Generally speaking, self-evaluation is self-summary. Self-evaluation enables us to find mistakes and correct them in time. Let's sit down and write a self-evaluation. How to write self-evaluation so as not to become a mere formality? The following is my self-evaluation of studying in the clinical laboratory, which is for reference only. Let's have a look.
At the hot end of June, we finally started the long-awaited practice. I am full of expectations when I think that I finally have the opportunity to enter the laboratory and learn about my major from practice. As we are the first batch of students to start internship, we are inevitably a little excited and nervous. We will keep in mind every operation point and precautions introduced by the teacher. In just ten days, I witnessed the busyness of three departments-biochemistry, immunology and clinic, and found that there is a world of difference between work and study.
The first is biochemistry. The work here is basically an assembly line. Here, we should not only master professional knowledge in an all-round way, but also have a certain understanding of inspection instruments, because we don't know when the instruments will break down, so we need to know how to maintain the machines at this time. You need manual operation here, so you have to say blood back. This is for the convenience of patients or doctors when they have questions about the report. It is not only responsible for patients, but also my own responsibility as a medical staff.
The second sector is immunization. Unlike biochemistry, immunization requires a lot of manual operation. Because many of them are micro-experiments, they will be one mile short. The teacher also dare not let us operate easily. Many times, I just do some simple experiments and listen to the explanations of some experiments next to the teacher. With this intuitive learning method, the pale theory and simple pictures and texts in our class become concrete and vivid.
The third department is the clinic, which is actually divided into blood and body fluids. In the blood clinic, I looked at the flow cytometer that automatically analyzed, and then recalled what the teacher explained in class, and I had a deeper understanding. In the clinical examination of body fluids, teachers often let us see samples. These days, we have a better understanding of the just-concluded clinical laboratory foundation, and we have seen more samples, and these samples from different people, whether positive or negative, are what we will face in the future.
It is said that the relationship between doctors and patients is tense now, and I am lucky to practice here at the information desk. Dealing with patients requires more patience. Say hello more, maybe it will narrow the distance between doctors and patients, less suspicion and more trust.
Some people say that the work in the laboratory can be easily started within three months, which is very simple. However, after really coming here to experience it, you will find that the inspection work is not as simple as expected. Just like the report in the patient's hand, it seems simple. In fact, this is through the careful operation of teachers' quality control, experiment, detection, review and re-examination, and every step is sloppy. Although it seems to outsiders that inspectors do the same work every day, when accidents or special symptoms appear, it is meaningful to find the accumulation day by day, which is why inspectors not only need to keep professional knowledge in their minds, but also need a lot of practical experience.
Although this internship lasted only two weeks, I learned a lot about the work of the clinical laboratory and met many teachers. I have some new knowledge about this major and my future, and also make my future goals more clear. In a word, this practice has gained a lot. I am really grateful to the teachers in schools and hospitals for giving us such a good opportunity to have a full understanding of our major.
Self-evaluation of continuous learning in clinical laboratory. This is my first step out of society. The internship is coming to an end. Time flies. Practice is the first step for me to turn theory into ability and move towards clinic. I benefited a lot during my internship and will benefit for life. I will self-evaluate my performance during my internship.
In August, I went to Hezhou People's Hospital for an internship. According to the requirements of hospitals and schools, I went to study in surgery (brain, general, bone), internal medicine (nerve, cardiovascular, digestive), auxiliary (electrocardiogram, X-ray) and other departments. During the internship, I will strictly abide by the rules and regulations of the hospital and various departments of the hospital, abide by the law, respect teachers and unite students.
During my clinical practice, I actively learned from clinicians. After nearly a year's practice, I have mastered the writing of all medical documents such as course records, discharge records and laboratory sheets. And also mastered the operation methods such as debridement and suture, aseptic technique, etc.
