Summary of personal work of nurses in neurology department 1 1. Conscientiously implementing 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) requires the class to check the doctor's advice, and the head nurse participates in the total check 1-2 times a week and records 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 orthopedic nursing routine and microsurgical nursing routine, adhere to fill in all kinds of information and data register, equipped with five types 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 carry out the code of conduct for nurses, and carry out 50 civilized expressions for nurses in daily work.
2. Organize all nurses to attend etiquette training in Wenling Hotel and Wanchang Hotel in June, 165438+ 10 respectively.
3. Continue to carry out health education and distribute 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 nurses were selected.
4, the department held a symposium on a regular basis every month, solicit opinions from patients, meet the requirements of patients.
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 orthopedics, internal medicine, surgery 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. A nursing technical operation competition (aseptic operation) was held on March 8th Women's Day, and the first prize (,second prize (,Tang,) and third prize () were awarded respectively.
5.6.5438+early February, the nursing department conducted a nursing technical operation assessment for nurses in the whole hospital: intravenous infusion and oxygen inhalation assessment for nurses in wards; 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) 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. In the whole year, 2357 inpatients were treated, 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 in the whole hospital wrote 30 nursing papers, including the X National Orthopedic Nursing Academic Exchange 1 article, 3 academic exchanges in Taizhou, and 2 academic exchanges in the 2nd National Contemporary Nurses' 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.
4. Ward management is not satisfactory. Over the past year, due to the dean's attention, support and help, nursing work has made some achievements in nursing quality and professional ethics construction, but there are also some shortcomings that need to be further improved.
Summary of personal work of nurses in neurology department 20xx years will soon pass. Looking back on this year, under the leadership of the Nursing Department, all nurses in the Department of Neurology not only successfully completed the nursing work plan at the beginning of the year, but also actively responded to the "20xx Quality Nursing Service Demonstration Project" activity plan of the Ministry of Health and took the lead in developing quality nursing service activities in our hospital. The work is summarized as follows:
First, our department has carried out the "demonstration project of high-quality nursing service" for more than ten months, which has been highly valued by hospital leaders and nursing department.
From unifying thoughts to personnel deployment and organizing training; From refining connotation, publicizing service to perfecting evaluation standard; From focusing on nursing staff, from point to area to hospital support, from point to area; From confused exploration to surprise innovation; Step by step, down-to-earth practice, won the praise of the majority of patients' families. We reformed the scheduling mode and implemented APN scheduling, which really realized the seamless nursing in the whole process. Implementing the nursing work mode of division of labor in groups, responsibility contract system, responsibility of nursing team leader and responsibility of sickbed nurses to patients; Assist patients in basic nursing such as turning over, rubbing body, patting back, nursing feet, taking medicine orally, and assisting in eating. At the same time, meet patients' basic living needs, further improve patients' quality of life, provide patients with full service, and make our nursing work closer to clinic, patients and society.
Second, the foundation and specialty go hand in hand to improve the quality of nursing.
Basic nursing needs the support of professional ability and knowledge, which is the basis of developing specialized nursing and the main guarantee of improving nursing quality. It can reflect the value and connotation of specialized nursing and ensure the quality and effect of specialized nursing. We observe whether the skin has edema, ulceration and bleeding by cleaning the skin and taking a bath with warm water, which can provide effective basis for the treatment and nursing of patients. By washing patients' feet and observing patients' peripheral blood circulation, the occurrence of venous thrombosis in diabetic feet and lower limbs can be effectively prevented. By turning over and patting the back for the patient, we can observe the patient's consciousness, muscle tension and sputum characteristics, grasp the patient's rehabilitation and progress in time, and effectively solve the existing or potential medical care problems.
Third, establish telephone return visits for discharged patients and expand the content of nursing services.
In order to realize the continuity of nursing, our department extends medical nursing service from the hospital to the outside, and even to all families. Ward nurses pay a telephone call back to discharged patients, and the nursing team leader pays a telephone call back within three days after the patients are discharged from the hospital to understand the patients' situation at home, provide health consultation for patients, and reassure patients and their families.
Fourth, problems still exist and need to be improved.
Although the activity has made great achievements, there are still some problems. For example, the phenomenon of family members assisting in nursing, and the phenomenon that family members are not at ease without accompanying them. For such problems, our department will further intensify efforts to reverse the situation that patients are accompanied by their families, strengthen professional nursing, properly control the rate of accompanying patients, do a good job in basic nursing of "having patients in mind", reassure the accompanying families with satisfactory and thoughtful services, adhere to the concept of humanized service, and really do it with actions, from passive service to active service. From active service to touching service, while strengthening the construction of service connotation and constantly improving the quality and level of service, we should keep pace with the times, blaze new trails and unremittingly carry out and implement the "demonstration project of quality nursing service" to benefit patients and satisfy the society.
Summary of Personal Work of 3 Nurses in Neurology Department Our hospital belongs to a military hospital, according to the military background. It is engaged in militarized management and takes "serving the people wholeheartedly" as its purpose. This year, the leaders taught us to be self-disciplined like soldiers, devote ourselves wholeheartedly to our work, think only of patients, and accomplish our mission gloriously under the great leadership of the party. Applying this concept to clinical practice, I deeply understand the meaning of "wholeheartedly": think about what the patient thinks, be anxious about what the patient is in, treat the patient with love, be patient, don't bring emotions outside work into work, and sincerely accept the opinions put forward by the patient and his family.
Nurses are known as "angels in white", which must be reflected. For me, there are still many shortcomings, sometimes impetuous, and sometimes bring some dissatisfaction. I will conscientiously sum up the experience and lessons of this year, seriously correct the shortcomings pointed out by leaders and patients, and show a brand-new "angel image" in the new year!
