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Year-end summary of nurses in hemodialysis room 1
The 20_ years that have special significance for me are coming to an end. Looking back on this special year, it seems vivid. In this year's work, I will not be late and leave early, and I can abide by all the regulations of the hospital, respect the leaders and unite my colleagues. Actively complete the tasks assigned by leaders at all levels. In addition to successfully completing the advanced study of "hemodialysis", we also successfully established a hemodialysis room under the leadership of the department director and head nurse, and carried out and maintained hemodialysis work well.
People say that everything is difficult at the beginning. Since the opening of the hemodialysis room, assist the head nurse to formulate the post responsibilities, work flow, operation specifications, ledger management, emergency plan, etc. of the hemodialysis room, so as to plan ahead, ensure that the problems encountered in the work can be well documented and solved in time, and ensure the smooth development of the hemodialysis room.
At work, I adhere to the people-oriented service concept, strengthen service awareness, enhance the feelings between nurses and patients with friendly and patient language communication, carefully explain dialysis knowledge, give dietary guidance, eliminate patients' fear and blindness of diseases, and enhance patients' confidence in treatment. I often take the initiative to seek the opinions of patients and constantly improve my service. During the dialysis process of dialysis patients without family members, I can assume the responsibilities of family members, such as delivering water, heating meals, helping others, changing clothes, assisting defecation, etc., and never complain that I am dirty and tired.
I have a high sense of responsibility for my work. I am bold and cautious. Hemodialysis is risky. As a nursing operator, I have both risk awareness and subjective initiative to control and avoid risks to the maximum extent, thus improving the quality of nursing. In addition, I also have a high degree of marketing awareness and sensitivity to the economic benefits of the hospital, so as to serve every fixed patient well, retain every consulting patient, promote the software and hardware of the hospital and attract more patients. Actively participate in various off-campus studies, constantly enrich themselves, and actively participate in the development of "two new technologies" in the department. Since the opening of the hemodialysis room, * * * has completed 465,438+00 hemodialysis units, including 20 hemodialysis filtration units, 2 hemoperfusion units and 65,438+065,438+0 heparin-free dialysis units. No nursing safety accidents and errors occurred throughout the year.
As the person in charge of hospital infection in hemodialysis room, besides the daily dialysis work, I have to complete the regular maintenance of water dispenser and dialysis machine, and the regular supervision of dialysis water, dialysate and dialysis environment. In the end, I was named "excellent hospital infection quality controller"; The hemodialysis room managed by me won the honorary title of "excellent hospital sensory department" and ended successfully this year.
Looking back on all this, this is only a small beginning. I will wholeheartedly assist the director and head nurse to make the hemodialysis room in our hospital more distinctive and stronger.
Year-end summary of nurses in hemodialysis second room
Summary of nurses' work in hemodialysis room Hemodialysis is the main treatment for uremia patients. Dialysis patients actually lead a very abnormal life. They are "tied" to dialysis machines to a large extent, and they have to rely on medical equipment and medical staff to survive all their lives. The financial burden of patients and their families is very heavy, and long-term pathological factors also make patients emotionally unstable and irritable. With the change of medical model, hemodialysis patients should be given not only psychological comfort, but also humanistic care, advocate the concept of people-oriented nursing service, and improve the quality of life of dialysis patients. The so-called "small hemodialysis room" actually carries all the hopes of dialysis patients and is also an indispensable treatment for acute renal failure and various poisoning patients. This paper summarizes the nursing experience of hemodialysis room in the past 20 years:
1. Define the post responsibilities, workflow and operation specifications of the dialysis center, and formulate the dialysis risk plan and emergency response plan. Study hard to make hemodialysis nurses master it skillfully. Problems encountered in the work are well documented and can be solved in time. Rules and regulations are constantly supplemented and improved in the work. Work in strict accordance with the rules and regulations and workflow, and strictly check the system, including the setting of pre-flushing pipeline, blood vessel puncture, dialysis treatment and patient's treatment parameters, to ensure that there must be more than two nurses on duty in each shift to check each other, including whether there is blood leakage at the puncture site, whether the treatment parameters set by the machine are accurate, the dosage of anticoagulant and other drugs, and the patient's vital signs. Actively participate in business study and training in hospitals, and learn hemodialysis once a month. Support and encourage nursing staff to participate in specialized study, improve the comprehensive quality of nurses, fully mobilize their enthusiasm, enrich their knowledge and broaden their horizons.