Make greater efforts in specialized courses such as internal medicine, focusing on the diagnosis and treatment of diseases and treating some common diseases. Characteristics and diagnosis of frequently-occurring diseases. I pay more attention to the principle of syndrome differentiation and treatment, which has laid a solid foundation for future clinical practice. During the internship, I also constantly summed up my learning methods and clinical experience, and strived to cultivate my ability to think independently, solve problems independently and work independently. The internship life has also cultivated my lofty thought of serving the people wholeheartedly and the professional ethics that medical workers must have.
But I also know that there are many diseases that we can't overcome, and we don't know him yet, so I am more aware of my responsibilities. I will work hard in the future, pay attention to the combination of theory and practice, and make outstanding contributions to the medical cause of the motherland.
During the internship, I will strictly abide by the rules and regulations of the hospital and various departments of the hospital, abide by the law, respect teachers, unite colleagues, and be strict with myself, so as not to be late, leave early, be absent from work or leave without leave. Take good care of patients and be amiable.
I try to combine theoretical knowledge with practical experience. During my internship, I constantly summed up my learning methods and clinical experience, and strived to cultivate my ability to think independently, solve problems independently and work independently. Internship life has also cultivated my lofty concept of serving the people wholeheartedly and the professional quality that medical workers must have. After nearly a year's practice, I have mastered the writing of all medical documents such as course records, consultation records and discharge records. Master the characteristics of clinical departments and the diagnosis and treatment of common and frequent patients in various departments; Master the normal values and clinical significance of common examinations and the first aid treatment of various dangerous, serious and urgent patients. The learning tasks of all departments have been successfully completed.
Five years as a doctor has shaped a healthy and confident me. Self-confidence comes from strength, but at the same time, we must realize that society is changing rapidly and the demand for talents is getting higher and higher. Society is constantly changing and developing. We must look at the problem from a developmental perspective. We still have many shortcomings and deficiencies. We must constantly improve our ideological understanding, improve ourselves and correct our shortcomings in order to adapt to the development of society. As medical students, the social pressure will be heavier than other industries. We should learn to study and innovate to meet the requirements of social development.
I love medical career and am determined to devote myself to it! I keep in mind the vows of medical students: voluntarily join in medicine, love the motherland, be loyal to the people, abide by medical ethics, respect teachers, study hard, be tireless, strive for perfection and develop in an all-round way. I am determined to try my best to get rid of human diseases, help improve health, safeguard the sanctity and honor of medical skills, heal the wounded and rescue the dying, work tirelessly and persistently, and strive for the development of medical and health undertakings in the motherland and the physical and mental health of mankind for life.
Self-evaluation of clinical laboratory training. In the past six months, I successfully completed my further study plan. I not only enriched the inspection knowledge, but also improved various inspection skills, my experience and the feeling of further study. The overall feeling is "busy" and "tired". Everyone works very hard and pays great attention to quality. My learning experience during this half-year study period is as follows:
First, it enriches inspection knowledge and improves inspection skills. Especially under the microscope, such as peripheral blood cell morphology, bone marrow blood cell morphology, urine sediment analysis, prostate fluid analysis, semen analysis and so on. Other skills include bacteriology colony observation and identification, immunology manual technology, biochemical maintenance and calibration, and blood transfusion antibody screening.
Secondly, I learned many ways and means to acquire new knowledge (Internet, digital cameras, libraries, magazines, etc.). ). When I saw their better books, I went home and searched online. Many of them are obtained free of charge, such as national clinical laboratory operating procedures (worth more than 300 yuan), bacterial identification maps, bacterial identification manuals, hematology maps, hematology lectures and so on. At the same time, a large number of bacterial colonies and bone marrow slices were photographed.
