1 20xx Summary of Nurses' Work in Respiratory Medicine Under the care and support of hospital leaders and nursing departments, under the leadership of department directors, all nurses in our department follow the principle of "patient-centered, improving the quality of medical services", and around the nursing management objectives and work plans formulated at the beginning of the year, the nursing work in all departments is coordinated, proactive, not afraid of hardship and fatigue, and has established a high sense of professionalism and responsibility. Focusing on the work of nursing center, seeking truth from facts, working hard, carrying out all kinds of nursing work and strictly grasping the implementation of all plans have successfully completed all the tasks of our department and ensured the steady progress of our work.
First, pay attention to learning. At least every month, organize general nursing staff to take 1-2 business study and examination to learn laws and regulations, medical ethics norms, core systems, Li Xiuhua's three basics, 500 nursing problems and 24-hour medical channels. Standardize the behavior of each nurse, gfd and civilized language norms. Ask for patients' opinions and suggestions in various forms every month, collect patients' satisfaction with nurses, rectify the problems existing in the investigation and the suggestions put forward by patients, and effectively improve patients' satisfaction. Establish the concept of "everything serves patients" in daily work. Strengthen the communication between doctors and patients, constantly standardize their words and deeds, constantly improve their ideological and moral cultivation, strengthen nursing services, and build a nursing unit with honest service. Adhere to the principle of "safety, effectiveness, convenience and low price" and give priority to safeguarding the interests of the masses and building a harmonious nurse-patient relationship. Over the past year, the nursing work of this department has been insisting on the implementation of honest service for patients, attracting a large number of patients to seek medical treatment, obviously increasing the number of inpatients and the satisfaction of patients, which has been well received by the majority of patients and their families.
Second, seriously implement the rules and regulations. Under the guidance of the nursing department, our department further standardized the responsibilities of each class, and each class was responsible for its own duties, putting an end to the past phenomenon that you waited for me to rely on. Any class that had problems could be traced back to people in time, effectively improving everyone's sense of responsibility. All nursing staff can consciously abide by the rules and regulations of hospitals and departments and labor discipline, so as to stress style in minor matters, principle in major matters, avoid unprincipled disputes, support each other in their work, understand each other, have a clear division of labor, be United and pragmatic, overcome the difficulties of fewer personnel and heavy tasks, and ensure the normal development of nursing work. Strict three-check and eight-check system, insisting that the main class is responsible for checking the doctor's orders every day, no matter how busy or late, seriously check them, which obviously reduces the serious accidents caused by the wrong execution of the doctor's orders. Conscientiously implement the shift handover system to achieve seamless shift handover, including written, oral and bedside shift handover. Especially the nursing of critically ill patients, and improve the nursing quality of critically ill patients. This year, our department rescued critical patients 15 cases, with a success rate of 86. 7%。 At the same time, we have strengthened the inspection system of nursing operation, and checked it at least twice before each operation, thus putting an end to the phenomenon of prescribing the wrong medicine to patients.
Third, pay attention to service details and improve patient satisfaction. Adhere to the purpose of patient-centered, quality-centered, providing quality services for patients, strengthen the construction of medical ethics, implement the code of conduct, and require smiling service and civilized language in daily work. Pay attention to the quality of nursing service, actively seek the opinions of patients and their families, meet the requirements of patients and their families to the greatest extent, and put forward rectification measures for existing problems.
Fourth, in terms of business work, this is the main source of departmental work. The whole department is overworked and understaffed. This department has a heavy workload. In order to complete the daily work and give consideration to the quality of service, all nursing staff can be full of energy, concentrate all their energy on their work and sacrifice their leisure time such as rest and holidays, so that all the work can be completed smoothly. 20xx 165438+1October 26th-20xx165438+1October 25th, our department * * * admitted patients 1077 people, with a total income of about 3680/kloc-. At the same time, the general nursing staff consciously worked overtime under the leadership of the head nurse, and worked in the ward all day in strict accordance with the core system of "three investigations and eight equivalents". They have no regrets, regardless of personal gains and losses, successfully completed various medical tasks and won the praise of hospitalized patients more than once. The management of first-aid drugs and commonly used spare drugs has been strengthened, with classified placement, clearly marked prices, special custody and weekly cleaning and inspection to ensure that they are not expired and do not mix, thus ensuring the safety of drug use.
