Fortune-telling in affiliated hospitals _ Is fortune-telling near hospitals accurate?

How to write 300 words for endocrine self-identification

How to write self-evaluation, let's take a look:

Self-evaluation is mainly divided into two parts, the first part is the cognition of self-status, and the second part is the objective and fair evaluation of oneself.

Endocrine self-identity model essay 1

The internship in another department is over, and this is the third department. It's time to start summing up the five-week internship.

Endocrinology department, before I left the department, I really didn't know much about this department, so I thought it was simple diabetes. I only test the blood sugar and give insulin to patients every day, but when I went to the department and studied for so long, I realized that my understanding of endocrinology was superficial.

With the experience of the first two departments, I have been familiar with the basic nursing operation and quickly put into work to help teachers add medicine, infusion and change fluids. . Of course, the most important thing in this day's work is to measure the patient's blood sugar. But measuring blood sugar is not as simple as we thought. It's not just finger bleeding, but some kind of order. First, disinfect your fingers twice with alcohol, and then stick them with a disposable needle when they are dry. After bleeding, quickly measure with a blood glucose meter, and then accurately record the blood glucose value and time. Basically, each patient has to measure blood sugar five times a day, fasting blood sugar in the morning, blood sugar before lunch and dinner, and blood sugar two hours after lunch and dinner. Some serious patients should also regularly measure blood sugar at night to avoid danger. Neither of the first two departments worked at night shift. Working the night shift with Mr. Jia in this department is to help measure blood sugar at night. In addition, Mr. Jia also taught us the correct injection method of insulin; Preparation before injection: make sure to eat within 30-45 minutes. Prepare alcohol cotton balls, injection instruments and insulin. Check the dosage form of insulin again. Check the appearance of insulin carefully. Medium-acting, long-acting insulin 50/50, 70/30 or ultra-long-acting insulin are all suspensions with uniform appearance, which look like milk after gentle shaking, but it is not suitable for the following situations: there is sediment at the bottom of the bottle after gentle shaking. After gently shaking, there are small blocks of objects in the bottom of the bottle or in the liquid to precipitate or suspend. There is a layer of frost on the bottle wall. Short-acting insulin is a clear, colorless and transparent liquid. Selection of injection sites: The commonly used insulin injection sites are: the lateral upper arm, abdomen, lateral thigh and arm, with an injection area of 2 square centimeters, and each injection site can be divided into several injection areas, that is to say, each injection should be in one area. Every time you inject, you should rotate the injection site instead of injecting several times in one injection site. The rotation of injection can be based on the following principles: select mutually symmetrical parts for injection and rotate injection symmetrically. After the round, change to another symmetrical part; For example, first select the left and right upper arms and inject symmetrically. After the round, change the left and right abdomen. This can avoid blood sugar fluctuation caused by different insulin absorption in different parts. The rotation of injection areas at the same injection site should be regular to avoid confusion. The order of insulin absorption in different parts is: abdomen, upper arm, thigh and buttocks. If the occasional meal time may be advanced, choose to inject insulin into the abdomen; If it is postponed, choose hip injection.

During this short internship, I gained a lot. If summed up in simple words, my words will look pale and weak. At least I can't express it accurately and clearly. I have benefited a lot. The harvest during the internship will lay a good foundation for my future work and study. I will take up my respective posts with a more proactive working attitude, more solid operational skills and deeper theoretical knowledge, improve my clinical work ability and contribute to the health cause!

I will study hard and enrich my knowledge and experience in the following internship life to improve my comprehensive quality.

Endocrine self-identification model ii

I didn't go to work in March because I had to catch up with my thesis and prepare for graduation. A whole year, I believe, is also unforgettable in my life. On the whole, I am very happy.

Teaching-this is the most important person. Some people say that when God closes your door, he will open a window for you. He is the window. I hardly learned anything from him because of my tutor. His clinic, where we work, is so messy and crowded. Sister said well. Since we entered the school, we have been trained to ask questions.

