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Clinical practice is an important part of medical education, students will be theoretical knowledge and the process of combining clinical practice is also in the future to pre-job training, after repeated practice to master nursing skills. Therefore, clinical practice and management of a hospital with a teaching focus on teaching management, teaching nursing students in terms of the focus on individualized, based from the start grasping, hierarchical culture point of view, pre-job training through the grasp, the development of teaching objectives, norms steps to arrange for service learning, at nursing rounds, so that nursing students can master the basic techniques of operation and application of basic theory, and content of nursing work, features, requires a new understanding, so that they more successfully to complete their studies. When he first entered clinical nursing students, a strong thirst for knowledge, to help them to standardize operating procedures and establish a good professional ethics, fulfill the role of conversion, to adapt to clinical work. Special plans are as follows:

1 hospital environment and rules and regulations introduced

nursing students first entered the hospital, on an unfamiliar hospital environment, in order to enable them to familiarize themselves with the environment, they see the relevant hospital department organizational settings, software and hardware construction, medical personnel, and to organize visits to hospitals, so that the hospital they have a more comprehensive understanding. While organizational learning rules and regulations, such as: grading care system, shift relief system, three check seven pairs of the system, error analysis system, consult reporting system, management system and other items, the study of these systems will help them in the future work rules to follow.

2 medical ethics and medical safety education

Hospital is saving lives, an important window for the transmission of civilization, the nurse's words and actions directly affect the patient and civilized practice, polite, and establish a good professional image of nursing students must be done. To do this, ask them to do in etiquette: Instrumentation clean, stable operation, the pace of light, mild language, smiling service, patient care with angel's feelings; in the emotional security to make self-regulation work seriously, do not know asked to strictly enforce checking system, and strive to do each do an operation, not only to know these,[link widoczny dla zalogowanych], but also to know why the only way to ensure the successful completion of practical tasks.

3 skills demonstration and operational training

the process of nursing students is a process of transformation of knowledge into capabilities. In order to let students learn the knowledge organically and clinical practice, students must first understand the basic theory and basic skills mastery, on this basis, targeted training programs to choose, and review of nursing students and co-operation with some basic principles, such as: the principles of aseptic technique, disinfection and isolation principle, injection of the principle of general principles of specimen collection, and pumping 1 or 2 students repeat the demonstration 1 times per week in order to deepen the impression. In addition, training in holistic nursing model, including the application of nursing process, interpersonal communication skills, health assessment methods and medical records requirements, through training to help them better understand the various aspects of nursing knowledge points, identify problems, to facilitate the future work better.

4 the development of teaching objectives, personnel training at different levels

different students in recent years, different levels of nursing students in clinical, basic theory of these nursing students knowledge and mastery of basic skills vary, the use of a single mode of teaching can not meet the needs of the work of clinical teaching . To this end we plan to do practice teaching objectives and the appropriate adjustments.

knowledge of teaching objectives are usually sub-objectives and skills objectives. The aim of the basis of clinical teaching curricula, textbooks and specialist care needs to develop. Knowledge goals to master the subjects common disease of the clinical manifestations, pathogenesis, factors, treatment and nursing of the main principles. Target secondary school students skills to enhance the three main basic training and specialist care in the overall nursing care in order to grasp the overall concept, interpersonal skills-based; do three college students in addition to basic training, to broaden their knowledge and enhance practical ability develop mainly in the overall care in order to grasp the overall nursing theory, nursing procedures and working methods of the implementation of patient and family-based health education programs. In addition to the three undergraduate students to do basic training, with emphasis on holistic nursing practice, but also pay attention to student teaching, management and scientific consciousness. Internship in the department of nursing students, 1 time per week to accept the theory test individual skills and, when the specialist departmental rotation comprehensive theoretical knowledge and skills test. Teaching for the following objectives:

