Nurse's medical ethics experience 1
In the third year of 20 _ _, under the leadership of the Party Committee of the hospital, combined with the central work of the hospital, we deepened the service concept of "patient-centered" by taking the opportunity of developing "quality nursing service", closely focused on the work focus of "reforming nursing mode, fulfilling nursing duties, providing quality services and improving nursing level", constantly improved the level of nursing service, improved various nursing rules and regulations, improved service processes and improved the hospitalization environment. My work experience in the past year is as follows:
First, strengthen training and education, and constantly improve the quality of nursing ability.
The society is developing and the times are progressing. Only by continuous learning can we keep pace with the times and be invincible in the fierce medical competition. In clinical nursing work, nurses in our department deeply realize that providing high-quality services to patients requires not only solid theoretical knowledge and skilled operation skills, but also nurses' sympathy and conscientious dedication, which has promoted the development of nursing career.
Based on "three basics and three strictness", the professional skills of nursing staff have been improved. Do a good job in the study and evaluation of "three basics". The scope involves basic knowledge, basic skills, basic operation and other first aid knowledge. At the same time, actively participate in the business study organized by the nursing department and strengthen the on-the-job education of nurses. While strengthening theoretical study, we should pay attention to the improvement of operational skills. According to the work plan, operation evaluation runs through our daily work. In organizing the training of "three basics" and professional skills, our department pays special attention to what skills are needed in clinic to learn and assess a certain knowledge point, so that the examination is closer to the clinic, and on-the-job training is organized by combining on-site assessment with on-site evaluation, and combining physical teaching with standardized demonstration.
Strive to make every nurse familiar with the basic skills, bring the old with the new, insist on learning and practicing, realize multi-function in one post, and form a good atmosphere in which everyone loves learning and everyone delves into business. Not only do their own duties, but also actively cooperate with each other, forming a United, harmonious, energetic, effective, competitive and innovative team, enhancing cohesion and improving the comprehensive quality and work efficiency of nursing in our department. During the "5. 12" Nurses' Day, she held a nursing technical operation competition and won the third prize in the operation competition. * * * I took the "Three Basics" theory test for 4 times throughout the year, and 1 person in the department won the second place, with a pass rate of 95%. Nurses can consciously study cultural knowledge in their spare time, sign up for adult self-study exams, and continue their college and undergraduate studies. Constantly improve their cultural literacy.
2, nursing document writing standard training, enhance the awareness of legal responsibility. Conscientiously implement the Ministry of Health's Basic Specification for Medical Record Writing (Trial) and the Detailed Rules for the Implementation of the Basic Specification for Medical Record Writing (Trial) formulated by our province, and strengthen the quality inspection of medical records. The standardization of work nursing documents can not only better reflect the dynamic changes of medical care during hospitalization, but also provide an important basis for medical care diagnosis and an important legal certificate for medical care behavior. Our department takes strengthening the legal awareness of nursing staff and improving the writing quality of medical documents as the key work. Organize nurses to participate in the training of nursing document writing norms, and constantly strengthen the significance of regular writing of nursing documents, so that each nurse can correct his writing attitude and strengthen supervision and inspection. Check the previous records for errors in each shift, check and check the final quality of the discharged medical records regularly and irregularly, and correct the problems in time. Analyze the quality of nursing documents every month, put forward rectification measures for existing problems, and continuously monitor them, focusing on helping nurses with poor sense of responsibility and scrawled handwriting. The qualified rate of discharged medical records and nursing documents reached 98% this year.
3, strengthen etiquette training, improve the level of humanized service. Generous and decent behavior can bring good mood to patients. When organizing nurses to carry out etiquette training, the department requires nurses to behave gracefully, be dignified and generous, move lightly, dress neatly, communicate with patients with a smile and be kind, so as to combine the external image of nurses with their internal cultivation. There are many elderly patients with femoral fractures in our department this year, and life care is the most basic demand of elderly patients. Therefore, our department regards life care of patients as an important part of nursing work, and nurses take the initiative to help patients turn over and pat their backs, so that patients can get comprehensive, timely and satisfactory care. The patient praised the nurse for "superb technology and first-class service". After strengthening humanized nursing education, nurses' service concept has changed, overcoming the shortcomings of carelessness, carelessness and recklessness, and having a stronger sense of active service. It also makes the theme of "three good and one satisfaction" better reflected in the process of serving patients.
Second, strict rules and regulations, pay special attention to nursing quality and safety management.
