Every year, new nurses join the ranks of hospital nurses and renew their blood. Some of them have worked in clinics or private medical institutions, while others have just left school. After taking office, I can't adapt to the demanding and complicated clinical nursing work in general hospitals, especially lacking the ability to deal with emergencies. Pre-job training is very important. However, there are so many training contents. How to make them digest, leave a deep impression and get the training effect in just a few days is a topic that every nursing manager cares about and thinks about. We think about the problems exposed by new nurses in clinical work in the past, and incorporate cases and questioning training methods into the recent pre-job training, so that trainers can participate, let them think, supplement each other's answers, and then give guiding answers. Because of their participation, concreteness and reality, they will encounter these problems in their future work. Everyone spoke enthusiastically and listened carefully, and the effect was good. The following training contents are for reference.

First, the nurse etiquette:

1. How to answer the phone in the department?

Suggestion: No matter whether you answer or call, you should say hello first. This is ke. When you answer the phone, ask what's the matter or who to talk to.

2. What do you call this patient?

Suggestion: Use rhetoric to communicate. If you are an elderly patient in your eighties and nineties, what is your name? If you are an old patient you already know, call him grandpa, grandma, aunt or dragon. On the basis of identity confirmation, try to be polite and respectful, and show humanistic care.

3. What should I say to patients during morning nursing?

Suggestion: smile, say hello and ask how you slept at night, whether you had breakfast, whether you were unwell, etc.

4. What will you do when acupuncture fails?

Reminder: If the first puncture fails, apologize first and communicate to gain understanding. If the patient has no opinion, a second puncture can be performed. If the patient has a big opinion, replace the puncture. If the two needles fail to puncture, communicate well and replace the puncture.

5. How do colleagues from other departments communicate to solve problems?

Reminder: Say hello warmly, don't ignore others asking you where the electricity is broken and where the faucet is broken. Or I don't know. Go and see for yourself. If you don't know, you can ask other nurses or contact the head nurse.

Second, the quality of nurses:

Are there any requirements for the length of hair during the internship? What kind of shoes should I wear to work? Can I wear jewelry to work?

Reminder: Nurses have requirements on the length of hair, whether to wear a hat or not, but no eyebrows in front and no shoulders in the back. Wear a work shoes to work, not a ring or earrings.

Third, nursing safety:

1. What should I pay attention to in three investigations and eight investigations?

You can answer.

Three checks:

Medication, disposal and preoperative examination; Examination during medication, disposal and operation; Medication, disposal and postoperative examination.

Eight pairs:

Name, bed number, name, dosage, concentration, time, usage and expiration date of the drug.

A note

That is, the reaction after taking the medicine.

2. How to confirm the identity of patients who can communicate and can't communicate before infusion?

Suggestion: If you can communicate, ask the patient's name and check the infusion card and infusion bottle. If you can't communicate, check the wrist strap and bedside card first, and then check the infusion card and infusion bottle.

3. What should I do if I find the patient missing when I am on night shift or night shift?

Suggestion: look in the ward first. If not found, report to the doctor on duty immediately. If not, the director on duty, the head nurse and the hospital director have not been found.

4. What will you do when you find the patient's cardiac arrest during the night rounds?

Suggestion: immediately judge and confirm cardiac arrest, and immediately perform cardiopulmonary resuscitation. If there are two nurses, call them nurses. If there is no nurse, ask the patient's family to call the doctor on duty. If there is no companion, ask other family members to call. After the doctor arrived, an ambulance was quickly sent to rescue the patient with the doctor.

The patient said that I only lost three bottles yesterday. Why did I get one more bottle today? What would you do?

Suggestion: clamp the infusion tube first, go back to the office to check the doctor's advice and know the situation before proceeding. You can't take it for granted, just answer the patient that the doctor has prescribed too much. If you have any questions, you will execute the doctor's orders, for fear of trouble. You won't be able to take the medicine out until you know it's in your body.

6. An elderly patient with heart failure needs infusion, and his family has to go to work. Please speed up the infusion as soon as possible. What do you do?

Reminder: you can't promise your family's request. You should explain the reasons and risks of not speeding up infusion and tell your family members that if you have something to do when you go out, you must contact the nurse on duty, and we will strengthen inspections.

Third, the labor discipline:

Should I report to the head nurse or switch shifts with my colleagues in private?

Reminder: Under no circumstances are you allowed to transfer classes without permission. You can ask the head nurse for leave.

Fourth, the operation:

1. How to do the skin test of two drugs?

Reminder: when you need to do two skin tests, the interval should be 15~20 minutes. Don't do it with your left and right hands at the same time, so as to avoid dizziness and chest tightness caused by allergies.

2. When 2. TAT positive, should I report to the doctor or let the patient go to the pharmacy to buy tetanus immunoglobulin without skin test?

Reminder: report to the doctor first, even if the doctor is present for desensitization test. In case of emergency, we can deal with it together. You shouldn't let patients or their families go out to buy inspection-free drugs. First, it's expensive, and second, it doesn't know the safety, which has medical safety hazards.

3. How to deal with the patient's poor drip during infusion?

Suggestion: Find out the reason, is it not high enough? The inclined plane of the needle clings to the blood vessel wall? Blood flow is blocked? Vasospasm Or the needle is out of the blood vessel, and then take corresponding measures.

As a nurse who has just entered the job, she still has a lot of knowledge and skills to learn. She must have a correct attitude in her work and ask if she doesn't understand. During the rest time, I actively study, keep making progress and strive to realize my life value.