Time flies, with the tense and slightly tense work rhythm, the year's work is coming to an end. During this year, everyone was exposed to many new things and learned a lot of new knowledge and skills. You can't work hard. Write a year-end summary to prepare for next year's work! Many people have a headache how to write a wonderful year-end summary. The following is the year-end summary (5 general remarks) of orthopedic nursing that I helped you sort out, which is for reference only and I hope it will help you.
Year-end Summary of Orthopedic Nursing 1 Under the correct leadership of the department director and head nurse, with the service tenet of "people-oriented", we carried out high-quality nursing service, strengthened basic nursing and successfully completed all kinds of nursing work. The work is summarized as follows:
First, in terms of ideology and politics:
Actively support the hospital's policies and regulations, abide by medical ethics and operating norms, adhere to the patient-centered, strictly meet the standards of an excellent qualified nurse, adhere to the quality as the core, take patient satisfaction as the standard, and firmly establish team spirit.
Second, work and study:
Study hard on professional knowledge and overcome business deficiencies. Actively participate in the rescue work of this department. Since the beginning of this year, a * * * has participated in about 5 rescue cases; Actively promote high-quality nursing service, do basic nursing well, take the lead and actively participate in it, such as washing hair, cutting nails and taking a bath for patients. And don't rely on students and interns in everything, and don't put on a condescending posture, which can play a leading role. Actively learn new technologies and new businesses. As a senior nurse, she strictly implements various operating procedures in her work, abides by the rules and regulations of hospital departments, always pays attention to maintaining the concept of sterility, treats her work seriously and meticulously, works overtime, establishes a high sense of collective responsibility and honor, unites comrades, can overcome various difficulties, and puts work first in everything. I try my best to do a good job in teaching and train new nurses for the department. In my opinion, to be an excellent nurse, one must first be caring and enterprising, be able to engage in nursing professional work with peace of mind, and have a correct outlook on life, values and good moral character. Therefore, I pay attention to the cultivation of freshmen's ideological quality in teaching, and then carry out pre-job professional ethics education, rules and regulations, nurse code of conduct education and basic nursing knowledge, specialist knowledge and nursing technology operation training. This year, three new students were taught. In their daily nursing work, they are not only strict with themselves, but also actively find and solve problems in nursing work, especially for young nurses, to promote their growth. Actively participate in the training and assessment of nurses' operation organized by the department: intravenous infusion, cardiopulmonary resuscitation, intravenous infusion and aseptic operation; Writing nursing papers 1 article throughout the year, published in journal of nursing administration.
Third, the existing problems:
1. Occasionally, the operation is not standardized and the concept of sterility is not strong.
2, the work is full of the status quo, not active enough.
Fourth, the development direction:
(1) Do a good job in theoretical study.
(2) Under the care and guidance of the hospital leaders and department directors, successfully complete the medical and nursing tasks, earnestly perform their duties, love their jobs, and actively write papers.
(3) Take the department as the home, work actively, treat patients with enthusiasm and patience, and meet patients' needs.
Nursing is an ordinary job, however, we use sincere love to heal the trauma of patients' hearts and ignite the courage of patients to overcome diseases with fire-like enthusiasm.
Year-end Summary of Orthopedic Nursing In the past 2 1 year, with the service tenet of "patient-centered, patient-centered", under the leadership of the nursing department and with the joint efforts of general nurses and sisters, we have gone through a busy 20xx year and successfully completed the work plan at the beginning of the year. The work of our department in the past year is summarized as follows:
First, quality care.
In June, 20xx, with the strong support of hospital leaders at all levels and under the guidance of nursing department, orthopedics drew up the theme of "dedicating youth and paying attention to cast iron bones", passionately applied for and officially started high-quality nursing service, and became the head nurse of trauma orthopedics in ward 5 of xx Hospital. Peng studied the high-quality nursing management of national key nursing specialty on the spot, and after returning to the hospital, he made appropriate reference in practical work, which benefited a lot! Since the development of high-quality nursing service, general nurses have improved their understanding and changed their service concept. Flat bed management makes the relationship between doctors and patients closer and more harmonious. The responsibility of nurses is in place, which increases the patient's sense of security; The number of calls is reduced, and the optical response time is shortened; Continuous, full and comprehensive nursing service organically combines basic nursing with specialized nursing, promotes patients' recovery as soon as possible, and wins the trust of patients. The satisfaction rate of patients in nursing department is over 99%, and she has been nominated by patients for many times to praise the head nurse, Nie Fengying and Dai Rong.