Five, medical safety and quality, medical quality and safety is the top priority of the department's work, a little carelessness may lead to a big mistake, in many years of medical practice, the average nurse has a feeling of touching the skin, in order to put an end to any possible mistakes, we usually strictly take the core system as the criterion to restrain everyone's behavior, and at the same time the department also formulates corresponding rules and regulations to strengthen the management of medical quality and safety. Pay attention to the construction of talent team, adhere to the study of professional knowledge, constantly broaden the knowledge of nursing staff, and send medical staff to study in the province for further study. Use the weekly morning meeting to organize nursing staff to study the relevant documents of the hospital, and check and correct themselves according to the standards. Organize nursing rounds and business study once a month, invite everyone to participate in preparing lessons and giving lectures, and sometimes ask questions at morning meetings, which effectively improves the learning enthusiasm of nurses. Organize general nurses to learn the knowledge of nursing core system and related laws and regulations, and actively participate in theoretical examinations organized by hospitals. Focus on training new nurses in basic theoretical knowledge, technical operation, specialized knowledge and writing norms of nursing medical records.
Summary of work of nurses in respiratory medicine II. The work is summarized as follows:
First, seriously implement the rules and regulations. Strict implementation of various rules and regulations is the fundamental guarantee to improve nursing quality and ensure medical safety.
1, the nursing department reiterated the responsibilities of nursing staff at all levels, clarified the post responsibility system and nursing work system for nurses on duty and visiting nurses, and put an end to the bad phenomenon of patients changing infusion bottles and pulling needles by themselves.
2, adhere to the inspection system:
(1) asked the class to check the doctor's advice, and the head nurse participated in the total check 1-2 times a week, and recorded it.
(2) Nursing operation requires three checks and seven pairs.
(3) Insist on filling in the infusion card, and no major nursing mistakes have occurred in the past year.
3, conscientiously implement the respiratory medicine nursing routine and microsurgery nursing routine, adhere to fill in all kinds of information and data register, equipped with five kinds of surgical disposal tray.
4, adhere to the bedside shift system and morning care, to prevent the occurrence of complications.
Second, improve the management level of head nurses.
1. Adhere to the record and assessment of the head nurse's handbook: require the head nurse's handbook to be submitted to the nursing department for assessment before the 5th day of each month, and supervise the implementation according to the annual plan, seasonal arrangement and monthly plan formulated by the head nurse, and monitor the implementation effect, and require the head nurse to summarize the monthly work so as to sum up experience and carry out the work.
2. Adhere to the regular meeting system of head nurses: according to the requirements of grade hospitals, hold a regular meeting of head nurses once a week, with the contents as follows: arrange the focus of this week's work, summarize the advantages and disadvantages of last week's work, put forward corresponding rectification measures, feed back the nursing quality control inspection to the head nurses, and learn the relevant materials of head nurses' management.
3, check the quality of nursing every month, and timely feedback, and constantly improve the management level of the head nurse.
4. Organize head nurses to study abroad, learn from the advanced experience of brother units, and expand their knowledge: at the end of May, head nurses from three wards were selected to participate in the new international nursing progress class, and reported to all nurses after the study.
Third, strengthen the construction of medical ethics of nursing staff.
1, continue to implement the code of conduct for nurses and implement the civilized language of nurses in daily work.