Nurses carry out safety awareness education every week, find out unsafe factors in their work, put forward rectification measures to solve problems, eliminate errors and hidden dangers of accidents, conscientiously implement various nursing rules and regulations and operating procedures, and regularly and irregularly implement various nursing systems. The fundamental guarantee to ensure medical safety.
1, define the post responsibility system and nursing work system, such as nurses on duty and visiting nurses, and be familiar with their own work contents and responsibilities. Instruct the responsible nurses to fully perform the duties of observing the patient's condition, treating and nursing, basic nursing and health guidance. Put an end to the bad phenomena of patients changing their own infusion bottles, pulling out their own needles, failing to take oral drugs and failing to provide health education. 2, adhere to the check system. (1) asked BANCHA to check the doctor's advice and always check the records 1-2 times a week; (2) Nursing operation requires three checks and seven pairs; (3) Insist on filling in the infusion card.
3. Seriously implement the routine of orthopedic care, insist on filling in all kinds of information and data registers, and standardize all kinds of signs and labels commonly used in nursing (such as bedside cards, lists, infusion cards, oxygen labels, item labels, etc. ), strengthen the management of drugs in the ward, especially the management of toxic drugs and dangerous drugs, and strengthen the management of details during the operation.
4, adhere to the bedside shift system and morning care, to prevent the occurrence of complications. According to the characteristics of the department, standardize the key points, time requirements, content and process of nursing bedside shift. The connotation quality of bedside shift change is improved, and the patient's condition observation is continuous.
5. Strictly implement the disinfection and isolation system in the ward. Insist on daily ultraviolet disinfection of the treatment room and dressing room of the ward, timely destroy the disposable articles after use, concentrate on soaking, and conduct regular inspection and supervision. Regularly check the concentration of all kinds of disinfectant, and insist on wet sweeping in one bed, one middle school and one morning. During the resignation of the hygienist in our department, the ward hygiene improved, and there was only one hygienist. Patients have a comfortable and clean medical environment.
Third, give full play to our special advantages and serve the soldiers without discount.
Although the hospital has been downgraded to a clinical department, the quality service provided to soldiers has not changed. With the needs of national defense construction in the new era, the tasks of foreign training and field training are numerous and arduous, and accidental injuries of officers and men are inevitable. We can't let the soldiers bleed, sweat and cry. Under the leadership of academic leaders, the Third Department of Surgery has truly implemented the service concept of "soldiers first, grass-roots first" to every hospitalized soldier. At the same time, further deepen the connotation of nursing service and provide personalized and humanized nursing service for military patients. Nurses should be patient, meticulous, gentle and considerate according to the differences of patients' age, gender and knowledge level, so as to increase patients' trust and make them actively cooperate with the treatment. Feedback patients' opinions regularly. There is an opinion book in the military ward. If the patient has any difficulties, opinions and suggestions, write them down in the notebook, communicate with each other, coordinate with each other and help solve them. Patients can talk with medical staff, express their views and enhance understanding. Nurses can know patients' dissatisfaction in time, make corresponding improvements as soon as possible, gain patients' trust, understanding and support, and meet the needs of officers and men. Through the investigation of nursing satisfaction, aiming at the problems existing in nursing work, measures are formulated to serve the officers and men of the army wholeheartedly.
Fourth, self-examination and self-correction find problems and find measures to solve them.
Our department has done a lot of work in improving nursing skills and implementing quality service activities, but there is still a gap with the requirements of superior leaders and the satisfaction of patients. The main problems found in this year are:
1, basic nursing is not in place, professional skills are not exquisite, and there are serious mistakes in catheterization operation, which causes strong dissatisfaction among patients.
2. There are some defects in the writing of nursing documents, such as missing items, missing records and lack of continuity in content.
3. Ward management needs to be improved, and patients bring more items.
4. Careless health education. Nurses are only busy with various treatments and nursing operations at work, ignoring detailed health guidance for patients. They believe that once health guidance is completed, health education lacks dynamic continuity. In the past 20__ years, on the basis of continuing to pay special attention to the quality of nursing and improving the professional and technical level of nursing staff, we have taken quality nursing service as the core, innovated management methods and continuously improved social satisfaction. The nursing work plan for 20__ years is as follows:
First, strengthen nursing safety management, improve nursing risk prevention measures, strengthen risk management in key links, effectively avoid nursing risks, and provide patients with high-quality, safe and orderly nursing services.
Second, the management of key employees, such as intern nurses and new nurses, should be educated in legal awareness to improve their awareness and ability to resist risks, so that students can clearly care for patients only under the guidance or supervision of teaching teachers. At the same time, nurses with clinical experience, strong sense of responsibility and nurse qualifications are employed as teaching teachers to cultivate students' communication skills and clinical operation skills.
