First aid skills are a major part of the professional competence of high vocational nursing talent. The quality of practical teaching directly relates to how many people who will be working with sick people can fix someone else’s problems and save them. Now, with higher vocational nursing first aid practice teaching still has some shortcomings with what is covered in the courses, who is doing the teaching, and having all the necessary tools and resources available for students, as well as an evaluation of students’ and teachers’ performance, that kind of thing would be holding back raising these students’ working abilities. Based on a thorough investigation into current teaching, the study identifies problem situations and reasons within, offering tangible solutions concerning curriculum organization changes and innovative teaching techniques, along with improved standards for evaluations. And support mechanisms, like institutional guarantee, medical education cooperation, resource investment, and so on, are also discussed to offer more ideas about changing first aider practical training for university nursing.