Annual nursing work summary 1 20xx Over the past year, under the leadership and care of the party and government leading bodies in the hospital, the nursing department has actively carried out its work according to the work priorities set by the hospital and the work plan and objectives of the nursing department. The work is summarized as follows:
First, further strengthen management, strict rules and regulations and implementation,
Without rules, there would be no Fiona Fang. According to the requirements of the hospital, the nursing department further refines the assessment standards of nursing quality and hospital infection, and strictly implements them according to the system.
Second, patient-centered, advocate humanized service, improve the concept of humanized service, continue to carry forward the hospital's high-quality service brand, optimize the nursing team, standardize medical behavior, strengthen nurse-patient communication, and let nurses' behavior and due diligence play a good role in promoting the development of oral career.
Third, strengthen the study of professional knowledge and improve the overall quality of nurses.
In the first half of the year, in order to fully implement the patient-centered service concept, further strengthen the professional technical training and capacity building of nursing staff, and improve the quality level of clinical nursing, the training of "three basics and three strictness" was carried out. Organize all nursing staff to carry out aseptic technical operation training, including the use of aseptic holding pliers, aseptic storage tanks, aseptic cotton ball cylinders and aseptic cabinets, and check them at any time. Isolation gown's putting-on-off and six-step washing techniques were trained for medical staff in all subjects. Operation and theory are in parallel, guided by the situation and guided by teaching one by one, and the effect is remarkable.
Strengthen legal awareness and pay attention to nursing safety in the second half of the year. Organize nursing staff to carry out nursing safety training. Improve nurses' awareness of occupational risks and self-protection, strengthen their legal awareness, fulfill their obligations according to law, standardize medical care behavior with legal concepts, protect patients' rights and interests, and put an end to nursing disputes.
Four, to ensure quality management, to ensure the quality and safety of medical care.
1, according to the quality control assessment standard of the municipal nursing bureau and the actual situation of the hospital, the nursing department further improved the assessment standard of target management of the nursing department. In addition to the comprehensive examination every month, a standard is specially put forward as the key examination content, and the existing problems are taken as the reference content of learning and training, which makes up for the weak links in clinical work.
2, according to the city bureau "hospital infection assessment standard" combined with the actual situation of the hospital, the nursing department to further improve the "hospital hospital infection inspection assessment standard". The nursing department shall check the departments once a month according to the assessment standards, strictly control hospital infection, prevent cross infection and iatrogenic infection, and do a good job in personal protection and supporting facilities for medical staff, so as to truly protect medical patients.
3. The problems found in the inspection require the department to rectify in time, and the nursing department has carried out feedback inspection and achieved ideal results.
4, the nursing department has a specialist who is responsible for the management of the training of nurses at all levels, in a planned and organized way to implement theoretical and operational training for nursing staff. Organize nurses in the whole hospital to study business 12 times, and assess it twice. The training rate reached 99%, and the passing rate of examination reached 100%.
Five, strive to do a good job in hospital infection management.
1. According to this year's hospital infection work plan, all medical staff were tested for rules and regulations and hand, foot and mouth disease, and the qualified rate was 99%. Organize research on cross-infection and its control and medical waste management in oral diagnosis and treatment. The Nursing Department also invited Director Zheng of the Municipal Center for Disease Control and Prevention to give a special lecture on AIDS prevention and occupational protection for all medical staff and interns in our hospital, so as to further raise the awareness of prevention.
2. The prevention and treatment of nosocomial infection of infectious diseases is a link that cannot be ignored. Medical staff were trained and assessed on hand, foot and mouth disease, and the qualified rate was 100%. A hand, foot and mouth disease triage desk was set up according to the requirements of superiors, equipped with thermometers, leaflets, masks and other necessities; Set up a fever clinic and establish necessary measures such as personal protection and patient registration; Clarify the transfer process of infected patients.
3. Further standardize the name of the area, and change the sterile area of the department into a sterile goods storage place.
4. Replace the square tray of sterile items in each department with a closed container with a cover to reduce the way of cross infection.
5. Focusing on the document review standard of Jinan Disinfection Supply Center, combining with the actual situation of our hospital's Disinfection Supply Center, self-examination, and rectifying the links that do not meet the standards.
(1) Improve the supply center management system.
(2) Wang Jing was selected to study in Jinan Boiler and Pressure Vessel Inspection Institute and obtained the pressure vessel operation certificate.
(3) The names of decontamination area, inspection and packaging area, sterilization area and sterile goods storage area are further defined.
(4) Replace the nurses' caps of the staff with disposable medical caps and equip them with work shoes. Protective articles such as masks and rain boots have been added to the clean area. Disposable shoe covers are provided at the entrance and exit of sterile goods storage area.
