What are the contents of monthly training for nurses? 1, infusion dripping speed.
(1) During bladder irrigation, the dropping speed is 60-80d/ min.
(2) For patients with acute heart failure and lung cancer, the postoperative drip rate is 20-30 days/minute.
(3) The uterine contraction is weak, and the dropping speed of oxytocin is 40d/ min.
(4) When suppurative osteomyelitis begins to drain, the dripping speed is 50-60d/ min.
2. Diseases caused by Streptococcus infection
(1) Rheumatic valvular heart disease: Group A hemolytic streptococcus.
(2) Acute glomerulonephritis in children: Group A, β hemolytic streptococcus.
(3) Scarlet fever and rheumatic fever: Group A hemolytic streptococcus.
(4) Acute cellulitis: hemolytic streptococcus.
(5) Acute lymphangitis and lymphadenitis: Streptococcus pyogenes.
(6) Subacute bacterial endocarditis: Streptococcus viridis.
3. Most tumors
(1) hysteromyoma: the most common benign tumor in gynecology.
(2) Cervical cancer: the most common malignant tumor in gynecology.
(3) Ovarian cancer: the tumor with the highest gynecological mortality.
(4) Bladder cancer: the most common urinary system tumor.
4. Diagnostic methods of malignant tumors
(1) Broncholung cancer: fiberoptic bronchoscopy.
(2) Gastric cancer: gastroscope.
(3) Colorectal cancer: sigmoidoscopy or proctoscopy.
(4) Esophageal cancer: esophagoscopy.
(5) Bladder cancer: cystoscopy.
5, pupil changes
Pupil change is an important index of brain diseases, drug poisoning, coma and other diseases.
The pupil diameter is about 2.5-4mm under natural light.
(1) Those with a diameter greater than 6mm are called mydriasis, and bilateral mydriasis is common in intracranial hypertension, craniocerebral injury and belladonna poisoning.
(2) The diameter less than 2mm is called pupil constriction, and bilateral pupil constriction can be seen in organophosphorus pesticide poisoning, morphine poisoning, chlorpromazine poisoning and other drugs.
(3) Bilateral inequality is common in cerebral hernia.
(4) The disappearance of light reflex is common in critically ill patients.
6, the role of different concentrations of ethanol
(1) 20% ~ 30% ethanol: acute pulmonary edema humidification provides oxygen, thus reducing the surface tension of foam in alveoli.
(2)30% ethanol: moisturizing and loosening hair tangles.
(3)50% ethanol: bath cooling and skin massage.
(4)70% ethanol: disinfection in the donor area.
(5)75%: intradermal injection and neonatal scalp vein and umbilical disinfection.
(6)95%: used for burn disinfection, phlebitis and wet compress of sputum to find cancer cells.
7. Suitable temperature under different conditions
(1) Ward: 18-22℃.
(2) Indoor temperature of full-term infants: 22-24℃.
(3) Indoor temperature of premature infants: 24-26℃.
(4) Newborn bathing: 38-40℃.
(5) Abdominal touch of newborns: 26-28℃ (full-term infants) and premature infants (28-30℃).
(6) Blue light therapy: 32-35℃.
(7) gastric lavage: 25-38℃.
(8) Warm water bath: 32-34℃.
(9) Nasal feeding and bladder irrigation, elemental diet: 38-40℃.
(10) Wash your hair in bed, take a bath and sit in warm water: 40-45℃.
(1 1) Warm water bath: 50-52℃.
(12) Wet and hot compress: 50-60℃.
(13) Hot water bottle: 60-70℃ (infants, the elderly, patients with anesthesia coma, poor peripheral circulation and body temperature coma)
8, the role of sodium bicarbonate
(1) 1% ~ 2% sodium bicarbonate can raise boiling point, remove dirt and prevent rust.
(2) 1% ~ 4% sodium bicarbonate can be used for oral fungal infection.
(3) 2% ~ 4% sodium bicarbonate can be used for vaginal lavage of vulvovaginal candidiasis.
(4)2% sodium bicarbonate can be used for oral cleaning of children with thrush.
(5) Patients with trimethoprim (trichlorfon) pesticide poisoning are forbidden to use 1% ~ 4% sodium bicarbonate for gastric lavage.
(6) In the case of acute hemolysis, the urine is alkalized with sodium bicarbonate.
What are the contents of monthly training for nurses? Two. Training purpose
1. passed the test of theory, operation and clinical practice ability.
2. Master the routine nursing, first aid and monitoring technology of routine severe diseases.
3 familiar with the knowledge of commonly used drugs and the use of commonly used instruments for key diseases.
4. Familiar with ICU layout, rules and regulations and health guidance.
5. Participate in and manage undergraduate patients under the guidance of excellent nurses, and provide professional and standardized nursing services for patients.