Second, nursing safety management
Orthopedic treatment has high transparency, and patients are prone to dysfunction and various complications, as well as car accidents and work-related injuries. It is prone to legal problems, so orthopedics has become a high-risk department for medical disputes. Nursing safety management is the focus of work, and detail management permeates every quality standard.
1, in order to ensure the continuous improvement of nursing quality, four quality management teams were set up, including health education, nursing medical record writing, disinfection and isolation, and basic nursing, with ten head nurses as the team leaders, to record and summarize the problems in time. Accept the irregular inspection of the quality inspection team of the nursing department and the sensory control department every month, and check the head nurse inspection team at noon, night and night every week, and pay attention to the inspection results. The head nurse and the attendant went deep into the ward for examination, and held a nursing quality and safety analysis meeting in time for a series of problems found in the examination. In view of nursing defects and errors, analyze the reasons, formulate rectification measures and supervise their implementation to ensure the continuous improvement of nursing quality.
2. Management of key periods, key links, key personnel and special patients
Key time periods refer to shift change time, afternoon shift, night shift, rest days and holidays. There are very few employees these days. Nurses are prone to mistakes. Patients are prone to dissatisfaction. The key links are busy and intensive links such as preoperative, postoperative, severe illness and rescue. Key personnel refer to critically ill patients, surgical patients, patients with special changes in their condition, as well as new nurses, senior nurses and nurses who often make mistakes; Special patients refer to patients who have changed their major and transferred to other hospitals, patients who have medical disputes or opinions, patients who are taken care of by leaders, and patients who are known by our hospital staff. Practice has proved that these people often have unsafe factors. Head nurses should strengthen follow-up inspection, rationally allocate nursing human resources and ensure the quality of work in all links.
3, pay attention to first aid and emergency training.
In view of the fact that there are many orthopedic patients in car accidents and many emergency patients during doctors' operations, an emergency reporting system and various emergency plans are formulated to improve the emergency capacity of soil conservation. Improve the training of nurses' first aid skills, and take various forms to carry out first aid procedures, cardiopulmonary resuscitation, first aid knowledge, first aid equipment use training, etc. Rescue instruments, medicines and emergency equipment should be checked daily by special personnel and maintained in time to ensure that they are in standby state at any time.
Three, disinfection and isolation, hospital infection control work
1, hospital awareness training and assessment
From 20xx165438+1October 23rd to165438+1October 26th, the head nurse attended the training course on disinfection and monitoring technology organized by Hunan Provincial Center for Disease Control and Prevention. She not only learned the knowledge of hospital disinfection, but also learned about the new trends at home and abroad, which broadened her horizons and increased her growth. Throughout the year, general practitioners were organized to learn professional knowledge such as hand hygiene, standard prevention, three technical operating procedures for hospital infection control by the Ministry of Health, disinfection and isolation measures for hiv-positive patients, and cooperated with the relevant knowledge examination of hospital sensory control department 1 time, with a pass rate of 100%.
2. Medical waste management
We have trained doctors, nurses and carers in our department for many times, and standardized the management of the classification, collection, storage, packaging, transportation and handover registration of medical wastes to prevent the outbreak of infection caused by poor management of medical wastes. Check the quality of work irregularly.
3, environmental sanitation, disinfection and sterilization effect and hand hygiene monitoring
In the whole year, there were 24 air samples, 2 glutaraldehyde samples/kloc-0, 2 surface samples/kloc-0, 4 "84" disinfectant samples, 7 finger samples and 8 dining table samples, and none of them exceeded the standard.
4. 1 to 1 1 month * * * to monitor hospital infection cases. Nosocomial infection 12 cases, including upper respiratory tract infection 1 1 case and lower respiratory tract infection 1 case. The nosocomial infection rate in this department is 0. 85%。
5. In order to welcome the establishment of a national demonstration hospital and reassure the people, the special inspection of disinfection and isolation in the hospital from June 265438 to June 22, 20xx scored 97 points.
