Work Summary of Physical Examination Center (1)
Material preparation: medical records, sphygmomanometer, stethoscope, tape measure, tongue depressor, pen and notebook on the patient rounds.
The patient takes supine position, and the physical examiner stands on the right side of the patient, greeting the patient, introducing himself, telling the matters needing attention in physical examination, eliminating the patient's nervousness through short communication, and understanding the patient's reaction and speech state.
1. General national examination.
Vital signs: Measure the patient's temperature, pulse, breathing (generally 30 ") and blood pressure, and make records.
Observe the nutritional status of patients: (Observe the subcutaneous fat fullness under the bent forearm or the dorsal side of the upper arm 1/3),
Development and physique: (weak type: tall and muscular, slender neck, drooping scapula, flat chest, upper abdomen angle less than 90.
Super-strength type: strong body, short neck, red face, flat shoulder width, large chest circumference, and the upper abdominal angle is often greater than 90.
Positive force type: the structure of all parts of the body is moderately symmetrical).
Face and expression: (Common typical faces include acute face, chronic face, anemia face, liver disease face, kidney disease face, hyperthyroidism face, myxedema face, mitral valve face, full moon face and dying face)
Posture: (autonomous posture, passive posture, forced posture)
Skin color, humidity, elasticity, presence of rash, desquamation, purpura, spider nevus, edema, subcutaneous nodules, scars, etc.
2. Head: Observe the shape of hair and skull, and check the skull for tenderness, lumps and injuries.
Eyes: Observe whether the eyelids droop and edema. Check the appearance of eyelid conjunctiva, bulbar conjunctiva and eyeball, whether there is protrusion or depression, whether the bilateral pupils are equicircular, and check the light reflection with a flashlight.
Ear: Check the auricle for deformity, nodule or tenderness, and observe for overflow. Nose: Observe the skin and appearance of the nose.
Oral lip: Observe the oral mucosa, teeth and gums with a flashlight and tongue depressor, gently press the gums, and pay attention to whether there is bleeding or pus.
3. Neck: fully expose the neck, observe the skin of the neck and see if the jugular vein bulges. Put the index finger and ring finger on the sternoclavicular joints on both sides respectively, and put the middle finger on the trachea to judge whether there is tracheal displacement.
Chest: fully expose the patient's chest, check the skin, observe whether the breathing action is balanced, regular and symmetrical, the width of intercostal space, and whether there are varicose veins on the chest wall. Press the chest wall and sternum handle on both sides to observe the elasticity and tenderness of the chest. Lung auscultation should be based on the clavicle midline, axillary front line and symmetrical parts of axillary midline, and compare whether there are abnormal changes in breathing sounds on both sides and whether there are dry and wet rales. Ask the patient to take a deep breath if necessary.
5. Back: Ask the client to sit up, expose his back, observe the skin on his back, auscultate the four-point breathing sounds in the scapula area and on both sides of the spine, and check whether there are any dry and wet rales.
Abdomen: instruct the patient to lie flat, take the supine position, fully expose the abdomen, squat down to observe whether the abdominal shape is flat, and check the abdominal skin, respiratory movement, abdominal vein, gastrointestinal peristalsis, etc. Ask the patient to bend his knees and separate slightly, put the whole palm on the upper part of the abdominal wall and feel the tension of the abdominal muscles.
Then perform shallow palpation of the abdomen (generally starting from the left lower abdomen, sliding palpation, and then moving counterclockwise, while observing the patient's reaction and expression. Press Maxwell's point (the junction of umbilical cord and anterior superior iliac crest 1/3) deeply with your fingertips to check whether there is rebound pain. Deep palpation, left hand and right hand overlapping, touching deep organs (the order is the same as shallow palpation).
Liver palpation: the left thumb is placed in the rib, and the other four fingers are placed on the back. Breathe in the right hand and gradually slide to the costal margin, and press it deep into the abdomen when exhaling.
Spleen palpation: Place the left hand on the 7- 10 rib of the patient's left waist, and place the palm of the right hand flat on the abdominal wall, and palpate the liver from the navel to the rib by breathing movement, and if necessary, take the left lateral position for palpation.
Auscultate the abdomen for murmurs and bowel sounds.