Second, the training management
1. Teaching should be based on the new nurse training plan formulated by ICU and the actual situation of ICU.
2. Appoint ICU expert training team to provide theoretical lectures for new nurses.
The nursing team leader gave lessons to the new nurse.
4. The head nurse or teacher should take the theory and operation examination (three operations) at the end of June and complete the new employee training course.
5. Teachers should prepare the training summary at the end of the training period.
6. Training content and methods
X month
1. Be familiar with the structure and layout of ICU and the workflow of each shift.
2. Master the ICU core system, emergency plan and infection control.
Familiar with basic ICU nursing techniques, such as ECG monitoring, artificial airway management, tracheotomy nursing, nasal feeding, etc.
4. Familiar with ICU nursing writing. Surgical training: hand hygiene, ECG monitoring technology, endotracheal intubation/incision sputum aspiration, nasal feeding.
X month
1. Be familiar with the evaluation and observation of critically ill patients, and master the routine care of common critical diseases in ICU.
2. Master the knowledge of skin assessment and nutritional support, and correctly collect various laboratory specimens.
3. Master emergency nursing techniques: cardiopulmonary resuscitation and electric defibrillation.
4. Under the guidance of the teacher, I finished the work of each shift and wrote ICU nursing documents.
5. Operation training: cardiopulmonary resuscitation technology, electric defibrillation technology and arterial blood sampling technology.
X month
1. Master the transfer process and key points of key patients.
2. Master the nursing points of central venous pipeline and various drainage pipelines.
3. Familiar with commonly used drugs in ICU (such as rescue drugs, vasoactive drugs, sedatives and analgesics, etc.). ).
4. Familiar with the use of commonly used instruments in ICU, such as ventilator, micropump, infusion pump, nutrition pump, mild hypothermia treatment, electrocardiogram machine, etc.
5. Operation training: nursing of central venous catheter and use of infusion pump micropump.
X month
1. Master the methods of monitoring central venous pressure and arterial pressure in hemodynamics.
2. Familiar with the clinical significance of ICU test results (such as blood routine, blood biochemical examination, blood gas analysis, etc.). ).
3. Assist doctors in tracheal intubation, tracheotomy and deep vein catheterization.
4. Carry out health education and guidance to improve communication with patients and their families.
5. Surgical training: central venous pressure measurement and closed intravenous infusion technology.
X month
1. Master the safe blood transfusion technology and the writing of safe blood transfusion orders.
2. Familiar with pulmonary physiotherapy: phlegm-dampness, abdominal breathing and postural drainage.
3. Be familiar with the identification of abnormal electrocardiogram.
4. Be familiar with the use of special instruments in ICU, such as vibrating expectoration instrument, pneumatic pump therapeutic instrument, ventilator, etc.
5. Understand the nursing points of sputum aspiration by fiberoptic bronchoscope.
6. Surgical training: closed intravenous infusion technology.
X month
1. Well-trained ICU risk management, able to independently handle patients with serious diseases, find and solve problems.
2. Master the basic principles, methods and skills of communication, and communicate effectively with patients, family members and other medical personnel.
3. Understand the principle of CRRT, computer process and nursing.
4. According to the standardized patient care or case list, according to an ordinary ICU, according to the patient's condition and general situation, the nurse is required to evaluate the professional patients, put forward the main nursing problems, assist in putting forward targeted nursing measures such as treatment, psychological care, cultural exchange and education, and evaluate the effectiveness of nursing measures from observation.
estimate
The new nurses have a good understanding of the nursing routine, work flow of each shift and nursing operation items of common diseases in ICU. Teachers can evaluate and evaluate the effect at any time during the training. Evaluation c
What are the contents of monthly training for nurses? 3. Pre-job training is a kind of nurse training with job demand as the guidance and ability training as the purpose, aiming at comprehensively improving the comprehensive quality of nurses, improving the efficiency of nursing work and harmonizing the relationship between nurses and patients. According to the needs of different nurses' pre-job training, a hierarchical training scheme can be adopted.
Hierarchical training includes: pre-job training for new employees, personalized basic training, specialist nurse training, teaching ability training, scientific research ability training and management ability training.
First, pre-job training for new employees
The contents of pre-job training for new employees mainly include hospital development planning, nursing career planning, cultivating and establishing correct professional values, relevant national laws and regulations, nursing safety and core system, nurse-patient communication and communication skills, etc. Let nurses better understand the hospital culture and cultivate their sense of belonging and love for clinical nursing. Adapt the new responsibilities to the role of clinical nurses.
Second, humanized basic training
At present, the qualifications of nurses are diversified. In order to meet the personal development of nurses and realize their own value, we try to let nurses in different positions design their own careers. Actively carry out standardized basic training for nurses. For undergraduates and master students, in addition to training basic theoretical knowledge and nursing skills, we should also increase the training content of teaching and scientific research ability. In the standardized basic training, the quality requirements, theoretical requirements, skills assessment standards and quantitative indicators of teaching and scientific research ability of nurses are put forward, so that the nurses trained by the defendant have certain clinical problem-solving ability, teaching and delivery ability and English reading and writing ability, and their future development direction is formulated according to their personal characteristics and departmental development goals.