I asked one, followed the next one immediately, and continued to write, but I didn't know which prescription I used and which medicine I changed. The younger sister who plays computer only knows Fang, but not anyone. The tutor is also busy and has no chance to meet at ordinary times. Even if they say a few words, they are polite.

Teach my students frankly that I am more like their teacher and sister. In terms of major, I really don't know how much I learned in retrospect, but in other aspects, the advantages of teaching are the direction I want to learn, such as tolerance, freedom and freedom, and the courage to take responsibility. Careful thinking, strong logic, thorough analysis of problems, perseverance and good cooking are all things I lack.

When something goes wrong, he never blames it, but only solves it. At first, I would explain it habitually, but later I found it unnecessary. He has both fame and fortune, but he said that he is most suitable for the position of director of the Smoking Cessation Office, because he has been smoking for many years, and he always gives up when he says he wants to. All Treatise on Febrile Diseases will be memorized; His beer duck has a long reputation. When his students want to eat, they will write it for him several times in qq talk. I miss our first group very much, but the director said to him that day, "She is out of the clinic. What do you do? " He replied: the iron department, the flowing students tell the truth, which makes my heart a little cold. Director-two pros and cons, different styles. No one dares to sit in the front row when the director is giving a lecture. The new students don't know, and they have suffered a lot, because from time to time they will be scared or beaten by the director's emotional excitement. He knows Five Blessingg's Six Spirits, and students are often curious to ask him for fortune telling. He said, don't get too nervous with him? So seeing is believing, right? "

I nodded, but asked him, "Your theory? Is it true? " He just thought about it and said, "That's true." . He published a book and I asked him for it. He immediately wrote on the title page, "Gift (mine)."

The axe is right! Everyone knows that he is afraid of his wife, and he is not shy. He even said when changing shifts: Last night, I was scolded by my wife again. (Laughter) Don't laugh. In fact, it's not a bad thing to be scolded by my wife (laughs). Deputy director, serious, clear love and hate. Someone once said that we are Corey, and he is the most normal one.

Several impressive patients.

A senior official two days ago, in fact, I don't know how tall. Corey asked us a lot anyway. He heard that I was from Lanzhou and asked me if Gansu's economic conditions were better. He said that the annual income of a town he once stayed in was equivalent to that of our three provinces. Finally, I said, "At first glance, you are a blessed person." Well, it's really good.

Endocrine self-recognition model paper 3

The internship is over. I used to be confused and ignorant, but now I have nothing. Therefore, I am very grateful to Zhumadian 159 Hospital, the First Affiliated Hospital for providing us with such a good internship environment and various superior conditions, and I am also very grateful to all the teachers for their hard teaching, so that we have such a good internship opportunity before we set foot on our posts.

Practice is the consolidation and strengthening of theoretical learning stage, as well as the cultivation and exercise of nursing skill operation, and it is also the best training before our employment. Although this period of time is short, it is very important to each of us. We cherish this time, cherish the opportunity of daily exercise and self-improvement, and cherish this rare mentoring relationship with teachers.

When I first arrived at the hospital, I felt that everything was strange and at a loss. After reporting to the hospital, we entered a tense basic training. In order to exercise our good physique, we had military training in the first week. Although we are tired, we really feel different from before. The second week is etiquette and Putonghua training, and the next two weeks are theoretical and operational training. Although it is only a simple training, time has also consolidated the previous knowledge.

Just one month after training, we entered the ward. On the first day, we always felt at a loss. Nursing work is in a relatively unfamiliar state, and the concept of what we can do in such a new environment has not been reshaped, which makes us feel difficult to adapt. Fortunately, every department has teachers to introduce us to the ward structure, the work of each class, and the rich teaching experience of teachers, so that,

Can quickly adapt to the nursing work of various departments in the hospital. Being able to adapt to the hospital environment as soon as possible has laid a good foundation for internship and work in the hospital, which should be regarded as the first harvest in the internship stage: learning to adapt and learn to grow and survive in the new environment.

