The  internship  report
淮阴卫生高等职业技术学校 实习生     李媛
Good afternoon ladies and gentlemen. How is everybody doing today? I am so glad that all could join us. And I want to thank nursing department for being such an outstanding host. Give yourselves a big round of applause.
For the time being, four years in college has passed and you barely noticed it .Through studying the medical knowledge in the school, I believe I've had mastered some medical knowledge. When I walk out of the campus, putting it into practice is what l crave for. On the one hand, I am eager to have an opportunity to prove myself, while on the other hand it is also a chance for me to send a satisfactory answer for my theoretical studying for four years in the university.
By having an internship practice for half a year, what I get across is that there is still a large gap between the theory and practice. At the same time, I have acquaintance to the differences between them, while I also understand that they both end up in the same way—the service for patients. I realize that it is a necessary process to master the textbook knowledge, which is the layer of stairs to the clinical practice.
Rotating each department is common step ,almost a necessity  for every medical student in their internship . As just coming out of the school,it’s hard not to wonder if l will be proficient in a variety of nursing skills  As well as I have no confidence in myself, I always follow the back of the head nurse and doctor, listening to their conversation for patients and having the record while they making the ward rounds.Even though It's easy for me to adapt to the new situation,there is always a vague sense coming from nursing work at the time l entered the rooms, for adapting to new condition and the conception of my responsibility has not molding.. But with the teacher’s help, I’ve learned enormous knowledge and the peculiarity of each department. For example,during the days at  Carcinoma Department,l got the knowledge of venous transfusion.due to the specificity of drugs and other factors, can easily lead to extravasation of chemotherapeutic drugs and other complications of liver dysfunction. And clinical drug extravasation of chemotherapeutic drugs by intravenous infusion of one of serious complications. Understanding of the characteristics of chemotherapeutic drugs and antagonism mechanism, through the education of patients, close observation and care, as well as the correct approach to the prevention and reduction of fluid extravasation and reduce the suffering of patients.
As a trainee,the lack of trusting on you can't be helped whatever you do .At that time When l meet this situation ,l will try to talk with them patiently and build trust with my professional knowledge.I realized that establishing the good relationship between nurses and patients is very important, which can bring convenience to our nursing work, but benefit to their health as well. the nurse's job is no longer as  injection, dispensing pills, ,it becomes more complex and creative, including psychological nursing. Nurses will not only help patients to cure disease, but also  give guidance to resume healthy 
A famous actor  Victor Garber said: The smile is shortest distance between two persons.So,when l entered the rooms ,l always talk with a smile to shortened the distance of communication between people.At the same time I also realize the importance of professional knowledge learning, which is the most perfect capital, with which you can be confident to treat patients  Experience is the mother of wisdom, so I would cherish every opportunity that l deserve。 I would  listen to the communications and take notes seriously during the ward round. When coming back, I would take an positive review in order that I could remember them and change them into my own knowledge. What’s more , I realize that the more listening, the more you gaining. Two heads are always better than one. I will communicate with other interns frequently in order to learn more knowledge from various people that I do not know 。 In order to improve myself and promote my own professional knowledge to the next level
I have a plenty of failure,teacher’s criticism or blame will not obliterate the passion because l know It’s not necessarily succeed at everything the first time l try. The people succeeded  because they understood that you can't let your failures define you --,you have to let your failures teach you. You have to let them show you what to do differently in the next time. 
 Suddenly, I recall a speech that Obama delivered:“No one's born being good at all things. You become good at things through hard work. You're not a varsity athlete the first time you play a new sport. You don't hit every note the first time you sing a song. You've got to practice. The same principle applies to your schoolwork. You might have to do a math problem a few times before you get it right. You might have to read something a few times before you understand it. You definitely have to do a few drafts of a paper before it's good enough to hand in.             
So l never be afraid to ask questions or  help when l need it. I do that every day. Asking for help isn't a sign of weakness, it's a sign of strength because it shows you have the courage to admit when you don't know something, and that then allows you to learn something new.
 I can still remember the sentimental as entering the school, recall  on the principal said that you were the most lovely people on the opening ceremony, call to mind that my mother and father’s desire in their eyes when I got on the bus from hometown, remember the beautiful aspiration hoping can have a perfect job when graduating. Blink of an graduation, looking at the busy figure in hospital, staring at them for the longest time, I could not able to breath as the all scenes in my mind kept wandering.  As I have the honor to be a number of the busy figures. Fortunately, I have also lost my original tender, to taking things coolly Youth is a poem that would never say die, and I hope my verse is stacked up by the medical term, In the process of the tireless pursuit of medical knowledge, I learned the true meaning of the life and the significance youth.
We are not saints, we can not have the "no desire no beg, all we want to do is save lives without any payment" state, but we can use our professional knowledge, with our love , patience as well,  let every return with satisfaction, carry forward the humanitarian spirit to heal the wounded and rescue the dying, contribute our own strength for medical career.
For here.t i don't know where should i begin to say since  I ‘ve gain so much from the hospital that I can not express my gratitude to the tutors and so many people who gave me assistance in just a few words. I have deep love for the career, so I am totally willingly content myself with it.
That’s all. Thanks for your listening to my speech.

