Summary of Icu Nurses' Work 1 icu is a rapidly developing discipline with a wide range of knowledge in recent years. The instructor asked us interns to master the basic theory and skills of icu, that is, the basic monitoring and handling of breathing and circulation, and to understand other related contents. Strict implementation of disinfection and isolation system, strict aseptic technical operation and serious implementation of various disinfection and isolation systems are effective measures to prevent infection in icu departments. Keep the room ventilated and dry. At the same time, do a good job in disinfection of indoor air, ground, surface of articles and terminal of bed unit. Use an air purifier for continuous purification. Wash your hands correctly before and after the operation or wipe your hands with disinfectant. Generally, you are refused to be accompanied by your family and let them watch at 2 ~ 3 pm. When entering the icu, the staff should wear the required work clothes, shoes, hats and masks.
According to the doctor's advice, cvp, oxygen saturation, blood pressure and blood sugar were detected on time, and the patient's urine volume was checked according to the doctor's advice, and the patient's condition was judged according to the input and output.
When changing shifts, you should tell each other what the patient in your hospital bed has done and what he hasn't done, and explain what pipes are on the patient's body to ensure smooth drainage. After that, it will be handed over to infusion pump and micro-input pump.
Daily patient basic assessment, language activity response, pupil response, limb strength assessment, etc. Glasgow coma scale should be done for patients with craniocerebral injury. In this internship, many nursing operations were also tried by myself.
Strict aseptic operation: strict aseptic operation during sputum aspiration, catheterization and deep vein catheterization. The infection of icu patients is mainly respiratory tract, and the basic diseases are mostly traumatic diseases. Because icu patients are critically ill and stay in bed for a long time, most of them are in a coma, losing their ability to cough and having difficulty in discharging respiratory secretions. Therefore, it is necessary to suck sputum for patients in time, wear sterile gloves when sucking sputum, use disposable sputum suction tube, oral care, perineal care, tracheotomy care, dressing change, etc. Turn over and change body position for patients to prevent pressure ulcers. Pat the back to make the sputum fully discharged in time, and keep the bed unit and skin clean and dry.
The three-week icu internship ended in a flash. Although the study time is short, I have gained a lot. Under the guidance of the head nurse and teachers in various departments, I have a further understanding of the nursing work in icu and learned a lot of knowledge. In my future work, I will redouble my efforts to live up to the expectations of teachers!
Summary of icu nurses' work 2 There are two rounds of ICU emergency specialist training, with the number of trainees 1 1, and each group of trainees will study for one month. The students are all from emergency departments or icu of various hospitals, and they have rich work experience. Under the leadership and strict requirements of the nursing department, with the strong support of the head nurse and the joint efforts of every teacher in icu, the summary is as follows:
First, the operation content is complete.
According to the requirements of the practice manual and the purpose of training specialized personnel, our department arranged two professional operation skills (the use of simple ventilator and the use and maintenance of ventilator) as operation demonstration contents, and conducted strict examination on the students, with the passing rate of 1.000%. We also formally demonstrated the use of multifunctional ECG monitor, the use and maintenance of infusion pump micropump, the evaluation of consciousness state, and the puncture of femoral artery and vein and radial artery.
Second, rich theoretical knowledge.
Because the undergraduate course involves many diseases and complicated conditions, according to the actual situation of students, we have arranged theoretical teaching contents such as reading blood gas analysis report, invasive pressure monitoring nursing, artificial airway nursing, etc., and taught them to students through small lectures or bedside rounds. Through these teaching forms, students can have a perceptual and rational understanding of icu specialized nursing and observation and nursing of critically ill patients.
Third, pay attention to the strengthening of professional thinking.
In teaching, it is found that some students are not enthusiastic about critical care.
Summary of icu nurses' work 3 I work in icu, and the stories that happened in ICU often quietly reflect "patient-centered".
The icu implements a 24-hour unaccompanied system, and the treatment, nursing, feeding and drinking life care of every patient admitted to the icu are all completed by nurses.
Nurses working in icu have such a wish to manage the patients I manage cleanly. The first thing in nursing every morning is to give the patient a hot bath. If you don't believe me, we have met several old people who haven't bathed for several years. We opened the quilt and smelled of sweat all over. When we wiped it with a towel, the dander would fall straight off. When we finished scrubbing an old man with four pots of water, he repeatedly said, "Thank you, thank you, it's so comfortable."
Most critically ill patients can't talk. Finding problems in time depends on the vision and experience of nurses.
"Cough, cough again, use some force." We often encourage patients who are awake and have unobstructed airways to cough more when sucking sputum. After the airway is humidified, the patient coughs, and the sputum is immediately ejected from the artificial airway, and it is still time to spray on the nurse's clothes and body. "Just now, it is very good. Come, cough again. " Although everyone knows that clothes should be changed immediately when they are dirty, our nurses don't frown. If the patient's condition improves, the number of coughs increases and sputum aspiration is effective, the nurse will be very happy, and only such an angel can have such pure love.
In the eyes of family members outside the icu ward, we are just busy going in and out, walking around. In the ward, we are really the only reliance around the patient.
Last summer, we treated a middle-aged male patient with multiple rib fractures and double femoral fractures, who was completely unable to move. After the condition is stable, four nurses in the department need to lift him up hard, 150 kilograms, and it must be flat. That's not light! At first, he refused to live or die. After our patient explanation and persuasion, he reluctantly agreed. Put it in the bedpan. After defecation, we first wipe the anus with paper and then wash it with warm water towel. When we finished all this and tucked him in, we found that his eyes were red and tears had quietly fallen. "That's very kind of you. I'm really sorry. " "Nothing, nothing, as long as you get better."
