Everyone knows what the intensive care unit does. This is a race against time, a struggle against death. The patient's condition is heavier, more complicated and changing rapidly. The following is the summary template of hospital emergency department work I compiled for you, hoping to help you!
1 under the leadership of the municipal health bureau and the hospital, carry out the activities of "learning rules and observing discipline" and carry out the activities of "striving for Excellence through innovation" in depth. Under the command of hospital leaders, emergency department cadres and workers actively participated in the hospital's flood fighting and disaster relief activities to protect the hospital's property safety. Continue to implement the prevention and control of hand, foot and mouth disease and other infectious diseases, strengthen the management of medical quality and safety, and actively complete various tasks assigned by the hospital. In _ _ _ _ _ _ years, the income from outpatient and emergency services was _ _ _ _ million, and the number of outpatient visits was _ _ _ _. Number of discharged patients _ _; _ _ The work in the first half of the year is summarized as follows:
First, actively carry out technical training on critical illness of traditional Chinese medicine.
Conscientiously implement the state administration of traditional chinese medicine, the Ministry of Health "patient-centered, to give full play to the characteristics and advantages of Chinese medicine hospitals as the theme of management year activity plan", implement the spirit of the meeting, give full play to the talent advantages of Chinese medicine personnel in the emergency department, and serve the majority of patients with Chinese medicine therapy. Therefore, the emergency department of our hospital has formulated the department development plan and work plan, and organized its implementation. Establishing talent echelon to continuously meet the needs of connotation construction of TCM specialty. Formulate specific measures to give full play to the characteristics of traditional Chinese medicine and organize their implementation. In view of common diseases and their characteristics, formulate and constantly improve specific measures, and organize their implementation, in order to improve the level of syndrome differentiation treatment of characteristic diseases and improve the treatment rate of traditional Chinese medicine. Acupuncture therapy, auricular point pressing bean, cupping therapy, Chinese medicine enema, Chinese medicine wet compress and infrared therapy were used. Establish clinical pathway of common diseases in emergency department. The first-class medical record rate of Chinese medicine in our department 100%, the excellent and good rate of dialectical demonstration ≥92%, the dialectical utilization rate of Chinese patent medicine ≥92%, the treatment rate of traditional Chinese medicine ≥92%, the treatment rate of integrated traditional Chinese and western medicine ≥94%, the success rate of emergency rescue ≥82%, the treatment rate of acute and severe Chinese medicine ≥90%, the treatment rate of integrated traditional Chinese and western medicine ≥50%, and the first-aid items are complete.
Two, strengthen medical quality, medical safety and department business management.
Focus on implementing the core system of medical management. Such as medical record writing system, prescription management system, first consultation responsibility system, duty, succession system, three-level doctor rounds system, case discussion system, doctor's advice system, consultation system, referral system, change one's major system, check system, graded nursing system, etc. Strengthen the three-level quality control network management of medical quality control to ensure that all aspects of the medical process are bound by corresponding norms and systems. Constantly improve quality control and evaluation indicators, and conduct centralized inspection and evaluation every month. Further strengthen medical safety and production safety. Our department has repeatedly emphasized the importance of medical safety work, enhanced clinicians' awareness of medical safety, educated clinicians to strictly abide by technical operation specifications, and timely, comprehensively and correctly wrote medical records and various records through morning meetings, special lectures and business training. In order to ensure medical safety and prevent major medical accidents. Strengthen communication between doctors and patients, and fully respect patients' informed choice. It further emphasizes the obligation of medical staff to inform, effectively protects the legitimate rights and interests of both doctors and patients, and effectively prevents medical disputes. Focus on improving the medical environment and reducing medical expenses. Through the year of hospital management, emergency department staff can further understand and implement the service concept of "people-oriented, patient-centered", further improve the service facilities, deepen the medical environment, update the service model, simplify the medical treatment process, improve the service attitude, provide humanized service for patients, and put an end to the phenomenon of being raw, cold, pushing and dragging patients. Actively carry out convenience services, our department has carried out free medical consultation, drinking water supply, wheelchair supply, simplified diagnosis and treatment and other convenience measures. The emergency department actively inquires about the cost of drugs and medical services for patients, and provides a list of hospitalization expenses for inpatients. Strictly manage medical charges and put an end to unreasonable charges. Do a solid job in holistic nursing. Head nurses have established and improved a series of nursing rules and regulations according to the requirements of "Hospital Management Year". Standardize all kinds of nursing documents and carry out holistic nursing work. Strive to improve service attitude and improve service quality. Strengthen the "three basics and three strictness" education for each nurse, focusing on strengthening the training of operational skills. Strengthen the management of hospital infection and effectively control the occurrence of hospital infection. Sensory doctors conduct irregular monthly inspections on hospitalized patients in emergency wards, and make statistics on medical records at the end of the month.