Thirdly, I learned their methods to deal with all kinds of complicated inspection problems and successful inspection quality management mode. Learn from them that they are extremely responsible for their work, always treat every specimen to be tested with a cautious attitude, and seriously deal with difficult problems encountered in their work. For example, there is a patient with blood test type, and the agglutination of A surface is very weak. Both the slide method and the test tube method have been done, and the positive and negative stereotypes are inconclusive. Finally, it was sent to the blood transfusion department for micro-centrifugation, and there was no conclusion. Finally, the patient's report was stopped and the blood type was tested at the blood station. Another patient began to have a large number of immature cells in peripheral blood and abnormal bone marrow images, and began to suspect hematological diseases. A few days later, he drew blood again and found that the patient was obviously different from last time. This patient is a typical toxic granulocyte change. I found two things wrong. A child's hemoglobin is 36g/L, and his whole blood cells are reduced in the outpatient laboratory. At that time, I asked the teacher, and I said that this report could be distributed. The teacher looked at the blood and checked it again. He said that there must be something wrong with this patient, anemia, which can be sent. In the afternoon, the patient went to see a doctor. The doctor said it was impossible. Now you go to the clinical laboratory to check again. The patient paid the money again and checked it. The result is far from the morning. The patient took out the morning list and said that the difference was too great. At that time, the teacher responded quickly, took back all the test sheets, called the doctor and communicated with him. The doctor said that the blood collected in the morning may be too little and diluted. The fact is that the blood collector took the wrong blood and used the test tube with rapid surface antibody as the test tube for routine blood. In the third case, there was a patient whose blood routine was 13x 10E9/L in the outpatient department and 4 in the inpatient department. 5x 10E9/L, accurate, but manual counting and Wright's staining are still needed. A large number of platelets of different sizes can be seen under the microscope. The patient's platelets have increased, and the instrument treats platelets as white blood cells. ) submit a quality control report to the director every month.
Fourth, work hard, don't complain, and complete the tasks assigned by the teacher with good quality and quantity. Constantly sum up work, attach great importance to practice and theoretical study, study, summarize and improve, solve practical problems in work, always see your own shortcomings everywhere, have high standards and strict requirements, learn from others and make up for your own shortcomings.
Fifth, director Li Hongchen is very good at management and pays attention to details and costs. Once the clinical problems are found, the treatment plan and improvement measures are formulated in time. Director Li told me the layout and design ideas of the new architectural laboratory. Talk about the principles of dealing with departmental problems and the problems that should be paid attention to in the work. Talking about his years of management experience, he said that the key to the development of clinical laboratory lies in four aspects: "First, the management of directors;" Second, the director's positioning level of inspection instruments, equipment and reagents; The third is the business training and continuing education of department personnel; Fourth, participate in indoor and inter-room quality control. "
I hope I can use the knowledge and skills I have learned to improve the inspection level in our hospital.
Self-identification of further research in clinical laboratories. From 20xx to 20xx, I studied in the germ room of Xijing Hospital. In this short period of five months, I not only focused on learning the business knowledge of bacteria, but also went to clinics and blood banks to learn about their work processes and methods, and contacted the Red Cross Hospital in Xi 'an and went to the Red Cross Hospital twice. It not only enriches the inspection knowledge, but also improves the inspection skills.
As the largest and most authoritative laboratory in the province, after four months of study, my experience and overall learning experience are "busy" and "tired". Everyone works very hard and pays great attention to quality. Especially the teachers' superb diagnosis and treatment level, artistic operation technology, rigorous academic attitude, meticulous spirit, and patient, cordial and friendly attitude towards patients. This kind of working atmosphere and atmosphere is worth learning, which makes me feel busy, tired and happy! As a key project for further study, my study in the Department of Bacteriology has benefited a lot:
1. mastered the bacteriological examination of blood, pus, throat swab, nose swab, hydrocephalus, urine and feces.
2. Monitoring of nosocomial infection and screening of drug-resistant strains. Some common bacteria can be identified by colony morphology and simple experiments.
3. Before the end of my study, I applied for an internship in a blood bank for two weeks, and became familiar with the identification of special blood types and the operation process of difficult blood matching.
4. Through the recommendation of the teacher of Xijing Hospital, we established contact with the laboratory department of Red Cross Hospital, and exchanged views on the management and construction of the laboratory department of orthopedic hospital and the dynamics of medical laboratory discipline.
To this end, combined with the current situation of our laboratory and the requirements of the second-level orthopedic hospital, I have the following thoughts on the development of the laboratory:
1, all instruments should be responsible to people and be responsible for the daily maintenance of instruments. Maximize the use value of the instrument.
