Self-evaluation is a personal summary of a period of time. Self-evaluation can give us a correct understanding of ourselves. Let's write a self-evaluation together. How to write self-evaluation? The following is a sample essay (5 selected articles) of icu nursing self-evaluation collected by me for your reference only. Welcome to reading.
Icu Nursing Self-assessment 1 Intensive Care Unit, referred to as ICU, refers to the department with serious illness and life-threatening at any time. ICU is the most advanced department in the hospital. Patients are the least departments in the hospital; The mortality rate is the highest in a hospital department. Most of its patients are complicated with various clinical syndromes, such as COPD, acute left heart failure, stroke sequelae with cerebral hemorrhage, liver and spleen contusion caused by cardiac function grade IV or car accident, severe craniocerebral trauma with cerebral hernia, multiple soft tissue contusions all over the body and other diseases.
ICU needs very high-quality nurses. They must be able to: ① master all kinds of instruments, establish monitoring measures, and improve the recovery equipment that can quickly discover changes; ② Correct judgment and treatment must be made immediately according to the change of critical illness; (3) To master all kinds of new rescue technologies and deal with emergencies quickly and timely in a limited time; ④ Correct diagnosis and treatment of patients of all ages and safe and comfortable holistic care of body and mind. Compared with the isolated medical environment in general wards, patients have various special psychological changes, such as anxiety, fear, insecurity and anxiety. This requires ICU nurses not only to achieve the above four points, but also to actively explore and update more comprehensive nursing measures and concepts, go deep into patients, gain trust, and strive for patients' right to live without death. We must also have solid theoretical knowledge and skilled operating skills, have a high sense of responsibility, and be responsible for every patient.
During my internship in ICU for one month, I saw rescue and death scenes that are difficult to see in ordinary wards. Learn how to use various instruments, such as electrocardiogram, ventilator, noninvasive cardiac function monitoring, lung thumping machine, defibrillator, etc. Commonly used rescue drugs are: atropine, adrenaline, diuretics, and constant heart rate; Rescue cooperation: tracheotomy, tracheal intubation, chest compression, etc.
The operations that can be practiced in ICU include: morning nursing, intravenous push, intravenous drip, intravenous injection, sputum aspiration, blood gas analysis, central venous pressure measurement, non-invasive cardiac function monitoring, lung puncture, lower limb massage, bladder perforation, gastric tube intubation, catheterization, gas exchange drugs, deep vein dressing change, perineal scrubbing, oral care, blood sugar measurement, etc. Since I learned to care for patients independently, I have witnessed my hands-on ability to operate independently, making my theoretical knowledge more solid and my operational skills more skilled.
What impressed me most in ICU was that there were two patients, one of whom was 20 years old, who was caused by a car accident, such as "severe craniocerebral trauma with cerebral hernia, dilated pupils, no light reflex, no spontaneous breathing, atrial fibrillation and hemorrhagic shock"; One afternoon, due to ineffective rescue, he was declared clinically dead; In this rescue, I learned the cooperation and medication of rescue, the correct method of chest compression, the use of defibrillators and the disposal of patients' corpses. Another patient, 36 years old, "after nasopharyngeal carcinoma surgery". Due to repeated radiotherapy and chemotherapy, the patient stayed in bed for a long time and suffered from falling pneumonia. His limb muscle strength is zero, spontaneous breathing is weak, and the patient is extremely thin. I am nursing this patient every day, and I have learned a lot from him, such as basic nursing, dressing change in deep vein, nursing care of patients undergoing pneumonectomy, methods of sputum aspiration and patients' needs.
ICU is a good department for study and a good place for exercise. I hope that my theoretical knowledge will be more solid in the future, and I can make a correct judgment immediately according to the changes of my illness, be familiar with all kinds of illness and complications, make corresponding judgments and analysis on my patients' illness in time, reduce my patients' pain, and establish my confidence in overcoming my illness.
Icu nursing self-evaluation 2 ICU is a rapidly developing discipline in recent years, with a wide range of knowledge. The instructor asked us interns to master the basic theory and skills of ICU, that is, the basic monitoring and handling of breathing and circulation, and to understand other related contents. Strict implementation of disinfection and isolation system, strict aseptic technical operation and serious implementation of various disinfection and isolation systems are effective measures to prevent infection in ICU departments. Keep the room ventilated and dry. At the same time, do a good job in disinfection of indoor air, ground, surface of articles and terminal of bed unit. Use an air purifier for continuous purification. Wash your hands correctly before and after the operation or wipe your hands with disinfectant. Generally, you are refused to be accompanied by your family and let them watch at 2 ~ 3 pm. When entering the ICU, the staff should wear the required work clothes, shoes, hats and masks.
