202 1 experience and understanding of obstetric soil protection. 1. Down-to-earth, starting from basic nursing work.
First of all, the staff of the department are relatively young, lacking work experience and specialized knowledge. In order to improve the quality of nursing service, we should start with the basic nursing work, strictly implement the ward round procedure and the handover system, take morning nursing and handover as the communication platform, carry out in-depth and meticulous specialist health knowledge education and humanized communication, effectively improve patients' satisfaction and achieve good results. At the same time, the implementation of the core system will be the focus of this year's assessment, and one will be assessed every week to gradually standardize the workflow. In addition, to improve the service quality, we should start with improving the work details:
1. Improve the check method, instead of calling the patient's bed number and name, ask the patient's name, so that the patient can take the initiative to answer and avoid the possibility of wrong check;
2. Improve skin preparation method, use disposable skin preparation knife, cancel civil skin preparation knife, and change talcum powder lubrication into soap solution lubrication to improve work efficiency and skin preparation effect;
3. Promoting the use of family escort chairs only symbolizes the collection of user fees, which provides great convenience for patients;
4. Establish a nurse communication book, and write the contents of daily work quality control, meeting contents and handover precautions into the communication book for each class to refer to, so as to reduce the disadvantages of long cycle and inability to improve in time and achieve the goal of continuous and timely quality improvement;
5. In conjunction with the city baby photo studio, the first photo of the newborn baby was provided free of charge, leaving the joy of the newborn to us and the patient's family, which achieved particularly good results.
Two, grasp the implementation of the system, a clear division of labor, to prevent loopholes in the work.
The work is detailed, the division of labor is implemented, and the responsible nurses and quality inspectors are responsible for writing documents. The three-level quality control mode, in which the bed nurse is responsible for filling in the medical record, the responsible nurse is in charge of management and the quality inspector is in charge of quality control, effectively controls the writing errors and irregular writing, and improves the writing quality. The discussion on holidays, the rescue of medicines, the lectures of interns, and the business study are all responsible for people, so that everyone has something to do, everyone is responsible, and everyone participates in department management, which effectively improves everyone's enthusiasm.
Third, strict delivery room management, complete the layout transformation.
Strengthen the management of delivery room, print the common emergency procedures of obstetrics, post them on the inner wall of delivery room, strengthen the operation procedures, implement the wristband identification system, strictly implement the wristband wearing work of newborns, establish the delivery room handover process and supervise the implementation, effectively strengthen the safety management of pregnant women and newborns, improve the vaccine reporting and checking procedures, and strengthen vaccine management. In addition, according to the acceptance standard of management year, the delivery room was improved again, disinfection supplies were configured, and the positions of waiting room, isolation delivery room and isolation delivery room were adjusted to meet the standard requirements.
Fourth, practice hard and strictly control the quality.
I have been working in 20 departments, 20 departments and intensive care unit since I started to work in the hospital last year 10. Experiential learning, through a year's experience, combines the theoretical knowledge obtained before with clinical practice. On the one hand, we should be strict with ourselves in peacetime, on the other hand, we should work hard with more teachers to learn the application of business and experience elements in our spare time.
For the first time in the same period, I was not familiar with the indications, contraindications and complications of xx subjects in cancer chemotherapy. After four months of study, I feel that I have learned a lot of useful knowledge, such as: the stimulating effect of various forms of chemotherapy drugs in different peripheral veins, the danger of leakage of chemotherapy drugs, immediate health care measures, and long-term chemotherapy for patients who have been cared for by deep venous catheter after operation. In addition, patients receiving chemotherapy will have a series of reactions such as gastrointestinal tract, skin, mucosa, mental state and chemotherapy. At this time, it is necessary to provide patients with enthusiasm, respect and patience to listen to their complaints and do a good job of bedside handover and spiritual support. Preoperative psychological counseling, intestinal preparation and dietary guidance. Postoperative vital signs monitoring, incision observation, assistance in coughing and expectoration, observation of infusion volume and infusion speed, various drainage tube nursing, catheter nursing, diet nursing, observation and nursing of postoperative complications, etc. As women's affairs bureau and patients with specific tumors, this requires us to communicate with them more patiently in our daily work, so as to better improve the quality of nursing and make patients trust our work.