2. Everyone participates in the quality control work, and everyone should be familiar with the analysis and treatment process of out-of-control quality control. It is conducive to the technical training of departmental talents and the daily flow of personnel in general hospitals and branches.
3. It is necessary to abandon the view that bacterial culture should be done only after pus is produced, and bacterial culture should be done for all abnormal throat swabs, nasal swabs, patients with drainage tubes and abnormal bloody secretions from wounds.
4. Strengthen the training of bacterial knowledge of medical staff in clinical departments of our hospital, including the use of antibiotics, the collection methods of bacterial specimens, and how to analyze bacterial culture reports.
5.D- dimer and plasma fibrinogen degradation products (FDP) are used as routine examinations for surgical patients, especially elderly patients.
6, in view of the particularity of blood bank work, to the blood bank fixed a staff member, responsible for blood collection and blood supply.
7. Carry out blood matching and blood culture as soon as possible.
8. Coordinate blood stations and health bureaus, and consider autologous blood transfusion.
Self-evaluation of clinical laboratory training. In the past six months, I successfully completed my further study plan. I not only enriched the inspection knowledge, but also improved various inspection skills, my experience and the feeling of further study. The overall feeling is "busy" and "tired". Everyone works very hard and pays great attention to quality. My experiences during my six-month study are as follows: First, I have enriched my inspection knowledge and improved my inspection skills. Especially under the microscope, such as peripheral blood cell morphology, bone marrow blood cell morphology, urine sediment analysis, prostate fluid analysis, semen analysis and so on. Other skills include bacteriology colony observation and identification, immunology manual technology, biochemical maintenance and calibration, and blood transfusion antibody screening.
Secondly, I learned many ways and means to acquire new knowledge (Internet, digital cameras, libraries, magazines, etc.). ). When I saw their better books, I went home and searched online. Many of them are obtained free of charge, such as national clinical laboratory operating procedures (worth more than 300 yuan), bacterial identification maps, bacterial identification manuals, hematology maps, hematology lectures and so on. At the same time, a large number of bacterial colonies and bone marrow slices were photographed.
Thirdly, I learned their methods to deal with all kinds of complicated inspection problems and successful inspection quality management mode. Learn from them that they are extremely responsible for their work, always treat every specimen to be tested with a cautious attitude, and seriously deal with difficult problems encountered in their work. For example, there is a patient with blood test type, and the agglutination of A surface is very weak. Both the slide method and the test tube method have been done, and the positive and negative stereotypes are inconclusive. Finally, it was sent to the blood transfusion department for micro-centrifugation, and there was no conclusion. Finally, the patient's report was stopped and the blood type was tested at the blood station. Another patient began to have a large number of immature cells in peripheral blood and abnormal bone marrow images, and began to suspect hematological diseases. A few days later, he drew blood again and found that the patient was obviously different from last time. This patient is a typical toxic granulocyte change. I found two things wrong. A child's hemoglobin is 36g/L, and his whole blood cells are reduced in the outpatient laboratory. At that time, I asked the teacher, and I said that this report could be distributed. The teacher looked at the blood and checked it again. He said that there must be something wrong with this patient, anemia, which can be sent. In the afternoon, the patient went to see a doctor. The doctor said it was impossible. Now you go to the clinical laboratory to check again. The patient paid the money again and checked it. The result is far from the morning. The patient took out the morning list and said that the difference was too great. At that time, the teacher responded quickly, took back all the test sheets, called the doctor and communicated with him. The doctor said that the blood collected in the morning may be too little and diluted. The fact is that the blood collector took the wrong blood and used the test tube with rapid surface antibody as the test tube for routine blood. In the third case, there is a patient whose outpatient blood routine is 13* 10E9/L, but the inpatient ward is 4.5 *10e9/l. Which one is accurate requires manual counting and Wright's staining. A large number of platelets of different sizes can be seen under the microscope. The patient has increased platelets, and the instrument treats platelets as white blood cells. ) submit a quality control report to the director every month.