Seven. Limbs: check the skin, joint activity, fingers and nails of the upper arm. Compare whether the bilateral radial artery pulses are consistent and whether there are alternating pulses. Ask the patient to take a deep breath and check for strange pulse. Raise the patient's arm above his head, judge the waterless pulse and check the muscle strength of upper limbs.
Check the skin, joint activity and toenails of both lower limbs. Touch and press the anterior medial side of tibia to observe whether there is collapse edema (first left and then right). At the same time, touch the dorsal artery of both feet to check the activity of both lower limbs.
After the physical examination, cover the quilt, thank the patient for his cooperation, and ask the patient about the regularity of defecation, sleep rest, exercise and mental state, including his understanding of the disease.
Work Summary of Physical Examination Center (2)
Free physical examination for the elderly is a significant "popular project" in our town. Since the planning began at the beginning of this year, with the strong support and care of the village committees and the Municipal Health Bureau in the jurisdiction, with the enthusiastic participation and close cooperation of the village doctors in the jurisdiction, and through the hard work of all my colleagues in our hospital for nearly three months, it was successfully completed at the end of 65438+February. The main situation of this work is briefly summarized as follows:
First, the leaders attach importance to it, the organization is strong, and the funds are guaranteed.
Free physical examination for the elderly over 65 years old is a concrete manifestation of conscientiously implementing the spirit of the 18th CPC National Congress in our city, and it is an important event to truly convey the care and warmth of the party and the government to the hearts of the broad masses of the people. In order to do a good job in this physical examination, leaders at all levels from the municipal government and town government to the municipal health bureau, the village committees in the town under their jurisdiction and even the central health center of our town attach great importance to it. Our hospital has held many meetings of all medical staff to study and implement the specific details of this physical examination, and strive to make the whole physical examination work serious, meticulous and perfect.
The hospital also carefully organized the physical examination and set up a leading group for the physical examination, headed by the vice president. The leading group consists of: data group, physical examination group, service group and logistics support group, and each group has a special person in charge.
Second, extensive publicity, in-depth mobilization and awareness raising.
Under the direct leadership of the Municipal Health Bureau, our hospital attaches great importance to this physical examination. During the planning and preparation, people were organized to publicize, encourage and teach 1 in various villages for many times.
Education, explain in detail the importance and necessity of free physical examination for the elderly, increase publicity and mobilization, and encourage the elderly who meet the requirements of physical examination in each village to actively participate in this physical examination. Through extensive publicity and mobilization, both hospital staff and elderly friends in the jurisdiction have greatly improved their ideological understanding, and their enthusiasm for participating in physical examination is generally high. Many comrades consciously help village committees to go deep into the families of the elderly and mobilize them to receive physical examinations.
Third, warm service, careful nursing, to ensure the smooth progress of physical examination.
The physical examination of the elderly must be warm, meticulous and thoughtful in combination with the characteristics of their physical condition. At the beginning of this physical examination, we asked every staff member to do this strictly. In the process of physical examination, we gave meticulous care and care to the elderly. For the old and infirm, we help and take good care of them. Through our warm and thoughtful service, there was no accident in this physical examination, which ensured the smooth completion of the physical examination.
Fourth, the completion of the physical examination work
1. Statistics and analysis of diseases of the elderly after physical examination;
The physical examination of the elderly mainly includes general examination, blood lipid, blood sugar, biochemical indicators, electrocardiogram and so on. Through the statistics and analysis of the physical examination results of all the elderly, we can draw the following conclusions:
(1), except for a few people, the vast majority of the elderly suffer from one disease or another. The elderly patients reached 85%, indicating that the health status of the elderly in our jurisdiction is generally poor;
(2) Judging from the diseases of the elderly, the top three diseases are hypertension and 2.
Diabetes, chronic bronchitis In addition, coronary heart disease, hearing loss, osteoarthrosis and so on. It is also serious;
(3) The elderly lack health, hygiene awareness and medical care knowledge, and their personal hygiene behavior is poor, and their bad living habits are still serious among some elderly people.