We should not only have a good service attitude, but also have skilled rescue techniques and emergency response capabilities. In order to diagnose and treat emergency patients quickly and accurately, and relieve their pain as soon as possible, every medical staff needs to study their business seriously and master all kinds of rescue instruments and technologies skillfully. Therefore, the department regularly organizes business study and strengthens the training of various first-aid techniques. Such as cardiopulmonary resuscitation, mechanical ventilation, ECG monitoring, cardioversion, defibrillation, gastric lavage and other routine technical operations. Adhere to the system of three-level doctor rounds, discuss relevant cases in time, and improve the first aid level of general medical staff. In order to adapt to the development of modern medical market, this year our department regards the development of pre-hospital first aid as an important work and strictly implements the emergency home visit system. Pre-hospital emergency teams are on standby for 24 hours, arrange emergency treatment for 5 minutes, and formulate the overall plan of emergency green channel. In case of urgent, dangerous and serious patients, all emergency green channels are implemented, and all procedures have been completed first.
Third, there are problems.
The quality of medical service is not high, and the enthusiasm and consciousness of individual workers are poor; Department business growth can't keep up with development needs; There are few emergency personnel and lack of top-notch outstanding technical backbones and academic leaders; Lack of advanced medical equipment; The environment in the inpatient ward of the department is poor. Next, our department will gradually rectify the existing problems and strengthen the construction of cultural characteristics of traditional Chinese medicine.
It's the end of the year, and the year's work is almost over. As a nurse in the emergency department, we spent the past year in a busy schedule. In our daily work, we quickly cooperate with doctors to solve urgent problems and try our best to get the fastest treatment for patients. Let's sum up the work of nurses this year.
First of all, in terms of work
The emergency department is very busy and the duty time is not so fixed. Maybe unlike nurses in other departments, they still have time to rest. Our hospital is relatively large, and there are many emergency patients, especially when some situations happen, a large number of patients flock to the emergency department. I was caught off guard at first, but after a year's work experience, I have been able to face it positively. Dealing with things calmly will not be as disoriented and disorganized as before. Nurses in the emergency department also need us to calm down and deal with things. After all, all the people who came to the emergency department were in critical condition at that time, and we also needed to deal with the patients quickly, instead of keeping them waiting.
Second, in learning.
Besides work, I also actively improve myself in all aspects. After work, I will also read some books about nursing knowledge, so that I can master more and learn more. Of course, I will learn a lot in the process of emergency. Many cases are the first time that I met a patient who didn't even think about it before, but the doctor handled it calmly and I was assisting, so I can understand these situations well again. At work, I will consult my colleagues or doctors in time if there are any problems, so that I can master more, and I will take the initiative to ask for advice if I don't understand. I know it is very necessary to accumulate experience in the emergency department, so that I can deal with all kinds of problems more calmly.
Of course, this year's work, I also found some shortcomings, I need to improve in my daily life, and my work experience is not so full, so I want to strengthen my study, make myself better, and do our emergency department better. When facing patients, I can cooperate with doctors more quickly and effectively. Although the work of nurses is very hard, I feel very happy every time I see patients who come to the emergency department to solve problems. This is a job with a great sense of accomplishment and pride, so I will work harder and be more active as a nurse in the future.