According to the doctor's advice, CVP, oxygen saturation, blood pressure and blood sugar were detected on time, and the patient's urine volume was checked according to the doctor's advice, and the patient's condition was judged according to the input and output.
When changing shifts, you should tell each other what the patient in your hospital bed has done and what he hasn't done, and explain what pipes are on the patient's body to ensure smooth drainage. After that, it will be handed over to infusion pump and micro-input pump.
Daily patient basic assessment, language activity response, pupil response, limb strength assessment, etc. Glasgow coma scale should be done for patients with craniocerebral injury. In this internship, many nursing operations were also tried by myself.
Strict aseptic operation: strict aseptic operation during sputum aspiration, catheterization and deep vein catheterization. The infection of ICU patients is mainly respiratory tract, and the basic diseases are mostly traumatic diseases. Because ICU patients are critically ill and stay in bed for a long time, most of them are in a coma, losing their ability to cough, and it is difficult to discharge airway secretions. Therefore, it is necessary to suck sputum for patients in time, wear sterile gloves when sucking sputum, use disposable sputum suction tube, oral care, perineal care, tracheotomy care, dressing change, etc. Turn over and change body position for patients to prevent pressure ulcers. Pat the back to make the sputum fully discharged in time, and keep the bed unit and skin clean and dry.
The three-week ICU internship ended in a flash. Although the study time is short, I have gained a lot. Under the guidance of the head nurse and teachers in various departments, I have a further understanding of the nursing work in ICU and learned a lot of knowledge. In my future work, I will redouble my efforts to live up to the expectations of teachers!
Icu nursing self-evaluation 3 Before I went to the ICU for internship, my heart was full of fear and anxiety, because all the people living there were seriously ill. On the one hand, I am worried that I have just been in the clinic for more than a month, and many things are unfamiliar. This is an arduous and challenging internship process for taking care of seriously ill patients. On the other hand, patients in ICU have changed a lot. They are worried about whether they have the courage to accept this fact and how to overcome their fears in the face of their own care. Let me talk about what I saw, heard and felt during my internship in ICU.
Cold, dark, quiet and clean ICU environment
On the first day, when the teacher showed us the familiar environment, we felt the horror of ICU, because the air conditioning temperature was very low and many layers of exhaust fans were on, giving people a feeling of chill. In addition, each bed unit rarely turns on the light, and the darkness deepens this sense of terror. Even so, it is beneficial to the life of patients, which can make the indoor air constantly updated, and the dark and quiet environment can make patients better rest and recuperate. Because almost all patients are resting, or some patients can't talk when they are on the ventilator, the room is very quiet. The only thing that broke the silence was the voice of the medical staff and the alarm of the machine. Because almost every bed unit has ECG monitoring, infusion pumps and some ventilators, it is still difficult to identify which bed unit's alarm sounds at the central station sometimes. Each bed unit is clean and tidy, and the interval between beds is also large, which is beneficial to the placement of machines and the rescue of patients. Articles in the treatment room and the dispensing room are placed in order, especially drugs, antiarrhythmic drugs, antihypertensive drugs, brain-strengthening drugs and stomach-protecting drugs. , clearly marked, easy to access.
The carefulness, patience, sympathy, responsibility and team spirit of medical staff.
I remember the first day at work, when I was still confused about what to do, I followed the teacher's ass to prepare things. When preparing to scrub the bed and disinfect the perineum for five patients, the head nurse came to help with the nursing, told us how to care carefully, and personally scrubbed the basin bath and disinfected the perineum for the patients. This hands-on spirit made me full of confidence in the management of ICU at once. In the later management, once the head nurse finds problems, such as the use of new drugs and the norms of nursing writing, she will discuss and remind the medical staff. Only a good leader can manage the team well. Every teacher you see behind is very professional and dedicated, which is inseparable from good management. When taking care of patients, every medical worker is very careful and observant, and keeps track of patients' conditions and records them at any time. They are also very patient. When some patients can't talk with a ventilator, or some patients can only speak their hometown dialect but can't communicate with us, the teachers are very patient, asking questions one by one, whether it is cold or hot, whether to turn over or not, and whether to drink water. Sometimes a series of problems are not solved, and teachers are not bothered. Doctors and nurses perform their duties and cooperate with each other. The nurse immediately reported the problem to the doctor, and the doctor immediately dealt with it. When the doctor carries out targeted treatment according to the patient's condition, he will also inform the nurse of the problems that should be paid attention to during nursing. The words and deeds of these medical staff set many examples for our interns and benefited a lot in their future careers.