Nurses' work is often heavy and messy, but they are still a little tired, but they are also full of happiness. Although I had some feelings before entering the clinic, I felt more deeply after entering the ward. Indeed, the work of nurses is very fragmentary and messy, which can be said to be very humble. However, through the incomprehension of most people, I realize that nurses are pregnant with their own unique charm. Hospitals cannot live without nurses, which shows the importance of nurses. Doctors can't do without nurses, patients can't do without nurses, and the whole environment can't do without nurses. Nurses play an important role in the hospital. With the growth of the team of nurses, nurses now have not only injections, medicines and infusions, but also other advanced technologies. Therefore, the workload of nurses is increasing, and my knowledge and skills neglected here have also improved. The greater workload allows nurses to learn new things intermittently at work.

Knowledge and skills. Therefore, nurses are not only an important role in hospitals, but also a right-hand man for doctors. This is the second harvest during my internship, and I realize the importance of nurses in the whole process.

Summary of internship in infectious diseases department

During the internship in the ward, the patients are the most contacted, so it is necessary to understand the patient's condition first, then deal with it reasonably, and master the basic nursing thoroughly. The biggest and ultimate goal of practice first is to cultivate good operating skills and improve nursing ability. Therefore, under the guidance of "let go and watch anxiously", we actively strive for every exercise opportunity, such as catheterization, stomach tube insertion, shampoo in bed, oral care in bed, automatic gastric lavage, intravenous infusion, oxygen inhalation, sputum aspiration and other methods of re-enema.

Endocrine self-recognition model paper 4

From July, 20__ to July, 20__, I went to the First Affiliated Hospital of Guangzhou University of Chinese Medicine for further study in general surgery for one year. It is undoubtedly a blessing for me to get such an opportunity. A year is fleeting. Through this study, I have broadened my horizons, broadened my thinking and changed my concept. The experience of further research and harvest is summarized as follows:

First, standardized management system and rigorous academic spirit.

The hospital has a standardized resident training system and a fine tradition of Chinese medicine. On-the-job doctors will start residency training after graduation, with a cycle of 2-3 years, then take up their posts, take charge of regular consultations and guide residents, and then receive specialist training until the final decision is made. The internal medicine residents in this hospital are under the unified management of the large internal medicine department, and each department has to rotate, including the Chinese medicine diagnosis and treatment center and the emergency department for more than half a year. Each department has a fixed training plan, and residents require attending doctors to arrange lectures according to their own conditions. During my stay in the Endocrinology Department, the learning projects carried out by this department are as follows:

2. Old experts regularly guide clinical work: every Tuesday morning, the director makes rounds to guide clinical, scientific research and teaching work. And regularly ask professors to guide the diagnosis and treatment of intractable diseases.

2. Discussion on TCM medical records: At least once a month, discuss TCM medical records for difficult or typical cases in the hospital, and ask every doctor in the department to actively prepare, consult ancient and modern diagnosis and treatment methods and speak.

3. Training plan of TCM talents: The endocrinology department has established routine diagnosis, treatment and clinical pathway of common clinical diseases, which has been effectively verified. At the same time, many effective systems have been formulated, such as: resident rotation training system, attending physician training system, learning from famous Chinese medicine system, invasive surgery access system, regular case discussion and consultation system, etc. Select excellent doctors to visit famous Chinese medicine experts. At present, there are two doctors participating in the teacher's apprenticeship, and it is planned to continue to develop the next batch of experts' apprenticeship next year. In addition, 1 chief physician is the national excellent clinical talents training object, and 2 doctors with associate degree or above are the training objects of Guangdong thousand talents plan.

4. Development of acupuncture therapy: acupuncture and traditional medical therapy are jointly carried out with acupuncture department and traditional therapy center to treat various complications of nerve damage caused by diabetes, such as neck, shoulder, back and leg pain, headache and insomnia.

Three, Chinese medicine is profound and rich in Chinese medicine treatment characteristics.