Improving the quality of nurses is not only the professional level, but also the humanistic cultivation based on professional theory, including language cultivation, interpersonal cultivation, ethics cultivation, rational thinking cultivation and so on. Care about nurses in life and try to solve practical difficulties for them. Let nurses feel the warmth and friendship of the group. Establishing the concept of people-oriented nursing service is not only the humanistic care between doctors and patients, but also the working relationship, colleague relationship and friend relationship between nurses. Mutual understanding, trust and communication can create a good medical and working atmosphere, promote the relationship between nurses and patients, lay a good environmental foundation for further improving the quality of medical services and work efficiency, and play a multiplier role in the management of hemodialysis rooms. In the process of daily dialysis, nurses cooperate tacitly, and there is no shift dispute; During emergency dialysis, everyone can arrive at the first time. No matter whether it is emergency dialysis at night or dialysis on Sunday, there is no shirking phenomenon, and overtime will not affect the normal work of the next day.
2. Establish a people-oriented nursing management model and strengthen service awareness. After patients start dialysis, they often have a lot of stress, such as the risk, pain and freedom of dialysis, the influence of the disease itself on the body, the cost of dialysis, the change of family relationship and so on. And their psychological problems are depression, anxiety, despair, and some even hate society and medical staff. Friendly and patient language communication can make patients feel safe, explain dialysis knowledge carefully, eliminate patients' fear, explain the dialysis effect of other patients and enhance patients' confidence in treatment. Try to reduce the burden of patients, make dialysis plans for them, and try to make them not dwell on the pain of disease and the length of life, but pay attention to the quality of life and laugh at life.
Dialysis patients have long-term contact with medical staff and have strong dependence on medical staff. At the same time, I am familiar with the staff, treatment environment, dialysis procedures and methods, and even regard the hemodialysis room as my second home, and have obvious awareness of participating in management. In this regard, we communicate with patients at any time, explain and explain the new progress of hemodialysis treatment, and take the initiative to solicit opinions. When other diseases occur, contact patients actively for treatment and establish a smooth medical channel. Provide contact information, contact in time when encountering problems, and strive to solve them in the first time. For patients with serious illness, let a family member accompany them, so that patients can feel family affection, increase their sense of security, reduce psychological pressure and better cooperate with treatment. In the absence of family members, we also assume the responsibility of family members, handing water, feeding, helping and X, which will affect patients in the long-term treatment process. Patients with bad mood and bad attitude should report to hospital leaders in time, and work out practical and relevant measures with various departments to gradually dispel their extreme thoughts of revenge on society.
3. Work hard and be careful. Hemodialysis is risky. As a nursing operator, we should establish a correct and positive awareness of nursing risks, strengthen the concept of legal system, give full play to subjective initiative, control and avoid risks to the maximum extent, improve nursing quality and better serve patients. During dialysis, blood pressure is measured and recorded every hour, and vital signs are measured and monitored at any time when the condition changes. Some patients, especially those prone to hypotension during dialysis, need to be closely observed and their blood pressure should be measured every 5 minutes. Dialyzer parameters should be adjusted in time, such as temperature, conductivity, ultrafiltration rate and blood flow. Concentrate on your spirit and energy at work, and a little negligence may cause patients' losses and accidents.
Diabetic patients are prone to hypoglycemia because of sugar-free dialysis, so we should pay attention to the changes of consciousness, especially when sleeping. Because the edema is reduced after dialysis and drainage, and the skin at the puncture site is slack, it is easy to cause needle eye bleeding or needle removal, especially in winter, when the patient's arm is in the quilt, it often bleeds instantly and in a large amount. In addition to diligent observation, we should also explain the patient well and call in time if there is any abnormality. In the past 20 years, dialysis has been carried out for more than X people, and there has never been a medical error accident. And how to observe blood sugar and prevent hypoglycemia shock in hemodialysis of diabetic patients, and gained some experience; Analyze the hypotension in dialysis and take preventive measures to ensure adequate dialysis.