Professionalism and gentleness of three-belt teachers
I feel a lot of pressure after learning that my tutor is the general tutor of undergraduate course, and his operation level and theoretical knowledge are average. Once I can't operate well or answer the questions, it will not only embarrass myself, but also shame our school! So I always go to work with the teaching teacher carefully every day, for fear of doing anything wrong. The teacher always seems nervous when he sees my operation, so he will step aside and let me operate with peace of mind, so that I can operate much more easily. Once I find that my operation is inappropriate and irregular, or there are better and simpler methods, the teacher will set an example and teach me patiently. In the process of nursing, teachers will also instill relevant theoretical knowledge while operating, so that the combination of theory and practice can be better understood and mastered. I remember the first time I took arterial blood, and the teacher asked me to take it directly. The operation will be performed before I can see the teacher's demonstration. I'm nervous, but I must seize the opportunity given by my teacher! It turned out that the teacher not only asked me to operate it alone, but also explained the precautions before, during and after the arterial blood pump, so that I could master it faster while explaining and operating it. When the patient's artery was ready to insert the needle, his head began to sweat. I remember seeing another teacher pricking a needle before, unable to draw blood for the patient, and seeing the patient's painful twitching face, I felt very uncomfortable. Now, can I be lucky enough to get all the needles, so that patients can avoid the pain of going back and forth for injections? Seeing the needle in my hand hesitated, the teacher comforted me that it doesn't matter if it can't be pierced, and not everyone can hit the nail on the head, as long as the pumping method of arterial blood is correctly mastered. With the encouragement of the teacher, I was relieved, so I crustily skin of head and stuck the needle in. Shit, I missed it! My heart began to panic, but the teacher said calmly, slowly pull out the needle, and then insert the needle into the place where the artery beats. I crustily skin of head and inserted the needle again. At this time, I finally saw the blood coming back, and my hanging heart finally landed smoothly. It's the first time to take arterial blood, and it can be taken smoothly. In addition to the good luck of the lucky god, I was also coaxed by the teacher! Grateful! Grateful! Thanks again! In the later teaching process, the teacher also told me a lot about nursing and diseases. Although I learned some knowledge myself, I forgot 7788. After the teacher reminded me, I went back to read and deepened my impression. Once the doctor is found doing tracheal intubation, tracheotomy, fiberoptic bronchoscopy, etc. The teacher will tell me to put down my work and see how the doctor operates. I will always seize the opportunity to learn and understand. Thank you! I also thank every teacher who took me to the ICU to teach me! Grateful!
Generally speaking, I can learn something every day during my internship in ICU, and I am very happy during my internship. Teachers' smiles make us feel very warm! Thanks to every medical worker in ICU!
The practice of icu nursing self-evaluation 4 is an expectation and a growth for oneself. Expect. I work in a Chinese medicine hospital. Through more than half a year's work, under the influence of a good working environment in a Chinese medicine hospital and a strong learning atmosphere in the Department of Gynecological Nursing, and under the careful guidance and patient teaching of the head nurse, I earnestly studied the Regulations on Handling Medical Accidents and its laws and regulations, actively participated in the training of the Regulations on Nursing Medical Accidents organized by the hospital, and participated in the study of nursing staff many times.
Through the study, I realized that with the establishment of the market economy system, the legal system is becoming more and more perfect, and people's legal awareness is constantly enhanced. It has become common sense for people to act according to law and safeguard their legitimate rights and interests. The concept of modern nursing quality is to satisfy patients in all directions and in the whole process, which makes people put forward higher and newer requirements for medical care services, thus enriching legal knowledge, enhancing safety protection awareness, and making nurses understand, use and reduce according to law. The first rotation department was icu, and my tutor was Wan Ling. She is an expert in hospital operation. Her quick work, graceful movements and standardized operation have given me great pressure. At the beginning of my internship, I felt a sense of frustration. I feel very small in front of the teacher, and I don't even have a brain when I work. I just perform tasks mechanically. Every time I just want to do a good job, the more I want to do it first, the more I make mistakes, the more I am afraid, the more I am afraid. This is ...