If you want to ask the nurses in icu when they are happiest, I'll tell you that the patient's condition is stable and he is recovering day by day, so we are most comfortable.
On the one-way train of life, the exquisite service of nurses will prolong the end of life journey.
I believe many people here will be familiar with the 95-year-old Red Army grandfather Zheng Yi. He is a family member of our hospital and one of the few retired cadres in the city. Last winter, he was transferred to icu after colostomy for colon cancer. In the first few days in icu, vital signs were very unstable, heart rate was fast, blood pressure was high and low, and everyone in the department was in a very critical state, and the strings in his heart were tight and he dared not slack off.
After several days of hard work, the condition gradually improved. In the next few days, as long as the old man is in a better spirit, he will tell us about his days in which we lived. We listened carefully, and he really kept talking. He regards us as bosom friends, and we are willing to be his best friends.
He spent his 95th birthday in the intensive care unit. On his birthday, Cory's doctors and nurses came to see him and said "Happy birthday to you" and "Get well soon!" After listening to this simple sentence, his face showed a shy and naive smile like a child.
Although he died in the end, we know that we spent the last eighteen days with him, and we tried to drag him back from death.
Summary of icu nurses' work 4. Looking back on the past year, the nursing work in our department is summarized as follows:
A, nursing quality and safety
Over the past year, under the supervision of the nursing department and the head nurse, our department has strictly grasped the management of nursing quality and safety, earnestly implemented the management of nursing quality in the nursing department, insisted on weekly and monthly self-examination and spot check, timely fed back the results of self-examination and spot check, and timely reported nursing adverse events to the nursing department. Under the rectification of the nursing department, the nursing measures were improved in time, which greatly reduced the incidence of nursing adverse events. In addition, according to the specific situation of the department, scientific flexible scheduling is implemented, reasonable scheduling is carried out according to the level of nurses, and rules and regulations such as grading nursing system are strictly implemented to ensure nursing safety.
Two, strengthen the three basic training, improve the level of nursing service.
In view of the common and frequently-occurring diseases in the department, we regularly organize business study every month, constantly improve the nursing routine in the department and strengthen the study of basic theoretical knowledge, which greatly improves the theoretical knowledge level of nursing staff. At the same time, strengthen the practice of technical operation, and assess all the nursing skills of department nurses in a planned way every month. In addition, strengthen nursing scientific research and new technology and new business.
Third, strengthen clinical teaching.
Interns are taught by qualified nurses. Teaching leaders and backbone nurses of the department regularly carry out teaching lectures, teaching rounds and demonstrations of technical operation standards, strengthen the study of theoretical knowledge and skills of the college, and conduct theoretical and operational examinations before leaving the department to successfully complete the teaching plan. This year, according to the different personal qualities of new nurses in our department, a training plan has been made, so that new nurses have a strong goal in the first month of entering the department and integrate into the work of the department as soon as possible. At the same time, the self-study of junior nurses is mainly checked every month, and junior nurses are urged to strengthen their specialist study.
Fourthly, the nursing quality of critically ill patients.
In view of the difficult and critical nursing cases in the department, the general nurses discussed and expressed their opinions, which improved the nursing level of the nurses to the difficult and critical patients, and at the same time thought about possible nursing problems in advance, which improved the predictability and coping ability of nursing problems.
Five, to carry out high-quality nursing services, improve service quality, and shape the image of the hospital.
Since our department became a demonstration ward of high-quality nursing service, we have earnestly carried out high-quality nursing service, and the department has also held a meeting to convey the relevant spirit to every nurse, explain to everyone why this work should be carried out, and obtained the approval of the nurses in the department. At the same time, various departments are also actively organizing. First, adjust the work arrangement, implement flat scheduling, and form a responsibility team composed of a team leader and two responsible nurses. The responsibilities of each class were re-planned, and the responsible nurse was fully responsible for all patients' treatment, illness observation and health education. Head nurses and therapeutic nurses participate in the nursing work of each group at the peak of ward work. Consolidate basic nursing and provide satisfactory service, which greatly improves the quality of nursing, ensures nursing safety and comprehensively improves patient satisfaction. At the same time, it also greatly improved the professional and technical level of nursing staff, strengthened the sense of responsibility of nurses, optimized the allocation of nursing human resources, made nursing work more orderly, and really returned nurses to patients.
Six, hospital feeling and disinfection and isolation
Over the past year, our department has focused on strengthening the work of hospital infection and disinfection and isolation, assigning a nurse to do hospital infection full-time, and organizing general nurses to learn the theoretical knowledge of hospital infection every month. All staff strictly implement the disinfection and isolation system and the principle of aseptic technology, wash their hands frequently according to the six-step washing method, regularly carry out bacterial culture on the hands of medical staff, the desktop of the treatment room and the air in the ward, and regularly disinfect and sterilize the ventilator pipes, which are used by one person and replaced regularly according to regulations. The number of hospitals has decreased significantly compared with the previous year.
In the past year, through our efforts, we have made some achievements, but there are still many shortcomings. In the next year, we will continue to work and study hard, constantly develop new technologies and businesses, and encourage the development of nursing research. Really "patient-centered" active service in thought and action.