Summary of internal medicine work 1 With the strong support of the leaders and directors of the nursing department, Qi Xin, the chief nurse of Qixin, worked together to successfully complete the nursing work plan issued at the beginning of the year. According to the standard, we should do a good job in all the work item by item. Through continuous quality improvement, we can effectively promote the institutionalization and standardization of nursing management in our department and steadily improve the quality of nursing. The internal medicine nursing work is summarized as follows:
First, the quality of clinical care
Weekly quality control inspection is recorded, and various nursing safety rules and regulations are carefully implemented. Strictly implement the check system, and the implementation rate is 100%. First-aid items are complete, in emergency standby state, managed by special personnel, handed over by shift, and checked by quality control nurses irregularly. The intact rate of first-aid articles 100%. Strengthen drug safety management, with special person in charge and weekly inventory. High-risk drugs has signs, fixed-point storage and fixed-point configuration. The coincidence rate is 98%. Implement the basic nursing service items for inpatients and earnestly implement the graded nursing system. The qualified rate of basic nursing is 97%, and the qualified rate of primary nursing is 95%.
Nursing records should be timely, true and accurate. The qualified rate of nursing document writing was 95%. Provide health education for patients with specialized diseases. The coverage rate of health education was 100%, and the awareness rate was 90%. Report nursing adverse events in time, analyze the causes and implement corrective measures. Carefully implement all kinds of nursing to ensure that inpatients have no nursing complications (except pre-hospital pressure ulcers) throughout the year. Strengthen safety management, no major nursing errors occurred throughout the year.
Second, the hospital work consciousness
Strict implementation of disinfection and isolation system, aseptic technology operating procedures, head nurses and hospital quality control nurses regularly check themselves. Dispose of medical wastes in strict accordance with the Measures for the Management of Medical Wastes in Medical and Health Institutions and the relevant systems of medical waste management in our hospital. Strictly implement the "Hand Hygiene Standard for Medical Staff" and master the correct hand washing methods. The qualified rate of sterile articles is 100%. Strict implementation of the safe injection system, so that one person, one needle and one tube. Actively accept the training of hospital perception knowledge.
Third, training and learning.
Carry out specialist knowledge training every month, and nurses organize nursing technical operation training in departments. Training on nursing core system was conducted every month, and the awareness rate of nursing staff was 100%. On-the-job nurses take part in the theoretical examination of all staff four times a year, and the passing rate is 100%. Participate in the evaluation of nursing operation in the whole hospital organized by the nursing department, and the compliance rate is 100%. Organize disease nursing rounds and business study once a month. Organize emergency plan training. Special first-aid skills training was organized, and the qualified rate of nursing staff's technical operation reached 95%.
Fourth, quality nursing service.
Further reform the nursing work mode and implement the overall nursing team responsibility system. Paying attention to the collocation of qualifications and abilities can fully reflect the continuous observation of patients. Formulate a scientific and effective performance appraisal system, which is linked with nursing quality, patient satisfaction, nursing difficulty and technical requirements, fully mobilize the enthusiasm of nurses, and make nurses' job satisfaction reach 96%. The head nurse evaluates the critically ill patients in the department every day, checks the diagnosis knowledge and nursing information of the nurses to the patients in charge, and urges them to carry out health education, rehabilitation guidance and psychological care. Continuously improve patient satisfaction, and the satisfaction rate is 96.5%. There were no nursing disputes and complaints throughout the year.
Problems with verbs (abbreviation of verb)
The overall quality of nursing staff still needs to be further improved, and the study of "three basics" and professional theoretical knowledge still needs to be strengthened. The quality of nursing still needs to be further improved. Individual nurses have a weak sense of crisis and lack initiative in their work. Health education needs to be strengthened. Quality nursing service needs to be further deepened.
Summary of Internal Medicine Work 2 Time flies, and the days of making phone calls will be over in a blink of an eye. Working in a humanized hospital has enriched my brain, broadened my horizons, and made me see the human sufferings that I didn't feel before, which really made me understand the value of life! Looking back on the past month, although I was busy every day, it made my life full and meaningful. Although the days are ups and downs, it makes my mind like a free stream, which continuously injects knowledge and growth experience into my brain, and makes me learn what we want to learn at school but can't.
Coming to respiratory medicine can be said to be a turning point for me. Let me feel the warmth of the hospital. There is no generation gap between teachers and students. They treat us like friends. They have something to eat and play together. They ate while playing, and they tirelessly taught us clinical nursing knowledge, which made me feel the warmth of society again after I left home.
