Summary of personal work in general surgery 1 In order to reflect the feeling that the hospital is home, I have established the service tenet of "patient-centered, patient satisfaction as the core and patient demand as the goal" in the department.
Starting from me, practicing, and then subordinate nurses should first give humanistic care to patients, think about problems from the needs of patients, and establish the concept of caring for and respecting people. Secondly, use warm, cordial and warm words to understand and sympathize with patients' pain, make patients feel cordial and natural, and introduce the hospital environment, various rules and regulations, patients' rights and obligations in the form of hospitalization instructions.
Strengthen communication with patients, explain the occurrence and development process of diseases in a simple way, introduce the purpose of each examination and the matters needing attention in doctor's advice in detail, carefully observe the changes of the condition, cooperate with doctors to rescue critically ill patients, grasp the psychological state of patients, formulate humanized and personalized nursing measures, evaluate the nursing effect in time, let patients participate in treatment and nursing, eliminate tension and anxiety, and make patients feel safe and satisfied. Thirdly, from the list of patients' sensitive days, the charging items and standards are explained in detail, so that patients can clearly understand the consumption.
As long as we persist in taking patients as the center, taking patients' satisfaction as the core, taking patients' needs as the goal, and providing high-quality personalized services, the economic and social benefits of the department can achieve double harvest. Satisfying patients is the core of hospital work. The improvement of patients' satisfaction is essentially to establish a sincere relationship between patients and hospitals. Only when patients are satisfied can patients become loyal customers of the hospital. Over the past year, nurses have given sincere smiles to patients, and patients have left favorable comments to departments and medical ethics offices. Although the bonus in our hospital is not high, our nursing service is really the best.
We have been diligent and conscientious, practicing angels in white's oath in ordinary posts, and handing over a satisfactory answer sheet to patients with high-quality nursing service. In one year, the hospital received 1650 patients, 354 more than last year. The annual income was * * 165 1874 yuan, 420,000 yuan more than last year, and the patient satisfaction was adjusted by 99.8%. Praise 136 person-times, return 12 person-times, totaling 8,000 yuan, with zero complaints throughout the year. This is a breakthrough, this is a leap, this is the result of the concerted efforts of 22 people in our obstetrics and gynecology department, Qi Xin, and the crystallization of our efforts and sweat over the past year, which is worthy of our pride and obvious to all.
In order to ensure nursing safety, I constantly strengthen safety awareness education in daily nursing work, remind unsafe factors in work in time, and put forward rectification measures. Taking the nursing errors in and out of the hospital as an example, organize discussions and learn lessons, so that nurses can fully understand the new situation and new characteristics of nursing error factors, learn lessons from them, and let the safety alarm ring constantly.
1, strengthen system and responsibility education
Reaffirm the responsibilities of nurses at all levels, and clarify the post responsibility system and nursing work system: for example, microcomputer nurses do their best to eliminate patients' doubts about fees, and roving nurses do their best to prevent patients from changing infusion bottles and pulling needles themselves.
2. Strengthen teaching safety management.
The management of key employees, such as intern nurses, rotating nurses and new nurses, should be educated in legal awareness to improve their awareness and ability to guard against risks, so that they can clearly care for patients only under the guidance or supervision of teaching teachers. At the same time, qualified nurses with clinical experience and strong sense of responsibility are employed as teaching teachers to cultivate students' communication skills and clinical operation skills.
3. Strengthen management in critical period.
Adhere to the bedside morning, noon and night shift system, strengthen the management of night shift, afternoon shift, holiday shift and other key periods, and take the management of key patients such as intensive care unit patients and critically ill patients in general wards as the discussion focus of morning meeting and succession shift, evaluate the existing and potential risks of patients, and achieve * * * knowledge, which will attract the attention of each class.
4, adhere to the inspection system
(1) Please ask the doctor's advice class BANCHA to check the doctor's advice and record it at noon every day;
(2) Nursing operation requires three checks and seven pairs;
(3) Implement the infusion card review process;
(4) Assist in checking the implementation of the double-check signature system;
(5) signature system for daily, night and discharge inspection.