2, health assessment and lifestyle guidance:
According to the document requirements of the Municipal Health Bureau, after the physical examination, the health assessment of each physical examination object should be completed in time, and the corresponding lifestyle guidance should be given to different groups of people, and the physical examination results should be fed back in time, prompting those with abnormal physical examination to return to the hospital in time. The propaganda work before the physical examination and the service work during and after the physical examination are relatively solid, and this physical examination is deeply supported and recognized by the masses. Through the feedback of physical examination results and health consultation, the elderly have improved their understanding of the significance of their own health and learned some knowledge of maintaining their own health. At the same time, I deeply feel the concern of the party and the government for their physical and mental health and public health.
Summary of the work of physical examination center Part III
In order to ensure the smooth progress of physical examination for primary and secondary school students in our township, in mid-September, 2000, our hospital issued the objectives and tasks of physical examination for primary and secondary school students in various outpatient clinics, requiring health centers to continue to attach importance to this work and do a good job with tenacious style to ensure the high-quality completion of the objectives and tasks.
I. Basic information
Through the joint efforts of all schools and our hospital, at present, the physical examination of primary and secondary school students in my township has basically ended. By the end of 20_ (10), the total number of junior middle school students in my township was 1232, of which 6 were absent from class and 6 were sick, 12 1238. There are 211primary school students in grade 65438-6, including those who have been ill and those who have undergone physical examination. The cumulative physical examination rate in middle schools is over 98.4%. The cumulative physical examination rate in primary schools is over 99.3%. The physical examination of primary and secondary school students in my township was successfully completed and achieved good social benefits. It has been recognized by the broad masses and won the support of governments at all levels.
According to the health status of students, there are 6 patients in the township, including congenital dementia 1 case and deaf-mute children 1 case, and no cardiovascular and cerebrovascular diseases and infectious cases have been found.
Second, the main practices
In the specific work, our hospital focuses on three links.
The first is to seize the publicity and launch link. In order to do a good job in the physical examination of primary and secondary school students in my township, do practical things and actively play the role of functional management. Our hospital runs schools and rural clinics.
Responsible for the linkage work meeting, put forward specific work objectives and tasks, and unify thinking and understanding. Make active efforts, act quickly, carry out extensive publicity and education and in-depth and meticulous ideological work to ensure that every student has a physical examination.
The second is to grasp the quality link of physical examination. Physical examination of primary and secondary school students is characterized by a large number of people, tight time, heavy tasks and high requirements, and limited medical staff in hospitals. In order to improve the participation rate, members of the physical examination team in our hospital strengthened their training, voluntarily gave up their rest time to work overtime for physical examination, and set up some physical examination points in relatively large or remote schools. Teachers and clinic leaders worked hard and participated in the whole process, which ensured the smooth progress of health examination.
Third, there are difficulties.
Although the leaders of the school and our hospital attach great importance to this work and have invested a lot of manpower, material resources and financial resources, they have achieved good results in the physical examination. However, in practice, it is necessary to centralize and unify physical examination in schools, which will inevitably require huge energy and financial resources in a short time, disrupt the normal teaching order of schools, affect the normal medical business development of hospitals and clinics, and make many teachers and medical staff feel exhausted. After a period of operation, although most schools can better complete the physical examination objectives and tasks, the difficulty and hardship are embodied in the following aspects:
First, the daily business volume is several times that of usual. Moreover, medical staff's fares, meals, subsidies, etc. The cost of physical examination every day is also very high. The cost of medical materials for physical examination is high, and it is difficult for the medical examination fee to offset the various expenses of physical examination, which increases the economic burden of our hospital.
Second, the medical strength needs to be strengthened. Four medical staff were transferred from the clinic of our hospital for health check-up. They are the business backbones of units and clinics, which affect the normal business development to varying degrees and reduce the business income of units.
Third, the quality of physical examination needs to be improved. Although some business backbones were transferred to participate in the physical examination, the physical examination group was also equipped with medical equipment such as eye chart, oral mirror, weighing, spirometer, tuberculin experiment and hemoglobin meter. However, because a large number of people need physical examination in a short time, the physical examination team is understaffed. In order to seize the time for physical examination, the quality of physical examination may be affected. Moreover, due to various reasons, the medical consultation level and professional level of medical examiners are not enough.
Fourth, students' health awareness is getting stronger and stronger. Many students usually go to big hospitals for health checks. They don't trust and accept this unified student health examination, which affects the health examination rate.