2. Organize all nurses to attend xx etiquette training in June and 165438+ 10 respectively.
3. Continue to carry out health education and issue satisfaction questionnaires to inpatients. The results of satisfaction surveys (regular or irregular evaluations) are all above 95%. In addition, corrective measures were put forward for the problems existing in the satisfaction survey, and the best nurses were selected.
4, the department held a symposium on a regular basis every month, solicit opinions from patients, to meet the demands of patients to the maximum extent.
5. Carry out pre-job professional ethics education, rules and regulations, nurse code of conduct education and basic nursing knowledge, specialist knowledge and nursing technology operation assessment for newly assigned nurses, and those who pass the examination will be given posts.
Fourth, improve the professional quality of nursing staff.
1. Conduct "three basics" training for on-the-job personnel and organize theoretical examinations.
2, cooperate with the medical department, hire experts to teach, teach respiratory medicine knowledge, in order to improve professional knowledge.
3. Each department asks questions 1-2 times a week in the morning, and the content is basic theoretical knowledge and orthopedic knowledge.
4. Women's Day held a nursing technical operation competition (aseptic operation), and the first prize (xx), the second prize (xx, xx) and the third prize (xx) were selected and rewarded respectively.
5.6.5438+the beginning of February, the nursing department carried out nursing technical operation assessment on nurses in the whole hospital: ward nurses' assessment: intravenous infusion and oxygen inhalation; Examination of nurses in emergency room: cardiopulmonary resuscitation, oxygen inhalation and gastric lavage; Examination of nurses in operating room: intravenous infusion and aseptic operation.
6, strengthen the nursing of critically ill patients, adhere to the bedside succession system and morning care.
7. Insist on nursing rounds: conduct nursing rounds in three wards in turn every month to discuss nursing diagnosis and nursing measures to improve professional quality.
8.165438+1October 9-June, 9 nurses who entered the hospital this year were given pre-job training on basic nursing and specialized nursing knowledge, and each head nurse was organized to have a class to improve their teaching ability.
9. There are 5 nurses in the whole hospital who take the self-taught examination for nursing specialty and 3 nurses who take the correspondence course for nursing specialty.
Five, strengthen the management of hospital infection.
1, strictly implement the disinfection and isolation system formulated by the hospital management leading group.
2. Each department insists on monthly air culture in the ward treatment room and dressing room, and secondary air culture in summer in high-risk departments such as operating room and outpatient operating room, which ensures the good effect of aseptic incision without infection.
3. The department insists on ultraviolet disinfection of the treatment room and locker room every month, and make records. The ultraviolet lamp tube is dusted with anhydrous alcohol every week, and recorded, and the ultraviolet intensity is monitored every two months.
4. After the disposable articles are used, all wards, operating rooms and emergency rooms can be damaged, soaked, concentrated and inspected regularly. Regularly detect and check the concentration of various disinfectants, and insist on one bed, one middle school, one morning and one wet sweep.
5. The treatment room and dressing room in each ward can insist on mopping the floor with disinfectant (1: 400 disinfectant) twice a day, and regularly mop the floor with disinfectant (1: 400 disinfectant) in the ward for final disinfection (clean the bedside table and wipe it with disinfectant).
6, operating room, strict implementation of hospital dyeing management requirements, aseptic package with chemical indicators.
7. The supply room has established a disinfection project monitoring record book, and regularly monitors each disinfection project.
Six, nursing staff to better complete the nursing work.
1, adhere to the patient-centered, quality-centered, and provide quality services for patients, and carry out patient-centered health education in depth. Through the distribution of health education manuals and the words and deeds of nurses, patients are familiar with the knowledge of disease prevention, rehabilitation and related medical care, nursing and self-care.
In February and August, the holistic nursing mode was carried out in the third ward. Nurses in the third ward not only teach patients knowledge of disease prevention and rehabilitation, but also go deep into the ward to talk with patients.