Now I rotate in ward 30, which is a comprehensive department with ultrasonic scalpel, interventional research, western medicine and chemotherapy. I think studying here, for example, many things: patients with ultrasonic scalpel should pay attention to skin protection, feel the body temperature of activity, and feel the pulse of limbs and instep; The limbs of the patients were braked one by one, and the sandbag pressure in Canada was intervened to observe the urination.
After nearly a year's investigation, apart from my understanding and familiarity with all departments of the enterprise, I still noticed that I pay attention to polite service, adhere to civilized language, have dignity in my daily work, do paperwork, have a professional image of nurses, have neat clothes and hair, do not wear heavy makeup, do not wear high heels, do not block rings, have a polite attitude and have a standardized language. Seriously study the Regulations on Handling Medical Accidents and its laws and regulations, actively participate in medical treatment learning activities organized by hospitals, enrich legal knowledge, and enhance self-protection awareness of safety regulations. Under the active and strict guidance of the head nurse, I have made great progress and improvement in many aspects. I usually take part in business department study once a month. At the meeting every Tuesday morning, I insist on the training based on the key wheel of patient care and nursing staff, and the nursing organized by the Ministry insists.
In one year's work, I can always love my post and be dedicated, implement the service concept of "patient-centered, patient-centered", and improve my own quality and emergency ability.
Of course, I found that there are still some shortcomings that need to be improved. For example, when studying, we sometimes have impetuous emotions, and feel that there are too many things to learn, which is easy to be impetuous, especially when facing setbacks. In my work, sometimes the standard is not high. Although I can basically perform my duties and obligations, my actions have been further improved, which I need to improve and strengthen in the future.
In the coming year, the House of Representatives once again thanked the head nurses for their leadership and decided to educate, guide, criticize and help teachers, thanking them for their concern and support for their colleagues' teaching. Looking back, it has made some progress and improvement, but there are also some shortcomings. Looking to the future, it should develop its own advantages and overcome its own weaknesses.
202 1 experience and views on obstetrics and nurses 2. When it comes to nurses, people always think of women in white and gentle. The nurses on TV are young and beautiful, wearing proud swallowtail hats, neat tunics and white nurse shoes, radiant and light as a swallow. Absolutely beautiful.
Until now, I have been engaged in this industry, and five years have passed in a blink of an eye. Reality is not as beautiful as TV. Really understand the difference between work and internship, the pain and joy in work, and the difficulties behind it. I know that nursing needs not only an active learning heart, but also active efforts, more sense of responsibility, more integration with the surrounding environment and more knowledge.
When I first entered the ward, I always felt at a loss, and I was unfamiliar with nursing work. Looking at the busy figure of other nurses, they have good operating skills and various nursing abilities, and can calmly answer all the doubts of the parturient. Envy, admiration, but also a little nervous and timid, I asked myself, can I really be as good as them? Am I really qualified for this job?
The ward is full of pregnant women, some will have children in the future, and some will have children. This is a loving department, and our job is to guard and welcome the safe birth of these new lives. Sounds great. We're under a lot of pressure. Mom needs to be safe, and so does the baby. But babies are tangible and intangible. How can we guarantee it? In addition to the limited inspection instruments, this requires our nurses to observe everything carefully, master more comprehensive professional knowledge to judge the existing problems, and establish good relations and effective communication and guidance. Let me know that I still have a lot to learn. If this job is a test paper, I will only give myself 30 points.
More than these changes, I am carefree at school, and now I feel the pain and joy of working in nursing. When patients don't understand, I also cry; When I make mistakes in my work operation, I will also regret and be ashamed; When the patient definitely praises me, I will be happy; When every pregnant woman leaves the hospital happily, I feel comfortable and gratified ... but there are still many people who are reasonable. In this job, my biggest feeling is still moved, whether it is approval or encouragement. Thank you!
"Three-point treatment, seven-point care", more and more can feel the importance of nursing work. Nurse is a great, glorious and ordinary post. Since I chose nursing, I realized that I chose dedication, and giving is the premise of harvest. This is what I have known for a long time. I will try my best. Let's go up!