Selected articles of the work summary template of hospital emergency department 3 I. Nursing workload and working standards throughout the year.
1, workload: emergency x person-times. Participate in the rescue of x people. Cooperate with emergency surgical cases. X times nursing observation of patients. The number of trips is x, and emergencies are handled x times.
2. Work compliance: the intact rate of first-aid articles reaches X. The qualified rate of aseptic articles X. The qualified rate of medical record writing X. The comprehensive satisfaction of nursing X. The qualified rate of nursing technical operation examination X.
Second, strengthen the service consciousness of nursing staff and provide quality services.
1, strengthen the service concept. General nurses attend quality service training courses organized by the hospital, constantly carry out etiquette and behavior training, standardize common polite expressions and communication expressions in operation, and apply them in practical work. Constantly study and discuss communication skills, cultivate nurses' foresight of disputes, effectively handle various contradictions and differences in their work, establish mutual trust between nurses and patients, achieve zero complaints throughout the year, and achieve comprehensive satisfaction of 99. 1%.
2, people-oriented, fully meet the needs of patients, constantly improve the environment of infusion hall, install TV and other facilities, and provide convenient services such as paper towels, cups and glasses of water at the bedside of unaccompanied patients. Continuously optimize the medical treatment process, timely triage, and take measures such as using emergency priority service card to pay for medicine for critically ill patients to reduce the waiting time for medicine. Improve service quality through environmental health supervision, nursing inspection and health education. Pay attention to illness treatment, basic care, three meals, know their situation in time, help contact their families or rescue stations, help such patients this year, and contact their families outside the province through ID cards. This measure has been praised by patients' families and other patients. Discuss and correct patients' opinions and problems in work, and constantly improve the service image.
Three, scientific and institutionalized nursing management, focusing on the implementation of supervision system.
1, through grouping regional management, continuous grouping and scheduling are carried out, so as to reduce shifts and effectively use human resources. Through dynamic quality control of senior nurses, the work pressure of young nurses is reduced, nursing hidden dangers are reduced, and the nursing quality of each shift is guaranteed.
2, clear quality control division of labor, the specialist is responsible for the management of goods, workflow and other areas, found the problem, timely feedback and discuss the modification, to ensure the quality of care in each area. Effectively implement the performance appraisal system, truthfully feedback the hierarchical ability of personnel, and make the nursing quality control in place.
3. After one year's adjustment, the structure of nursing team tends to be reasonable. According to the division of emergency areas, posts are basically set according to individual work ability, and the hierarchical management of nurses is basically realized, so as to achieve the rational distribution and use of personnel.
4. The emergency green channel is unblocked, which improves the success rate of rescue. For all kinds of acute, dangerous and severe patients, the measures of rational use of green channel have won valuable time for rescue.
5. Continuously improve the emergency plan for nursing work, including emergency plan for emergencies.
6. Formulate detailed work guidelines for each region, matters that need to be informed in each region, and matters needing attention for new employees. , systematically guide new recruits and young nurses to better complete nursing work.
Four, emergency professional nurses on-the-job training and continuing education
1. Throughout the year, departments organize business study sessions, medical record discussion sessions and operation training items.
2. In the second quarter, the general practitioners were organized to complete the emergency post skills training as required, and everyone passed the operation assessment, so that the professional skills of general nurses were further improved.
3. The nurses' knowledge of first aid drugs is all qualified within three years after graduation, and the compliance rate is. This year's graduates passed the job skills operation and all reached the standard. Good grades.
4. Basically complete the annual training plan for nurses, arrange nurses to study the care of critically ill patients in ICU, and arrange young nurses to carry out scalp puncture technology in pediatric injection room to improve the technical level of scalp puncture in children. Send many nurses out for short-term study and bring new nursing concepts back to the department. For a whole year, I completed the first aid training for 100 nurses.