Fifth, according to the requirements of superiors, it is necessary to add some physical examination items, and there are still many difficulties at present. Adding a physical examination item is bound to make supporting arrangements in terms of equipment, personnel arrangement and fund implementation, but at present, there are still many difficulties, first of all, the shortage of funds, and second, the difficulty in arranging professionals. At present, some inspection items in hospitals have not been carried out, which is easy to make mistakes.
Fourth, the next step
To continue to do a good job in the physical examination of students in hometown, we should take effective measures to strengthen the leadership and management of the physical examination of students, conscientiously sum up the work experience in the previous stage, and study and explore new methods, measures and new ways of physical examination of students in combination with local conditions.
In order to improve the level of students' physical examination, complete the objectives and tasks, and exceed them as much as possible, and strive to achieve a higher physical examination rate.
Summary of the work of physical examination center Part IV
With the development of social economy and the improvement of living standards, people's requirements for health are also improving in the process of pursuing quality of life. As a special medical service, physical examination has attracted more and more attention. Therefore, summarizing the work of the physical examination department in recent months will make the future physical examination work better adapt to the needs of social development and make the health examination work more perfect and excellent.
First of all, in May, June and July, the physical examination department received more than 30,000 people. Earned 94% of the annual quota, and won 300% of the monthly quota in July alone. In line with the attitude of providing high-quality and enthusiastic medical examination services for medical examination objects and the working concept of "patient-centered and quality-centered", under the leadership of hospital leaders, all departments cooperated closely to meet the peak of medical examination smoothly and successfully ended the medical examination work of leaders at all levels. Especially in July, leaders of the Organization Department of Haicheng Municipal Committee and the Management Committee of Qianshan Scenic Area came to our hospital for physical examination. In order to meet the physical examination, the hospital leaders and departments held several meetings to prepare for the exam. In the hot summer, all relevant departments, regardless of age, are on alert. Go to work at 6 o'clock every day. Some comrades who are far away from home don't even have time to eat breakfast, but they can't hear a complaint. In the end, with the leadership of the leaders and everyone's efforts, our hospital won this tough battle. And has been well received by all walks of life.
Secondly, in the physical examination work, in order to meet the requirements of different groups of people, different jobs and different ages, various physical examination package items are scientifically drawn up, and at the same time, physical examination items can be increased or decreased according to the requirements of physical examination personnel until the physical examination personnel are satisfied. On the issue of fees, the inspection items are strictly implemented in accordance with the charging standards issued by the Provincial Price Bureau, so that the charging items and charging standards are open and transparent, which is conducive to the choice of medical examiners and their trust in the work of medical staff and the establishment of a good doctor-patient relationship. It has also won the recognition of patients from all walks of life.
The physical examination process and arrangement are roughly as follows:
Before starting the physical examination, all examiners receive a physical examination instruction sheet. The guide sheet is printed with the name, unit, contact information, physical examination project flow, precautions before and after physical examination, and consultation telephone number. After the physical examination, print the detailed physical examination report, the results of various examination items, the final diagnosis and the doctor's health prescription, and bind them into a book. Physical examination personnel can communicate with the chief inspector in unclear and chaotic places according to their own examination situation. For those who need to go to the specialist for systematic treatment, the medical staff will inform the medical examiner or his family and the medical examination unit as soon as possible according to the condition.
In order to better serve the physical examination personnel, the hospital has an independent physical examination center (the second floor), equipped with: internal and external departments, gynecology, ENT clinics, electrocardiogram room, B-ultrasound room, blood collection room, lounge, restaurant and corridor. And benches. All examinations and blood draws are completed in the physical examination center. The specific process is to check the items that need to be carried out on an empty stomach first. Such as: blood drawing, B-ultrasound, gastroscopy, colonoscopy, and then the physical examination personnel have food, and then ECG, internal and external examination, gynecology, ENT examination, etc. And the whole process is equipped with guidance nurses to provide guidance services. Because of the more humanized management of the hospital, medical examinees feel respect and care, feel the warmth of the hospital, avoid the trouble of running around and cross-checking with patients, greatly shorten the medical examination time, and deepen the understanding and trust of medical examinees and units in the hospital, so as to win more people and units to come to the hospital for medical examination in the future, achieve a win-win effect, and make the medical examination work develop in a healthy and benign direction.
