Table 2 The second stage: internship in the hospital

Respiratory system

Respiratory department

1. Theoretical knowledge

(1) Understand the pathogenesis and anatomical knowledge of common respiratory diseases.

(2) Study the routine nursing care of respiratory diseases.

(3) Master the nursing evaluation methods and evaluate the patients.

(4) Master the indications and contraindications of arterial blood gas analysis, arterial blood collection, fiberoptic bronchoscopy, and thoracic puncture.

(5) Familiar with the function, indications, indications, and contraindications of mechanical ventilation.

2. Practical objectives

Specialized operation: atomizing inhalation, arterial blood gas analysis, sputum aspiration.

Basic nursing: oxygen inhalation, intravenous infusion, intramuscular injection, blood pressure monitoring, and ECG monitoring.

4

Circulatory system

Department of Cardiovascular

1. Theoretical knowledge

(1) Understand the anatomy and physiology of the circulatory system.

(2) Familiar with the common symptoms of circulatory diseases

(3) Master the nursing evaluation, main nursing diagnosis/problems, and nursing measures of circulatory system diseases.

2. Practical objectives

Specialized operation: ECG monitoring, cardiopulmonary resuscitation, electric defibrillation.

Basic operation: oxygen inhalation, intravenous infusion, intramuscular injection, and blood pressure monitoring.

2

Blood system diseases or rheumatism immune system

Blood purification center or rheumatology immunology department

1. Theoretical knowledge

(1) Understand hematopoietic organs and hematopoiesis.

(2) Understand the blood composition and physiological function of blood cells.

(3) To master the definition and nursing diagnosis of anemia and be familiar with its clinical manifestations.

(4) Understand the causes of common symptoms of rheumatic diseases.

(5) Familiar with the characteristics of rheumatic diseases and nursing points.

(6) To master the nursing evaluation, diagnosis, and measures of common symptoms of rheumatic diseases.

2. Practical objectives

Specialized operation: oral care, intravenous transfusion, postoperative nursing after bone marrow puncture.

Basic operations: oxygen inhalation, ECG monitoring, intravenous infusion, intramuscular injection, blood pressure monitoring, and other operations.

2

Digestive system

Digestive Department

1. Theoretical knowledge

(1) Understand the structure and function of the digestive system.

(2) familiar with the pathogenesis of common diseases of digestive system.

(3) Master the common symptoms of digestive system diseases and nursing measures.

(4) Master the inspection methods and nursing skills of digestive system.

2. Practical objectives

Specialized operation: gastrointestinal decompression, nasal feeding, enema

Basic operations: intravenous infusion, oral care, oxygen inhalation, intramuscular injection, ECG monitoring, etc.

4

Urinary system

Urology urological department

1. Theoretical knowledge

(1) Understand the physiological function of urinary system and the main renal endocrine function.

(2) Familiar with the relationship between the structure and function of urinary system and diseases

(3) Master the principles of prevention and treatment of urinary system diseases and individualized nursing evaluation.

2. Practical objectives

Specialized operation: urethral catheterization, nursing with double J tubes, perineal nursing, and replacement of drainage tubes.

Basic operations: oxygen inhalation, intravenous infusion, ECG monitoring, intramuscular injection, blood pressure monitoring, etc.

2

Genital system

Gynaecology and obstetrics

1. Theoretical knowledge

(1) Understand the pathogenesis of reproductive system diseases.

(2) Be familiar with the defense function of female reproductive organs.

(3) To master the transmission route, secretion characteristics and treatment principles of vaginitis.

2. Practical objectives

Specialized operation: perineal scrubbing, catheterization

Basic operation: intravenous infusion, ECG monitoring, intramuscular injection, and oxygen inhalation.

4

Mental sickness

Psychiatry department

1. Theoretical knowledge

(1) Understand the nursing observation and daily life nursing of mental patients.

(2) Familiar with the characteristics of mental patients’ contact and communication and the methods to promote effective communication.

(3) Familiar with the common symptoms of mental patients and the prevention and nursing of crisis state.

(4) Master the methods of basic nursing and organizational management of mental patients.