Third, further standardize the writing of nursing documents, reduce potential safety hazards, pay attention to the problems existing in nursing documents at this stage, and make records "objective, true, accurate, timely and complete" to avoid irregular writing, such as typos, unclear alterations, inconsistencies with doctors' records, etc., so as to standardize and standardize nursing documents.
Fourth, take patients as the center, advocate humanized service, strengthen communication between nurses and patients, and take the initiative to do health education for discharged patients. Improve patient satisfaction and avoid nursing disputes.
Five, based on the basic theoretical knowledge, specialized theoretical knowledge and hospital infection knowledge, strengthen the "three basics" training plan to improve the overall quality of nursing staff.
Nurse's medical ethics experience II
How time flies! I have been in _ _ hospital for almost two years, a nurse who saves lives. Under the correct leadership of hospital leaders, department directors and head nurses, I adhere to the "patient-centered" clinical service concept, carry forward the spirit of saving lives, and devote myself to study and work with serious and rigorous attitude and positive enthusiasm. Although there are tears of success and bitterness of failure, the increasingly fierce social competition has made me fully realize the importance of becoming a comprehensive nurse. In practical study and medical nursing work, it has been widely praised by patients and recognized by leaders at all levels and head nurses. Successfully completed the task of _ _ years. The specific work experience is as follows:
First, actively and conscientiously study the professional knowledge of nurses, have a correct working attitude, be serious and responsible, and establish a correct outlook on life and values. In the process of medical nursing practice, obey orders and commands. Can strictly abide by the rules and regulations of the hospital, abide by medical ethics norms, and standardize operations. Can actively participate in various activities organized by hospitals and departments, respect leaders and unite colleagues.
2. Professional knowledge and working ability: With the goal of "doing better", we have cultivated innovative consciousness and successfully completed the following duties: assisting the head nurse in ward management and sorting out medical documents. Seriously receive every patient, treat every patient as his friends and relatives, and always put yourself in others' shoes. Do a good job in writing medical documents, learn the writing norms of departmental documents, and write general nursing records and rescue records. Abide by the rules and regulations and keep in mind the three basics (basic theory, basic knowledge and basic skills) and three strictness (serious attitude, strict requirements and strict methods). In order to improve the theoretical and operational level of each nurse, the nursing department conducts theoretical and operational examinations every month, setting high standards for their work. Work attitude should be correct. "Doctors' parents want all patients to recover as soon as possible, so every time I enter the ward, I spare no effort to encourage them, patiently help them understand the disease and establish confidence in overcoming it. I felt very happy when I saw the patient recover.
Third, in life: I have developed good living habits, a full and organized life, a rigorous attitude towards life, and a good attitude and style of life. I am warm and generous, honest and trustworthy, ready to help others, have my own good accident principles, and can live in harmony with colleagues; Take an active part in all kinds of extracurricular activities, so as to constantly enrich your experience.
Future goals:
I am determined to further invigorate my spirit, strengthen the transformation of my personal world outlook, and strive to overcome my own problems, so as to:
(1) Do a good job in theoretical study and maintain political firmness.
(2) Under the care and guidance of the hospital leaders and department directors, successfully complete the medical and nursing tasks, earnestly perform their duties, and love their jobs.
(3) Take the department as the home, work actively, treat patients with enthusiasm and patience, and meet patients' needs. Nursing is an ordinary job, however, we use sincere love to heal the trauma of patients' hearts and ignite the courage of patients to overcome diseases with fire-like enthusiasm.
Work plan for 20__ years:
1. Seriously abide by the relevant rules and regulations of hospitals and departments, and don't be late or leave early.
2. Seriously do the work and tasks assigned to me by the leaders.
3. Emancipate your mind, make suggestions for the development of the department, and do your best to create more benefits for the department.
4. Strengthen communication and cooperation with doctors in charge, patients and their families, strive to build a modern and scientific doctor-patient model, and properly handle the doctor-patient relationship.
5. Strengthen the study of professional knowledge, strive to improve their professional skills, and provide patients with more effective and better services.
6. Assist colleagues to do a good job in the department, so as to have clear job responsibilities, share resources, unite and help each other, and create a good environment, excellent service and superior performance in the department.
Nursing is a noble and great cause, and I am proud to be a member of the team of nurses. In the future work, I will redouble my efforts to make my due contribution to the development of the department! In the next 20__ years, I will try to correct my shortcomings and deficiencies, do my job well, and be responsible for patients and work. I will also be strict with myself in my life. I believe I can do it. Please lead and supervise!