Finally, through the unremitting efforts of all the staff, the physical examination has achieved good results in recent years. On the premise of ensuring quality and warm, thoughtful and meticulous service, the number of people who come to our hospital for physical examination has gradually increased, which has received extensive social and economic benefits. However, in order to make the knowledge of health care, disease prevention and treatment widely rooted in people's hearts, make people keep healthy in the fast pace of increasing living standards and daily work, lead a high-quality life, and make greater and more contributions to society and people, we must also increase the propaganda of health education, strengthen the standardized management of physical examination work, and put the purpose of people-oriented and enthusiastic service throughout the future physical examination work, so as to contribute to the establishment of a harmonious society.
Summary of the work of the physical examination center Chapter V
Time flies, 20 years passed quickly. Under the correct leadership and cordial care of the Party Committee, the cadres and workers in the physical examination center adhere to the Party's health work policy, take Deng Xiaoping Theory and Theory of Three Represents as the guidance, take deepening reform as the driving force, focus on improving the quality of medical services, and aim at improving people's health, constantly strengthen service awareness, deepen internal management of departments and improve the quality of medical services. Strengthening the ideological quality education of employees has enhanced their sense of responsibility, achieved certain social and economic benefits, and made certain progress in all work, laying a foundation for 20 years' work and creating good conditions. In order to sum up experience, find the gap and promote the work of departments in by going up one flight of stairs, the work summary report for 20 years is as follows.
I. Basic information
1. In order to make full use of the existing personnel and equipment resources of our hospital, the new leadership team of our hospital really does practical things and does good deeds for the people, so that large-scale equipment such as ct machines and color Doppler ultrasound in our hospital can serve and benefit the people and establish a new image of our hospital.
Especially in order to adapt to the current people's health today, physical examination is listed as the key work of our hospital, and the construction of physical examination center is the most important work of our hospital.
2. Physical examination center is a newly established department in September, 20__. Located on the third floor of the medical technology building of our hospital, with an area of 200 square meters and 4 staff members.
Among them, intermediate title 1 person, junior title 2, temporary worker 1 person. The room is equipped with a brand-new computer, color TV, sofa, desk and chair, and all kinds of items needed by the physical examination department. The waiting room is bright and clean, decorated with flowers, so that you can enjoy a comfortable and warm environment while enjoying the health check.
3. The members of the physical examination group are composed of three deans and technical backbones of various departments, and are transferred at any time according to the physical examination work.
The physical examination center is the hub to communicate inside and outside, coordinate the left and right, and contact all directions. The work is also very complicated. Although the work is complicated and trivial, the four staff members of the physical examination center perform their duties, but the division of labor is not clear. They encourage each other and learn from each other in their work.
Second, the work carried out
1. Optimize the quality of physical examination service and be a good health guard.
According to the different needs of the people, various medical examination packages are formulated, which are freely chosen by all units or individuals. Complete the organization, consultation and explanation of physical examination.
2, vigorously promote medical science knowledge, improve people's health awareness.
The leaders and staff of the hospital have visited various units for on-site education and lectures on disease health care knowledge for many times, and the number of educated people has reached 2500. Pass the concept of health to thousands of households, so that cadres and workers in the county can understand and attach importance to health checkups. From September 1 day to February 3 1 day, 32 units participated in the physical examination in our hospital, 1 102 people, 27 individuals, and * * * set up electronic files for 1 102 people. The results showed that there were 567 patients with a total incidence of 565,438+0,45. Among them, the common and frequently-occurring diseases are: patients with hyperlipidemia 2 15, and the incidence rate is19,45; 69 people suffer from hypertension, the incidence rate is 6.26; 65 people's blood uric acid increased, the incidence rate was 5, 8; There were 46 people in kidney calculi, and the incidence rate was 41; There were 45 hepatitis B virus carriers, and the incidence rate was 4. 08. There are 33 people suffering from gallstones, the incidence rate is 299; 29 people suffer from fatty liver, the incidence rate is 2.63; There are 28 people with chronic pharyngitis, and the incidence rate is 2.54; 25 renal cysts, the incidence rate was 2,26; There were 24 patients with cholecystitis, and the incidence rate was 2. 39%. There were 20 patients with rhinitis, and the incidence rates were 1 and 81respectively. Hyperglycemia was 16, and the incidence was 1, 45; Splenomegaly was 12, and the incidence rate was 1 0.08; Through physical examination, some cadres and workers found problems early, and some were hospitalized for health guidance. This work has been unanimously recognized and affirmed by the vast majority of cadres and masses who came to our hospital for physical examination.