(6) Check and maintain the signature system of various medical and nursing devices;
(7) Check the signature system of first-aid equipment and medicines;
(8) Daily inspection and replacement of isolation and disinfection signature system;
(9) Daily check and signature system for long-term medication;
(10) Medical waste destruction, classification and recovery registration and verification system;
(1 1) Check nursing documents and records every week, 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. It should not only reflect the comprehensive nursing problem record, but also reflect the particularity of specialist symptoms.
5. Improve the nursing risk plan.
Pay attention to the cultivation of nurses' emergency ability in daily work: improve the on-site handling ability of emergency patients when they are admitted to hospital, and improve the common sense of fire prevention and fire fighting and emergency plan. Improve the nursing emergency risk plan, make a retrospective evaluation of each emergency work, draw lessons from it, improve the nurses' ability to respond and deal with emergencies, and ensure the normal daily work.
Open source and reduce expenditure, improve economic benefits.
1. Increase income: master various charging standards, make full use of charging policies, collect every penny recovered, carry out more nursing services, strengthen dunning efforts, and avoid the phenomenon of patients' arrears.
2. Cost saving: minimize the waste of water and electricity, disposable materials and medicines, and pay special attention to the repair and maintenance of medical equipment in the department to ensure normal operation and create maximum economic benefits for the department.
The above are the achievements and achievements that my department and I have made in the past year. "Without enough money, no one is perfect" has many shortcomings and deficiencies. Achievements can only represent the past, and we have to face the future work. Looking back, we have come all the way, full of hardships and joy; Looking ahead, we have a long way to go and are full of hope.
I believe that under the guidance of President xxx of our hospital, with the sincere cooperation of all members of our hospital and the close cooperation of our brother departments, our hospital will definitely overcome every problem and every difficulty. I will lead our department to do better, go further and get more benefits. At the same time, we should overcome our own shortcomings and deficiencies, strengthen management internally, shape our image externally, and make greater achievements in nursing quality, professional ethics and medical ethics.
Summary of personal work in general surgery 2. Work is an essential learning stage for every medical student. As a beginner who lacks clinical experience, other doctors, nurses and patients in the ward are all teachers worthy of consulting except his own teaching teacher. Therefore, I keep a modest and serious attitude towards learning, actively participate in all the study, medical treatment, discussion and other activities in the ward, and gradually hone myself from the most basic physical examination and course record.
Before I entered the icu, I took my teacher to explain the management system and disinfection system in the icu, and introduced the environment of the icu, which made me understand the ICU and made my work very easy. Specially arranged a special disease knowledge lecture, that is, the introduction of common diseases in thoracic and cardiac surgery, so that I have a certain understanding of thoracic and cardiac surgery diseases, which is conducive to postoperative monitoring. In addition, basic nursing teaching is also carried out, such as preoperative education, psychological nursing and patient life nursing.
First of all, I understand the significance and importance of central venous manometry, which is an objective standard for directly reflecting left ventricular function and measuring blood volume, guiding fluid replacement speed and evaluating blood volume.
Factors affecting central venous manometry:
① Determination of zero point;
(2) The fourth rib of the axillary midline in supine position and the fourth rib of the axillary front line in semi-supine position;
③ Patients must measure their blood pressure in a quiet state;
④ The piezometer tube must be kept unobstructed to ensure that the catheter is in the vena cava or the right atrium;
⑤ When breathing machine peep is used, the peep value must be subtracted, which is the true central venous pressure.
At the same time, the teacher and I measured the pressure separately and compared the accuracy of my measurement. Pay attention to sterility, avoid injecting vasoactive drugs from manometer, and ensure smooth pipeline.