Six, strengthen on-the-job training, and comprehensively improve the professional level.
1. In order to celebrate the International Nurses' Day on May.12 and carry forward the Nightingale spirit, our hospital successfully held a six-step skill competition for washing hands and wearing isolation gown. This competition received the care and support of Director Zhang of Health Bureau, Chief Dong Ming of Business Department and Chief Rebecca. After publicity, precise organization and hard training of the players, it was a very fierce live competition.
Summary of Nursing Annual Work Chapter II: In 20xx, under the leadership of Nursing Department 2 and according to the work plan of Nursing Department, all the tasks of internal medicine were successfully completed. The summary is as follows:
First, strengthen nursing safety management
Supervise the implementation of various core systems in a planned way, find problems in time, analyze and rectify.
(1) Implementation of inspection system: it was found that after the temporary medical orders were issued, the double check was not in place, the active check of infusion was not in place, and the label was not standardized. The problems existing in the inspection have been continuously improved, and the inspection process of each link has been standardized, and the defects in the inspection have been significantly reduced compared with before.
(B) the implementation of the inheritance system
1. There are some problems in the writing of handover report, such as incomplete lintel, no description or specific description on admission, no classification, incomplete nursing measures, and no continuous observation on the next shift. Standardize the handover report through continuous improvement measures such as training, evaluation, continuous inspection and feedback.
2. There are some problems in bedside handover, such as the unclear handover subject, mainly the head nurse's inspection, the responsible nurse can't take the initiative to take charge of the patient, introduce herself and understand the condition, the skin handover of the bedridden patient is not serious, and the night nurse can't tidy up the bed unit of the critically ill patient before handing over the shift. Through training, inspection and guidance, bedside handover is more standardized than before.
Second, the implementation of grading nursing system
(a) the implementation of graded nursing does not patrol according to the level of nursing, especially for chemotherapy patients, do not carefully check the liquid input and local skin conditions during the shift change, and can not record the patrol every hour, especially at noon and afternoon. The content of disease observation is not clear. When carrying out oral medication orders, nurses can't grasp the patient's medication situation, patients can't grasp the function, side effects and medication methods of drugs, nursing guidance such as abdominal circumference measurement of ascites patients and oral care of fasting patients is not in place, and the health education effect is poor. By defining the responsibilities of the responsible nurse and the responsible team leader, the implementation of the graded nursing system is more standardized than before.
(2) Improve the emergency plan, strengthen the emergency plan drills and positioning rescue drills, and improve the emergency handling ability of nurses. The internal medicine department organized emergency drills for hypoglycemia and anaphylactic shock, and each ward organized corresponding content drills according to the characteristics of the region. Two patients with anaphylactic shock in ward 3 were successfully rescued, and 1 ward 1 patient committed suicide. Nurses can rescue and report in an orderly manner according to the pre-plan, and nurses in all wards can carry out rescue in an orderly manner according to the positioning rescue plan, which improves the success rate of rescue and has been affirmed by doctors.
(three) organize regular safety meetings, timely analysis of defects found in the inspection, serious rectification.
Third, the continuous improvement of nursing quality
All nursing quality evaluation standards.
(1) Writing quality of nursing documents: the format requirements of nursing documents were trained, the observation points of common diseases in various subjects were made, various scoring methods and applications were trained, and the writing template of nursing records of common diseases was made, which improved the writing quality of young nurses.
(2) Management of rescue articles and drugs: the rescue vehicles were changed into sealed management, and the methods of sealed, handed over and inspected were standardized.
(3) Management of head nurses: Young head nurses were trained to write all kinds of notebooks, which standardized the head nurses' work flow, guided the shift inspection and improved their management ability.
(4) Strengthen the evaluation, early warning and follow-up examination of high-risk patients with pressure ulcer, and pay attention to the dynamic observation of pressure ulcer score when the condition changes. In addition to pressure ulcers, the incidence of hospital pressure ulcers is 0.
(5) Quality of basic nursing: By standardizing the admission examination and the examination during the shift change, the problems existing in basic nursing can be found in time. For example, whether the nails are trimmed, whether the bed unit is neat, whether the lying position is appropriate, and whether the infusion is standardized. Each group of nurses has a treatment and nursing list, and the problems found by the responsible team leader and head nurse form nursing instructions in time, telling nurses to write them on the treatment and nursing list and implement them in a planned way, and check and urge them in time to improve the quality of basic nursing.
