Summary of emergency doctors' work 1 1. Actively carry out technical training on acute and critical diseases of traditional Chinese medicine.
Conscientiously implement the state administration of traditional chinese medicine, the Ministry of Health "patient-centered, to give full play to the characteristics and advantages of Chinese medicine hospitals as the theme of management year activity plan", implement the spirit of the meeting, give full play to the talent advantages of Chinese medicine personnel in the emergency department, and serve the majority of patients with Chinese medicine therapy. Therefore, the emergency department of our hospital has formulated the department development plan and work plan, and organized its implementation. Establishing talent echelon to continuously meet the needs of connotation construction of TCM specialty. Formulate specific measures to give full play to the characteristics of traditional Chinese medicine and organize their implementation. In view of common diseases and their characteristics, formulate and constantly improve specific measures, and organize their implementation, in order to improve the level of syndrome differentiation treatment of characteristic diseases and improve the treatment rate of traditional Chinese medicine. Acupuncture therapy, auricular point pressing bean, cupping therapy, Chinese medicine enema, Chinese medicine wet compress and infrared therapy were used. Establish clinical pathway of common diseases in emergency department. The first-class medical record rate of Chinese medicine in our department 100%, the excellent and good rate of dialectical demonstration ≥92%, the dialectical utilization rate of Chinese patent medicine ≥92%, the treatment rate of traditional Chinese medicine ≥92%, the treatment rate of integrated traditional Chinese and western medicine ≥94%, the success rate of emergency rescue ≥82%, the treatment rate of acute and severe Chinese medicine ≥90%, the treatment rate of integrated traditional Chinese and western medicine ≥50%, and the first-aid items are complete.
Two, strengthen medical quality, medical safety and department business management.
Focus on implementing the core system of medical management. Such as medical record writing system, prescription management system, first consultation responsibility system, duty, succession system, three-level doctor rounds system, case discussion system, doctor's advice system, consultation system, referral system, change one's major system, check system, graded nursing system, etc. Strengthen the three-level quality control network management of medical quality control to ensure that all aspects of the medical process are bound by corresponding norms and systems. Constantly improve quality control and evaluation indicators, and conduct centralized inspection and evaluation every month. Further strengthen medical safety and production safety. Our department has repeatedly emphasized the importance of medical safety work, enhanced clinicians' awareness of medical safety, educated clinicians to strictly abide by technical operation specifications, and timely, comprehensively and correctly wrote medical records and various records through morning meetings, special lectures and business training. In order to ensure medical safety and prevent major medical accidents. Strengthen communication between doctors and patients, and fully respect patients' informed choice. It further emphasizes the obligation of medical staff to inform, effectively protects the legitimate rights and interests of both doctors and patients, and effectively prevents medical disputes. Focus on improving the medical environment and reducing medical expenses. Through the year of hospital management, emergency department staff can further understand and implement the service concept of "people-oriented, patient-centered", further improve the service facilities, deepen the medical environment, update the service model, simplify the medical treatment process, improve the service attitude, provide humanized service for patients, and put an end to the phenomenon of being raw, cold, pushing and dragging patients. Actively carry out convenience services, our department has carried out free medical consultation, drinking water supply, wheelchair supply, simplified diagnosis and treatment and other convenience measures. The emergency department actively inquires about the cost of drugs and medical services for patients, and provides a list of hospitalization expenses for inpatients. Strictly manage medical charges and put an end to unreasonable charges. Do a solid job in holistic nursing. Head nurses have established and improved a series of nursing rules and regulations according to the requirements of "Hospital Management Year". Standardize all kinds of nursing documents and carry out holistic nursing work. Strive to improve service attitude and improve service quality. Strengthen the "three basics and three strictness" education for each nurse, focusing on strengthening the training of operational skills. Strengthen the management of hospital infection and effectively control the occurrence of hospital infection. Sensory doctors conduct irregular monthly inspections on hospitalized patients in emergency wards, and make statistics on medical records at the end of the month.
We should not only have a good service attitude, but also have skilled rescue techniques and emergency response capabilities. In order to diagnose and treat emergency patients quickly and accurately, and relieve their pain as soon as possible, every medical staff needs to study their business seriously and master all kinds of rescue instruments and technologies skillfully. Therefore, the department regularly organizes business study and strengthens the training of various first-aid techniques. Such as cardiopulmonary resuscitation, mechanical ventilation, ECG monitoring, cardioversion, defibrillation, gastric lavage and other routine technical operations. Adhere to the system of three-level doctor rounds, discuss relevant cases in time, and improve the first aid level of general medical staff. In order to adapt to the development of modern medical market, this year our department regards the development of pre-hospital first aid as an important work and strictly implements the emergency home visit system. Pre-hospital emergency teams are on standby for 24 hours, arrange emergency treatment for 5 minutes, and formulate the overall plan of emergency green channel. In case of urgent, dangerous and serious patients, all emergency green channels are implemented, and all procedures have been completed first.
Third, there are problems.
The quality of medical service is not high, and the enthusiasm and consciousness of individual workers are poor; Department business growth can't keep up with development needs; There are few emergency personnel and lack of top-notch outstanding technical backbones and academic leaders; Lack of advanced medical equipment; The environment in the inpatient ward of the department is poor. Next, our department will gradually rectify the existing problems and strengthen the construction of cultural characteristics of traditional Chinese medicine.