Formed a cycle. So afraid to take the initiative to ask for the operation, but the teacher thinks that I am not active in my work. Sometimes, when I feel depressed, I cry myself. Facing the busy figure of the teacher every day is like a duck to water. I only complain that I can't apply theory to practice and that I didn't study hard in my previous internship. I wish I was all thumbs. Maybe I have poor adaptability and can't communicate with teachers. I am still at a loss when I entered the icu, but I am also very grateful to my tutor for being patient and caring for me. When I entered the operating room, Miss Li Nan could see my progress every day. Even a little, she encouraged me. Even if I was stupid and made a mistake, she would tell me the principle and let me know the root of the mistake instead of scolding me. Played a guiding role. I began to have my own ideas and rekindled my enthusiasm for work. No matter how hard and tired you are, as long as you feel comfortable, you can spend every day happily!
Now we have entered the fourth rotation department, bone three. I thought I could adapt quickly, but the reality really poured cold water on me, and I felt more stupid and didn't know what to do. The teacher also thinks that we have been practicing for so long, and we are undergraduates, so we should do things with ease. I am really ashamed of the teacher's helplessness! I fell into a trough again, and returned to a mindless life, with no organization at all. However, when teacher Ting He learned that I didn't get the operation practice because of my inferiority and lack of initiative, she told me the importance of operation technology and I looked for practice opportunities. It was the teacher who inspired my enthusiasm again. I really appreciate the teacher's concern for me, and I will redouble my efforts to live up to the teacher's expectations!
Icu Nursing Self-evaluation 5 During more than one month's internship, we had zero contact with patients, and applied theoretical knowledge to practice, which also made us understand our future working environment and clearly understand our future path, thus strengthening our goals. My department is spinal surgery, and the surrounding environment looks neat and comfortable. Nurses, nurses, doctors, patients and their families live in harmony. Our teacher also teaches us seriously, and when we do something wrong, he will explain it to us seriously. We have learned a lot in this process, and we also know that theoretical knowledge is different from the actual operation of the hospital and needs to be used flexibly.
During the internship, we measured the patient's vital signs, washed his hair and bathed him, and made his bed. Although these tasks seem simple, you still need to pay attention to many details if you want to do them well. Among the tasks I have done, what impressed me the most was washing my hair and taking a bath in bed. We need to wash our hair in bed. People who bathe in bed are bedridden patients, and most of them have had surgery, so we need to be especially careful when nursing.
I remember an old man in bed 4 who had just had his cervical vertebra removed for a week. I was really scared when I washed his hair in bed. I was thinking at that time: he hurt his neck. What if I accidentally cut his wound? Fortunately, the teacher at that time was right next to me. She told me what such patients should pay special attention to. After the whole operation, my confidence increased and I didn't feel so scared. This makes me understand that my theoretical knowledge needs to be further strengthened, and it also makes me understand that it is very important to take the first step. Later, when I took a bath in bed, I felt embarrassed instead of fear.
When the teacher asked us to bathe the patient in bed, I asked the teacher, "Teacher, is it a man or a woman?" The teacher said it was a man. When the teacher asked who volunteered to do it, I pushed out the only man in my group and said, "Teacher, just him." Then we watched and listened to the teacher's explanation. At that time, I thought: fortunately, there are men in my group. However, after we watched the whole process of bathing in bed, the sense of rejection was not so strong, probably because it was not as horrible as we thought. I am the second person to take a bath in bed voluntarily, and the teacher is guiding me. I think I did a good job. If there is a next time, I will definitely do better.
After this internship, we thoroughly understand that clinical practice is as important as theoretical knowledge. When we face a dummy or a classmate, we don't feel afraid or embarrassed. But when we face patients, we will be at a loss at first, lack of self-confidence, and feel scared or embarrassed. So I realize that on the basis of strengthening theoretical knowledge, I must actively complete the clinical practice tasks assigned by teachers, accumulate clinical experience, and make my skills and skills reach the same level as theoretical knowledge.
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