When I came to neurology, I was in a state of ignorance. But thanks to the careful arrangement of the head nurse, I am familiar with the process of each shift and familiar with common diseases in neurology; Thanks to the teachers' careful teaching, I learned a lot of professional knowledge and independently completed various nursing operations under the teacher's advice. Finally, the clouds cleared and my mind became clear. I was able to share some work of the department independently, from an intern to a real nurse. Among them, I have had sweat, tears, criticism, efforts, happiness and praise. The only constant is my persistence! In the future, I will still look ahead, set higher goals, finish my work more seriously, study more, broaden my knowledge, constantly improve myself and try to keep up with my elders.
Knock on the door of 20xx with passion, and let the nursing cause spread its sacred and white wings and soar freely in this beautiful sky. Let me create a bright future with these hands, put my limited life into infinite nursing work, relieve the pain of others and patients and sublimate myself. Looking back on the past, getting rid of its dross and taking its essence: looking forward to the future, I will influence patients with a smile and conquer patients with my ability. Thank you again for giving me the opportunity to participate in this sacred profession: thank you teachers for letting me integrate into this sacred profession. Let's work together to make neurology go to a higher stage!
Summary of Personal Work of Neurology Nurses 4 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. At the same time, we actively participated in the activities of "creating the top three", and paid special attention to all the work item by item according to the standards. Through continuous quality improvement, the institutionalization and standardization of nursing management in our department were effectively promoted, and the quality of nursing was steadily improved. The summary is as follows:
First, quality nursing service.
1, further reform the nursing work mode, implement the group responsibility system for holistic nursing, each nurse is responsible for 8- 10 patients, and provide continuous and full-course basic nursing and professional technical services for patients in charge.
2. Continue to implement APN scheduling and flexible scheduling, pay attention to the collocation of qualifications and abilities, and fully reflect the continuous observation of patients.
3. Establish a scientific and effective performance appraisal system, which is linked with nursing quality, patient satisfaction, nursing difficulty and technical requirements, reflecting excellent work and rewards, fully mobilizing the enthusiasm of nurses, and making their job satisfaction rate reach 96%.
4. The head nurse evaluates the critically ill patients in the department every day, checks that the nurses master the diagnosis and treatment nursing information of the patients in charge, and urges health education, rehabilitation guidance and psychological nursing.
5. Continuously improve patient satisfaction, and the satisfaction rate reached 96.5%. There were no nursing disputes and complaints throughout the year.
Second, the quality of clinical care
1, establish a nursing quality control team, define the division of responsibilities, record weekly quality control inspection, and earnestly implement nursing safety rules and regulations.
2. Strictly implement the check system, and use at least two methods to check the patient's identity before treatment and administration, with an implementation rate of 100%.
3. Standardize the use of wristbands "wristbands", and the pass rate is 100%.
4, standardize the use of various nursing warning signs, utilization rate 100%.
5. Correctly evaluate the risk factors of high-risk patients' falling/falling out of bed, pipe slippage and pressure sore, with an evaluation rate of 98%. And implement effective protection measures.
6. 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%.
7, strengthen the safety management of drugs, the specialist is responsible for, weekly inventory. High-risk drugs has signs, fixed-point storage and fixed-point configuration. The coincidence rate is 98%.
Third, hospital work consciousness.
1, strict implementation of disinfection and isolation system, aseptic technology operating procedures, head nurses and hospital quality control nurses regularly check themselves.
2. Properly 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.
3. Strictly implement the Manual of Hand Hygiene for Medical Staff, master the correct hand washing methods, and standardize the hand washing compliance rate 100%.
4. The qualified rate of sterile articles is 100%.
5. Strictly implement the safe injection system, with the implementation rate of one person, one needle and one tube 100%.
6, take the initiative to accept the training of hospital sense knowledge, so that each person is not less than 6 hours a year.
Fourth, training and learning.
1, carry out specialist knowledge training every month, and seed nurses organize nursing technical operation training and grading assessment in the department. The compliance rate of nursing technical operation examination was 100%.
2, every quarter to carry out the training of nursing core system, nursing staff awareness rate 100%.
3. On-the-job nurses take the theoretical examination for all employees twice a year, and the passing rate is 100%.
4, to participate in the whole hospital nursing operation assessment organized by the nursing department, the compliance rate 100%.
5. Organize disease nursing rounds and business study once a month, and organize the nursing department to participate in rounds twice. Organize hospital-wide nursing consultation in time when encountering difficult cases.
6. Organize emergency plan training, and the awareness rate of nursing staff is 100%.
7. Organize special first-aid skills training, with a training rate of 100%. The qualified rate of nursing staff's technical operation was 100%.
8, according to the requirements of different levels, complete the annual continuing education credits and nursing intensive training hours, the compliance rate 100%.
Verb (abbreviation of verb) teaching and scientific research
1, rotate nursing staff with teaching qualifications to be responsible for practice teaching and cultivate excellent teaching teachers.
2. Complete the lesson preparation notes of 20xx interns and update the teaching plan.
In 3.20xx years, the implementation rate of nursing teaching work plan reached 100%, the completion rate of theory and operation examination reached 100%, and the qualification rate of practice appraisal writing reached 100%.
Problems in intransitive verbs
1, 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.
2. The quality of nursing still needs to be further improved.
3. Individual nurses have a weak sense of crisis and lack initiative in their work.
4. Health education needs to be strengthened.
5. Quality nursing service needs to be further deepened.