After entering clinical work, surgery is often the main task, while theoretical study and clinical thinking training are relaxed, especially in thoracic and cardiac surgery. There are many kinds of diseases and operations in thoracic and cardiac surgery, so it is easy for me to focus all my attention on the operation. Therefore, I take doing more surgery and practicing my hands as the main purpose of my work, and the pathophysiology will change greatly after operation. I must comprehensively and accurately consider the medical history, signs, degree of illness, surgical methods and other aspects, in order to accurately grasp the key points, see the essence, understand the impact of surgery on patients, and formulate correct treatment measures. Only by letting them know more about why can they gradually improve their ability to analyze and solve problems in clinical work.
Through one month's work, I have a good understanding of postoperative monitoring of thoracic and cardiac surgery, and basically mastered the clinical application and matters needing attention of monitors, ventilators, defibrillators and micropumps. , and can independently complete the monitoring skills such as central venous pressure detection, endotracheal intubation sputum aspiration, writing nursing records, and summarizing the amount of entry and exit. Finally, they can pass the theoretical and operational skills exams.
With the development of medical science and the wide application of advanced electronic instruments in clinic, it also puts forward higher requirements for nurses, not only to have a high sense of responsibility, but also to learn intensive care and intensive care skills. Mastered intensive care and intensive care skills in the intensive care unit of cardiothoracic surgery, and improved the overall quality and professional level of clinical nursing. In the process of work, I understand the purpose, significance, precautions and harmfulness of improper operation. Secondly, I know that some operations must be experienced by myself in order to master the skills, methods and skills, and to operate on patients.
Summary of Personal Work in General Surgery On March+10/October 3 1 day, 365,438, our group 13 people entered the First Affiliated Hospital with a hesitant and nervous mood and started clinical nursing practice for more than 8 months. Today, the work is over. I used to be confused and ignorant, but now I'm full. Therefore, we are very grateful to the First Affiliated Hospital for providing us with such a good working environment and various superior conditions, and to all the teachers for their hard teaching, so that we have such a good practice opportunity before we set foot on our posts. This is the training and exercise of nursing skill operation, and it is also the best training before our employment. Although this period of time is short, it is very important to each of us. We cherish this time, cherish the opportunity of daily exercise and self-improvement, and cherish this rare mentoring relationship with teachers.
There is always a feeling of being at a loss. I'm in a strange state about nursing work, and I haven't formed a concept about what I can do in such a new environment. Fortunately, we have a teacher to introduce the ward structure, the work of each class and rich experience in teaching teachers, which makes us quickly adapt to the nursing work of various departments in the hospital. Being able to adapt to the hospital environment as soon as possible has laid a good foundation for working in the hospital, which should be regarded as the first harvest in the working stage: learning to adapt and learn to grow and survive in the new environment.
Although I had some feelings before I entered the consulting room, I felt more deeply after I actually entered the ward. Indeed, the work of nurses is very fragmentary and messy, which can be said to be humble, but through the incomprehension of most people, we find that nurses have their unique charm. Hospitals cannot live without nurses, which shows the importance of nurses. Doctors can't do without nurses, patients can't do without nurses, and the whole environment can't do without nurses. This kind of trivial work has a complete system, which can be described as "the sparrow is small and complete", and it is precisely because of this that it can play its unique role and produce an indispensable role. Because of clinical work, I have a more comprehensive and profound understanding of nursing work and a more detailed understanding of this industry. The second gain from entering the clinic is to correctly understand nursing, establish correct professional ethics and develop a good working attitude.
Deeply understand all kinds of diseases, and thoroughly master all basic nursing operations. The biggest and ultimate goal of the work is to cultivate good operating skills and improve the ability of various nursing work. Therefore, under the teaching principle of "let go, don't look around, don't worry about looking around", actively strive for every exercise opportunity, such as basic nursing operations such as catheterization, inserting stomach tubes, washing hair in bed, bathing in bed, oral care, automatic gastric lavage, intravenous infusion and various enema methods. At the same time, I constantly enrich my clinical theoretical knowledge, actively think about various problems, humbly ask teachers or other teachers for questions that I don't understand, and take knowledge notes.
