In order to better carry out outpatient work, outpatient nurses make an annual work summary. The annual work summary of outpatient nurses is what I want to share with you. Welcome to browse.
Chapter 1: Annual work summary of outpatient nurses. Time flies. Looking back on the past three years, I feel a lot. The work since 20XX is summarized as follows:
First, strict management and effective coordination
In the past three years, 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 department work. Actively cooperate with the director to do a good job in medical coordination and guide everyone to do a good job in 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 the nurses in 12, only one graduated from the nursing college of integrated traditional Chinese and western medicine, and the rest (including myself as a head nurse) graduated from western medicine nursing, and only learned the basic knowledge of traditional Chinese medicine at school; In western medicine? Specialist nurse? With the continuous development of training, the characteristics and advantages of specialist nurses are becoming more and more obvious. At present, Chinese medicine nurses have no specific professional knowledge and development direction, which affects the enthusiasm 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 mentality and sublimate its inner world. Head nurse management? This external cause, through the nurse? Personal qualities? Internal factors played a role. 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; Keep? Angel's heart? Little blackboard newspaper; 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. I finally built it? I use humanistic knowledge to change nurses-nurses manage themselves effectively-and improve the quality of nursing work? A virtuous circle. 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 2009, TCM health education and nursing services were affirmed and praised by experts attending the meeting.
Fourth, pay attention to service details and improve patient satisfaction.
For example, in terms of health education for patients, most departments rely solely on oral education by nurses, but through long-term observation, I found a drawback: nurses talk less, the content is incomplete, and they talk more, because time is limited, they can speak quickly and have no focus, so that patients can't remember at all. To this end, I made an outline of the content of admission education as the content of oral education for nurses, and input the details into the computer. After the general education, the nurses sent detailed information to the patients, which played a very good role. Something like that? Nasal feeding knowledge education? 、? What is the retention method of sputum culture specimens? 、? Precautions for retention of urine culture specimens? Wait, wait, wait, wait. This kind of oral and written publicity is not only beneficial to patients, but also saves nurses a lot of 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. I took part in the training of psychological counselors at Dutch Xike International, and took the psychological counselor exam in May. I hope to get a third-level psychological counselor certificate in August. Actively participate in departmental scientific research projects and participate in Henan PICC qualification training class; In recent three years, he has published three academic papers and four comprehensive articles in national and provincial magazines, and two poems and essays in the journal of our college.
Shortcomings and efforts of intransitive verbs
Although, in retrospect, I can say without shame: I didn't waste any time; Facing my patients and my department, I can also say frankly that I have been working hard for you! However, facing 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, my efforts are:
1, strive for a breakthrough in nursing scientific research;
2. Combine leniency with severity to make your management style more mature.
Chapter II: Annual work summary of outpatient nurses. The emergency department is the most window in the hospital, which has the characteristics of urgency, busyness and miscellaneous. Facing the first diagnosis and rescue of critical emergency patients, emergency patients often have unclear diagnosis, unknown condition and rapid progress. If it is improper, it is easy to have medical disputes. However, patients and their families are prone to impatience, anxiety and fear. The emergency department is different from the ward, and the medical staff have full communication with patients and their families, patients' needs and new nurse-patient relationship. In the emergency department, patients and their families have no trust in the short contact with medical staff, and they are sensitive to every detail of medical staff. The words and actions of medical staff will have an impact on patients' psychology. The treatment of medical staff is not understood, and patients and their families stay? Isn't it? 、? Is it urgent or not? Hallucinations. The more I feel that communication is the most easily overlooked and important thing in the emergency department, Nightingale said: Nursing needs more exquisite technology and art. Only by learning to observe can we be good at dealing with problems, including observing the patient's condition, psychology, needs and family members.
For example, some patients' families are very picky about nurses, but they don't know about the infusion of patients. Like their families, patiently remind them to call a nurse every time the liquid is delivered to the place. At the same time, they should patrol the ward on time and observe the progress of fluid replacement, so that fluid replacement can conflict with the patients' families to some extent. To learn to communicate, people's respect and trust are based on communication. Patients who come to the emergency room should ask questions carefully and treat them warmly. For example, patients with mobility difficulties can be assisted or transported to the clinic with carts, and their vital signs can be measured and handed over to the nurses in the clinic; Patients who need and can go to the ward for treatment can specify the location of the ward in detail. Wrong way? . It can be suggested that patients who are not in danger for a long time go to the outpatient clinic for medical treatment, and patiently and carefully inform them of the location of the outpatient clinic and the situation of medical treatment, so as to facilitate patients' arrangements. Smiling expression and extending a helping hand can not solve the physical pain of patients, but can quickly shorten the distance between nurses and patients and the psychological needs of patients who need care, thus facilitating the following nursing work.
Finally, observation and communication can help us to judge the patient's condition and needs, which is beneficial to the rescue work of medical staff and patients. For example, trauma patients can observe and roughly ask about the location and severity of their injuries, seek medical treatment, and prepare for registration procedures.
Just briefly talking about my work in the emergency department, I still have to learn. Of course, an emergency nurse who can only communicate needs a theoretical foundation, good rescue experience, good response and quick action, and can stand the test in an emergency, which is far away.
10 this year has passed by in a hurry, and I feel that time flies. Looking back on this year, there are still some gains. Firstly, determine the orientation of outpatient service and the next development direction. Started to build the first professional cosmetic oral clinic in Tianjin. Determine the core of our corporate culture? Care? . Although some people think it is the Noah's Ark in my dream, it is impossible to realize it. Many contradictions between labor and capital and between doctors and patients are difficult to solve, but I want to try my best to create a harmonious environment, where colleagues live in harmony and care for each other. Doctors and patients can communicate easily, and everyone in the clinic can give them more love. Of course, this can be achieved not only by my own efforts, but also by the concerted efforts of all our outpatients, Qi Xin, which is very difficult. Think of it as one direction.