4. In line with the values of "patients first" in our hospital, we will continue to advocate the concept of people-oriented nursing service and give patients humanized care. We gave a few poor dialysis patients 1000 yuan in aid (because most of the aid is personal behavior, so it is impossible to make detailed statistics), and gave them care and help in food and clothing. These are undoubtedly a drop in the bucket for dialysis patients, and they can't improve their life and dialysis situation at all, but they express our concern and encouragement to patients to some extent.
In addition to our efforts and achievements, there were also some slack in this year, which were manifested in poor professional and technical level, poor medical equipment and environmental management, poor service attitude and communication, and imperfect system. In this reflection, we also put forward opinions and suggestions, please pay attention to the hospital leaders and nursing department:
1, professional and technical level: firstly, the problem of arterial puncture, especially for patients undergoing first dialysis and emergency dialysis, is generally poor, with high toxin, and arterial puncture is difficult, so it is difficult to ensure dialysis blood flow. First, the experience of arterial puncture is still lacking, and when the blood flow is insufficient, they blindly choose to re-puncture; Second, the overall level of the hospital is not enough to do deep vein catheterization, which increases the pain of patients and easily causes patients' dissatisfaction. Secondly, this year, the medical staff in the hemodialysis room did not have the opportunity to go out for further study, the dialysis work remained basically unchanged, no new business and technology were developed, and no papers were published. Because the work of hemodialysis room is closely related to doctors, such as deep vein catheterization, ascites reinfusion, hemoperfusion and so on. , all need the guidance of doctors and the cooperation of doctors and nurses, but also need practical experience to learn, it is impossible to build a car behind closed doors. I hope hospital leaders can give us some opportunities to visit and study, and take a step further in improving professional level, strengthening disinfection and isolation measures, and developing new dialysis projects.
2. Medical equipment: The survival of dialysis patients depends on dialysis equipment, including dialysis equipment, water treatment equipment, perfect water and electricity supply, high-quality dialysis supplies and so on. This year, the route reuse and disinfection of dialyzers and dialysis tubes will be completed, and the conversion to disposable use will be completed. This transformation is the case.
Year-end summary of nurses in hemodialysis three rooms
In the past 20 years, with the close cooperation of hospital leaders and the correct leadership of the nursing department and all the staff, all the nursing staff in hemodialysis department have overcome the difficulties of less staff and heavy workload. In view of the target plan formulated at the beginning of the year, they paid close attention to the implementation, earnestly implemented it, strictly implemented the Basic Operating Rules for Hemodialysis in Jilin Province, adhered to high standards and strict requirements, worked hard on management and service, strengthened nursing safety management, improved nursing risk prevention measures, and provided quality services for patients. Take patients as the center, advocate humanized service, strengthen nurse-patient communication, improve patient satisfaction and avoid nursing disputes. Regular and irregular nursing quality inspection, to maintain the continuous improvement of nursing quality. Successfully completed all the tasks set at the beginning of the year, which was affirmed and praised by leaders and patients. The annual nursing work is summarized and reported as follows:
First, improve the system, conscientiously implement the work system to ensure medical safety.
1, carefully organize and study the responsibilities of nursing staff at all levels, various post responsibility systems and nursing work systems newly formulated by the nursing department at the beginning of the year, and implement them in practical work.
2. According to the requirements of class II compound review rules and the establishment and qualification of blood purification room, the quality management standard and strict work plan have been formulated, and various rules and regulations, technical operation specifications, emergency plans for various emergencies, emergency risk plans for nursing, diet care for dialysis patients and other related documents have been improved. All operations are standardized according to the Standardized Operating Procedures for Hemodialysis issued by the Provincial Blood Purification Center, and the whole medical quality management is implemented for hemodialysis.
3, adhere to the check system, strict nursing operation three check seven pairs, strengthen the accuracy of the doctor's advice, double check the doctor's advice and set various parameters and indicators, to ensure the quality of dialysis and patient safety, to ensure that no nursing errors and accidents occur throughout the year.