When teachers don't have time to answer questions, we will consult books after work, or consult teachers and more people, so as to better strengthen the combination of theoretical knowledge and clinical practice. Most of the work departments in the First Affiliated Hospital are the whole ward, and most of us are nurses in charge. While following the teacher in charge of patients, we should strengthen the observation of patients' condition, enhance the understanding of patients' diseases, and educate patients with various health knowledge to exercise their ability to apply what they have learned. According to the requirements of schools and hospitals, I actively completed medical record writing, teaching rounds and lectures, and cultivated my writing, organization and expression skills. On the whole, the third harvest during the working period is also the biggest harvest: nursing operation skills have been improved, the level of disease awareness has risen, and various nursing work has gradually become proficient. While cultivating excellent professional skills, they also cultivate good study habits. By thinking, we can draw inferences from others.
Everything we do is for the patient's health and the result of the disease. We strictly abide by the rules and regulations of the hospital, strictly follow the aseptic principle in all operations, and strictly implement the "three inspections and seven pairs". In orthopedics, internal medicine, surgery, gynecology, ICU, operating room, emergency, acupuncture and other departments, we all do a good job, abide by the principle of sterility, implement the check-up system, and cultivate a good work style. This should be regarded as the fourth harvest. Although it can't be said to be great, it is also an important and indispensable harvest.
We have gained a lot, and if we summarize it in simple words, it will look pale and powerless, at least we can't express it accurately and clearly, and we have benefited a lot. There are fifth, sixth and even more gains, but there is no need to list them one by one, because we know that the gains during our work will be better reflected in our future work, so we use some dotted lines instead of face and special to represent individuals. In short, while thanking the First Affiliated Hospital for cultivating our dribs and drabs, we will take up our respective jobs with a more proactive working attitude, more solid operational skills and deeper theoretical knowledge, improve our clinical nursing ability and do our best for the nursing cause!
Personal Work Summary of General Surgery 4 20XX65438+1On October 26th, General Surgery held a gala with the theme of "20xx Year-end Summary and Spring Festival Gala" in Beiyuan Hotel. At the party, the theme banner was hung high, red Chinese knots were placed left and right, colorful lights flashed, and the scene was festive and warm. 1more than 40 general surgery members attended the party, and the atmosphere was warm, full of laughter and fun. Secretary Zhang Donghang, Dean Xue Chi, Dean Niu, Secretary Lin, the director and all the head nurses of the nursing department also came to the party to spend a wonderful evening with you.
The party officially started with the beautiful speeches of four presenters, including Liu Kai and Feng Wei. First of all, Wang Chuang Guan Jun and Secretary Zhang Donghang delivered speeches respectively, fully affirming the excellent achievements made by general surgery in the past year and its contribution to the development of the hospital. All members of the general surgery department warmly applauded and expressed their heartfelt thanks. Then, Director Wang Guangyi made a general summary of the work of general surgery in the past year: the past year was a year that general surgeons should be proud of, and made excellent achievements in medicine, teaching and research, especially the level of medical diagnosis and treatment became more professional and standardized, new technologies and new treatment methods were continuously developed, and major and difficult operations were focused on. In the past year, there were 4,407 inpatients, accounting for 8% of the total number of patients in the hospital, and 2,753 patients underwent surgery, up 40% from 20XX, accounting for 24% of the total number of operations in the hospital. Nearly 10 items of new technologies were developed, and the concept of minimally invasive surgery was implemented to achieve minimally invasive surgery, including 439 cases of laparoscopic surgery, an increase of 2.7 times compared with 2005.
