The experience and feeling of emergency nurses in xx years and X months came to the emergency department with a sense of anxiety, because they just entered the hospital, did not have much work experience, and were used to the single working environment and process of obstetrics and gynecology. I am not familiar with a lot of first aid knowledge, first aid technology and first aid equipment. I'm afraid it's difficult for me to take on the responsibility of an emergency nurse. But with the patient teaching and help of the head nurse and other sisters, I gradually adapted to and integrated into this urgent, busy and complicated working environment. From the first time I inserted a stomach tube into a patient, my hands were still shaking, and I was on duty to rescue critically ill patients. I saw my growth and progress. Time flies, xx years quietly came in the sound of fireworks and firecrackers. I also want to sum up my successful experience and lessons of failure in the past year, continue to carry forward the good aspects, strive to improve the shortcomings and meet the challenges of the new year. The following is a summary of my work:
In the past year, I think I have done well in the following aspects:
First of all, in terms of work style, I consciously abide by the rules and regulations of hospitals and departments, obey management, go to work on time, get along well with colleagues, get along in harmony, unite and cooperate, and ensure the smooth completion of the work. Secondly, in the nursing work, I serve the patients wholeheartedly and take the patients as the center. I remember nightingale said: nursing needs not only superb technology, but also art.
At work, I learned to observe. Only by careful observation can we be good at discovering the existence of problems, including the observation of patients' condition, psychology, needs and family members. For example, some patients' families are critical of nurses' behavior, but they don't fully understand patients' fluids. For such family members, we should patiently remind them where to call a nurse when changing fluids. At the same time, we should also patrol the ward on time to observe the progress of the liquid, so as to avoid conflicts with the patients' families to a great extent because the liquid was not replaced in time. At work, I also learned to communicate. Mutual respect and trust between people is based on communication.
For patients who come to the emergency department, we should actively ask and guide them enthusiastically. For example, for patients with mobility difficulties, we can help them to take them to the clinic with trolleys and measure their vital signs. For patients who need to be examined, we can carefully point out where they need to go to prevent patients from running the wrong way. For patients who have been ill for a long time but their condition is not critical, we can advise them to go to the outpatient clinic for medical treatment, and patiently and carefully inform them of the location and time of medical treatment, so as to facilitate patients' arrangements.
Although a smiling expression and a helping hand can't solve the physical pain of patients, they can quickly shorten the distance between nurses and patients, effectively meet the psychological needs of patients who need care, and also reduce the illusion that patients and their families are "not valued" and "urgent" to ensure the smooth progress of the work. Finally, at the professional level, I passed the theoretical and operational examinations and constantly improved my level. However, there are still many shortcomings in my work. I feel that my work lacks flexibility and integrity, especially when saving patients, which requires me to accumulate experience in my future work. I also want to strengthen theoretical knowledge and keep in mind the dosage, function and adverse reactions of commonly used rescue drugs. I also want to strengthen the technical level, such as the use of scalp acupuncture and various rescue devices for children.
Today, I sat at my desk and wrote this summary. Thinking of my work and life in the emergency department in recent months, I can't help feeling a lot. I had a scalp injection happily. I said thank you to the patients and their families. I complained that I often couldn't get off work on time. I cried sadly for the incomprehension of the patients and their families. However, whether it is the joy of success or the pain of failure, xx has come to an end and become a memory. Every one of us should.
Experience and cognition of emergency nurses II. More than half of clinical practice, has been working in the inpatient ward, eager to see the first aid scene. I finally got my wish when I came to the emergency department this time. Of course, I am also worried that my knowledge is not comprehensive and I can't cope with unexpected situations.
Sure enough, I encountered CPR on the first day of reporting to the department, but when I saw that the teachers were busy, quick and tacit, I was blindsided. Looking around, I only know the name of the instrument, but I don't know how to use it. I can only listen to the teacher's instructions mechanically and do some chores. After several rounds of chest compressions, the doctor asked me to press on the stage. This is the first time I've pressed on a real person. Although I was a little timid at that time, I didn't dare to neglect, and I was bent on saving my life. I looked at the patient's face while pressing, hoping that he would wake up, but the data on the ECG monitor kept reminding everyone that the patient was leaving. ...
Emergency is the first line to save patients' lives and take care of critically ill patients. After this incident, I deeply realized the artistry and professionalism of nursing work. During the emergency internship, through the enthusiastic guidance of the teacher and the example of the patient, I became familiar with the first-aid drugs, and learned the nursing operations such as ECG monitoring, cardiopulmonary resuscitation, automatic gastric lavage, the use of defibrillators and ventilators, intravenous infusion, skin test and intramuscular injection.