(VI) Nursing quality of critical illness: check and guide every critical case, and focus on cultivating the ability of nurses to evaluate and observe the condition, find nursing problems, correctly implement nursing measures and communicate with patients and their families. List the observation points and nursing points of critically ill patients, explain the changes of nurses' condition that need to be reported to doctors, and carry out predictive training for possible situations, which is convenient for young nurses to implement and improve the level of critical care.
(7) TCM nursing quality: training and organizing the implementation according to the diseases of TCM nursing programs in various wards formulated by the nursing department. All designated diseases must have TCM nursing measures and TCM treatment techniques. Nurses can master TCM syndrome differentiation and treatment methods, and the utilization rate of TCM nursing techniques is higher than before.
Fourth, strengthen training and assessment to improve the level of nursing ability.
* * * Organize hospital nursing rounds twice, ordinary care rounds eight times, and specialized nursing training 10 times. Held 30 lectures on nurses' professional learning and training at all levels, assessed nurses' operation 180 times and assessed young nurses' clinical ability 10 times. Instructed nurses to participate in Yancheng first aid technical operation competition and won the third prize of the group.
Verb (abbreviation of verb) has its shortcomings.
1, the academic atmosphere is not enough, and there is no topic paper.
2. The communication skills of junior nurses are insufficient, and patients' satisfaction needs to be improved.
Summary of nursing annual work Chapter III Pediatrics includes children from fetus to adolescence, and the fetus is more described in obstetrics and gynecology. Newborns, infants, preschool children and school-age children all belong to pediatrics.
Let's start with the nutrition of newborns and the six benefits of breastfeeding. Of course, the most important thing is the nutrients in breast milk. Protein content is low, which reduces the formation of protein clot in the baby's stomach. High in fat, providing more energy. Lactose is also an indispensable ingredient. The most important protein is whey protein and casein, which is higher than milk. Protein content in milk is high, and the baby's digestive system is underdeveloped and difficult to digest. Active substances in breast milk.
After talking about nutrition, we will enter the topic of pediatric diseases. The first thing to say is rickets, which is caused by vitamin D deficiency. It is divided into three stages, the most obvious in the active stage, such as ping-pong skull, square skull, hand and foot bracelet, beaded chest, rib groove, chicken breast and so on. There are many abnormal manifestations, and there are often sequelae in the later stage. Ct showed that there was bone deposition at the epiphyseal end, and the edge was obviously brush-like. Vitamin D can regulate the absorption, metabolism and transformation of calcium. Calcium can be used in the acute phase, and the rest can be treated with vitamin D.
Pneumonia and asthma are common respiratory diseases in children. Asthma has a large part of genetic factors, showing airway hyperresponsiveness. Chronic airway inflammation is the essence, and anti-inflammatory therapy combined with hormone and theophylline can be diagnosed by airway relaxation test, and wheezing is also a common symptom. Pneumonia is caused by Streptococcus pneumoniae and treated with antibiotics.
The diagnosis of tuberculosis in children is mainly tuberculin test, and the treatment principle is the same as that of adults, such as early, adequate, regular, whole course and combined chemotherapy.
The cause of children's diarrhea needs to be clarified, whether it is infectious or non-infectious. Infectious requires the use of antibacterial, antiviral or parasite-killing drugs. Non-infectious diseases may be caused by improper feeding, lactase deficiency and allergic constitution, so differential diagnosis is needed. Diarrhea is classified into light and severe types and diagnosed according to the color of stool. No matter whether there is blood in the stool or not, severe diarrhea often has electrolyte disorder and acid-base imbalance, which requires hydration and electrolyte replenishment. Before supplementing, it must be clear that it is hypotonic.
Children's cerebral palsy is mainly characterized by non-progressive central system injury from death to one month after birth, which is characterized by central motor disorder and abnormal posture. According to the severity of the disease, it can be divided into total paralysis, quadriplegia, hemiplegia and paraplegia.
The most serious cardiovascular diseases in children are tetralogy of Fallot, right ventricular outflow tract obstruction, right ventricular hypertrophy, aortic straddle and ventricular septal defect. Treatment also belongs to surgical severe congenital heart disease. According to the flow direction of heart blood, heart disease is divided into left-to-right shunt type, because arterial blood flows into right ventricular venous blood, so there is no cyanosis. Right-to-left shunt type, that is, right cyanosis, is a manifestation of circulatory hypoxia, and the lightest is no shunt type.
The most important thing to say here is the diagnosis of pneumonia complicated with heart failure. Breathing is suddenly greater than 60 beats per minute, and heartbeat is suddenly greater than 180 beats per minute, which is serious.
Unconsciously, I have written a lot. Pediatric diseases have their particularity, which should be considered in terms of dosage and medication. Children are in the period of growth and development, and their physiological functions have not yet reached the level of adults. It is necessary to observe their physiological and psychological changes to help them grow up healthily.