Among them, more than 90% of gallbladder diseases such as acute cholecystitis, cholecystolithiasis and gallbladder polyps are operated by laparoscopy. 40 cases of cholelithiasis were treated by laparoscopy combined with choledochoscope, including 5 cases of secondary biliary tract. Now it has become a routine treatment method for cholelithiasis in general surgery, and has achieved minimally invasive treatment for biliary surgical diseases. Laparoscopic splenectomy 10 cases, laparoscopic radical resection of colorectal cancer in 24 cases, and minimally invasive endoscopic Miccoli thyroidectomy 10 cases all achieved satisfactory results. In 20XX, the advanced technique of anatomical system hepatectomy was first developed in China for the treatment of liver tumors and intrahepatic bile duct stones. 30 pieces were successfully completed in 20XX, an increase of 1 times compared with previous years. Pancreaticoduodenectomy was successful in 27 cases, which was double that of 20XX, and the incidence of serious complications such as pancreatic leakage was significantly reduced. They all recovered and were discharged. Multifunctional neck lymph node dissection with preservation for thyroid cancer 10 cases, which not only completely cleared the neck lymph nodes and avoided recurrence, but also realized multifunctional preservation. For the general surgery in 20XX years, not only the number of operations has greatly increased, but more importantly, the quality of operations has been greatly improved, and the proportion of major and difficult operations has increased greatly. In the new year, it is necessary to further improve the specialty organization, strengthen the specialty characteristics, continue to vigorously develop laparoscopic minimally invasive surgery, strive to reach the domestic leading level, strengthen scientific research innovation, pay attention to the improvement of medical record writing quality, and change the backward situation. In the year of 20XX, we will make great achievements again. Finally, Director Wang Guangyi announced the start of the dinner.
While everyone is tasting delicious food, wonderful cultural programs and funny and nervous games are interspersed among them. The head nurse's wonderful and humorous three-sentence performance pushed the whole party to a climax for the first time. The whole audience laughed, in which past lives, who learned more about general surgery, looked forward to the future with hope and closely United in the warm family of general surgery. Next, the competitive competition of "Knife" performed by three directors is even more hilarious. The modern dance "Myth" danced by Sun Ye and Chen Siling is dynamic and unrestrained, with constant applause from the audience and constant dance rhythm. The stage is full of vitality, and the dazzling light of youth is like spring breeze! Followed by "lingering", "holding an egg", "reverse thinking", "stepping on a balloon", "face to face, caring, back to back" and so on, all the comrades in the audience are eager to try, and shouts, laughter and applause are endless. The atmosphere was warm and the crowd was passionate! The Happy Dictionary of Lucky 666 is a happy ocean for everyone to participate in! Under the leadership of head nurse Liu Min, a bodybuilding team composed of 12 general surgical nurses danced rhythmic "dream magic" aerobics, which pushed the whole party to a climax. They show the health and beauty of general surgical nurses, strive for the upper reaches, forge ahead and never give up!
Finally, the party ended in a happy and harmonious atmosphere. Through this gathering, we can get to know each other better and be more harmonious. The party opens a new chapter for the brilliant work of the next year!
Summary of Personal Work in General Surgery 5 In order to reflect the feeling that the hospital is home, I have established the service tenet of "patient-centered, patient satisfaction as the core and patient demand as the goal" in the department.
Starting from me, practicing, and then subordinate nurses should first give humanistic care to patients, think about problems from the needs of patients, and establish the concept of caring for and respecting people. Secondly, use warm, cordial and warm words to understand and sympathize with patients' pain, make patients feel cordial and natural, and introduce the hospital environment, various rules and regulations, patients' rights and obligations in the form of hospitalization instructions. Strengthen communication with patients, explain the occurrence and development process of diseases in simple terms, introduce in detail the purpose of various examinations and matters needing attention in doctor's advice, carefully observe the changes of illness, cooperate with doctors to rescue critically ill patients, master patients' psychological state, formulate humanized and personalized nursing measures, evaluate nursing effect in time, let patients participate in treatment and nursing, eliminate tension and anxiety, and make patients feel safe and satisfied. Thirdly, from the list of patients' sensitive days, the charging items and standards are explained in detail, so that patients can clearly understand the consumption.