3. Carefully organize the physical examination of agricultural cooperation to raise farmers' awareness of participation.
The participating farmers' health examination is led by the Health Examination Center, and the business backbones of various departments are deployed to form a health examination team, equipped with equipment such as B-ultrasound machine, electrocardiogram machine, laboratory test and physical examination, and the work is carefully arranged throughout the process. From September 1 to February 3 1, the staff of the physical examination group set off from the hospital and went to the village for physical examination at 8: 30 every day, rain or shine. The staff carried the equipment back and forth for several hours, which was very hard, and no one complained. During the four months of physical examination, the members of the physical examination team did not have holidays, holidays and weekends, and they worked hard and won unanimous praise from the masses. * * * Physical examinations were completed in 34 villages, and the number of people participating in physical examinations was 1 1204. Suffering from various diseases 1 12 1 person, the prevalence rate reached 10 and 0 1, including 2 15 people with gallbladder stones, 245 people with hypertension, kidney calculi 152 people with hydronephrosis. Bladder stones 3 1 person, hepatic hemangioma 3, cholecystitis 102, hepatitis B pathogen 184, filing1kloc-0/204. P subtitle e5. 56 people completed the "One Village, One College Student Project" and 50 people were recruited by the police. Make sure they successfully complete this year's recruitment plan. 6. Report the work to the hospital leaders from time to time, so that the leaders can understand the physical examination trends, clear their minds for the next step and make correct decisions.
Third, there are problems.
1. Because the work of the physical examination center is trivial, everything is often done in detail. Subjectively, we hope to finish every job, but because of our limited ability, we can't do everything perfectly.
2, the understanding of the work is not deep enough, and the understanding of the real situation of existing problems is not comprehensive enough, so that as a staff assistant, it does not play a sufficient role in leadership decision-making.
3. The publicity of physical examination needs to be strengthened.
4. The performance of grasping market information and opening up the market is not ideal.
All these need to be effectively solved in our future work. 20__ years passed quickly, and a new year came again. In the new year, we will continue to work around the center of the hospital to overcome shortcomings; Improved methods; Grasp the facts; Strengthen management; Improve services; Boldly explore new ideas and methods of physical examination, push the work to a new level and make greater contributions to the healthy and rapid development of the hospital.
Work objectives for 20__ years:
1. Focus on work and seek development.
Our department will take the development of market performance as the focus of this year's work, grasp, grasp and grasp the actual results, and hand in a satisfactory answer sheet with a hundredfold effort.
2, strengthen publicity, image outside the tree.
(1) Print and distribute brief information to introduce our hospital's technical strength, equipment, medical treatment environment, medical treatment process, etc. To facilitate people to seek medical treatment. (two) the issuance of common diseases related information, publicity of popular science knowledge. (3) Do a good job in popular science publicity column. (4) Make physical examination manuals and courseware to facilitate speeches and notes of all units.
3. Strengthen study, increase professional quality and improve knowledge connotation.
(1) departmental business study: arranged once a month; (2) Improve the application ability of computers, encourage employees to learn computer knowledge, and improve work efficiency.
4, further do a good job in the 20__ _ year plan, arrange the health check-ups of employees of all units in the county, and do a good job of connecting each unit with the center.
5, strive to establish the county cadres and workers health personal files, easy to query in the future, standardize file management and guide clinical.
20 16 is a year full of vitality and self-challenge. The achievement of 15 is inseparable from the correct leadership of the hospital leaders and the strong assistance and support of various departments. While fully affirming the achievements, we also saw the problems existing in our department. We will try our best to correct the shortcomings in the past year's work, learn from each other's strengths, strive to improve the service level and vigorously build harmony.
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Taken the annual work summary, a nurse in the hospital physical examination department.