The endocrinology department gives full play to the characteristics of traditional Chinese medicine, and its main direction is to prevent and treat diabetes, diabetic nephropathy, diabetic foot and diabetic peripheral neuropathy with traditional Chinese medicine. Clinically, we insist on treating diabetes and its complications mainly with traditional Chinese medicine; Traditional Chinese medicine characteristic therapies such as external application of osmanthus wax to Shuang Yongquan point, foot massage with traditional Chinese medicine, enema with traditional Chinese medicine, umbilical application of Evodia rutaecarpa, external application of Tongluobao, and phased syndrome differentiation treatment of diabetic foot and diabetic nephropathy were carried out. Traditional Chinese medicine of supplementing qi, nourishing yin and promoting blood circulation can improve insulin resistance of type 2 diabetes mellitus, and comprehensive therapy has achieved remarkable results in treating diabetes mellitus. Comprehensive treatment of diabetic complications with traditional Chinese medicine has achieved remarkable results in improving patients' symptoms.

Symptoms, improve the quality of life of patients, improve the immunity of the body, and achieve remarkable results, which are well received by patients, improve the compliance of patients, and improve the influence of endocrinology specialty in society.

3. Hot ironing method of Evodia rutaecarpa

The hot ironing method of Evodia rutaecarpa is a therapeutic method of frying Evodia rutaecarpa and putting it in a cloth bag to hot iron the affected area.

It has the effects of dispelling cold, relieving pain, warming and tonifying, stopping vomiting, supporting yang and stopping diarrhea. Effectively improve various symptoms such as muscle and bone pain, abdominal distension pain, diabetic gastroparesis and urinary retention.

Sihuangshuimi external application

Sihuangshuimi is made from rhubarb, phellodendron bark, scutellaria root, coptis root and other parts by grinding into powder and mixing with honey. Has the effects of clearing away heat, promoting blood circulation, removing toxic materials, eliminating dampness, purging fire, relieving swelling, resolving hard mass and relieving pain. External application can spread the properties of the medicine from the outside to the inside, through the fur and meridians to the viscera, thus regulating the qi, blood, yin and yang of the viscera, strengthening the body resistance and eliminating pathogens, and treating abdominal pain and abdominal distension; Excess syndrome, joint pain and limb swelling caused by warming yang syndrome; Tumor pain; The diabetic foot with excess heat has a good curative effect.

5. Chinese medicine enema

Through enema, the drug can be directly absorbed by the intestine, which can partially sterilize and neutralize endotoxin, improve intestinal microcirculation, reduce microvascular permeability and protect the integrity of intestinal mucosal barrier. It is especially suitable for patients with acute stress gastric mucosal lesions, with direct and rapid action and relatively few side effects.

Decompensated stage of diabetic nephropathy. The main drugs are rhubarb, aconite and Eupatorium adenophorum.

Wait a minute. It is suitable for assisting diabetic nephropathy patients who are in decompensation stage and have not entered hemodialysis to eliminate toxins. The main ingredients are rhubarb, oysters and so on. And it has the effects of clearing away heat and dampness, purging fire and detoxifying, and purging stomach and turbidity.

9. The use of hospital preparations

Efficacy of Tangbi Capsule: Yiqi Huoxue Tongluo. Used for diabetic peripheral neuropathy, numbness of limbs, pain or chills, dull complexion, etc.

Shenqi Jiangtang Tablet has the functions of invigorating qi, nourishing yin, promoting blood circulation and moistening dryness. It is used for non-insulin-dependent diabetes mellitus with deficiency of both qi and yin and obstruction of blood stasis and heat.

Efficacy of Niaodukang: warming and tonifying kidney, promoting blood circulation and reducing turbidity. For chronic renal failure, azotemia and early uremia. Xinmaikang efficacy: Yiqi Yangyin, Huoxue Tongluo. It is used for patients with cardiovascular and cerebrovascular diseases and renal vascular diseases.

Dahuang capsule: dredging fu-organs and lowering turbidity. Improve constipation of patients.