Fourth, work hard, don't complain, and complete the tasks assigned by the teacher with good quality and quantity. Constantly sum up work, attach great importance to practice and theoretical study, study, summarize and improve, solve practical problems in work, always see your own shortcomings everywhere, have high standards and strict requirements, learn from others and make up for your own shortcomings.
Fifth, director Li Hongchen is very good at management and pays attention to details and costs. Once the clinical problems are found, the treatment plan and improvement measures are formulated in time. Director Li told me the layout and design ideas of the new architectural laboratory. Talk about the principles of dealing with departmental problems and the problems that should be paid attention to in the work. way
According to his years of management experience, he thinks that the key to the development of clinical laboratories lies in four aspects: "First, the management of department directors;" Second, the director's positioning level of inspection instruments, equipment and reagents; The third is the business training and continuing education of department personnel; Fourth, participate in indoor and inter-room quality control. "
I hope I can use the knowledge and skills I have learned to improve the inspection level in our hospital.
Clinical laboratory self-assessment has been carried out for 6-20xx years. Under the correct guidance and support of the central leadership, and with the help of various departments, Qi Xin, a comrade in the clinical laboratory, worked together to establish a high sense of professionalism and responsibility, was proactive in his work, constantly emancipated his mind, updated his ideas, sought truth from facts around the nature of the department's work, worked hard, constantly improved the quality of inspection, and improved the quality of general practice, and achieved certain results.
First, strengthen ideological and political work, implement scientific management, fully mobilize the enthusiasm of employees, and comprehensively improve the level of disease prevention and inspection.
Seriously study the party's principles and policies, fully implement the "spirit" and establish and adhere to the correct world outlook, outlook on life and values. Actively participate in various political activities and business studies of the center, improve ideological understanding and service skills, and improve the quality of cadres. Establish the idea of serving the people heart and soul, think about what the goal is, be anxious about what the goal is, actively carry out all the work around the overall situation of reform and development of our center, and conscientiously complete all the tasks assigned by the center. Adhering to people-oriented and strengthening incentive mechanism is the fundamental way to improve management, and human factors are the key to determine the success or failure of the work. It is particularly important to do a good job in the ideological work of employees and strengthen the quality education and ability training of employees. In our daily work, we actively advocate and carry forward the spirit of teamwork, and we can work together when there is a task. We take the initiative to help solve any difficulties in life, so that everyone can reflect the warmth of a big family.
Two, actively participate in the laboratory quality control and ability verification activities organized by the provincial and municipal disease control systems, and improve the detection level.
In February this year, we ushered in the fourth laboratory qualification accreditation. 429 items in 44 food-related standards and 79 items in 13 non-food-related standards were consulted, and the data were sorted out and analyzed. The list of relevant application qualification identification items and the analysis table of inspection ability were formulated, and the operating procedures for instrument operation, verification and maintenance were improved. The task of laboratory qualification identification is heavy and the responsibility is great. Although some items are lost, it does not mean that the quality of the inspector is poor. In recent years, the lack of health inspection samples and heavy clinical inspection tasks are also the direct factors that cause the health inspection to be unfamiliar.
In April and May, I participated in the ability verification project organized by the Provincial Quality Supervision Bureau twice. One sample is the determination of protein and fat in milk powder, and the other is arsenic, amino acid nitrogen and benzoic acid in soy sauce. The evaluation data of the two samples were reported on time and the results were qualified. In June, I participated in the blind sample determination and assessment of blood alcohol content organized by the public security department, and the results were reported on time, and the results were fed back in 20xx years 1 month. In July, I participated in the AIDS serum assessment of the provincial CDC, and the results were reported on time, with a score of 98.
Three, do a good job in food safety, disease control, public health emergencies and other emergency sampling and testing work, to provide protection for the prevention and control of major infectious diseases and strengthen public health work.
(1) In order to strengthen food hygiene supervision, hygienic sampling and inspection were carried out for large and medium-sized wedding banquets in urban areas 1 1, and 48 samples were collected, many of which were unqualified in coliform and total number of colonies. It is worth noting that Staphylococcus aureus was detected in two samples, which pointed out the direction and basis for the next law enforcement work of the Food and Drug Administration.