Slowly, I found myself growing up and began to study children. Hehe, I hope all the children in the world will grow sturdily and become the pillars of the motherland!
Chapter IV Summary of Nursing Annual Work In the past 20xx years, with the great attention and strong support of hospital leaders and the close cooperation of clinical department directors, head nurses and relevant functional departments, the nursing department has worked in a down-to-earth manner in strict accordance with the work target plan formulated at the beginning of the year, and has successfully completed various tasks. The work is summarized as follows:
First, fully promote the patient-centered "quality nursing service" activities.
The nursing department conscientiously implemented the general requirements of the Ministry of Health and the work arrangements of hospital leaders, and continued to further promote this work on the basis of summing up the experience of high-quality nursing service.
1. The nursing department constantly improves the assessment of high-quality nursing service, visits the ward irregularly, implements standards, analyzes and evaluates the development of high-quality nursing service, and urges the existing problems to be tracked and rectified.
2, the nursing department held a special meeting on optimal care work, and implemented the core terms of optimal care item by item.
3. In order to deepen the work mode of ward group responsibility system, the nursing department gave guidance on how to divide the critically ill patients into groups reasonably according to the nurses' ability, and assigned them to nurses with high seniority and strong ability, thus ensuring the safety of patients.
Second, strictly implement the nursing rules and regulations to ensure the quality of nursing.
As always, the nursing department regards nursing quality as the top priority of nursing work, and makes unremitting efforts to keep the alarm bell ringing. There were no nursing disputes this year.
1. This year, according to the requirements of the year-end curative effect standard and the actual situation of our hospital, the nursing department revised various rules and regulations, nursing routines, responsibilities, processes, emergency plans, operational skills assessment standards and various nursing posts in time, so that all clinical nursing work could be followed.
2. Strengthen the risk prevention of patients. When admitted to the hospital, nurses often educate patients and their families about safety precautions, and their awareness of safety precautions is enhanced, and no adverse events occur.
3. Strengthen the management of critically ill patients, patients with pressure ulcers and nursing adverse events.
4. The quality of nursing has improved steadily. The nursing department regularly and irregularly supervises the nursing quality of the whole hospital every month according to the assessment standards, puts forward targeted rectification opinions on the problems existing in each department, and tracks the quality.
5. Hold nursing quality feedback meeting from time to time, summarize and analyze the existing problems of nursing quality in the whole hospital, find out the reasons, put forward rectification measures, and constantly improve and adjust nursing quality management methods.
6. Strengthen the management consciousness of the head nurses, and ask the head nurses of all subjects to hold regular nursing meetings every month and organize their implementation, so as to achieve outstanding focus and strong supervision, effectively improve the quality and safety awareness of all nurses, thus ensuring the quality of nursing.
Third, comprehensively strengthen safety management to ensure the safety of patients.
1. Regularly supervise and inspect nursing safety, focusing on pre-holiday safety inspection, enhancing nurses' awareness of prevention, eliminating hidden dangers of accidents, standardizing drug management of rescue vehicles, and achieving "four decisions", with shifts and records. Rescue equipment should be repaired and maintained in time, and the functional status should be guaranteed for standby.
2. Conscientiously implement the "non-punitive nursing adverse events reporting system", encourage head nurses to report nursing adverse events on their own initiative, and organize discussion and analysis. Therefore, the head nurse must carry out safety warning education at the nursing meeting of the department to prevent similar incidents.
3. Strictly implement the check system, require the signature and time of clinical nursing delivery, establish infusion patrol cards, reduce bedside calls, enhance nurses' sense of responsibility, and ensure medication safety.
Fourth, strengthen cultural construction and enhance the centripetal force and cohesion of the nursing team.
While doing a good job in nursing service, we constantly publicize the typical people and things in our hospital's nursing work, fully demonstrating the professional skills and good spirit of our hospital's nursing team, and further expanding the influence of the nursing team.
Verb (abbreviation of verb) has its shortcomings.
1, nursing quality control, nurse post management, performance appraisal and personnel training need to be strengthened.
2. There is only one nurse on duty in some departments at noon, at night and in the early morning, which has hidden dangers in safety management.
3. Nurses' awareness of communication and service needs to be improved.
4. Active learning atmosphere is not strong, and learning is not active enough.
To sum up, although nursing has made some achievements, there are still many shortcomings. In the future work, the nursing department will continue to implement the work plan at the beginning of the year, make up for the shortcomings and defects, constantly develop new nursing technologies and projects, actively write nursing papers, and urge all nursing staff to further change their work style, optimize service processes, improve service levels, ensure nursing safety and steadily improve nursing quality.