10. Academic thought of TCM after syndrome differentiation and treatment.

Professor Fan followed the law of disease change, grasped the characteristics of pathogenesis dynamically, and implemented the individualized overall diagnosis and treatment plan and long-term disease management measures step by step and in a planned way in TCM syndrome differentiation treatment of diabetes. Summarized as "eight methods of shifting certain order": eight methods are the key points of syndrome differentiation corresponding to the main syndromes, with five principles of tonifying kidney and soothing liver, clearing lung heat, nourishing heart and activating spleen.

Dirty law is the basic law. Then, according to the continuous evolution and combination of syndromes, the corresponding eight methods, such as adding, subtracting, regulating blood, regulating qi and dredging triple energizer, were implemented, and at the same time, the corresponding prescriptions were fixed, forming a series of traditional Chinese medicines with remarkable curative effects and powerful functions aimed at the pathogenesis characteristics.

In the further study, I really understand the unique hospital culture and management mode born under the cultural background of the blending of Chinese and Western cultures, and truly realize the respect and care for human nature, the persistence in the cause, and the rigorous and realistic science, which makes me truly feel their strong learning atmosphere and self-improvement spirit, and let me see the gap between myself and them. This pressure has become my motivation to study hard. In my work, I deeply realize that a solid professional knowledge base is the premise of clinical work, and explore how to better communicate with patients in practice, and strive to continuously improve my professional quality and self-cultivation. I am full of infinite longing and hope for the future of endocrinology. I will love my major even more. I will apply the new knowledge and new ideas I learned in Guangdong Provincial Hospital of Traditional Chinese Medicine to my future work and try my best to do my major well! I sincerely thank all the leaders and teachers who have always cared, helped and supported me. Thank you!

Endocrine self-identity model paper 5

Most of the people who come here are elderly grandparents, whose body mainly shows chronic hyperglycemia, which is called diabetes. They need not only the guidance of drugs and related knowledge, but also the norms of eating habits and exercise. However, sometimes, patients don't understand what our medical staff are doing, and maybe they still lack understanding of the disease.

I remember it was the afternoon of. As a rule, we need to inject insulin into patients 30 minutes before meals, so as to prevent the excessive rise of blood sugar after meals and aggravate the condition. At the same time, in order to prevent serious complications such as hypoglycemia after insulin injection, we ask not to go out for 30 minutes. A middle-aged male patient, on the other hand, needs an injection from his family (a 10-year-old girl) and then goes out to eat. Maybe he is tired of hospital delivery, or he wants to go out with his daughter. His reason is simple: he usually goes out for dinner and injections. We refused and told him the seriousness of hypoglycemia, which seemed to be inferior to his desire to go out for dinner. Then he went out without an injection. I don't know why patients don't trust our medical staff, but why do they come to the hospital for treatment?

When we finished the insulin injection for most patients, we found that he left the ward and didn't answer the phone. Maybe he is a little impatient, but the important thing is that his insulin pen is missing. We wonder if he took it himself, because it was his own body after all, but he was not found in the ward for an hour. He came to the nurse's station and said, "Remember, I didn't take insulin tonight, and you are responsible for the rise of blood sugar tomorrow!" " As a patient, it seems that we are more important than his health. His first reaction was not to let us monitor his blood sugar, but to emphasize that we didn't give him insulin, and the reason why we didn't give him an injection was because we were worried about the patient's hypoglycemia. After all, mediation is still needed. As long as he is in our department, he is our patient. Shouldn't treating patients be "sometimes healing, often helping, always comforting"?

I understand that what he cares about is that Uncle Liu in the same ward is in the same situation, but he can go down to eat. He thinks he has been discriminated against. However, it seems that Uncle Liu lied. He told us that he had prepared dinner before we agreed. My language seems to be lacking in dealing with such problems. I only said that his discrimination is the same, and everything else is as an audience. But after my teacher came, he directly pointed out his condition: whether it is necessary to input insulin according to the doctor's advice to monitor blood sugar; Severity of hypoglycemia; The starting point of strict requirements is to care for patients. Later, he calmed down and found that his family took the insulin pen away the next day.