3. 2357 cases were hospitalized, 25 cases were observed/kloc-0, and 2380 cases were operated in operating room. Emergency nurses provide full service for emergency patients, including escorting patients to take photos, doing B-ultrasound, doing electrocardiogram, accompanying patients to go through admission procedures, and sending them to the operating room. There are fixed nurses on duty and visiting nurses in all three wards, so that patients can get thoughtful service.
4. The nursing staff of the whole hospital wrote 30 nursing papers, one of which participated in the xx national academic exchange of respiratory medicine nursing.
Seven. existing problems
1, the quality of individual nurses is not high, and the concept of sterility is not strong.
2. Holistic nursing is still in the exploratory stage, and nursing writing is not standardized.
3, due to the shortage of nursing staff, basic nursing is not in place, such as first-class nursing patients can not get the service of first-class nurses, second only to daily work.
Summary of the work of nurses in respiratory medicine 3 Time flies, and the end of the year will come in a blink of an eye. Looking back on my work as a head nurse in the past year, I have many feelings in my heart. The work since 20 19 is summarized as follows:
First, strict management and effective coordination
Over the past year, under the leadership of the nursing department and the director of the department, we have been strict with ourselves from all aspects, taken the lead in doing well the work of the department, especially the nursing work, boldly managed, and conscientiously implemented the work system of the hospital and the department, ensuring the steady progress of the work of the department. Actively cooperate with the director to do a good job in medical coordination and guide everyone to do a good job in medical communication; Find and solve some frictions and contradictions in time, enhance the cohesion of the department, and make the Chinese medicine department a warm family; Let doctors and nurses work in a state of physical and mental pleasure, and also create a warm and harmonious hospitalization environment for patients.
Second, pay close attention to nursing business training
As a comprehensive department combining traditional Chinese and western medicine, our respiratory medicine department is faced with many miscellaneous diseases, many intractable diseases and weak nursing specialty. Correspondingly, among the 12 nurses in respiratory medicine, only one graduated from the nursing college of integrated traditional Chinese and western medicine, and the rest graduated from the nursing major of western medicine, and only learned the basic knowledge of Chinese medicine at school; With the continuous development of the training of "specialist nurses" in western medicine, the characteristics and advantages of specialist nurses are becoming more and more obvious. Traditional Chinese medicine nurses have no specific professional knowledge and development direction, which affects the enthusiasm of this group and the stability of the team to a certain extent, and also has a negative impact on the quality of nursing work in wards.
In view of this reality, I decided decisively: start from me and train all the staff. By combining business lectures and business rounds, the directors and doctors are mobilized to participate in the training of common diseases in internal medicine, including respiration, circulation, digestion and nervous system, and the basic knowledge and common skills of traditional Chinese medicine are systematically trained. After a year of systematic training, the assessment results show that nurses have a comprehensive understanding of the common diseases in the above systems, which not only improves their professional and technical level, but also greatly enhances their confidence in the development of themselves and their departments. Since then, I have adopted the daily strengthening method, constantly combined with the existing cases in the ward to strengthen the trained knowledge, and finally built a nursing team with excellent skills and Chinese medicine characteristics.
Third, try cultural management and strive to make characteristics.
Years of experience as a head nurse have made me deeply realize that it is important for a team to standardize its behavior, but it is more important to change its thinking and sublimate its inner world, so that the external cause of "head nurse management" can play a role through the internal cause of "personal quality" of nurses. To this end, I have taken a series of measures: on the nurses' shift schedule, I will send them a life and workplace sentiment every week; Hold a small blackboard newspaper of "Angel Heart Talk"; Use the morning meeting to tell them some inspirational, philosophical and other short stories to arouse their thinking about life and career. In a subtle way, the humanistic quality of our respiratory nurses has been greatly improved. Finally, a virtuous chain of "I use humanistic knowledge to change nurses-nurses manage themselves effectively-improve the quality of nursing work" was created. In recent years, not only the construction of nursing culture in respiratory department has flourished, but also all work objectives have been successfully completed. In the previous provincial and municipal inspections, our Chinese medicine department was famous for its charging standards, and every time we welcomed the charging inspection, we did not lose a point to the hospital. The health education and nursing service of respiratory medicine have been affirmed and praised by the participating experts in the evaluation and inspection of professional ethics.