Second, strengthen learning, attach importance to improving the overall quality of nurses, and optimize the nursing team.
1. Strengthen business theory study and technical operation training: According to the business theory study and operation training plan at the beginning of the year, organize nursing staff to conduct business study twice a week and make study notes, and participate in operation training and assessment organized by the nursing department to ensure that all the results meet the standards.
2. Strengthen the study of relevant knowledge, and constantly improve the professional and technical level of blood purification. Guided by the National 20_ Edition Operating Procedures for Blood Purification, the Standardized Operating Procedures for Hemodialysis issued by Jilin Blood Purification Center regulates all operations, strictly implements the Management Measures for Hospital Infection and the Management Measures for Disinfection, strengthens disinfection and isolation management, and ensures the dialysis quality and treatment safety of patients.
3, update professional theoretical knowledge, improve the technical level of specialized nursing, carefully study and understand the detailed rules of dimethyl grade review and inspection, and learn the diet, treatment and nursing of uremia dialysis patients, which greatly improved the professional technical level of all nursing staff.
Third, change the concept of nursing, improve the quality of service, strengthen the communication between nurses and patients, advocate humanized service, improve the concept of humanized service, strengthen the awareness of active service, and carry out nursing service from the characteristics and personality of the clients.
1, our dialysis department is facing a special group. Because the disease can't be completely cured after a long illness, when family members have some shortcomings in the long nursing process, it is easy for patients to feel lost and lose confidence in life. At the same time, due to the long dialysis time, their ability to manage their lives declines, and they have to bear high treatment costs, which makes them more prone to suicide and despair. Therefore, first of all, we should care for every patient with our sincerity and love, listen carefully to the patient's talk, try to understand the patient's psychology, be good at mastering the psychological characteristics of every dialysis patient, and win the respect and trust of patients with good professional knowledge and skillful communication skills. Help them treat the disease correctly, and patients can change their understanding of the disease, so as to face the reality with a positive attitude and establish confidence in treating the disease. And get the cooperation of family members to reduce the psychological burden of patients. Make patients have a good attitude to receive treatment, thus improving the quality of life.
2. Actively respond to the activities of "Quality Nursing Service Demonstration Project", actively organize nurses in departments to learn, change passive service into active service, creatively carry out work in nursing work, and always take patients as the center to provide patients with safe, high-quality and satisfactory nursing services. Pay attention to cultivating nurses' emergency ability in daily work, make a retrospective evaluation of each emergency work, draw lessons from it, and improve nurses' ability to deal with emergencies. Improve the sense of responsibility and keen insight of nursing staff, and let them develop a rigorous, agile and decisive work style. Closely observe the changes of patients' vital signs, do not ignore any symptoms, do not relax any hemodialysis links, and do not miss any rescue opportunity. Over the past year, * * * received dialysis treatment for x person-times, and there were no accidents of poor nursing and nursing mistakes, and there were no accidents of dialysis infection and cross-infection of infectious diseases throughout the year, which laid the foundation for safe medical care in our hospital.
Fourth, check regularly to improve the quality of nursing.
Medical quality management is the core content and eternal theme of hospital management, and dialysis quality control is an important part of standardized dialysis management and hospital medical quality management. Comprehensively strengthen the management of medical safety and the quality of nursing staff, so that all nursing staff can fully realize the importance of medical safety, and enhance the awareness of medical quality service and the consciousness of implementing rules and regulations. Regular quality supervision, inspection, assessment and evaluation, strengthening the management of key links, weak links and important links of hemodialysis, judging the completion of nursing quality indicators and proposing improvement measures are the guarantee to improve nursing quality. In order to improve the quality of nursing this year, the head nurse and the nursing supervisor of the department are responsible for the weekly quality inspection arranged by the nursing department, and conduct self-inspection more than four times a month. Through the usual examination, many problems that are easily overlooked are solved, which provides a guarantee for clinical safe medical care. Hold a special meeting on nursing safety once a month, give timely feedback on the existing problems, put forward the next work and preventive measures in time, analyze the reasons for the deficiencies in the inspection in detail, and strengthen the service consciousness and quality consciousness of nursing staff through in-depth and meticulous ideological education. Formulate practical improvement measures to change the weak links in the work in time. Some achievements have been made in ensuring the safety of hemodialysis and medical treatment and improving the quality of dialysis.