202 1 Experience and Perception of Obstetrics and Gynecology Three busy and substantial 20xx years have passed in a hurry. Looking back on my work in the past year, with the care and support of the hospital leaders and the nursing department, and under the leadership of the department director, I have always adhered to the guiding ideology of "taking patients as the center and ensuring medical quality and safety", aiming at "consolidating xx Hospital and promoting breastfeeding" and strictly following the requirements of the hospital and the nursing department.
A, obstetrics and gynecology nursing work
After being transferred to obstetrics and gynecology in April this year, I deeply realized the qualities and conditions that a qualified head nurse in obstetrics and gynecology should have in my work. If a department wants to be harmonious, progressive, cohesive and successful, it must have correct management skills, at the same time constantly improve its self-cultivation and quality, restrain and influence the nurses in the department with their own words and deeds, actively mobilize their work enthusiasm and enthusiasm, and reasonably organize, coordinate and command the nurses in the department to complete their work. Give full play to everyone's wisdom and strength and do everything by yourself. Through my management and the cooperation of nurses in various departments, our department can now be said to be in good order. Everyone is enthusiastic, efficient and effective, and has achieved outstanding results.
1, down-to-earth, starting from basic nursing work.
Department nurses are young, lack of work experience and lack of professional knowledge. In order to improve the quality of nursing service, we should start with the basic nursing work, strictly implement the ward round procedure and the handover system, take morning nursing and handover as the communication platform, carry out in-depth and meticulous specialist health knowledge education and humanized communication, effectively improve patients' satisfaction and achieve good results. At the same time, the implementation of the core system will be the focus of this year's assessment, and the workflow will be gradually standardized. In addition, to improve the service quality, we should start with improving the details of the work: improving the checking method, changing the traditional address of the patient's bed number and name to asking the patient's name, so that the patient can take the initiative to answer and avoid the possibility of checking errors.
2, grasp the implementation of the system, a clear division of labor, to prevent loopholes.
The work is detailed, the division of labor is implemented, and the writing of nursing documents is jointly responsible by the responsible nurse, the team leader and the head nurse, forming a three-level quality control model in which the responsible nurse completes the medical record, the team leader checks the work and the head nurse checks the quality, effectively controlling writing errors and irregular writing and improving the writing quality. The responsibilities of off-duty discussion, drug rescue, intern lectures and business study are assigned to people respectively, so that everyone is in charge of everything and everyone participates in department management, which effectively improves everyone's enthusiasm.
3, strict delivery room management, and constantly improve the quality of midwifery.
Strengthen delivery room management, post common obstetric first aid procedures on the inner wall of delivery room, strengthen operation procedures, implement wristband identification system, strictly implement the work of wearing wristbands for newborns, establish delivery room handover procedures and supervise their implementation, effectively strengthen maternal and newborn safety management, improve vaccine injection procedures and strengthen vaccine management.
4. Standardize the management of obstetrics and gynecology clinics.
After the obstetrics and gynecology clinic moved into the new building in June, it was improved again according to the management standards of obstetrics and gynecology clinic. Adjust the position of gynecological consultation room, prenatal examination room, fetal intensive care unit and family planning operating room, configure inspection and disinfection supplies, and adjust the responsibilities of nurses to meet the standard requirements.
5, pioneering and innovative, continuous learning, complete the continuing education and teaching work.
Pay attention to the improvement of nurses' professional level, and the department organizes nursing business study every month. Introduce new ideas and technologies, improve work, improve technology, promote the learning atmosphere of departments, establish a good atmosphere of communication, help, guidance and teaching in departments, advocate new methods to learn from the old, consolidate basic knowledge, train basic skills, incorporate common operation items into daily assessment, and urge general nurses to complete continuing education tasks and strengthen professional knowledge learning; Constantly improve the theoretical knowledge of professional disciplines. There are a lot of interns this year. In order to ensure the quality of teaching, detailed teaching plans and teachers' teaching plans are formulated to ensure that each batch of students receive two professional knowledge studies and successfully complete the teaching tasks throughout the year.