　 下午好，女士们先生们，今天过的怎样。非常感谢大家今天的参与。并且还要感谢护理部这样出色的主持，请给予自己热烈的掌声。
　 我相信许多同学对于实习还需要调整和适应，而我今天在这，就是想和大家一起分享和交流我的一些实习心得和感悟。
　 时光飞逝，转眼在学校的四年时光很快就过去了。通过对医学知识方面的学习我相信我已初步掌握了一些医学的相关知识.走出校园时，怀揣更多的是对于实践的渴求，一方面是想证明自身的实力，另一方面也是对自己四年理论学习交上一份满意的答卷。
　 实习半年来，才发现临床实践与书本之间还是存在了较大的差距。明白了他们之间的差异，但也懂得了他们之间的殊途同归，对课本知识的学习，是一个必经的过程，是走向临床实践的一层层阶梯。
　 轮转科室是每一位医学生在实习期间都要经历的生活，因为刚从学校出来，所以难免会对操作的事情有些担心，而且对自己没有信心，于是在遇到患者时我会紧跟在护士长和主治医师的后面，认真听他们对患者的谈话，及时做好笔录，虽然我是一个适应能力挺强的人，但是刚进入病房，总有一种茫然的感觉，对于护理的工作处于比较陌生的状态，也对于自己在这样的新环境中能够做的事还没有一种成型的概念。但在老师的细心指导下，我学到了丰富的知识，也了解了个科室的专科特点，例如，在肿瘤科的实习期间，我充分认识到输液所需要注意的地方，由于肿瘤科药物的特殊性及其他因素，极易导致化疗药物外渗及肝功能损伤等并发症。而药物外渗是临床静脉输注化疗药物的严重并发症之一。所以我们应了解化疗药物的特性和对抗机制，通过对病人的宣教、细致的观察和护理以及正确的处理方法，来预防和减少药液外渗，减轻患者痛苦。
　 当然，作为一名实习生，患者信任度的缺乏是无可避免的。每当遇到这种情况，我会试图耐心的与病患进行沟通，用自己学过的专业知识让他们对自己建立信任。在实习中，我认识到了建立良好护患关系是较重要的，良好的护患关系不仅仅会给我们的护理工作带来方便，并且会让患者的心情得到愉悦，病情更容易好转。现如今，护士的工作早已不再是简单的打针、发药等技能性操作，而是包括心理护理在内的更为复杂的创造性活动，在护理的过程中，不仅要帮助患者治疗疾病，还要帮助和指导他们维护健康。著名演员维克托•伯盖曾经说过：“微笑是两个人之间较短的距离。”因此在巡视病房时，我会用自己的微笑缩短与他们之间的距离。
　 同时我也认识到了专业知识才是较真实的东西，较过硬的资本，有了它你可以很自信的去对待无论什么样的患者；实践出真知，我会珍惜每一个我所拥有的机会，在这过程中我会认真的听讲记笔记回去积极的复习，让他们成为自己的知识，还有就是多看多听；三人行必有我师焉，我会经常与其他实习生进行沟通，为的就是从不同的人那里学到更多自己不懂的不知道的知识，不断的完善自己，让自己的专业知识更上一层楼。
　 在实习过程中我也经历了不止一次的挫败，老师的批评，亦或是患者家属的责备，这些都没有磨灭我的热情。 因为我知道，并不是每件事，都能在头一次尝试时获得成功。那些成功的人，他们明白人不能让失败左右自己——而是要从中吸取经验。从失败中，可以明白下一次自己可以做出怎样的改变。
　 突然间我想起了奥巴马总统曾在一所学校的开学典礼上说过的一段话：“没有哪一个人一生出来就擅长做什么事情的，只有努力才能培养出技能。任何人都不是在第一次接触一项体育运动时就成为校队的代表，任何人都不是在第一次唱一首歌时就找准每一个音，一切都需要熟能生巧。对于学业也是一样，你或许要反复运算才能解出一道数学题的正确答案，你或许需要读一段文字好几遍才能理解它的意思，你或许得把论文改上好几次才能符合提交的标准。这都是很正常的
　 因此我从不害怕提问。也不会不敢向他人求助。并且每天都在这么做。这并不是软弱的表现，恰恰相反，它说明有勇气承认自己的不足、并愿意去学习新的知识。
　 回想起步入学校时的青涩，记得开学典礼上校长讲的那句你们都是较可爱的人，记得爸爸妈妈送我上车时的那种望女成凤的渴盼，记得上学时对自己未来工作的美好憧憬，转眼间，望着医院里一个个忙碌的身影，我甚至变得不能互信，因为以前的场景在脑海里徘徊不去。很久以后，我缓过神来，有一种莫名的欣慰感。因为我知道自己也有幸成为了其中的一员，而我，也褪去了较初的稚嫩，多的是一份泰然处之的淡定。青春是一首永不言败的诗，而我希望我的诗句是一个个医学术语的堆砌，在对医学知识的孜孜不倦的追求过程中，我也领悟到了什么叫生命的真谛和青春的意义。
　 我们不是圣人，达不到“无欲无求，先发大慈恻隐之心，誓愿普救寒灵之苦”的境界，但是我们可以用自己的专业知识，用自己的爱心、耐心让每位患者带着满意而归，发扬救死扶伤的人道主义精神，为医疗事业贡献自己的一份力量。
　 对于医院，有许多话想说却不知从何说起，因为在这里我真的是得到了太多太多，我无法用草草的几句话就能表达我对导师、对这里所有给过我帮助的人的感激。我热爱这个行业，所以我心甘情愿的付出。
　 我的演讲完毕，谢谢大家。