5, every quarter, three people, two people cooperate to carry out rescue drills, through drills to continuously strengthen the emergency ability of nurses, and repeatedly strengthen the training of first aid skills.
6. According to the requirements of nursing department for microteaching, train young nurses' proficiency in technical operation and the ability to use first-aid instruments, and ask each group of personnel to use their spare time in class for group case discussion and nursing rounds. The effect is good.
7, formulate emergency post training record book, organize personnel to evaluate the level and ability of department personnel, appoint tutors, and implement one-on-one counseling education. Each person is required to complete a nursing case analysis every quarter to cultivate nurses' critical thinking, improve the quality of nursing staff and ensure the quality of nursing.
Five, nursing interns to teach
The teaching work of students has been further standardized, and the implementation of small lectures, operation demonstrations, teaching rounds and rescue drills has achieved good results, especially the teaching method of rescue drills has been well received by all interns. This year, I successfully completed the internship teaching task of 1000 person-times.
Sixth, cooperate with medical development.
In the simple intensive care unit built in the original office, the number of patients under observation gradually increased. In nursing, medical record writing, basic nursing and health education of patients under observation were strengthened, and at the same time, personnel were arranged to go to ICU for further study on nursing care of critically ill patients, lumbar puncture and closed thoracic drainage.
Although some achievements have been made in nursing work in the past 20 years, there are still some shortcomings, such as the failure to successfully complete nursing research projects and the negative attitude of individual personnel in training. In the process of serving patients, the cold and blunt tone of individual personnel is easy to cause patients' dissatisfaction. In the new year, we will face greater difficulties and challenges, with fierce competition in the medical market and less floating population. We will continue to work hard to further strengthen team building, improve the comprehensive quality of nursing staff, train professional nurses, improve service quality and complete the work plan for the new year.
I am a nurse in the emergency department of the hospital. My work is hard, but I never want to give up. I am proud of my work. I can contribute my strength to the hospital, do what I can for patients, and help doctors complete the rescue work better. These have always inspired me to make different efforts and progress. I've been in the emergency room for x years. These years' work has not only brought me rich work experience, but also made me stronger. Compared with my former self, the biggest difference now is that I have gained a very strong heart in my work, and I like my work very much. I keep working hard at work and my life is endless, so I will keep working hard and keep moving forward.
Emergency department is different from other departments. The emergency department is very busy every day. Every time I see all kinds of accidents or accidents that need first aid, my heart will still be shaken, but I also know that my work task is big and my responsibility is heavy. Therefore, no matter what happens, I will maintain absolute professionalism and rigor in my work and try my best to assist doctors in carrying out rescue work. I also know that both patients and their families have great expectations of us, so I will assume my due responsibilities and keep myself cautious and meticulous. I know my job may not be as important as that of a doctor, but since I am in my job, I will do everything I should. Life itself is such a fragile thing that I will lose this precious thing if I am not careful. So I will try my best to help doctors and patients save lives at work. Although sometimes, we can't recover through our own efforts, and we feel very sad, but we also know the meaning of this sentence. The more things I experience at work, the stronger I am. I can also adjust my emotions well and sort out my emotions. I will also clean up my emotions quickly when I encounter problems or feel sad about this matter, and I will never bring them to work. This is also my professional accomplishment.
X years of work has made me feel the moment of birth, illness and death, and cherish life more. Working in the emergency department for a long time has also given me a new understanding of life. It is precious and fragile, it is great and powerful. In the face of life, we should also cheer up, better integrate into our work, strive to do our own work well and devote ourselves wholeheartedly to our work. I believe that too. I will keep a serious attitude and love my work, so that all patients who come to our hospital can be discharged happily, and I will continue to work hard.
With the care and support of hospital leaders and the efforts of all medical staff, the emergency department has become increasingly perfect and has formed a relatively complete clinical emergency diagnosis and treatment scale. In order to further strengthen and improve emergency management, standardize diagnosis and treatment behavior, and improve the quality of emergency medical services, we report and summarize the work in the first half of the year, find out the existing problems, and further improve and perfect it:
First, the structural adjustment of the department and the talent pool have been completed.