Second, xx hospital work
At the end of June this year, we received a notice from the Municipal Health and Family Planning Bureau on the review of xx Hospital. At the end of July, we submitted the application for reexamination of xx Hospital. In order to ensure the implementation and normal operation of xx hospital, with the guidance and help of hospital leaders, our department carried out self-examination and rectification one by one according to the requirements of the 20xx xx hospital evaluation plan, and supervised the implementation, which made the management of xx hospital reach a new level. And on X, X, approved by the Municipal Health and Family Planning Bureau to carry out the evaluation of xx Hospital. 1 1 later, we made rectification again to prepare for the review of the provincial xx hospital. The specific work is as follows:
1, to promote the implementation of breastfeeding policy.
(1) formulated a written breastfeeding policy and communicated it to all medical staff.
(2) Implement the regulations of our hospital on promoting breastfeeding and the international double tenth rules.
(3) Put the three ten rules of breastfeeding on the place where mothers and babies go.
2. Sales of milk substitutes
It is forbidden to post advertisements selling breast milk substitutes in hospitals, prohibit the sale of breast milk substitutes, and prohibit companies from giving breast milk substitutes and samples to mothers and medical staff. There are no sales advertisements, materials and samples of breast milk substitutes in hospitals. No medical staff recommended breast milk substitutes to pregnant women and their families and provided samples of breast milk substitutes. Our hospital refused to accept free or low-cost breast milk substitutes.
3, the implementation of xx hospital work management system.
Adhere to the breastfeeding system, implement the 24-hour mother-infant sharing room system, carry out high-quality nursing services, and help normal delivery and cesarean section women to get in touch and accept early. Instruct lying-in women in correct feeding posture, holding posture and milking techniques. Mothers are encouraged to breastfeed exclusively, and it is forbidden to feed any food or drink to newborns unless there are medical indications. Encourage breastfeeding on demand and give individual guidance according to the specific situation of each parturient with breastfeeding difficulties. Put an end to advertisements for bottle nipples and milk powder in delivery rooms.
4. Strengthen breast-feeding knowledge education for pregnant women.
Prenatal education on breastfeeding knowledge and skills is provided to pregnant women through maternity clinics and schools for pregnant women. After hospitalization, the responsible nurse will carry out breast-feeding knowledge and skills education. When waiting for delivery, we should publicize the knowledge and skills of breastfeeding. In the process of delivery, the midwife must let the baby have skin contact with the mother and start early breastfeeding. Postpartum rounds should include breastfeeding. During rounds, medical staff must publicize the benefits of breast-feeding, guide mothers in breast-feeding posture, including posture and hand milking, guide mothers to start early, nurse frequently and breastfeed as needed, wake up the baby for breast-feeding when the baby sleeps for more than 3 hours or the breasts swell, and guide mothers not to give the baby a rubber nipple as comfort to avoid nipple illusion, and strengthen nursing and guidance for mothers after cesarean section. The nurse in charge often visits the ward to find out whether the medical staff will publicize the knowledge of breastfeeding to every pregnant woman during the rounds. After leaving the hospital, pay a regular telephone call back to pregnant women's knowledge and skills about breastfeeding and give timely guidance.
5. Continuously consolidate the knowledge training in xx Hospital.
In 20xx, the staff of the whole hospital will be trained for 3 hours, and the new staff will be trained for 8 hours.
6. Further improve the curriculum of pregnant women's schools.
It has changed the way that only the head nurse teaches in pregnant women's schools, and increased the participation of obstetricians in teaching, so that pregnant women can gain more and more comprehensive knowledge of pregnancy health care, childbirth and breastfeeding.
7. Improve the work of breast-feeding consultation clinics.
Senior obstetrical midwives hold breast-feeding consultation clinics every Monday. Services include correcting the wrong breast-feeding posture, nursing care of chapped breasts, guidance on insufficient breast milk, treatment of baby's sucking difficulty and postpartum breast fullness, and special breast-feeding skills. Answer pregnant women's questions one by one, and improve the records of breastfeeding consultation clinic, including basic information of pregnant women, consultation questions, contact telephone number, handling situation, clients, return visits, etc.
8. Improve the workflow and system of milk preparation in the milk preparation room.
According to the management requirements of the milk distribution room, formulate the milk distribution workflow and system and post it on the wall. The milk distribution room is managed by a special person. Non-ward staff are not allowed to enter the milk preparation room. When entering the milk preparation room, they need to wash their hands, put on their hats and masks. Ventilate the milk preparation room twice a day, and disinfect the room twice with ultraviolet rays, each time 1 hour, and make records.