Third, specialist nurse training
Establishing a post-oriented nurse training model is the demand of the development of the times and an effective means to reflect comprehensive competitiveness. According to the needs of clinical work, professional training is carried out in key specialized nursing fields. Combined with the personal characteristics of the nurses to be employed and the development goals of the departments, the training is focused. According to the characteristics of different specialties, we should cultivate nurses' specialized nursing theories and skills to meet the basic requirements of hospitals for specialized nurses.
Fourth, the cultivation of teaching ability.
Those who plan to participate in nursing teaching should be trained in teaching ability, and feedback from interns and school teachers should be collected to provide targeted training for clinical teachers. By learning relevant educational theories, methods and skills, combined with teaching needs, they are trained and assessed in physical examination, small lectures and medical record writing, so as to cultivate and improve their teaching quality and ability. In the case of insufficient existing nursing human resources, fully tap the potential of nursing team and enhance the connotation of nursing service.
Verb (abbreviation of verb) cultivation of scientific research ability
Clinical nursing is a concrete practice combining theory with practice. In order to improve nurses' practical working ability, nurses need to master a lot of theoretical knowledge, constantly sum up work experience, actively write papers and share research results. Carry out scientific research ability training and provide guidance in the selection of scientific research projects, research design, implementation of research steps and writing of research reports. Guide nurses to participate in scientific research activities, sum up clinical experience and write nursing papers, and guide nurses to learn new theories and knowledge through this training, with solving clinical practical problems as the main purpose of nursing scientific research and fully mobilizing nurses' academic research enthusiasm.
Six, management ability training
The head nurse is the core figure of grass-roots management, and the management ability of the head nurse is a powerful guarantee for further improving the quality of nursing. The training of head nurses' management ability can improve the management level of head nurses and promote the improvement of hospital nursing quality. Through various forms to cultivate the management ability of head nurses, in order to better solve clinical problems and participate in nursing teaching, guide the work of junior nurses, and cultivate a large number of management reserve talents for clinic.
In the process of on-the-job training, nurses are always the main body of education. Therefore, both classroom teaching and usual inspectors should pay attention to creating a harmonious and relaxed teaching environment so that teaching and learning can fully interact. Encourage nurses to participate in on-site discussions, express their opinions boldly and put forward reasonable suggestions, change passive learning into active learning, and change learning into credit learning for practical work problems, so as to mobilize nurses' subjective initiative in learning and work.
What are the contents of monthly training for nurses? In order to further improve the quality of nursing, cooperate with the implementation of the "three-level" assessment, improve the professional and technical level of nursing staff in a planned way, standardize the mutually beneficial medical behavior of nursing staff, ensure medical safety, and create a strong medical environment for learning, a 20xx-year nursing business training and learning plan is formulated:
First, the learning purpose
1, standardize the basic clinical technical operation procedures, strengthen the basic clinical operation skills, and improve the basic theory and knowledge of clinical nursing.
2, closely around the "patient-centered", to meet the needs of patients, simplify the workflow, facilitate the masses, and eliminate all kinds of adverse phenomena in medical services. Through training, medical staff can achieve beautiful appearance, beautiful clothes, beautiful language, beautiful behavior and warm and thoughtful service, and Qi Xin will work together to create a harmonious doctor-patient relationship.
Second, the content and arrangement of training
Training methods:
1, the department organizes 1 business training every month, including small lectures, teaching rounds, special lectures, and discussion of critical coagulation cases.
2. Ask questions about nursing business knowledge twice a week (using the morning meeting time, 10 minutes).
3. Classification, timing teaching and assessment of nursing operation.
4. Conduct business knowledge learning and assessment in different levels and contents.
Learning content:
1, based on the "three basics" of departments and related systems, and applied to clinical work.
2. Study the work system, risk plan and job responsibilities. Must master the basic knowledge, and skilled practice, regular assessment.
3, combined with undergraduate course room knowledge of prevention, nursing and medication of common and frequently-occurring diseases.
Evaluation method:
1, the department organizes a specialist theory and skills assessment once a month.
2, first aid simulation exercise
3. Plan, take notes and evaluate test papers.
Three, the content and arrangement of nursing staff training at all levels
1, organize at least 1 nursing business study every month.
2. Organize 1 round discussion on nursing knowledge or critical coagulation cases every month.
3. Ask questions about nursing business knowledge twice a week (using the morning meeting time, 10 minutes).
4. Participate in the business study, three-basic theory test and technical operation test organized by the hospital.
5. Organize regular and irregular study and assessment of core system, relevant legal knowledge and nursing emergency plan.