At present, the construction of outpatient emergency and pre-hospital emergency platform is an important work carried out by the National Health Commission according to the needs of health development. The leadership of our hospital attaches great importance to and supports the development of emergency department, which has ushered in new development opportunities. In the first half of this year, we selected a group of excellent clinical graduate students who are in acute and severe cases and integrated traditional Chinese and western medicine through university lectures, talent market recruitment and contact with graduate tutors. After the provincial examination and hospital interview, we introduced _ _ _ new graduate students. Complete the construction of integrated mode of pre-hospital first aid, severe rescue, emergency ward and emergency icu and the allocation of talents.
Second, infrastructure renovation and equipment purchase.
Due to the needs of subway construction, the emergency ward, the third power station, the emergency infusion room and the rescue room were adjusted last year. At present, there are many areas such as triage desk, examination room, rescue room, debridement room, emergency ward, eicu, emergency charge, emergency laboratory, emergency pharmacy, emergency B-ultrasound, emergency radiation and so on. These areas have compact layout and reasonable flow direction. In the first half of this year, eye-catching wall landmarks and guiding signs were added, which is conducive to development. In order to meet the growing needs of rescuing patients, a new video laryngoscope was purchased this year, and a transfer ventilator enjoyed by the whole hospital was added in the equipment department.
Third, the construction of talent echelon
At present, the emergency department has _ _ senior titles, _ _ intermediate titles, _ _ junior titles and _ _ new employees, among whom _ _ people have a master's degree or above, accounting for _ _% of the total number of emergency doctors. At present, there are _ _ nurses in the emergency department, including _ _ rotating nurses and _ _ fixed staff, accounting for _ _% of the total, and the talent ladder is reasonable. In order to adapt to the construction of emergency connotation, we plan to carry out continuing education in theory and practice:
In the first quarter, the rescue process of critically ill patients was refined, and the sop of each time node was refined. Strengthen the first batch of SOPs for sepsis, stroke and chest pain, and deal with the patients' conditions in different levels to improve the first-line medical treatment ability and the quality of diagnosis and treatment.
In the second quarter, special training on airway management was conducted: first-line doctors mastered the emergency airway opening technology and process, including tracheal intubation, cricothyroid puncture and percutaneous gas cutting. All doctors and nurses should master the airway management norms, including airway humidification, sputum aspiration, promoting sputum excretion, opening the airway with bare hands, and keeping the airway unobstructed.
Increase the standardized writing of emergency, observation and hospitalization medical records. In the first half of the year, the emergency electronic medical records reached _ _%, with more than _ _ medical records under observation, and the first-class rate of inpatient medical records was 100%.
Fourth, department performance.
In the first half of this year, the number of emergency visits, infusion visits, rescue visits, emergency hospitalization visits and emergency discharge visits all increased significantly compared with the same period last year.
_ _ people died, significantly lower than the same period last year, and the success rate of rescue was _ _%;
During the period from June to May, the outpatient income was _ _ _ million, a year-on-year increase of _ _ percentage points.
Hospitalization income was _ _ _ million, up _ _ _ percentage points year-on-year.
The total income was _ _ million, an increase of _ _% over the same period last year.
Due to the transformation of emergency ward, emergency icu was increased and ordinary beds were reduced. At present, the total number of beds is _ _, which is less than before. Among them, eicu__ was added, and the diseases were adjusted. In the case that the number of critically ill patients admitted to the emergency department has increased significantly and the overall income has increased significantly, the emergency assessment indicators have also improved significantly, as follows:
Bed utilization rate _ _%, up _ _% compared with the same period last year;
The average working day of hospital bed is _ _ days, which is _ _ days more than the same period last year.
The number of transactions was _ _ times, up _ _ times compared with the same period last year;
The average hospitalization time was _ _ days, which was the same as last year.