Five, to carry out new technologies, new projects, and constantly improve the professional and technical level.
In June 65438 and 10, a new treatment method of hemodialysis and hemoperfusion was developed in our department. X patients received X times of treatment, and the clinical effect was remarkable, which not only met the treatment needs of patients, but also increased the economic benefits for the hospital.
2. While constantly studying new technologies and new projects, nurses are required to be good at summing up work experience and communicating with each other. I wrote x papers this year.
3. Nurse X was sent to the superior hospital to learn the operation technology of blood purification. Nurse X has returned to work in the department. As a backup force, Nurse X was selected to participate in the short-term training course of "blood purification standardized operation process" in the province, which not only learned new theories, but also further standardized technical operation.
Looking back on the work in the past year, under the correct guidance of hospital leaders and nursing department, and with the joint efforts of all staff, the nursing work in our hemodialysis department has successfully completed various tasks and achieved certain results. However, achievements are like the fruits of autumn. Although they are happy, they have all quietly fallen. While tasting success, we should also clearly see the shortcomings: be bold and innovative in management consciousness and persevere; Health education is still a mere formality; There are still a few comrades who are indifferent to the implementation of rules and regulations; Thesis writing and nursing research are almost absent; The demand of patients is the scope of our service, the satisfaction of patients is the standard of our service, the touch of patients is the goal we pursue, and the quality service is endless. We will constantly sum up experience, study hard, make the service more emotional and humanized, and make unremitting efforts for the hospital's service level to a new level.
VI. 20-year Work Plan
1, further strengthen and implement the basic operating procedures of hemodialysis, and carry out various technical operations in strict accordance with the procedures.
2, strict implementation of infection management regulations, isolation dialysis intermittent nursing staff is relatively fixed, to further prevent cross infection.
3, strive for more nurses to go out to participate in relevant blood purification technology classes, regularly organize nursing staff business learning and technical operation training in the department, and constantly improve the theoretical knowledge and technical assessment of all nursing staff.
4. In order to ensure the dialysis quality of patients and strengthen the allocation management of dialysis water, the nurses in the preparation room are relatively fixed, and the dialysis water is monitored regularly to ensure the accurate allocation of dialysis water, and all monitoring indicators are within the normal range.
5. Strengthen the quality education of nursing staff, implement humanized service, care for patients like relatives, and implement flexible working system to ensure the treatment needs of patients.
Year-end summary of nurses in hemodialysis room 4
Time flies, and now 20X years of work is over. Looking back on the growth and changes of this year has also made my life more exciting. At the end of this year, I also made a profound summary of my work.
First, professional knowledge and skills
In my present midwifery position, I always take my work very seriously, and I face it with great enthusiasm every day. At the same time, I adhere to all the standards of midwifery and strive to make more contributions to the healthy growth of mother and baby. In this year, in order to improve my personal ability, I also participated in various trainings more, and felt more different knowledge in each training to improve my personal ability. I take the arrangement and guidance of hospital leaders very seriously, and hope that I can complete all my duties and ensure the health of all mothers and babies.
Second, thinking and working conditions.
I have been managing myself in strict accordance with the requirements of the hospital, trying to make great achievements in the midwifery department of the hospital, and making myself bigger with my own efforts. I think seriously about the arrangement and criticism of leaders, reflect on the truth, and make myself grow and change more in my daily work. Moreover, I also actively participate in the activities of the department, take the initiative to assume certain roles and tasks, and strive to make my life more exciting and beautiful. I always ask for advice in time and study independently when I encounter any problems and bad places in my work, hoping that I can have a better degree of completion in my work.