In this extremely short four weeks, the biggest experience is the characteristics of emergency room nursing: urgency, busyness and miscellaneous. Emergency patients are seriously ill, their condition is urgent and changes rapidly. So we must race against time, deal with it quickly, and strive for rescue time. The time, number and severity of emergency patients are unpredictable, random and controllable. Therefore, there should be both division of labor and cooperation in peacetime, so as to keep the work busy and not chaotic.
It's too short to come to the emergency room. I'm just familiar with the environmental structure of the emergency room, and the duties of each class are about to leave. I really don't want to give it up!
In short, I would like to thank the tutor for his careful teaching and the head nurse for her reasonable arrangement. I will go into the following subjects with more active working attitude, more solid operational skills and more profound theoretical knowledge, so as to improve my clinical nursing ability and do my duty for the nursing cause!
Experience and understanding of emergency nurses. I used to like to watch stories about the emergency department in film and television programs. I think the doctors and nurses in the story are so decisive, capable and charming that I envy them. Unexpectedly, when I grew up many years later, I was lucky enough to become an emergency nurse. From the initial anxiety to gradually finding the law, I really realized that it is not easy to be a good emergency nurse!
The emergency department is one of the most important windows in the hospital. My hospital is one of the best comprehensive tertiary hospitals in the province. It not only receives normal acute and severe patients, but also receives critically ill patients transferred from prefectures and counties. It is anxious, busy and complicated. Facing the first diagnosis and rescue of critical emergency patients, emergency patients often have unclear diagnosis, unclear condition and rapid changes. If it is not handled properly, it is easy to have medical disputes. However, patients and their families are prone to impatience, anxiety and fear. The emergency room is different from the ward. Medical staff have enough time to communicate with patients and their families, understand the needs of patients in time, and establish a good nurse-patient relationship. In the emergency department, patients and their families have not yet established a good sense of trust in their brief contact with medical staff, and they are very sensitive to every nuance of medical staff. The speech and behavior of medical staff will have a great influence on patients' psychology. As a result, the treatment behavior of medical staff is not understood, leaving patients and their families with the illusion of "being ignored" and "being urgent and not urgent". Therefore, the more I feel that communication is the most easily overlooked and important thing in an emergency.
Nightingale said: Nursing needs not only exquisite skills, but also art. First, you must learn to observe, so that you can be good at discovering the existence of problems, including observing the patient's condition, psychology, needs and family members. For example, some patients' families are critical of nurses' behavior, but they don't fully understand patients' fluids. For such family members, we should patiently remind them where to call a nurse when changing fluids. At the same time, we should also patrol the ward on time to observe the progress of the liquid, so as to avoid conflicts with the patients' families to a great extent because the liquid was not replaced in time. Second, learn to communicate. Mutual respect and trust between people is based on communication. For patients who come to the emergency department, we should actively ask and guide them enthusiastically. For example, we can help patients with mobility difficulties, or help them take them to the clinic with carts, measure their vital signs and give them to the nurses in the clinic; For patients who need and can go to the ward for treatment, the location of the ward can be pointed out in detail to prevent patients from "running wrong". For patients who have been ill for a long time but their condition is not critical, we can advise them to go to the outpatient clinic for medical treatment, and patiently and carefully inform them of the location and time of medical treatment, so as to facilitate patients' arrangements. A smiling expression and a hand gesture can not solve the physical pain of patients, but can quickly shorten the distance between nurses and patients, effectively meet the psychological needs of patients who need care, thus facilitating our follow-up nursing work. Finally, through observation and communication, learn to judge, and have an accurate understanding and judgment of the patient's condition and needs, which is conducive to the rescue work of medical staff and buys time for patients. For example, trauma patients can know the location and severity of their injuries through observation and general inquiry, and seek medical treatment at the first time. Registration procedures can also be prepared.
The above is just a brief talk about my short work in the emergency department, and there are still many things to learn. Everyone is my teacher in the emergency department, and everything is my experience, which has taught me a lot, whether it is being a person or doing things. Of course, being a good emergency nurse is not enough. It also needs a solid theoretical foundation, rich rescue experience, quick response and quick action. This is a guarantee to stand the test in an emergency.
The experience of emergency nurses for four 20xx years is an unforgettable year for our hospital and a challenging and inspiring year for the emergency department of our hospital. All the staff in our hospital, under the leadership of the hospital leaders, and with Qi Xin's concerted efforts, overcame the difficulties of multi-point inspection preparation, shortage of staff, huge workload and so on, and finally passed the evaluation of the third-class first-class hospital with excellent results, and the work of the emergency department of our hospital was unanimously recognized by the evaluation experts.