V. Characteristics and advantages of traditional Chinese medicine
When it comes to emergency department, most people will first think of it as a place to rescue critically ill patients, a battlefield without smoke, and a place dominated by modern medicine. Chinese medicine seems useless. In fact, Chinese medicine has accumulated rich experience in acute and critical diseases in thousands of years of medical practice. At present, our department has a special comprehensive Chinese medicine clinic, equipped with acupuncture needles, moxa sticks, scraping boards, cupping, enema and other equipment, and ensures the 24-hour service of Chinese herbal pieces or Chinese herbal formula granules. In view of common diseases in emergency department such as exogenous fever, cough and diarrhea, a detailed TCM diagnosis and treatment plan was formulated. In order to facilitate patients to take medicine and take it, each disease has formulated a granule prescription for common symptoms.
According to the key diseases in the emergency ward, such as sepsis, asthma, heart failure, etc., the TCM diagnosis and treatment scheme, clinical pathway and nursing scheme are formulated, and oral care, social care and body rubbing bath are carried out in TCM to prevent hospital infection in severe patients. The treatment rate of TCM is 100%, and the income of TCM treatment reaches _ _.
Scientific research on intransitive verbs
At present, he is in charge of two scientific research projects: (1)__ Science and technology project of Provincial Bureau of Traditional Chinese Medicine, the influence of Jinqing Huatan Decoction combined with antibiotic sequential therapy on the clinical prognosis of chronic obstructive pulmonary disease;
(2) Science and Technology Project _ _ _ _ _ _ _ _ _ _ Science and Technology Project
2 collaborative scientific research projects: (1)__ Social development project of provincial science and technology department, clinical research on prevention and treatment of acquired myasthenia gravis in severe patients by ultrasonic quantification of acupuncture electrical stimulation intensity combined with Buzhong Yiqi decoction;
(2) Multi-model comprehensive clinical study on early neurological prognosis evaluation of coma patients after cardiopulmonary resuscitation in _ _ Provincial People's Hospital.
Participated in 2 scientific research projects: (1)__ Science and technology project of Provincial Bureau of Traditional Chinese Medicine, application of electroacupuncture therapy in painless gastrointestinal endoscopy;
(2) Clinical study of Banxia Xiexin Decoction in the treatment of postoperative reflux esophagitis of esophageal and cardiac cancer.
Seven. Further work plan
(1) Integrated management of pre-hospital first aid, in-hospital first aid and emergency ward. The staff are divided into four groups: pre-hospital first aid group, rescue group, general consultation group and emergency ward group. Each group is led by an attending physician and has 3-4 members. The team leader is responsible for medical quality control, technical training, teaching and public welfare.
(2) Improve the understanding of all medical staff: the emergency department is no longer a referral triage desk, nor is it a place for minor illness infusion. The emergency department is a first-class comprehensive discipline, which requires a medical team with high academic qualifications, high IQ and high comprehensive treatment ability to be responsible for emergency treatment and clinical training in the whole hospital.
(3) Further strengthen the construction of professional talent echelon: academic (scientific) leaders and talent echelon should focus on meeting the needs of emergency connotation construction and carry out theoretical and practical continuing education in a planned way.
Pay close attention to the "three basics and three strictness", strengthen the study of "basic theory, basic knowledge and basic skills", and truly implement the "three strictness" style in all medical business activities and management; Increase the standardized writing of outpatient, emergency, observation and hospitalization medical records; Strengthen special training on rational use of antibiotics; Strengthen medical safety awareness and prevent medical accidents.
(4) Further improve the medical quality: strengthen the management of medical quality control team, constantly strengthen quality improvement, prevent medical disputes and ensure medical safety.
(5) Strengthen the construction of scientific research and teaching: truly realize the synchronous development of medicine, teaching and research.
(6) Further promote the construction of the three major centers.
Mental health education is the need of healthy growth and all-round development of primary and secondary scho