I have never thought about promotion. I think it is enough to do my major well, but I signed up this year and should review the basic knowledge again. I was ill for a month before the exam, but I didn't expect the attending to pass the exam. I am very happy outside.
I attended a three-month orthodontic training course in Beijing Medical College. Although I have been doing orthodontics for more than ten years, I really rarely sit down and systematically summarize. It is worthwhile to sum up my orthodontic professional knowledge in three months this time. I have been thinking about how to better combine orthodontics and dental cosmetic restoration, and now I have an outline in my heart.
Invited periodontal experts from the Second Hospital of Beijing Stomatological Medical College to come to our clinic regularly for guidance. I am glad that this work has just been implemented. Periodontal treatment determines the success of cosmetic repair to a certain extent. Now our attention to the oral cavity is not limited to the teeth, but more attention is paid to some details. I can get the help and guidance of Dr. Li in the future, and I believe the repair will be more perfect.
Chapter III: Summary of the annual work of outpatient nurses for 20xx years, which is a busy year and the first year after our hospital became a tertiary hospital. Qi Xin, a nursing staff, worked together to successfully complete all tasks. The main work is summarized as follows.
I. Workload statistics
The outpatient department completed intramuscular injection 12098 person-times; 3,600 subcutaneous injections; 35,395 person-times of skin test; Catheterization 24 times; Enema 152 times; Blood sugar monitoring 20 17 person-times; PICC catheter nursing 1 148 person-times; PICC placed 36 test tubes.
Second, nursing safety
(1) General nurses strictly implement various rules and regulations, and the incidence of major nursing adverse events is zero.
1. Nurses carefully study the Evaluation Standard of Grade III General Hospital and the newly compiled Nursing Work Standard, and further improve the outpatient regulations and nursing workflow under the guidance of the leaders of the nursing department and the general department. At the same time, nurses are required to strictly implement and regularly supervise nurses to implement the new responsibility system and workflow.
2, nursing staff can strictly implement the nursing core system, do a good job of inspection, to ensure that no major nursing adverse events.
(two) to strengthen the management of equipment, instruments and articles, regular inspection, repair and maintenance, do a good job in the use of registration. Nurses should be familiar with the operation specifications to ensure the safety and effectiveness of the work of each department.
(3) The outpatient departments of internal medicine, surgery, otolaryngology, ophthalmology, stomatology and dermatology should be provided with small first-aid kits, and the intact rate of first-aid articles and medicines should reach 100%.
(four) the standardized management of high-risk drugs in various departments requires that they be placed in designated and special areas with standardized and eye-catching signs.
(5) Strictly adhere to the inspection of nursing quality control. Do a combination of regular and spot checks, find problems in time and rectify them in time. And through the monthly nurses' meeting, the causes of * * * problems and principled problems existing in the quality control inspection of nursing department, key departments and departments are analyzed, and corrective measures are put forward and implemented. In order to realize the continuous improvement of nursing quality and ensure nursing safety.
Third, nursing service.
(1) Many departments in outpatient and infectious diseases departments have added convenience measures, such as adding newspaper columns in internal and external, gynecological and pediatric sub-clinics; The preventive health care section has increased the nursing area; The one-stop service center has added a love umbrella to make the quality nursing work more in-depth and meticulous.
(2) Out-patient department, out-patient department, gynecology department, pediatrics department, etc. After the patient chooses the corresponding department to register, the doctor's serial number will be on the registration form, and there is no need to go to the triage desk of each department for secondary registration, which reduces the trouble of patients waiting in line many times.
(3) In daily work, nurses can better implement the nursing code of conduct, use civilized language for patients, communicate with patients in time and carry out health education.
(4) Hold public holiday meetings in different departments every month, and issue satisfaction questionnaires to patients, solicit opinions, rectify existing problems, continuously improve our services and improve patients' satisfaction with nursing work.
Four. Professional quality (1) shall be trained and assessed according to the classification of nursing staff. Improve the professional quality of nursing staff, and conduct three basic theoretical examinations and nursing operation examinations every month.
(2) Organize nursing staff to conduct business study and nursing rounds every month, broaden the knowledge of outpatient nursing staff, keep pace with the times, and better serve patients.
Verb (abbreviation of verb) nosocomial infection
Outpatient departments should strengthen communication with hospital infection department and strengthen the training and learning of hospital infection knowledge. From workers to nurses, it is required to strictly implement the disinfection and isolation system, do a good job in disinfection and isolation and garbage classification, and ensure that the floor of the outpatient department is clean and tidy, and the clinic is clean and tidy.
For some high-risk departments, such as stomatology, family planning operating room, dermatology, dressing room, etc., the qualified rate of disinfection of sterile articles is 100%, and air culture meets the requirements.
Sixth, practice teaching.
According to the practice teaching plan, the practice students are taught in a planned way, so that the practice students can adapt to the outpatient nursing work as soon as possible during the outpatient practice and learn the triage process and skills; Conduct standardized examinations before leaving the company.
20xx years later, there are still many deficiencies in outpatient nursing, mainly including the following three points:
First, some nursing staff have insufficient implementation of various rules and regulations.
Second, the coordination between medical staff is not satisfactory.
Third, nurses lack the consciousness of actively serving patients, and the satisfaction of outpatient nursing is low.
In view of the problems existing in 20xx, in the new year, under the leadership of the nursing department and the general department, we will formulate the annual nursing work plan of the department, serve the patients better with high-quality service and exquisite technology, and make greater efforts for Jiangning Hospital to build a third-class first-class hospital as soon as possible!
Zazie Hoko
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