Fourthly, standardize the writing of nursing documents and strengthen the consciousness of nursing legal system.
Organize general nursing staff to study the requirements of "Hunan Province Nursing Medical Record Writing Specification" repeatedly, and implement the recording methods of three-quantity list, long-term temporary doctor's order list, nursing record list, operation and handover list and ward nursing handover report according to the new provincial standard. Make nurses more clear about the significance of writing nursing documents, standardize nurses' behavior, simplify nursing writing, return time to nurses, turn nurses into patients and improve nursing quality.
Five, open source and reduce expenditure, improve economic efficiency.
1. Increase income: follow the business philosophy of "maximizing social benefits and rationalizing economic benefits", master various charging standards skillfully, make full use of charging policies, get back every penny collected, and provide more nursing services, such as exercise with rehabilitation equipment for office work and microwave treatment of bone injuries. And cooperate with the hospital to improve the environment of six double wards, increase microwave ovens and small refrigerators to facilitate patients and improve beds. Strengthen dunning efforts to avoid the phenomenon of patients' arrears.
2. Cost saving: minimize the waste of water and electricity, disposable consumables and medicines, and pay special attention to the repair and maintenance of medical equipment in the department to ensure normal operation and create the greatest economic benefits for the department.
Sixth, improve the medical environment of departments.
In order to create good medical conditions for patients, 37 accompanying beds were added in 20xx, 6 stainless steel rocking beds were updated in the corridor, bedside tables and bedside stools were fully equipped, stainless steel hangers were added for patients with extra beds at the entrance of the west building, orbital infusion racks, central oxygen inhalation and suction equipment were installed in beds 37-39 (the original examination room), microwave ovens and refrigerators were added in six double rooms, and an old ECG monitor was updated. Patient satisfaction survey is over 99%.
Seven, around the hospital work deployment, actively assist.
1, cooperate with the hospital, optimize the combination of nursing staff in the whole hospital, and compete for posts.
2. Around the central work of "building a national model hospital that people can rest assured of", "building a hospital that people are satisfied with" and "Teaching College of Changsha Medical College", the department has continuously established and improved various rules and regulations, responsibilities of each class and implemented them according to various grading standards, and formulated corresponding department implementation plans.
3. Cooperate with the hospital to organize general practitioners to learn how to upgrade the electronic medical records of the hospital information system, ask questions frequently, work overtime to maintain the normal operation of the department, and there are no running fees and disputes.
4. Many times to prepare and meet the provincial and municipal quality care and disinfection and isolation inspection, praised by superior leaders.
5. Conform to the change of modern nursing mode, reform the scheduling mode, formally start high-quality nursing and become a hospital.
Year-end Summary of Orthopedic Nursing 3 Since May this year, the otolaryngology ward in our hospital has been identified as the first batch of "quality service nursing demonstration wards" in our hospital. Under the leadership of the director of our department and the head nurse, all nurses keep in mind the service tenet of "patient-centered", strengthen basic nursing and life nursing, actively explore from the aspects of reducing liquid call, six-heart service and special service for unaccompanied patients, and solidly promote the quality nursing service of "patient satisfaction, social satisfaction and social satisfaction"
During this period, as a nursing staff in the department, I have many feelings: our department attaches great importance to quality service activities from the department director to the head nurse to all medical workers and nursing staff, and we are very proud to be the first batch of quality service pilot wards in the hospital. At the same time, we also feel that this pressure has promoted and encouraged our work. All the staff actively participated in it, and the director and head nurse organized all the staff in the department to carry out "If I were a patient" speech activities. Through this activity, my biggest feeling is that we must treat patients as our relatives or friends and treat them with our sincerity, which is also the premise for us to provide quality services. Only by caring for each other and treating each other sincerely can we build a harmonious doctor-patient relationship!
Our department is constantly exploring and practicing in our work, aiming at quality service, strengthening basic nursing and life nursing, starting from every little thing and every detail, and sincerely hope that our efforts can bring help to patients. Each of our nurses goes to work half an hour earlier and leaves work one hour later, actively and enthusiastically helping patients with boiling water for meals, tidying up bed units, combing their hair and cutting their nails, oral care and so on. And we also posted eye-catching humanized slogans on the corridor wall to remind them.