III. Future goals
In order to better adapt to the current position, we need to grow up in our work, strive to complete everything, and strive to take care of both mother and child through our own efforts. As a nurse, we need to pay more attention to the communication with mothers and babies and their families, and we need to explain all the things that need attention clearly, always pay attention to it in the process of debt care and do our own work well. Of course, during my work, I also need to reflect on myself regularly, so that I can really understand what I need to grow and change. In this way, I can achieve greater growth and promote the better development of the hospital.
The development of the hospital is brought about by the concerted efforts of every employee, Qi Xin, so as an employee, I should take good care of every patient's requirements, give them good care, bring my warmth to the parturient and the baby, and let them get the best care in the hospital. It is our happiest moment to see them discharged from hospital healthily.
Year-end summary of nurses in hemodialysis room 5
In a blink of an eye, the internship period is coming to an end. During this period, I studied education and social practice. Looking back on the days of internship, I gained a lot. I especially feel that the following are some internship evaluations of my study.
During my internship, I will strictly abide by the rules and regulations of the hospital and all departments, earnestly perform my duties as a nurse, be strict with myself, respect teachers, unite with my classmates, work hard, love children's cause and think of children wholeheartedly. At the same time, it is necessary to understand family members, correctly handle the nurse-patient relationship, do a good job of explanation and comfort, say "I'm sorry" more, let family members understand the work of pediatric nurses, and reduce unnecessary misunderstandings or excessive behaviors. Under the guidance of the teacher, I have basically mastered the nursing of some common diseases in pediatrics and some basic operations. Especially for children's scalp needle puncture technology, I have been learning, and I am also summing up my experience. I can be diligent in observation, be good at observing the condition of children, grasp the changes of the condition in time, and make accurate judgments. In a word, I think I learned a lot in this internship. Although I am only a student, maybe my ability is limited, I use my efforts to enrich my knowledge and skills. I hope to send patients away healthily with my smile, and I am eager to grow up in my study and really be a angels in white who sings silently and flies hard.
1. Before internship, you should master some basic operations of cardiology, such as electrocardiogram, blood pressure measurement, heart physical examination, etc. Don't underestimate these. Take the simplest blood pressure measurement as an example, many people do not have a standardized grasp.
2. Familiar with books and knowledge of common diseases in cardiology, such as hypertension, heart failure, cardiomyopathy, valvular disease, coronary heart disease, etc. Then clinically, the diagnosis and treatment plan of the superior doctor corresponds to the book to see how to combine with the individual patient. Ask if you don't understand, and your level will improve quickly.
3. Learn some first aid treatments, such as hypertension emergency, acute pulmonary edema and arrhythmia. And the urgent things will be handled, so don't worry about the slow ones, so you can know that everything is under control, hehe!
Besides, doctors should not only master superb medical skills, but also have good communication skills. They should learn more communication and conversation methods and skills with patients and colleagues from their superiors at ordinary times, and they will get started quickly when they really work.
The complex taste of this kind of surgical internship experience may only be realized by those who have experienced it personally. Whatever it is, it's worth remembering. Of course, it is more important to know a lot of things that can't be learned in books and meet a few good friends. Maybe this is more valuable than books.
Under the careful guidance of the teacher, through continuous efforts, the internship in the Department of Cardiology soon ended and achieved remarkable results. First of all, in terms of basic theory, reviewing the past has strengthened consolidation and improvement. Secondly, I learned new knowledge and treatment methods in clinical practice. Anyway. After heart practice, I have a new understanding and improvement of the diagnosis and treatment of common diseases and frequently-occurring diseases, and learned the knowledge and skills to deal with sudden diseases. I will definitely apply what I have learned to my future work. I will never forget my teacher's teaching and keep learning and making progress.
It has been half a month since I entered the internship of cardiology, and the new year has just passed. I feel that there is not much increase in cardiology now. Stepping into the department, I met many people and touched many things. It also made me see some people's faces clearly. In other words, is it an internship, which means that you have begun to contact half of society?
Because the internship time is not very long, there is little communication with students. At present, the inner world of students and the existing learning state are still strange to me. It is not easy to really understand students, which needs to be explored later. In short, after this period of internship, I know something about the work of teachers, but I am not familiar with some details.
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