After years of development, the emergency department of our hospital has developed to a considerable scale, mainly focusing on pre-hospital first aid. It is a traffic accident emergency center and an emergency rescue center (120). The annual emergency volume reaches more than 30,000 person-times. Opening a "green channel" for traffic accident trauma and critically ill patients has effectively solved the problem of timely treatment of critically ill patients and traffic accident victims. Organize undergraduate medical staff to strengthen business learning (should know what to do, core medical system, sensory control knowledge, laws and regulations, basic skill operation, key critical illness service process, medical record writing, death case discussion, antibiotic use principle, infectious disease report, etc.). ). It is clear that the main rectification direction of the emergency department is: to further improve the department construction, especially the first aid in the hospital, coordinate the proportion of supplementary personnel, standardize the service process, formulate and improve the relevant rules and regulations, post responsibilities and laws and regulations of the department, strengthen business training, master the common technical operation and related professional knowledge of the emergency department, write all kinds of records in time and accurately, strengthen the construction of medical ethics, further improve the medical quality and safety, and promote the further improvement of the scientific research ability of the department.
The hospital attached great importance to it, and immediately set up a leading group for the re-evaluation of top three hospitals, set up a top three evaluation office, and set up a top three liaison officer and various groups in the emergency department of our hospital, with the director as the first person in charge, to quickly carry out the re-evaluation work. The whole hospital learns to mobilize. The hospital held a mobilization meeting for hospital cadres, and all departments held a general mobilization meeting, calling on every employee to carry forward the spirit of hard work and dedication and consciously participate in the "three-level re-evaluation" compliance activities, which quickly set off the climax of the hospital's compliance activities. Scientifically decompose responsibility. On the premise of deeply understanding the standards, the director and the head nurse will lead the backbone and departments of our department to formulate feasible plans and measures to meet the standards. Set up various working groups in the department, define the tasks, assign responsibilities to people, focus on strengthening basic management, quality management, medical safety, three-basic training, improve the relationship between doctors and patients, improve the quality of service, and strictly enforce the standards item by item. For the part that has reached the standard, it is required to maintain normal operation, especially the core system of medical quality management, the post responsibilities of all kinds of personnel at all levels, the operating procedures for diagnosis and treatment, and the medical ethics norms. , so as to make unremitting efforts to form inertial operation; Corresponding to the parts that meet the standards but are not yet perfect, we should carefully check for leaks and fill vacancies, implement rectification measures in time, and strive to meet the standards and be excellent; For the more difficult indicators, report to the hospital leaders in time, actively create conditions, formulate practical plans, and gradually improve and improve them to ensure that they are fully up to standard before re-evaluation.
Facing the new hospital grade evaluation standard, we are not only stricter than before, but also more scientific and practical, and more rigorous in standard formulation, project design, connotation quality and professional requirements. However, the "top three" evaluation will play a huge role in promoting the development of our hospital and have a far-reaching historical impact. The office of the top three has held many meetings of various personnel at all levels to study and deploy the preparations for the standards of the top three. Our emergency department liaison officers actively coordinate, compare standards, find gaps, make plans, and give full play to the strength of the whole department and the whole hospital to solve them. Win every 0. 1 point. All static data are rich in content, and it takes several years to prepare the data, and the specifications are constantly revised repeatedly, and time is tight. The medical staff in our department work overtime day and night, and everyone has no complaints, giving full play to the strong team strength of the department. Ensure that all rectification work is completed smoothly and in time. After the first pre-trial, the whole hospital entered the countdown to the "top three" inspection. The rigorous working attitude of experts and the depth of systematic thinking give our department targeted guidance, which makes the majority of medical staff feel pressure.
In view of every question put forward by experts during the pre-trial, we should draw inferences from others, sort out and digest, come up with solutions, implement the responsible person, limit the time limit for completion, and strive to make the work perfect. We work hard for a month in the spirit of "day and night", actively carry out business every night until 10, and then come to class after the break to ensure the normal emergency work order on duty. Through the efforts of all the medical staff in our department, when the expert group conducted on-site assessment of our department, the medical staff in our department performed well, operated accurately, answered fluently and smoothly, and passed the assessment of each expert group smoothly. Behind these achievements, I don't know how much hard sweat the comrades have gathered. It is precisely because of these selfless comrades-in-arms that their career has a long-term foundation. It is precisely because of this spirit of unity and high morale that the hospital has a long-term and stable morale. This is the most precious wealth and powerful spiritual strength accumulated by the hospital after the forging of "three-level evaluation". Hold regular meetings on medical quality and safety in departments, timely discover adverse medical safety incidents in departments, sum up experiences and lessons, give priority to prevention, and curb risks in the bud.
Finally, after the previous stage of efforts, we successfully passed the top three reviews. This achievement is hard-won. We continue to carry forward the spirit of seeking truth from facts, working hard, regardless of gains and losses, and at the same time sum up the work experience of comparing standards, seriously rectifying, finding deficiencies and standardizing management, so as to continue to carry forward in future work and promote the development of all work.
May our emergency department become stronger and stronger.