Summary and Prospect of Otolaryngology Work 1 I. Summary of Work:
1 and 20xx years to carry out outpatient and ward work: the number of outpatients increased greatly, the level of diagnosis and treatment and service improved greatly, and the satisfaction of patients improved obviously. Carry out ward work in depth, and gradually carry out diagnosis, treatment and surgical treatment of various diseases. In the year of 20 14, the ward treated more than 680 patients, including more than 400 patients undergoing surgery.
2. Outpatient management: the number of outpatients has increased significantly. This year, we began to strengthen outpatient management, ensuring that there are three experts visiting each week and two doctors in general outpatient clinics, so that outpatient patients can see a doctor in an orderly manner. In addition, a doctor on duty will be added on Saturday and Sunday morning to ensure the smooth progress of ward, consultation and operation without affecting the normal treatment of outpatients.
3. The introduction of electronic nasopharynx laryngoscope in outpatient service has greatly improved the diagnostic clarity of throat diseases.
4. Carry out two clinical paths of vocal cord polyp and nasal septum deviation, and standardize the diagnosis and treatment nursing procedures.
5. Actively report the department's adverse events, organize discussions, analyze the reasons, implement improvement measures, and completely eliminate potential safety hazards in the bud.
6. Continue to carry out endoscopic maxillary sinus cyst removal and sinus surgery, and gradually and widely carry out surgical treatment of vocal cord lesions and radical mastoidectomy under microscope.
Existing problems:
1, service attitude is also a problem that cannot be ignored. In the future, we will continuously improve the service quality of the department, do a good job of communication with patients, conscientiously implement the requirements of hospital quality service, improve the quality of medical staff and enhance the image of the department.
2. Strengthen business study, attend various academic conferences, go out to study, and constantly absorb advanced treatment methods.
3. Insufficient and aging surgical instruments.
Second, the work plan:
1, take patients as the center, strengthen department management, pay special attention to link quality control, analyze terminal quality, urge rectification measures to be put in place, pay attention to detail service, and continuously improve medical quality. On the premise of ensuring medical safety, improve technical and economic benefits. Technically, we need the support of the hospital to introduce new equipment.
2. Strengthen the horizontal communication and contact of undergraduate departments, and go out to learn about the technical development of this major at least once on 20 15. Academic exchange in the department after study. Constantly improve the professional and technical level of this discipline.
3, widely carry out outpatient electronic laryngoscopy. Apply for the introduction of auditory brainstem evoked potentials and other equipment to avoid the outflow of patients with deafness and tympanic membrane perforation.
4. Continue to strengthen the clinical pathway and rational use of antibiotics.
5. Learn from domestic advanced experience and strengthen standardized treatment of nasal diseases. It also includes perioperative and postoperative standardized treatment. Can relieve or cure frequently-occurring diseases and common diseases of the nose.
6, gradually carry out laryngeal Ca surgery.
7. Strengthen the writing quality of outpatient medical records, requiring standardization, standardization and timeliness.
8, constantly optimize the electronic medical record template, improve the quality of electronic medical records.
9, strengthen the concept of legal system, improve service consciousness, establish the concept of dedication, unity and cooperation, the patient first, stimulate work enthusiasm, guide medical staff to be good at thinking, have innovative consciousness, and work efficiently, and cooperate with "building a harmonious department".
Summary and Prospect of Otolaryngology Work 2 20XX years have passed quietly. Looking back on the work in 20XX years, with the care and support of hospital leaders and nursing department, our department has gradually completed the nursing work this year according to the work plan and objectives at the beginning of the year, which is summarized as follows.
First, take patients as the center, consolidate basic nursing and improve patient satisfaction.
With the goal of creating a high-quality nursing demonstration hospital, we organized the study of Nurses' Regulations, Basic Nursing Service Work Norms and Clinical Commonly Used Nursing Technical Service Norms, made clear the basic nursing items and work norms that clinical nurses should be responsible for, and put them in place. At the same time, strengthen health education, correctly select and apply health education methods, improve the effect of health education, improve patient satisfaction, and provide patients with safe, high-quality and satisfactory nursing services.
Second, strict safety management to ensure nursing safety.
Establish and improve various safety systems and norms, conscientiously implement the new grading nursing system, drug management system and patient identification system, strengthen nursing risk education and training, monitor key links, discuss and analyze nursing adverse events, and propose corrective measures to prevent errors and accidents.
Third, pay attention to the training of specialized nurses, which embodies the characteristics of specialized nursing in otolaryngology.
Continuing education in departments has always been persistent. On-the-job training has been organized regularly, and basic theoretical study and practical technical operation training, nurse-patient communication training and new technology and new project professional nursing training have been strengthened, which has improved the new business, new technology and operational technical level of each on-the-job staff, thus improving the comprehensive quality of nurses and promoting the improvement of nursing quality, which has been well received by patients and their families.
The fourth is to complete the annual work plan with good quality and quantity.
In the whole year, 546 inpatients and 389 surgical patients were treated. The annual business income is above1200,000, the qualified rate of basic nursing is above 90%, the satisfaction rate of patients is above 95%, the intact rate of first-aid instruments and the qualified rate of disinfection of conventional instruments are 100%, the incidence of bedsore is zero, and the nursing error accident is zero. With few nurses and heavy tasks, the nursing work was successfully completed.
Five, the shortcomings in the work.
1. Bed nurses are a mere formality: due to objective reasons, it is difficult for bed nurses to ensure that they leave all their time to patients and lack psychological communication.
2. The professional and technical operation of nurses needs to be strengthened.
Summary and prospect of otolaryngology work. Problems in 202 1:
1. Incompetent doctors are not enthusiastic about their services and do not work actively.
2. There are also large prescriptions, unreasonable medication, exaggerated illness and excessive medical treatment.
3. The discussion and consultation system of difficult cases in outpatient department is not implemented in place, and there is a lack of communication between colleagues.
4. Due to the unreasonable personnel structure, the implementation of the three-level physician rounds system is not in place.
5. Life care, rehabilitation guidance and dietary guidance for patients are not in place.
6. There are few beds in the ward, and men and women live together, and severe patients and mild patients live together, which is not conducive to patient cultivation and privacy protection.
7. Hemiplegic patients lack rehabilitation places and facilities, which can not guarantee the completion of normal rehabilitation treatment.
Second, the work outlook in 2022:
1. The quality control team of the department is responsible for the management and supervision of the medical care quality of the department, and holds regular meetings (at least once a month) to study, evaluate and analyze the problems existing in the quality management of the undergraduate course room and improve them in time.
2. Seriously implement the hospital rules and regulations and laws and regulations.
3. Conscientiously implement the core system and formulate specific implementation measures.
Four. Clear the responsibilities of all kinds of medical staff at all levels to prevent accidents. Formulate preventive measures for errors and accidents, and report, handle and register them after they occur.
5. Actively improve service attitude, improve service quality, and hold patient forums regularly to solicit opinions from patients.
6. Safeguard patients' rights and protect patients' privacy. Inform patients or their families in time when the condition changes, and fully explain, listen to opinions and obtain consent after the diagnosis and treatment plan is determined and before the invasive technical operation.
7. For critically ill patients, difficult managers and patients with potential disputes, the head nurse will focus on ward round management every day to prevent disputes from happening or dissolving in the bud.
8. Clear division of labor, responsibility to people, and orderly management. Search for potential safety hazards, bed management, inter-departmental consultation in hospital, implementation of medical policy and rural cooperation policy, etc. They are all implemented, with clear responsibilities and linked to performance appraisal.