2. Practical goals (none)

2

Nervous system diseases

Neurology or neurosurgery

1. Theoretical knowledge

(1) Understand the classification, anatomical structure and function of peripheral nervous system and central nervous system, and the contents and steps of nursing evaluation for patients with nervous system diseases.

(2) Familiar with the mechanism of action and pathophysiological changes of the nervous system, and the purpose and significance of common examinations of the nervous system.

(3) Make a comprehensive evaluation of patients with nervous system diseases by using the knowledge learned.

2. Practical objectives

Specialized operation: evaluation of swallowing function and muscle strength.

Basic operation: intravenous infusion, ECG monitoring, intramuscular injection, and oxygen inhalation.

4

Motor system diseases

Neurology or geriatrics

1. Theoretical knowledge

(1) Understand the etiology and pathogenesis of Parkinson’s disease.

(2) To master the clinical manifestations, treatment points and nursing care of Parkinson’s disease.

2. Practical objectives

Specialized operation: evaluation of muscle strength

Basic operation: intravenous infusion, ECG monitoring, intramuscular injection, and oxygen inhalation.

2

Metabolic endocrine system diseases

Endocrinology department

1. Theoretical knowledge

(1) Understand the relationship between the structure and function of endocrine system and diseases,

(2) Familiar with the physiological functions of endocrine glands and the functions of main endocrine hormones.

(3) Familiar with the principles of prevention and treatment of endocrine diseases and the nursing evaluation of specialized subjects.

(4) Master the nursing routine of endocrine diseases.

2. Practical objectives

Specialized operation: insulin pen injection, installation and injection of insulin pump, blood sugar monitoring.

Basic operation: intravenous infusion, ECG monitoring, subcutaneous injection, and oxygen inhalation.

2

Operating room nursing

Operating room

1. Theoretical knowledge

(1) Understand the characteristics of the operating room building layout, the treatment methods of special infection surgery, the common surgical positions, and the management of clean operating room.

(2) Familiar with the operating room rules and regulations, all kinds of fabrics, dressings, sets, cleaning, disinfection, sterilization, and maintenance methods of all kinds of items, and the clinical use of stitches and sutures.

(3) To master the operating principle of aseptic technique, the operating room environment and the preparation of surgical materials, the names, functions, and usage of commonly used surgical instruments, the working procedures and responsibilities of hand-washing nurses and visiting nurses, the treatment methods of instruments, cloth, dressings and dirt after operation, and the precautions for correctly sending samples.

2. Practical objectives

Specialist operation: disinfection of surgical hands, putting on and taking off sterile surgical gown, sterile gloves, catheterization.

2

Pediatric nursing

Pediatric/Neonatal Department

1. Theoretical knowledge

(1) Understand the anatomical and physiological characteristics of children’s test scores in various systems.

(2) Familiar with the etiology, clinical manifestations, laboratory examination and treatment principles of common diseases of newborns and children.

(3) To master the nursing evaluation, nursing diagnosis, nursing measures and health education of common diseases of newborns and children.

2. Practical objectives

Specialist operation: the use of incubator, phototherapy, bathing, changing diapers, milk preparation, feeding method, baby enema.

Basic operations: intravenous infusion, femoral vein puncture, oral administration, nasal feeding, and oxygen inhalation.

4

Emergency and critical nursing

Emergency department or ICU

1. Theoretical knowledge

(1) Understand the layout and equipment of the emergency room.

(2) Familiar with the scope of emergency triage, the requirements of nurses’ responsibilities, emergency measures, first-aid instruments, and applications.

(3) Familiar with the evaluation, clinical manifestations, pathogenesis, treatment principles, and rescue measures of major organ failure.

(4) Master general emergency measures and understand the application principles of first-aid drugs.

(5) To master the observation points of patients with craniocerebral injury.

2. Practical objectives

Specialized operations: cardiopulmonary resuscitation, electric defibrillation, application of gastric lavage machine, arterial puncture, central venous pressure measurement, nasal feeding, catheterization.

Basic operation: intravenous infusion, ECG monitoring, subcutaneous injection, and oxygen inhalation.

4