After work at 8 o'clock every morning, intravenous drip is our compulsory course, which can also be said to exercise our courage. These patients are very amiable. Even if we accidentally stick a needle into a blood vessel once, the patient will smile and say it's okay, little girl. The hardest part is actually in the beginning As long as you practice more, you will be fine. Life is not everything, but learning by doing. Isn't that the great inventor Edison? Failure is the mother of success. But we know that nurses are angels in white of human beings, and a small mistake can delay a person's life, so we always tell ourselves that we can't make a small mistake in our work. As nurses, we are destined to be responsible for patients and society. In this way, my heart will be stable. Because of this, we have been well received by teachers and patients.
Although there is an old saying in society that a doctor's mouth and a nurse's legs say that a nurse is only an errand boy, it is not as good as a doctor at all, and a doctor will always have a higher status than a nurse. Then I told them that you were wrong. After the doctor has written a prescription for us, our nurse will have to check it. Our duty is to check whether the prescription is wrong so as to correct it in time. So I want to learn knowledge well. Nurses are as great as doctors. Every day, we make the bed, insert needles and catheterization for patients. Our nurse is very tired, but full, excited and comfortable.
Sometimes when we are not busy or after work, we chat with old people. Most of them are children. They usually work outside and are busy. They can't take care of the elderly every day, which will make them feel lonely. That will aggravate the patient's condition, which is not conducive to the patient's condition. Then we nurses should care about him and love him. Old people are sometimes naive. As the saying goes, old people are the epitome of children.
Therefore, we sincerely tell the elderly that they will regard us as the closest relatives in their hearts, so that their unhappiness will gradually disappear, so that their mood will gradually get better, which is also a kind of help to their illness and is conducive to their recovery and rehabilitation. The profession of nurse is sacred, and no one can replace it.
Summary of Internal Medicine Work 3 This year, under the leadership of the hospital leaders and the nursing department, with the support and help of all the brother departments in the hospital, the nursing staff in five departments in the hospital coordinated, took the initiative, were not afraid of hardship and fatigue, and established a high sense of professionalism and responsibility. Combined with the work nature of neurology, they worked hard around the hospital center, seeking truth and being pragmatic, and successfully completed all the nursing tasks of undergraduate departments, ensuring the steady progress of nursing work in departments. Satisfactory results have been achieved, and the nursing work this year is summarized as follows:
First, in terms of ideology and morality.
Nurses should establish a correct world outlook, outlook on life and values, carry forward fine traditions, firmly establish the concept of "all services for patients", strengthen communication between doctors and patients, constantly improve ideological and moral cultivation, and seriously carry out self-criticism.
Second, seriously implement the rules and regulations.
Core system General nurses can consciously abide by the hospital's various rules and regulations and labor disciplines, so as to stress style in minor matters and principles in major matters, and never engage in unprincipled disputes. They support and understand each other in their work, and nurses have a clear division of labor, perform their duties, unite and be pragmatic, which overcomes the problems of insufficient staff and heavy nursing tasks and ensures the smooth development of normal nursing work. Adhere to the check system: the main class and the medication class are required to check twice a day, and the head nurse participates in the check 1 time to check the first-level care, blood pressure measurement, various nursing, drugs and treatment of critically ill patients in detail. And record the signature; Nursing operation strictly requires three checks and seven pairs; Strictly hand over the bedside shift of critically ill patients and bedridden patients, and strictly hand over the skin condition for treatment! Strengthen the implementation of basic nursing, daily morning nursing and noon nursing, arrange and replace bed units for patients in time, and create a clean and warm ward.
Second, pay attention to improving the professional quality of nursing staff.
Three-basic training for nursing staff, purchasing nursing books for neurology majors, organizing study in time and taking random exams. Hold regular branch meetings every month, organize business study, insist on nursing rounds and organize nurses to discuss, which not only improves their professional and technical level, but also enhances nurses' confidence in themselves and the development of their departments. Actively organize nursing staff to participate in hospital business study and constantly improve the professional level of nurses!
Third, pay attention to service details and improve patient satisfaction.
Adhere to the purpose of patient-centered, quality-centered, and provide quality services for patients, strengthen the construction of medical ethics for nursing staff, implement the code of conduct for nursing staff, and require nursing staff to smile and serve in a civilized manner in their daily work. The satisfaction questionnaire is distributed to inpatients every month, and the satisfaction survey results are all above 97%. It also received letters of commendation and banners from patients many times. And put forward rectification measures for the problems existing in the satisfaction survey. Every month, the department will hold a symposium on work and rest regularly to solicit the opinions of patients and their families and give maximum satisfaction to the requirements put forward by patients and their families.
In-depth health education centered on patients has been carried out. Through the formulation and distribution of health education manuals, as well as the words and deeds of nurses and the propaganda of blackboard newspapers, patients are familiar with disease prevention, rehabilitation knowledge and related medical, nursing and self-care knowledge. Advance the time of infusion treatment every day and arrange treatment and nursing reasonably. Accompany and escort patients to take photos, do B-ultrasound, electrocardiogram, CT, MRI and other examinations, help patients go through the admission procedures, provide disposable paper cups, and help patients without family members or the elderly to open water. Call me back regularly. Its small and high-quality service has been well received by patients and their families.