Nurse's medical ethics experience III
Since its establishment in May, the ICU of Neurology Department, under the leadership of the director of nursing department and department director, has successfully completed the nursing work of critically ill patients and various tasks assigned by superiors. No nursing complications and nursing errors occurred. * * * admitted critically ill patients 150, cooperated with patients 140, accepted more than 65,438 intern nurses and 24 ICU nurses. Now, the analysis of the work in 20__ years is as follows:
I. Ward management
Responsible for the political and ideological work of nurses in this area, adhere to the leadership of the party, educate nurses to enhance their sense of responsibility, improve their service attitude and abide by labor discipline. Strictly control personnel to enter, keep the room clean and quiet, and do a good job of disinfection and isolation. Check the fixed-point positioning, quantitative placement, regular maintenance and regular disinfection of all kinds of first-aid drugs and instruments, and designate special personnel to keep them and replenish them in time.
Second, carry out business training and learning.
According to the corresponding level of nurses, hierarchical management is implemented and corresponding training plans are formulated. Organize nurses to use monitors, ventilators, blood gas analyzers and other instruments and master them skillfully. Strengthen the "three basics and three strictness" training, organize all nursing staff to carry out business study, technical training and assessment every month, organize nursing rounds and nursing consultations in the region, actively carry out new business and nursing research work, and achieve good results in enteral nutrition care for patients with severe stroke. Department nurses continue to strengthen their self-cultivation and improve their professional level through night school, self-study examination and continuing education.
Third, the teaching of interns
Combine theory with practice, do a good job in teaching, assign experienced undergraduate nurses to teach, supervise and guide nursing students to carry out every technical operation, hold a special lecture every two weeks, organize nursing rounds for nursing students, and ask questions twice a week in the morning. Teachers adopt different teaching models for nursing students from different starting points.
Four, master undergraduate course room emergency care plan
Use the morning meeting time to lead nurses to learn, and then use questions to urge nurses to master. For example, the emergency plan and procedures for patients who accidentally use the ventilator to get rid of the tube after tracheotomy can effectively prevent nursing accidents of patients who use the ventilator.
Five, the rescue and nursing of critically ill patients
The patients in our department are all seriously ill, so the rescue and nursing work has become busy and tense. Whether the rescue work is timely or not is directly related to the life safety of patients. The medical staff in our department can unite and cooperate. Every nurse can skillfully cooperate with doctors to carry out various rescue measures, such as artificial respiration airbag, ventilator, ECG monitoring, defibrillator application, chest compression and so on. Give careful care to every critically ill patient.
Six, cadre health care
Since its opening, * * * has rescued the health care target of nursing cadres 10 person-times, which has been praised by leaders for many times.
Seven, the establishment of nurses' scheduling willingness and the implementation of APN scheduling have reduced the number of scheduling and effectively ensured the quality and safety of nursing.
20-year ICU nursing work plan in neurology department
Looking back on the past year, each of our nurses completed their work with a serious attitude, a high sense of responsibility and a rigorous and realistic work style. Although great achievements have been made, there are still shortcomings, and the following nursing work needs to be further improved and strengthened:
(1) Continue to carry out high-quality nursing service, improve service attitude, better serve patients, implement performance appraisal and hierarchical management, and improve nurses' enthusiasm.
(2) Strengthen ward management and find hidden dangers in time. It is forbidden to use household appliances in the ward to prevent accidents such as fire caused by short circuit and abnormal use of rescue equipment.
(3) Strengthen safety awareness and safety education. Organize nursing staff to study regularly and improve professional ethics. Young nurses working alone must have qualification certificates. Strengthen the study and assessment of young nurses' professional business and skills. Strengthen safety knowledge education, be rigorous and realistic in work, and put an end to nursing mistakes and accidents.
(4) Strengthen the management of first-aid drugs and instruments. Rescue drugs and instruments should be managed by special personnel, and checked, repaired and maintained regularly. Rescue drugs should be replenished in time after use, and rescue equipment should be repaired by special personnel in time when problems are found. Strictly implement the handover system, and count items during handover to prevent loss or damage.
(5) Actively carry out scientific research and write papers. Improve the technical level of specialized nursing. (6) Actively prepare for the "top three" review of the Ministry of Health.
In the new year, all nurses in ICU of neurology department learn from the previous year's experience, find out the shortcomings, actively improve and strive to do all kinds of nursing work better.