During the activity, our department launched a bright spot: reducing the phenomenon of making liquid calls. Through the head nurse's reasonable arrangement and adjustment of nursing staff's work, as well as everyone's active participation, we have strengthened the liquid patrol of infusion patients, taking the initiative to infusion, take liquid and add liquid. Since the beginning of the work, the phenomenon of liquid phone calls has obviously decreased, so we should maintain and continue our efforts!
"Love, patience, carefulness, responsibility, sincerity and enthusiasm" is another theme launched by our department since the development of quality service. We should apply these six hearts to our work and our "six-heart service" to every patient, so that they can feel as warm and warm as home in the hospital. The staff here are all their family and friends, and we will communicate with them sincerely with beautiful smiles. A simple greeting will warm their hearts, and they can treat patients, family members and staff with a smile and sincerity. Creating a harmonious departmental atmosphere is the basis for us to provide quality services. On the contrary, patients' encouragement and recognition of our work has greatly enhanced our confidence in working hard and our belief in serving patients. Every time a patient puts a smiling face on our photo, we will be very pleased. The patient wrote us a few simple words: well done, come on! It will make us very moved, it will be an affirmation and encouragement to our work, and we will feel that our hard work is worth it! Meaningful!
In view of the problem that some ophthalmic patients are unaccompanied at night, in order to strengthen night patrol, provide patients with necessary life help and avoid safety accidents caused by old age, visual impairment, postural hypotension and other incentives, we launched a new theme of "Special service for unaccompanied patients" in August. Every afternoon when making rounds, the nurse in charge will ask about the patient's care, and make eye-catching marks on the flower brand for the patients who are unaccompanied at night. According to the signs, night nurses can identify which patients are unaccompanied at night, so that they can patrol more at night and provide appropriate life help, such as pouring water to take medicine and helping patients to go to the toilet to avoid falling. Starting from every little thing can not only reduce many unsafe hidden dangers, but also improve the good relationship between doctors and patients, so as to gain their trust and affirmation of our work.
We need to continue to work hard, actively participate, sincerely, and do our best to bring the best service to every patient!
The year-end summary of orthopedic nursing is 4 20xx. With the improvement of hospital environment, higher requirements are put forward for nursing work. Especially through the preparation and acceptance of the "Three B" evaluation in our hospital this year, we can understand that we are not only facing the honor of the hospital, but more importantly, our responsibilities and obligations as a member of the hospital. The orthopedic nursing team in our hospital took this opportunity to pay close attention to the quality of nursing service, strictly implement various rules and regulations, strengthen professional and technical training and build a better hospital.
Around the overall goal of the nursing department, under the unified deployment of the nursing department, we first unified our understanding ideologically: the nursing level, service quality and management system of a hospital must be tested and confirmed by the higher authorities. If the hospital wants to survive and develop, it must seize this rare opportunity to pass the audit. The nursing work in our department is summarized as follows:
First, seriously implement the rules and regulations.
1, reaffirmed the responsibilities of nursing staff at all levels, and defined the post responsibility system and nursing work system.
2. fifteen core nursing systems, various emergency plans and work quality standards have been implemented, such as the check-up system.
(1) double check the doctor's advice every day, once a day, and the head nurse takes part in the total check 1-2 times a week, with records.
(2) The nursing operation should be checked by two people at the bedside, and two or more patient identification methods should be used.
(3) The surgical patient and the operating room nurse hand over the patient. Prevention of nursing adverse events.
3. Conscientiously implement the nursing routine of orthopaedics and hand surgery, the ten safety goals, and the safety guide of specialized nursing, continuously improve and improve the quality of nursing, strengthen the management of nursing risks, unify the thinking of general nurses, raise awareness, comprehensively and effectively improve the quality of nursing services, and provide innovative and humanized services for patients, which has been well received by patients.
4. Carry out high-quality nursing service activities, implement the methods and measures for striving for high-quality demonstration wards formulated by the nursing department, implement humanized flexible scheduling, simplify nursing workflow, and let nurses return to patients.
Second, improve the professional quality of nursing staff.
1. Take a three-level first-class hospital as a wedge machine to train nurses in various knowledge, professional theories and professional skills, and organize theoretical and operational examinations.