9. Improve breastfeeding support organizations.
Through the district family planning bureau, street offices and other organizations to help the community establish breastfeeding support organizations, and carry out personnel training. Provide breastfeeding support for discharged women in various forms.
202 1 experience and understanding of obstetrics and nurse IV. I'm a gynecologic nurse xxx. I am very grateful to the hospital leaders for giving me this opportunity for further study. I went to the Affiliated Hospital of xx to formally study X. When I first arrived at his hospital, I felt that the environment and equipment in their hospital were not as advanced as ours, but there were many patients and diseases, which increased my motivation to study. I think I should achieve the goal of further study and improve my nursing level after returning to the hospital.
The head nurse asked me to take a nurse class on duty with a nurse in charge who has been in the nursing industry for more than 20 years. Their duties and responsibilities are similar to those of our hospital. We are responsible for the treatment and nursing of patients in four wards, such as accepting new diseases, preoperative education and preparation, postoperative care and education, general routine treatment and nursing. At that time, the patients' families didn't trust me, and some even refused me to give treatment. At this time, I think that as long as I don't back down, I will never have a chance to start work and show, and patients will even distrust me. I didn't flinch. I stood up every time. Actively communicate with patients to ensure that patients will not increase their pain. In this way, with the patient guidance and help of the teacher, I successfully completed the treatment and nursing, and gradually gained the trust of patients. It was an afternoon, and the nurses in Cory were going to attend a computer knowledge training, leaving me and several interns on duty in Cory. Suddenly, a bleeding patient came from the emergency department. I quickly organized interns to measure her vital signs. I quickly took oxygen for her, established venous access, took blood samples, and monitored them with electricity, so that the interns present could inform the nurses in the department and correctly carry out the doctor's orders. After the nurse came back, I went through the hospitalization formalities for him and gave him blood in time. The patient's treatment was not delayed and was praised by the head nurse.
What I felt most there was xx culture, which made me different. I never bring my emotions to work and smile at patients every day, because I think patients are the people who need our help most. In the face of illness, they inevitably have bad emotions. If we don't understand them and care about them, then we don't deserve to be a medical staff, so we serve them more enthusiastically and let them see our caring service attitude. Respect our xx culture. Although we are a private hospital, our service attitude is unusual. Once, a patient with uterine prolapse came, especially dirty and pungent, and looked very mentally ill. Nurses are pushing me, unwilling to make preoperative preparation for her. I went on my own initiative. With the help of my family, I prepared skin for her and took a blood sample. I can see that the patient is mentally ill. I explain the precautions of preoperative diet to my family, help them cut their nails and scrub their bodies. The patient's family thanked me very much. I think we should sympathize with the weak in nursing work, which is what I grew up under the influence of Huihao culture. I agree with the culture of xx, which has brought shock to others, and I have made continuous progress in the praise of patients and their families.
In the future study, I regard those patients who belong to our four wards as patients under my own jurisdiction. Without the guidance of teachers, I can also complete the treatment and nursing of patients in these four rooms well, and carry out some timely education. Every job can be completed accurately and timely, without any trouble to the teachers, which lightens a lot of burdens for the teachers, and at the same time, I have been recognized by the head nurse. I took the initiative when other nurses took annual leave and there was no substitute nurse. Take the ring, communicate with the supply room to replace the equipment, draw the temperature list, etc. And do it seriously one by one. I will ask the teacher for advice when I encounter problems, and I will finish the task given by the head nurse without any mistakes in a week. In the future, the head nurse will let me take the class when I am absent from work, and I have also learned some knowledge and skills from other shifts.
Time flies. I studied for more than a month and a half in a blink of an eye, and also ushered in the third anniversary of the establishment of xx Hospital. Obstetrics and gynecology should be divided into two departments. According to the instructions of the hospital, I returned to the hospital. Through this study, I am very grateful to the hospital leaders for giving me this opportunity and support, and I also envy my colleagues who have witnessed the development of xx Hospital. After the division, I will continue to study with our head nurse, work in the study, and grow up with xx in the work.