As long as we persist in taking patients as the center, taking patients' satisfaction as the core, taking patients' needs as the goal, and providing high-quality personalized services, the economic and social benefits of the department can achieve double harvest. Satisfying patients is the core of hospital work. The improvement of patients' satisfaction is essentially to establish a sincere relationship between patients and hospitals. Only when patients are satisfied can patients become loyal customers of the hospital. Over the past year, nurses have given sincere smiles to patients, and patients have left favorable comments to departments and medical ethics offices. Although the bonus in our hospital is not high, our nursing service is really the best. We have been diligent and conscientious, practicing angels in white's oath in ordinary posts, and handing over a satisfactory answer sheet to patients with high-quality nursing service. In one year, the hospital treated 1650 people, 354 more than last year. The annual income was * * 65,438+06,565,438+0,874 yuan, 420,000 yuan more than last year, and the patient satisfaction was adjusted by 99.8%. Praise 136 person-times, return 12 person-times, totaling 8,000 yuan, with zero complaints throughout the year. This is a breakthrough, this is a leap, this is the result of the concerted efforts of 22 people in our obstetrics and gynecology department, Qi Xin, and the crystallization of our efforts and sweat over the past year, which is worthy of our pride and obvious to all.
In order to ensure nursing safety, I constantly strengthen safety awareness education in daily nursing work, remind unsafe factors in work in time, and put forward rectification measures. Taking the nursing errors in and out of the hospital as an example, organize discussions and learn lessons, so that nurses can fully understand the new situation and new characteristics of nursing error factors, learn lessons from them, and let the safety alarm ring constantly.
1, strengthen system and responsibility education
Strengthen the system and responsibility education, reaffirm the responsibilities of nurses at all levels, and clarify the post responsibility system and nursing work system: for example, microcomputer nurses do their best to eliminate patients' doubts about fees, and roving nurses do their best to prevent patients from changing infusion bottles and pulling needles themselves.
2. Strengthen teaching safety management.
The management of key employees, such as intern nurses, rotating nurses and new nurses, should be educated in legal awareness to improve their awareness and ability to guard against risks, so that they can clearly care for patients only under the guidance or supervision of teaching teachers. At the same time, qualified nurses with clinical experience and strong sense of responsibility are employed as teaching teachers to cultivate students' communication skills and clinical operation skills.
3. Strengthen management in critical period.
Adhere to the bedside morning, noon and night shift system, strengthen the management of night shift, afternoon shift, holiday shift and other key periods, and take the management of key patients such as intensive care unit patients and critically ill patients in general wards as the discussion focus of morning meeting and succession shift, evaluate the existing and potential risks of patients, and achieve * * * knowledge, which will attract the attention of each class.
4, adhere to the inspection system
Responsible for the clinical teaching of the Department of Nursing, School of Medicine, Putian University, and successfully completed various teaching tasks, which was well received by students.
Department nurses are not active enough to write papers. In the future work, we should constantly sum up clinical experience and actively write papers.
5. There is a problem
The overall quality of nursing staff still needs to be further improved, and the study of "three basics" and professional theoretical knowledge still needs to be strengthened.
The quality of nursing still needs to be further improved.
Individual nurses have a weak sense of crisis and lack initiative in their work.
Holistic nursing, especially health education, needs to be further strengthened.
Summary of Personal Work in General Surgery 6. In the course of my work, I strictly abide by the rules and regulations of the hospital and various departments, earnestly perform my duties as a nurse, be strict with myself, respect teachers, unite 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 during my work. 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. The following are some summaries of my work:
1, before work, you should master some basic operations of the Department of Cardiology, such as electrocardiogram, blood pressure measurement and physical examination of the heart. 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, myocardial valve and coronary heart disease; 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 knowledge, such as hypertension emergency, acute pulmonary edema and arrhythmia. Urgent things will be handled, regardless of the slowness, so that everything is under control.
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 work 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!