4.1 secondary school students with teaching objectives: (1) grasp of bed method, out of hospital care, morning and evening nursing care requirements and classification of the content. Familiar with the ward catering management, master Taboo Chinese diet, weight patient nasal feeding. Control T, P, R, BP measurement and recording. Basic grasp of Chinese medicine on the tongue, pulse and disease observation and prescription processing. (2) oral administration of law and control of drug storage, receiving, dispensing, dispensing requirements and considerations. Master a variety of injection, six aseptic technique, enema, inhalation of oxygen, suction and other operations. Application of hot and cold contraindications and pay attention. Understand the variety of specimen collection method. (3) control for surgical patients, such as skin preparation before surgery and drug allergy test, post-operative care including wound dressings outside observation and care, the treatment of various drainage tubes and observation, control patients after health education, psychological care, functional exercise, diet instruction and other methods, learn how to observe patients after a variety of discomfort, and can find a variety of postoperative complications. Aseptic technique to master and master the use of ECG and observation projects, learn to observe the condition of critically ill patients, care, rescue and promptly with the records. (4) clinical manifestations of disease control specialist, principles, nursing practices, such as small splints or plaster external fixation, limb blood flow observation, skeletal traction, the patient's clinical care in paraplegia common complication and preventive measures including orthopedic skin preparation, sterile catheterization, skeletal traction pin at the point of alcohol, on the bedridden patients, the right turning, handling fracture patients, CPM machines, lower extremity venous pump, the proper use of radio frequency electrical stimulation, the correct traction line, traction weight can fracture patients, paraplegia, total knee replacement, total hip arthroplasty patients rehabilitation guidance, functional exercise. Basic grasp of infusion pumps, intravenous catheter, and use of analgesia pump. (5) under the guidance of teachers by, according to nursing diagnosis, patient care and to develop a realistic goal, the implementation of holistic nursing.

4.2 college students with teaching objectives: (1) master the basic knowledge of nursing theory and basic skills. (2) in critically ill patients in the rescue, care and learning to write the file. (3) grasp of the overall nursing theory, methods of work of nursing procedures, patient and family health education program, completion of college-based internship quantified.

4.3 objectives of teaching in undergraduate nursing theory in addition to master the basic knowledge and basic skills in addition shall: (1) application procedures for specialist nursing care common to the whole, learning communication skills. Participate in nursing rounds, made nursing. (2) of the pipe bed, 1 time per week to participate in physician rounds, with the doctor's diagnosis and treatment. Critically ill patients with the physicians involved in the rescue work, study, writing nursing documents. (3) under the guidance of teachers by organizing a full-house nursing rounds.

5 business learning arrangements to conduct nursing rounds

nursing department of nursing students each week to arrange a special presentation to learn and operate the business, shall urge nursing students to participate in a timely manner. In addition, sections 1 a week for a small lecture. Ward in the nursing rounds, according to the different academic levels of students, appropriate arrangements for nursing students participate in undergraduate teaching rounds can be organized, with a teacher in charge of reviews, case rounds by a large secondary school students to complete, but large, first time college students to observe the main Zeyi care rounds, and the second organized by the students themselves, can be independently, can also form small groups to participate. This express their views, brainstorming, making the atmosphere more lively rounds.

6 good overall care,[link widoczny dla zalogowanych], adapted to modern needs

changing as the medical model, care patterns corresponding changes have taken place in the overall care, emphasizing patient-centered, process-based care, focusing on quality of care and continuity of care and health education, psychological care. In order to adapt to modern nursing, to meet the growing health needs of nursing students in ward practice, require nursing care to patients by the implementation of physical,[link widoczny dla zalogowanych], psychological, social, and cultural comprehensive care. The nursing process is a comprehensive, dynamic, with the process of decision-making and feedback, including nursing assessment, diagnosis, planning, implementation and evaluation. In the above steps, the correct assessment and diagnosis is the development and implementation of care critical. This process requires a certain degree of nursing students in interpersonal communication skills and specialist knowledge through systematic observation, conversation, understanding the patient's general condition and health needs, in order to achieve this goal, may lead the nurse in charge of a certain amount of beds, so that nursing students System grasp of the overall care model.

7 with education measures

(1) the implementation of someone with education: college graduates in the night by the more than 2 years, technical operation, solid theoretical knowledge, can be taught by nursing program with nurses as strict. (2) According to the practical framework to develop nursing teaching plan. (3) to arrange nursing department and undergraduate interns to participate in the business of learning and operating room training, large surgical business seminars. Participate in critical patient care rounds. (4) interns work per week to write notes or ideas a week to review the head nurse and nursing teachers. In the zone under the guidance of the teacher to teach a large medical care. (5) complete the departmental rotation theory and operation of assessment, nursing students practice writing seriously summary of teaching for teachers and head nurse to the review, read in the last week internship at Zhouwu Chen summary of comments by fellow teachers and the comments summarized what they have learned and master the contents of the proposed deficiencies.

In short, the nursing students to grasp the basis of clinical practice should be based, at the same time pay attention to aspects of good nursing care quality assessment, focusing on all aspects of quality education, which improve the overall quality of nursing practice, clinical care and train qualified Talent has very important significance.

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