knowledge reserve, the starting point will be higher.

3. The most important thing is that you have to be diligent in studying medicine. The skills of many doctors can only be understood by listening, watching, and pondering more. Therefore, it is necessary to learn how to deal with people, and the appreciation and cultivation of instructors are also necessary conditions for medical students to become useful.

Director Wang’s heartfelt words have benefited me a lot, and I also understand that I have just started to become a medical student when I am facing an internship. , can only be called a medical enthusiast at best, I still have a long way to go.

Our chat soon ended with the arrival of a patient. The patient was very young, a girl in the third year of high school. Tenderness, but due to the Chinese New Year, it was delayed until the seventh day of the Lunar New Year, that is, today I came to see a doctor. Director Wang immediately checked it and confirmed

It is a perianal abscess. Regrettably, it was precisely because the girl's family delayed her condition that the condition that could have been treated conservatively deteriorated to the point where anal fistula would occur even after surgery.

Before I had time to think about it, Director Wang immediately asked me to assist in going through the hospitalization procedures. The girl's painful expression made me dare not delay, so I immediately took her My mother went to go through the formalities, and at the same time I secretly told myself that in the future, if I get sick, I must be diagnosed and treated in time, and there must be no delay.

After completing the procedures, I started to learn to write a temporary doctor's order, but a tragedy happened: there were 17 items to be filled in on the temporary doctor's order, and I was nervous , Wrote a sacral character wrongly, the doctor’s order is not allowed to be modified, I have to go back to work, but the nurse is still waiting for this doctor’s order to be executed, I am very anxious, so the busier and messier I am, I have to write it 4 times before I succeed , When I gave the correct doctor's order to the nurse, I was already drenched.

At that time, I found that my mental endurance needs to be strengthened. This is just a copy and can be reworked. What if it is on the operating table? I don’t have any rework Opportunity!

The next task is to fill out the prescription settlement form. I don’t know if I don’t fill it out. It turns out that an operation requires blood routine, urine routine, blood type, and hemorrhagic coagulation. Time, hepatitis series, hepatitis B superficial resistance, HIV, syphilis, chest X-ray, ECG, liver, gallbladder and spleen color Doppler ultrasound and a series of examinations. At this moment, I deeply understood what it means to move the whole body by pulling one hair. At the same time, I also have an understanding of the rigor and comprehensiveness of medicine.

It's lunch time, and the scene of the doctor's fine clothes and food that I imagined did not appear. Doctors, nurses, and patients ate all The meals are the same, and there are not many people in the department at noon, and there are only lunch boxes that are buttoned up one by one. I later learned that because the operation needs to be scheduled, it is common for doctors to not have lunch for the operation. Perhaps in the eyes of doctors, surgery is food for thought.

At 1:00 p.m., Director Wang took me to sign the operation agreement with the girl. A total of 8 signatures were required, and 3 agreed. I agree that the most intriguing thing is that apart from the operation error of the operation, other sudden diseases and situations are the responsibility of the patient. This reflects from one aspect that the relationship between doctors and patients in our country is already very tense, and what doctors fear most is lawsuits.

At 3 o'clock in the afternoon, the girl's surgery time came, and I followed Director Wang into the operating room, the first time I entered the operating room, I was excited , and a little longing, because this will be the place where I will fight for my whole life!

When entering the operating room, you first need to change your clothes and put on a sterilized green suit (exactly like the one on TV!) and then I put on the mask and hat. At the beginning, I put the mask upside down. It turned out that there was a special metal strip in the mask to fit the bridge of the nose to prevent the glasses from frosting during the operation. Finally, the exposed skin is carefully cleaned. This process is the most painful, because a small brush is used to brush the crevices of the nails, and repeated cleaning is required. What impressed me the most was the foot-operated faucet. It made me realize how incomplete my handwashing was. Before washing my hands, I opened the faucet with my dirty hands, and after I washed my hands, I turned off the faucet. Isn’t that equivalent to not washing my hands? Since then, I have begun to pay attention to the cleaning of the faucet.

After full preparation, I finally entered the operating room and saw the legendary operating table and shadowless lamp. At this time, the anesthetist was performing sacral surgery on the girl For anesthesia, I wrote the doctor’s order and knew that he used diazepam. I saw him prepare the medicine, then pick up the needle, let the patient lie on his stomach, use his fingers to precisely position, then insert the needle firmly into the position, and slowly push in the medicine. The whole process is smooth and flowing, in one go. Then he gently asked the girl how she felt, and then asked the girl to stand up slowly, with her legs drooping, and sit upright, so that the liquid medicine could be distributed evenly. Looking at the gentle expression of the anesthetist, I feel that sometimes a little encouragement from the doctor will become the patient's life-saving straw, so as a doctor, you should not be stingy with a smile.

After half an hour of anesthesia, the operation began. I really have no experience in surgery, and only pay attention to the use of some instruments, such as the electric knife. At first, I was very curious about this object that looks like an electric soldering iron. Now I sum up and find that the main functions of the electric knife are two:

1. Hemostasis. Under the appropriate voltage, the electric knife has a strong hemostatic effect, which is faster and more direct than gauze, but the disadvantage is that after hemostasis Black and gray necrotic tissue will be left in the site, which is not good for finding the lesion area;

2. To cut tissue, under the appropriate voltage, the electric knife has a better cutting effect, and it has more hemostatic effect than the scalpel, but it is not good for The operator has high requirements and must have a strong proficiency in the operation of the electric knife.

One ​​hour later, the operation was over, and the operation was very successful. The abscess was successfully removed, but at this time, the girl could no longer Maintaining a sitting posture, most of her right buttock has been removed, and she will have to stay in the hospital for at least 4-6 months before recovering. When the nurse and I pushed her out of the operating room, I still remember the anxiety and anticipation on the faces of her family members. What kind of mixed flavors it was! When I told them that the operation was a success, what joy they had on their faces And sorrow! The joy is that the child’s operation was successful, and the worry is that the child will live in the hospital for half a year. What will happen to the child’s college entrance examination? I can only silently wish the girl that everything will be fine.

Then my last task today is to write medical records. I have summarized that the transcription of medical records should reflect the following parts:

1. The general condition of the patient. Name, age, occupation, place of origin, residence, etc.

2. Main complaint. That is, the information about the patient provided by the patient's family.

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