Our department has some shortcomings:
1, there are many young nurses with weak professional ability. Strengthen professional knowledge training and skill assessment to improve the professional level of nurses.
2. This is the first time to receive the training of professional nurses in the province, and there are many shortcomings. We are studying and discussing our experience, and hope to complete the training task better next year.
Nurse's medical ethics experience 4 pages
It has been half a year since I entered a hospital in __x city and became an orthopedic nurse. Since graduation, I have been devoted to my study and work with rigorous attitude and positive enthusiasm, with both the joy of success and the bitterness of failure. After clinical contact, I found that I should not only have a solid theory, skilled clinical operation and good professional ethics, but also cultivate my patience and love. The six-month use period is coming to an end, but I will be more strict with myself.
Highly motivated ideologically, brave in criticism and self-criticism, and established a correct outlook on life and values. Can strictly abide by the rules and regulations of the hospital, actively participate in various activities organized by hospitals and departments, respect leaders and unite colleagues.
I am strict with myself in my study. With a strong pursuit of the goal and knowledge of becoming an excellent angels in white, I studied hard, studied hard, had a correct attitude and a clear goal, basically mastered some professional knowledge and operational skills, mastered specialist knowledge and various specialist nursing operations, and integrated theory with practice. In addition to learning professional knowledge, we also pay attention to the expansion of all aspects of knowledge, extensively dabble in other disciplines, and improve ideological and cultural quality.
Actively cooperate with superiors and colleagues at work, correctly implement the doctor's advice and various nursing technical operating procedures, do a good job in basic nursing, and strictly implement aseptic operation and the system of three checks and seven pairs. Find problems, report them in time and solve them in time. I can integrate theory with practice in my work, and I can consult the head nurse and senior teachers in time if I don't understand any questions, so as to improve my professional level. Treat patients with civility and courtesy, behave in a civilized and kind manner, be anxious about patients' worries and think about patients' thoughts. Actively communicate with patients, timely understand the psychological dynamics of patients, so that patients can receive better treatment and do a good job in health education.
Nurse's medical ethics experience 5 pages
First, in the ideological and political aspects: actively support hospital policies and rules and regulations, abide by medical ethics and operating norms, adhere to patient-centered, strictly meet the standards of an excellent qualified nurse, adhere to quality as the core, take patient satisfaction as the standard, and firmly establish team spirit.
2. Work-study program: study hard for professional knowledge and overcome business deficiencies. Actively participate in the rescue work of this department. Since the beginning of this year, a * * * has participated in about 5 rescue cases; Actively promote high-quality nursing service, do basic nursing well, take the lead and actively participate in it, such as washing hair, cutting nails and taking a bath for patients. And don't rely on students and interns in everything, and don't put on a condescending posture, which can play a leading role. Actively learn new technologies and new businesses. As a senior nurse, she strictly implements various operating procedures in her work, abides by the rules and regulations of hospital departments, always pays attention to maintaining the concept of sterility, treats her work seriously and meticulously, works overtime, establishes a high sense of collective responsibility and honor, unites comrades, can overcome various difficulties, and puts work first in everything. I try my best to do a good job in teaching and train new nurses for the department. In my opinion, to be a good nurse, one must be caring and enterprising, be able to engage in nursing professional work with peace of mind, have a correct outlook on life and values, and have good moral character. Therefore, I pay attention to the cultivation of freshmen's ideological quality in teaching, and then carry out pre-job professional ethics education, rules and regulations, and nurse behavior standard education.
And basic nursing knowledge, professional knowledge and nursing technical operation training. This year, three new students were taught. In daily nursing work, we not only strictly demand ourselves, but also actively find and solve the problems existing in nursing work, and even more strictly demand young nurses to promote their growth. Actively participate in the training and assessment of nurses' operation organized by the department: intravenous infusion, cardiopulmonary resuscitation, intravenous infusion and aseptic operation; Writing nursing papers 1 article throughout the year, published in journal of nursing administration.
Third, there are problems.
1. Occasionally, the operation is not standardized and the concept of sterility is not strong.
2, the work is full of the status quo, not active enough.
Fourth, the development direction:
(1) Do a good job in theoretical study.
(2) Under the care and guidance of the hospital leaders and department directors, successfully complete the medical and nursing tasks, earnestly perform their duties, love their jobs, and actively write papers.
(3) Take the department as the home, work actively, treat patients with enthusiasm and patience, and meet patients' needs.
Nursing is an ordinary job, however, we use sincere love to heal the trauma of patients' hearts and ignite the courage of patients to overcome diseases with fire-like enthusiasm.
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