Endocrine patients are not as critical as other departments. What they need is to recuperate and get better gradually, but they despise their own diseases, and their blood sugar rises day by day, which reduces this inherent disease.

The changes now make them not very clear about their progress. However, I want to say that it is extremely necessary to build trust between doctors and patients. The management style of each medical staff may be different, but the management of patients should be unified, strict and equal. I think it should be easier to build trust by assigning a specific teacher to each patient.

Endocrine self-recognition model paper 6

During this month's internship, we gained a lot and felt a lot. For those of us who have just left school, we should make great efforts to standardize nursing work, flexibly apply basic nursing, combine theory with practice, focus on theoretical study in a planned way, and record nursing work. During practice, we should always be diligent, diligent and patient on the basis of love, care and patience. In the practice of the department, we should attend nursing rounds on time, be familiar with the patient's condition, correctly answer the patient's questions, standardize and skillfully perform various basic nursing operations, correctly execute the doctor's orders, and strictly implement three checks and seven pairs.

In the practice of endocrinology, the most common patients are diabetic patients, and occasionally there are hyperthyroidism patients. In practice, I have mastered some knowledge about diabetes, learned to inject insulin, mastered the clinical manifestations, treatment principles, complications and nursing measures of diabetes and applied them well. For me, what I do most every day is to measure blood sugar and monitor the patient's vital signs. I do these seemingly trivial things every day, but through these, I have a deeper understanding of the development of the disease and learned how to communicate with patients. The biggest gain of endocrinology department is to make a little progress every day. When we ask teachers questions we don't know, they can answer us well. Sometimes they will give us a small lecture, talk about some common problems in endocrinology, and how to deal with them, and experience us from all aspects.

In the process of internship, although I have gained a lot, I am not proficient in needle insertion, but I constantly sum up my experience in every failure. I'm sure I'll be skilled after a long time. The key is to be patient and practice slowly. Continuous learning will improve our abilities in all aspects.

Endocrine self-recognition model paper 7

Last Wednesday, I transferred to the Department of Endocrinology as an intern and worked in the Department of Endocrinology for two weeks. I've always wondered why the teaching teacher just asked me to be civilized, put up the test sheet, and let the interns understand it regardless of a few patients. After all, we are just interns who are a little better than novices, but the most depressing thing is that even the medical records are written by the teachers themselves for several days in a row. I thought this was the habit of teachers, and I felt that the inpatient department was really relaxed.

Until yesterday, there was another intern graduate student in the department. The teacher said to the graduate student, "You have been practicing here for a long time. I will teach you to write a patient's medical record. " I realized it was because my internship in endocrinology was too short. After teaching me to write medical records, I should transfer to other departments. Isn't it enough trouble? Since this is the reason, hey hey? Then let the teacher see how a rookie intern who has never written a big medical record of hospitalization can write a high-quality medical record without the teacher's teaching! So while the teacher is writing a new patient's medical record, I have written the patient's first course record myself.

The teacher finally changed the rookie undergraduate intern. Strike while the iron is hot, take the teacher on duty at night, and ask for overtime when there are new patients in the afternoon. After dinner, I went to the department for physical examination and asked the teacher about the medical history of the newly admitted patients. The teacher asked me to write the medical record of admission (hehe? The "conspiracy" finally succeeded, and it was the first time to write a hospital medical record! In less than half an hour, a first draft of hospital medical records came out. The teacher still looked anxiously, and then his expression was very strange. He asked me if I had written a medical record before, and I saidno. The teacher immediately smiled and said, How about writing a sentence?

The teacher who went to work today directly asked me to ask the patient myself, so I was relieved to write the medical record. Hey hey? This time, I finally got rid of the bad luck of posting only laboratory tests every day without any technical content!

Do you really feel that the inpatient department is busy now?

Today's sharing is over. I hope I can help you.