(2) In order to fully implement the government's "four exemptions and one care" policy, the AIDS screening laboratory carried out free testing, and tested more than 300 people in entertainment places 1 100, 7 prisoners, 2 positive patients, excluding county people's hospital 1 person and county traditional Chinese medicine hospital 1.
(3) Detection of hepatitis B and hepatitis B antibody before and after vaccination: hepatitis B surface antigen: 1399 people; Hepatitis B surface antibody: 20xx people: Five indicators of hepatitis B: 979 people. (4) Provide rapid detection of serum glutamic acid transaminase for 3675 people, which is convenient for food practitioners to apply for health certificates. The routine certification test includes 4784 people in the fields of food processing and circulation. 78 food and drinking water samples. Check tableware/kloc-more than 0/000 copies.
(five) to cooperate with the department of occupational disease prevention and control to do a good job in inspection and testing. In order to strengthen occupational health monitoring, more than 2,400 people received health checks from fashion workers. The examination items are routine hematuria and transaminase. The number of people who participated in medical insurance, traffic patrol recruitment, kindergarten teacher recruitment and civil servant recruitment was 1447, among which 20 gynecological examinations were added to the physical examination items of kindergarten teachers.
(6) Cooperate with CDC to conduct sampling inspection on disinfectants and disposable medical consumables in medical and health units within its jurisdiction, and * * * inspect 5 1 1 sample.
(7) Do a good job in students' physical examination. There are 2382 college entrance examinations.
(eight) cooperate with the Institute of tuberculosis prevention and control to do a good job in the examination of tuberculosis patients and detect 54 tuberculosis antibodies; Biochemical test 178 people (the project is liver and kidney function).
(9) Cooperate with township hospitals and planned immunization departments to detect antibodies against polio and measles, and * * * detected more than 4,400 people.
(ten) actively participate in various trainings organized by institutions of higher learning. In March, he participated in water quality inspection training of rural drinking water safety project of Liaocheng CDC; In June, he participated in the training of fever with thrombocytopenia syndrome organized by the provincial CDC; The study of general practice is once a week, and everyone broadens their knowledge and improves their level.
(1 1) Handle each sample carefully. From sample collection, original inspection records and report distribution, we always carry out inspection according to laboratory qualification requirements, national standards, hygiene requirements and inspection specifications, seriously deal with difficult problems encountered in the work, ensure the accuracy of inspection reports, and contact brother departments in time to provide scientific basis.
(12) Do a good job in maintaining all kinds of experimental instruments, carefully study all kinds of faults, actively respond and solve them immediately, which not only ensures the normal operation of all kinds of instruments in our department, but also saves maintenance costs for the center. Especially when the new office building was moved, we dismantled and installed each instrument ourselves, without hiring a professional instrument engineer.
The laboratory detection ability of CDC plays an important role in the prevention and control of major diseases and the handling of public health emergencies, and is an important standard to measure the ability of forecasting, early warning and handling of infectious diseases and public health emergencies. According to the standards put forward in the Guiding Opinions on Laboratory Construction of Provincial, prefectural and County Centers for Disease Control and Prevention, before the end of the year, the provincial government invested a lot of money to equip 27 county-level centers for disease control and prevention in our province/KLOC-0 with instruments and equipment, and our centers for disease control and prevention planned to purchase 53 instruments and equipment with a value of 286. 60 thousand yuan.
Four, in order to meet the requirements of disease prevention in the new period, the inspection work still needs to broaden its business.
All kinds of public health emergencies that may seriously affect public health and social stability can not be ignored. It is very important to strengthen the construction and management of laboratories, which requires us to prepare for emergencies while doing our daily work. In addition, for the sake of people's health, we should make full use of existing instrument resources, actively develop new business, broaden business scope, and constantly add new testing items to meet health needs. Improve the visibility of CDC in people's minds and make greater contributions to disease prevention and control.
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