Fourth, pay attention to service details and improve patient satisfaction.
For example, in terms of health education for patients, most departments rely solely on oral education by nurses, but through long-term observation, I found a drawback: nurses talk less, the content is incomplete, and they talk more, because time is limited, they can speak quickly and have no focus, so that patients can't remember at all. To this end, I made an outline of the content of admission education as the content of oral education for nurses, and input the details into the computer. After the general education, the nurses sent detailed information to the patients, which played a very good role. Similarly, there are "propaganda of nasal feeding knowledge", "retention method of sputum culture specimens" and "precautions for retention of urine culture specimens". This kind of oral and written publicity not only helps patients to master it, but also saves nurses a lot of time, so it is well received by everyone.
Five, continuous learning and summary, improve their own quality.
As the saying goes, it takes hard work to strike while the iron is hot. While doing a good job in nursing management in departments, we should persist in learning new knowledge, constantly sum up clinical nursing experience and improve our comprehensive quality. I took the psychological counselor exam in xx, hoping to get the third-level psychological counselor certificate in August. Over the past year, he has published 3 academic papers and 1 poem/kloc-0 in national and provincial magazines, and 2 papers in the journal of our college.
Shortcomings and efforts of intransitive verbs
Facing my patients and my department, I can frankly say that I have been working hard for you! However, facing myself, I know there are still many shortcomings in my work. For example, scientific research is an important driving force for the progress and development of nursing work, but the nursing scientific research projects in our respiratory department are still blank; For another example, sometimes, the requirements are too strict, and I have even seen the tears and helplessness of nurses. Therefore, looking forward to the future, I am full of confidence in the work of head nurses in the new year. As a head nurse, my efforts are:
1, strive for a breakthrough in nursing scientific research.
2. Combine leniency with severity to make your management style more mature.
Summary of the work of nurses in respiratory medicine 4 At the end of this year, when the New Year is coming, I made the following summary of my work as head nurse in respiratory medicine this year:
1, under the leadership of the director and the nursing department, fully responsible for the administration and nursing quality management of the respiratory nursing department.
2, according to the requirements of the quality management of nursing department, responsible for making nursing work plan and organizing its implementation, regularly or irregularly supervise and inspect the implementation of various rules and regulations, job responsibilities of each class and various nursing technical operation specifications, and summarize and comment in time to continuously improve the quality of nursing.
3. According to the task of the hospital and the specific situation of respiratory nurses, optimize the combination of nursing forces, conduct scientific and reasonable scheduling, and formulate the post responsibilities of each class.
4. Organize business study and professional skills training, ask questions regularly or take other forms of assessment, and do a good job in reward and punishment assessment.
5. Supervise subordinates to strictly carry out disinfection, isolation and aseptic operation, regularly cultivate bacteria in the air, articles and staff hands in the aseptic area of the operating room as planned and required, and identify the disinfection effect.
6, timely convey the job requirements of the nursing department, supervise and guide the delivery room work, presided over the morning meeting, understand the night shift work, and do not regularly check the night shift and holiday work.
7, to participate in and organize the rescue work of critically ill patients and the discussion of difficult critical cases, to understand the requirements of doctors at all levels for nursing work.
8, do a good job in the management of ward all kinds of items, equipment and first aid supplies, appoint someone who's in charge, ensure the supply and regular inspection, and make records.
9, coordinate the working relationship between undergraduate course staff and doctors, ground crew and other department staff, communicate with each other, get support and cooperation in time.
10, make monthly business statistics, and fill in and check the statements accurately. Major problems in the work should be analyzed, discovered and summarized in time, and effective preventive measures should be put forward.