Summary of the work of emergency doctors 2 Ding, Ding ... A quick ringing of the telephone broke the silence of the ward in the middle of the night. It's the phone of the emergency department: "I want to send a middle-aged man with three broken fingers to your department. Please do a good job." Just put the phone down, the emergency nurse has sent three broken fingers after preliminary treatment. My first reaction was to put the broken finger in the refrigerator immediately and inform the doctor on duty to prepare for the consultation.
Within five minutes, the emergency doctor escorted the patient to the ward. Looking at the patient's bloody left hand, the doctor on duty, Lu Jianguo, immediately examined the injured finger, changed the dressing and re-bandaged it. The doctor explained the condition and surgical plan to the patient and his family. At the same time, I am also methodically improving the preoperative preparation for patients. And notify the operating room to prepare for the operation. The anesthesiologist came to pick up the patient and replanted the severed finger with doctors such as Chen. It's time for doctors to spend a sleepless night in emergency surgery again tonight! I secretly sighed in my heart. According to my own nursing experience, it used to take 3 or 4 hours for doctors to replant severed fingers, but now it takes 12 hours for severed fingers. 10 hours of continuous fighting, which is a tough battle to test the spirit and perseverance of clinical surgeons. Replantation of severed fingers is a kind of microsurgery, which uses microsurgical instruments to suture blood vessels with microscopic needle and thread that is only one tenth the size of hair and almost invisible to the naked eye. The blood vessels and nerves of fingers are so tiny, and the diameter of blood vessels is only about 0.3 mm. What a delicate surgical skill it is to sew such tiny blood vessels. ...
This is the morning after the operation. When I saw the doctors dragging their tired bodies back to the ward, everyone's eyes were bloodshot. But they didn't go to the lounge to rest immediately, but turned to wash their faces. Their figures shuttled between wards, because they knew that the patients in the wards were still waiting for the doctors to make rounds ... Although it was another sleepless night, for our department, emergency treatment in the middle of the night or even overnight surgery was commonplace, but the doctors never complained. Seeing that the blood supply of a middle-aged man was normal after replanting three fingers on his left hand, the replantation of severed fingers was successful. As we all know, what this means to an ordinary family. No matter how hard and tired you are, you are willing.
Summary of emergency doctors' work in 3 20xx, the hospital put forward the working idea of "excellent service and developing specialty". Nurses in our department always maintain a good mental outlook, stick to their posts, constantly rectify according to their own actual situation, adhere to the purpose of taking patients as the center, creating quality services and training specialists, and gradually improve the quality of nursing work. Under the guidance of hospital leaders, department directors and the efforts of general nurses, the nursing work plan for the whole year was successfully completed.
First, the annual nursing workload and working standards.
1, workload: emergency person-times. Number of people involved in rescue. Cooperate with emergency surgical cases. Observe the patients for xx times. Xx trips. Deal with emergencies xx times.
2. Work compliance: First-aid articles are in good condition. Qualified rate of sterile goods. Qualified rate of medical record writing. Comprehensive satisfaction of nursing. Qualified rate of nursing technical operation examination
Second, strengthen the service consciousness of nursing staff and provide quality services.
1, strengthen the service concept
General nurses attend quality service training courses organized by the hospital, and constantly conduct etiquette and behavior training, standardize common polite expressions and communication expressions in operation, and apply them in practical work. Constantly study and discuss communication skills, cultivate nurses' foresight of disputes, effectively handle various contradictions and differences in their work, establish mutual trust between nurses and patients, achieve zero complaints throughout the year, and achieve comprehensive satisfaction of 99. 1%.
2, people-oriented, fully meet the needs of patients.
Continuously improve the environment of infusion hall, install TV and other facilities, and provide convenient services such as paper towels, cups and glasses of water at the bedside of unaccompanied patients. Continuously optimize the medical treatment process, timely triage, and take measures such as using emergency priority service card to pay for medicine for critically ill patients to reduce the waiting time for medicine. Improve service quality through environmental health supervision, nursing inspection and health education. Pay attention to illness treatment, basic care, three meals, know their situation in time, help contact their families or rescue stations, help such patients this year, and contact their families outside the province through ID cards. This measure has been praised by patients' families and other patients. Discuss and correct patients' opinions and problems in work, and constantly improve the service image.
Three, scientific and institutionalized nursing management, focusing on the implementation of the supervision system.
1, through grouping regional management, continuous grouping and scheduling are carried out, so as to reduce shifts and effectively use human resources. Through dynamic quality control of senior nurses, the work pressure of young nurses is reduced, nursing hidden dangers are reduced, and the nursing quality of each shift is guaranteed.
2, clear quality control division of labor, the specialist is responsible for the management of goods, workflow and other areas, found the problem, timely feedback and discuss the modification, to ensure the quality of care in each area. Effectively implement the performance appraisal system, truthfully feedback the hierarchical ability of personnel, and make the nursing quality control in place.
3. After one year's adjustment, the structure of nursing team tends to be reasonable. According to the division of emergency areas, posts are basically set according to individual work ability, and the hierarchical management of nurses is basically realized, so as to achieve the rational distribution and use of personnel.
4. The emergency green channel is unblocked, which improves the success rate of rescue. For all kinds of acute, dangerous and severe patients, the measures of rational use of green channel have won valuable time for rescue.