2, to participate in the business study organized by the hospital, in order to improve professional knowledge.
3. Implement the system of nursing rounds. Departments carry out three-level nursing rounds 1-2 times a week, and discuss nursing diagnosis and nursing measures based on basic theoretical knowledge and orthopedic knowledge to improve the professional quality of nurses.
4. Strengthen the care of critically ill patients, adhere to the bedside shift system and morning care.
5. Implement graded training, and implement different training plans for nurses with different length of service.
Third, do a good job in quality management.
1, aiming at the difficulties and key issues in nursing work, set the work focus, and insist on integrating the patient-centered humanistic nursing concept into more practical and specific work details.
2. Carry out, permeate, run through and implement standardized nursing quality standards in the whole work of each nurse, so as to make nursing quality management rule-based and form a virtuous circle. Evaluate the quality of nursing from the patient's point of view, and take the patient's satisfaction as an important index to evaluate the quality of nursing, so that patients can really benefit from quality management.
3, the nurse's responsibility to carry out, patients from admission to discharge by the nurse is responsible for the whole process, into the quality management. Make a feasible assessment plan, and conduct assessment in strict accordance with the plan every week, so that everyone can pass the test and fully mobilize the initiative and enthusiasm of each nurse.
Over the past year, through the joint efforts of general practitioners, all the tasks of the department have been successfully completed, but there is still a gap between the work standards and quality and the leadership requirements, and the thinking needs to be broadened. In the new year, it is necessary to intensify political study, improve the quality of work, unite as one, work hard, and complete the tasks of undergraduate courses and the mandatory tasks temporarily assigned by leaders with high standards.
Year-end Summary of Orthopedic Nursing 5 With the arrival of the year-end, we have gone through another year safely and seriously. 20xx is a bumper harvest year. Under the correct leadership of the hospital leaders and the nursing department, with the close cooperation and support of the majority of medical staff, all medical staff paid close attention to implementation, earnestly implemented and made unremitting efforts, which accumulated materials for the establishment of a tertiary hospital. All aspects of 20xx's work are summarized as follows:
A, nursing safety:
The department establishes nursing contact book, establishes nursing risk assessment sheet and makes dynamic assessment, and applies various identification standards; Strengthen the management of all aspects of blood transfusion and infusion, strengthen nursing safety management, improve nursing risk prevention measures, continuously strengthen safety awareness education, promptly remind unsafe factors found in work, and put forward rectification measures. Taking the nursing errors inside and outside the hospital as an example, we can organize discussion and study for reference, so that nurses can fully understand the new situation and new characteristics of nursing error factors, learn from them, and make the safety alarm ring constantly. Improve the nursing emergency risk plan and pay attention to cultivating nurses' emergency ability in daily work. To provide patients with high-quality, safe and orderly nursing services.
Second, the nursing documents:
Improve the writing level of nursing documents and reduce potential safety hazards. Pay attention to the problems existing in nursing documents at this stage, standardize nursing document records, conscientiously implement the "cross principle" in nursing records, that is, objectivity, truthfulness, accuracy, timeliness and completeness, and avoid irregular writing, such as missing words, unclear alteration and inconsistency with doctors' records. , which not only reflects the comprehensive nursing problem records, but also reflects the symptoms of specialties, so that the nursing documents are standardized and standardized.
Third, basic care and quality care:
Take patients as the center, advocate humanized service, strengthen nurse-patient communication, improve patient satisfaction and avoid nursing disputes.
1. Sincerely receive the newly admitted patients, send them to the bedside, and actively provide admission education and health education to their families.
3. Ask the nurse in charge to communicate with the family members and their families every day, including health education, understanding the patient's condition, life needs, the effect and reaction after medication, etc. Nurse-patient communication can shorten the distance between nurses and patients, and it is the prerequisite and necessary condition for doing all kinds of nursing work well.
4. Seriously implement the notification procedures of clinical examination and operation, respect the patients' family members' right to know, and relieve their concerns.
5. Investigate patients' satisfaction with nursing, praise and encourage nurses with good service quality, and criticize and educate nurses with poor service quality.