Fourth, strengthen the management of hospital infection.
Strictly implement the disinfection and isolation system formulated by the hospital management leading group. The department insists on regular air culture in the treatment room of the ward every month. Also insist on ultraviolet disinfection of treatment rooms and wards every day, and make records. Disposable articles can be destroyed in time after use, centralized treatment, regular inspection and supervision. The treatment room in the ward can insist on mopping the floor with disinfectant twice a day, and regularly mopping the floor with disinfectant in the ward to carry out terminal disinfection on the bed unit of discharged patients.
Summary of Internal Medicine Work During the 4-20xx years, under the leadership of the hospital leadership and nursing department, with the support and help of the hospital's brother departments, all nursing staff in internal medicine were coordinated, active, not afraid of hardship and fatigue, and established a high sense of responsibility. Combined with the nature of internal medicine work, around the hospital center work, work hard, successfully complete the undergraduate nursing tasks, and ensure the steady progress of nursing work in departments. The nursing work is summarized as follows:
A, general nursing staff conscientiously implement the rules and regulations, don't be late, don't leave early. Do small things and talk about style, major events and principles, and never engage in unprincipled disputes. Support and understand each other in their work. Nurses should have a clear division of labor, perform their duties, be United and pragmatic, overcome the problems of insufficient manpower and heavy nursing tasks, and ensure the smooth development of normal nursing work.
Second, adhere to the system of ward rounds, make detailed ward rounds on the nursing, drugs and treatment of the first-level care of acute and critical diseases, record and sign, and strictly require three checks and seven pairs during operation; And do a good job in bedside handover of critically ill patients and bedridden patients, and strengthen the implementation of basic nursing.
The third is to strengthen the management of hospital infection and strictly implement the disinfection and isolation system formulated by the hospital management leading group. The department insists on ultraviolet disinfection of the treatment room every day and keeps records. Disposable articles can be destroyed in time and treated centrally after use.
Four, adhere to the daily counting system of rescue drugs and rescue items, and make registration, so that it continues to be in a good standby state, and cooperate with doctors to do a good job in the rescue of critically ill patients.
5. Problems: ① Holistic nursing is still in the exploratory stage, and nursing writing is not standardized; ② Due to the shortage of nursing staff, basic nursing is not in place. For example, first-class nursing patients can't get the service of first-class nurses, which is second only to their daily work. I hope to get the full support of the hospital leaders and the nursing department in the future work, so that the internal medicine nursing work can go up a storey still higher.
Summary of internal medicine work 5 Time flies, and the end of the year will come in a blink of an eye. Looking back on my work in the post of head nurse this year, I have many feelings in my heart. The work since 20xx 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. Cooperate with the director to do medical cooperation and guide everyone to do medical communication; Find and solve some frictions and contradictions in time, enhance the cohesion of departments, and make Chinese medicine departments become 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 of integrated traditional Chinese and western medicine, our department is faced with many miscellaneous diseases, many intractable diseases and weak nursing specialty. Correspondingly, among 12 nurses in Chinese medicine, only 1 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. Nurses of traditional Chinese medicine have no specific professional knowledge and development direction, which affects the working intention 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. Through the combination of business lectures and business rounds, department directors and doctors participated in the training of common diseases in internal medicine, including respiration, circulation, digestion and nervous system, systematic training of basic knowledge and common skills of traditional Chinese medicine, and even training of conservative treatment and nursing knowledge of some general surgery and orthopedic diseases. After a year of systematic training, the assessment results show that nurses have a comprehensive understanding of the common diseases of the above systems, which not only improves their professional and technical level, but also greatly enhances their confidence in their own and departmental development. 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 Chinese medicine 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 TCM nursing culture is flourishing, but also all the work objectives are 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. In the evaluation and inspection of professional ethics, Chinese medicine health education and nursing service have been affirmed and praised by participating experts.
Fourth, pay attention to service details and improve patient satisfaction.
For example, in terms of health education for patients, most departments simply rely on oral education by nurses. However, through long-term observation, I found a drawback: nurses talk less, have incomplete information, and talk more. Because time is limited, they will speak quickly and have no focus, which makes patients simply unable to remember. To this end, I made an outline of the information on admission education as the information on oral education for nurses, and input the detailed information 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 is not only beneficial for patients to master, but also saves nurses too much 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. 20xx took the psychological counselor exam in May, 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
Dealing with my patients and my department, I can frankly say that I have been working hard for you! However, in response to 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 Chinese medicine 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.