6. Strengthen nurse-patient communication, organize off-duty symposiums regularly, and listen to the suggestions of patients and their families, so as to develop and improve nursing work, truly think about what patients think and worry about what patients are anxious about;
Four, rescue medical equipment:
Replenish first-aid drugs, instruments and sterile articles, and carry out standardized management. First, each nurse is required to strictly master the "five decisions" of the articles and drugs in the rescue vehicle, and then master the use, dosage and usage of the rescue drugs skillfully; Each nurse is also required to master the application of rescue instruments and monitors. The panic during rescue is avoided and the rescue efficiency is improved.
Five, ward management:
First of all, we should carry forward the traditional virtues of diligence and thrift and put an end to waste; I ask all medical staff to start from saving every kilowatt hour, every drop of water and every piece of paper, and start from me, strictly control the expenditure of departments, criticize all waste phenomena in time, and supplement it with economic punishment when necessary; Secondly, nursing staff should strengthen the management of ward environmental sanitation, standardize the regular placement of ward items, urge cleaners to clean in time, and ensure that the ward is quiet, tidy and free of peculiar smell.
Six, disinfection and isolation:
1, strictly implement the disinfection and isolation system formulated by the hospital management leading group, conduct self-inspection on the department every week, and correct the problems in time when found. Strengthen the management of health personnel.
3. The department insists on plasma disinfection of the treatment room and dressing room every day, and records the absolute alcohol dust removal of ultraviolet lamps every week, and records the monitoring of ultraviolet intensity every six months.
4. Disposable articles can be damaged, soaked and concentrated in time after use, and inspected and urged regularly. Regularly check the concentration of various disinfectants, and keep one bed, one towel and one wet sweep in the morning.
5, ward treatment room, dressing room can insist on using disinfectant to mop the floor, ward regularly use disinfectant to mop the floor, discharged patients sheets for terminal disinfection (clean the bedside table, and wipe with disinfectant).
Seven, courtesy:
Most nurses do well. They patrol wards in strict accordance with the requirements of the hospital, greet leaders and staff enthusiastically and actively, treat patients patiently and meticulously, reasonably explain any questions raised by patients and their families, dress neatly and be full of energy at work, and use standardized language when answering the phone.
Eight, strengthen the management of key patients and key employees in key periods.
Such as night shift, middle shift, holidays, etc. The flexible shift system is implemented, and the personnel on duty are reasonably matched. At the same time, nurses are organized to study hard to strengthen their good professional identity, sense of responsibility and cautious spirit when they are on duty independently. Critically ill patients, such as in the morning meeting and succession as the focus of discussion, evaluate the existing and potential risks of patients, reach * * * knowledge, and attract the attention of each class. For example, educate the newly transferred nurses on legal awareness, improve their awareness and ability to prevent risks, and hire old nurses with clinical experience and strong sense of responsibility as teachers for the newly transferred nurses, so as to cultivate their communication skills with patients and clinical operation skills.
Nine, nursing business training
As a developing department, our department is faced with many miscellaneous diseases, complicated diseases and strong nursing professionalism. In view of this reality, I decided decisively: start from me and train all the staff. Taking business lectures, business rounds, morning meetings and other ways, we learned some conventional nursing, preoperative and postoperative nursing, conservative treatment and nursing knowledge of orthopedic diseases, and nurses got a comprehensive understanding and understanding, which improved their professional theoretical level.
X. Existing problems
1. The nursing risk assessment sheet in nursing safety cannot be applied correctly, and the measures are not in place.
2. Basic nursing is still insufficient. Some patients' fingernails are not treated in the hospital, and care is not in place in the morning and evening. First-class nursing patients have no first-class nurse service, which is second only to their daily work.
3. Nursing documents are still altered, the content is not accurate enough, and the temperature of special patients is not drawn correctly.
4. In terms of disinfection and isolation, the liquid can't be used now. In disposable goods, it will expire after opening the package, and the hand sanitizer cannot be used as required.
5. The manners of new nurses are not satisfactory, which needs to be further strengthened.
A new year, a new beginning, work harder and study harder in the coming year, and do not undertake the training of hospitals. I am especially grateful to the nursing department for giving me all kinds of growth opportunities, so that I can constantly urge myself to study hard and improve myself. Nursing is a real job. I will continue to "enjoy work and enjoy life"! ! !
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