Time flies, time flies, and in a blink of an eye, we will usher in the follow-up work. It's time to calm down and make a work summary, summing up the achievements and shortcomings, experiences and lessons of the work. Do you know any summary mode? I summarize the work of cardiovascular medicine collected and sorted out for everyone's reference.
Summary of cardiovascular internal medicine work 1 Although the safety problem is not the hospital work center, it affects the work center. Medical errors and accidents not only cause huge losses to patients and their families, but also make the reputation of the hospital decline in society and patients lose their sense of security. In the medical process, medical staff, especially nurses, have the most opportunities to communicate with patients, and nursing work is busy, trivial and repetitive, and there are many opportunities for nursing mistakes. How to create a nursing safety atmosphere and try not to make or make fewer nursing mistakes has always been an important problem that puzzles nursing managers.
Our department is a cardiovascular ward with 36 beds, including 4 beds in the emergency room. The elderly patients are in critical condition, with sudden onset and strong specialist skills. Nurses are required to have solid professional theoretical knowledge, be proficient in ECG monitoring and first aid technology, and have good psychological quality. There are 8 nurses in our department, the longest time in our department is 5 years, the shortest time is 6 months, and the average age is 25 years old. In 20** years, there are five common mistakes that have not caused adverse consequences to patients.
First, the reason analysis
(1) Nurses have a weak sense of responsibility and stay in nursing operations such as injection, medicine distribution and bed making. They should finish their duties as soon as possible and sit down to rest or get off work as soon as possible. (2) Young nurses have not entered the department for a long time, and they are not familiar with the specialized operation process or specialized knowledge. (3) The lack of nursing staff, the continuous improvement of nursing quality requirements, and the increasing psychological pressure of nursing staff.
Second, the countermeasures
1, define the service object and feel the responsibility of work. First, let each nurse know that the object of nursing work is the person who has only one life. It is the unshirkable responsibility of nurses to cherish the heavy responsibility and respect people's health rights and dignity. For nurses, in all nursing technical operations, we should put the patient's safety first, strive for perfection and meticulous work attitude, so that every nurse can begin to have self-awareness and feel the responsibility and obligation of work. 2. Establish the concept of regarding quality as life, ensure nursing safety, establish a nursing quality monitoring book, make rounds with the head nurse at least four times a day, conduct a planned comprehensive inspection according to the nursing quality every week, summarize the inspection results every week and every day, give timely personal feedback on the nursing problems that need to be solved, and repair them in time, and never tolerate nurses who are lax and knowingly. If any nurse is found not to wear a mask during aseptic operation, it will be dealt with seriously, and the bonus will be deducted immediately, and it will be checked at the branch meeting, so that every nurse can clearly understand that she does not violate the system, always keep in mind her responsibilities, strengthen her self-cultivation and caution, and provide safety guarantee for patients.
3. Encouraging teamwork among nurses to attract intentional attention is the direction and concentration of psychological activities on an object, which can be divided into intentional attention and unintentional attention. Nurses must be in a state of intentional attention at work, so as to ensure that they can concentrate on completing nursing tasks. However, long-term intentional attention will make people tired, leading to the phenomenon of "turning a blind eye, seeing without knowing why", which will lead to mistakes and accidents. Therefore, we should encourage and cultivate nurses' spirit of unity and cooperation, advocate mutual reminding and mutual supervision in busy work, set up a nursing quality inspection team, divide nursing inspection into four parts: nursing documents, disinfection and isolation, basic nursing and environmental management, and drug management, make a written and oral summary report on the inspection results, and find out potential safety hazards in time. Except for mistakes, grades are not linked to the end-of-month assessment and bonus.
4, advocate humanistic care, try to reduce the pressure of nurses from all aspects. If a person is in a depressed working environment for a long time, his enthusiasm and initiative will be suppressed, he will not concentrate and his response will be inaccurate. Therefore, as a manager, we should fully understand the temperament and personality characteristics of nurses, rationally arrange manpower, use talents, mobilize the enthusiasm of nurses, give full play to their personal potential, and let every nurse feel the happiness of working in the department.
Such as "You have worked hard", "Thank you", "You have done a good job" and "Keep working hard". They are good at discovering and affirming the advantages of nurses, and their shortcomings are mainly individual reminders. They rarely criticize in public, strive to protect nurses' self-esteem, constantly solicit nurses' opinions on nursing work, adopt good suggestions, and praise them at regular meetings, so that nurses have a sense of responsibility, belonging, enthusiasm and self-motivation. Such as travel and vacation, create a harmonious, United and friendly working atmosphere, reduce stress and negative emotions, and reduce accidents.
5, combined with the characteristics of undergraduate major, organized undergraduate business study in a planned way, and constantly improved professional quality. In order to ensure nursing safety, nurses are required to be familiar with various rules and regulations of undergraduate course, responsibilities and operating procedures of each class, and specialized nursing routine, and master the operation from skilled to skilled, so as to make standardized, fast and written nursing records, and cultivate the ability of acute observation of illness and the ability of rescue and first aid for critically ill patients.
Nurses from 6 months to 2 years are required to skillfully use nursing procedures to implement holistic nursing. Health education, psychological care, familiar with the rescue procedures of cardiopulmonary cerebral resuscitation, and the application of ECG monitoring system. Nurses who have worked for more than 2 years are required to identify all kinds of arrhythmia electrocardiogram in cardiology department, arrange corresponding nursing rounds, strengthen and learn professional knowledge, and encourage nurses to sum up experience and write papers. In addition, nurses are encouraged to take advantage of the opportunity of self-taught junior college or undergraduate course to take care of them in shifts, so as to improve the quality of nursing and the theoretical level of nurses and establish "promising talents and positions".
Third, the effect
By creating a nursing safety culture, every nurse can raise awareness and reduce mistakes. There were no serious mistakes and nursing disputes in the first half of this year, and only 1 mistakes did not cause adverse consequences to patients. Nurses' working atmosphere is relaxed and negative emotions are reduced.
Summary of cardiovascular internal medicine work 2. I have been practicing in the hospital for half a year, and sometimes I feel a lot when I meet all kinds of things. Nursing work is trivial and complicated, from measuring blood pressure and temperature, helping patients cook and urinate, to dispensing medicines, giving injections and saving lives. .........................................................................................................................................
Careful observation of patients' every expression and behavior and patient listening to patients' every complaint may play a great role in discovering patients' condition changes and psychological changes. Therefore, as a nurse, it is very important to cultivate their abilities of careful observation, patient listening and calm analysis and thinking.
When a new patient is admitted to the hospital, the first thing the patient comes into contact with is the nurse. Whether it is the patient's family or the patient, when he comes to the hospital sick, he will definitely feel a panic and fear. We should put ourselves in the other's shoes, appease the anxiety of our families and give them as much help as possible.
When I met a god of death, I saw the heart rate on ECG monitoring drop from more than 40 to 0. At that moment, my heart was shocked. Life is so fragile. As medical staff, we need to be stronger.
I was moved. No matter what treatment you give him, many patients never forget to say thank you every time, but simply take their blood pressure. Some patients know that you are an intern, and you are not so skilled in injection, but they still believe you and tell you that it's okay, you can play, it's painless and you can play well. Often these words can keep you warm all day and make you forget your fatigue.
I was wronged. Once encountered a new harvest, someone rang the bell to change the bottle, and it was not timely to change the bottle. The patient was very nervous and angry because the venous blood returned to the scalp needle. He said that no one came after ringing the bell for so long. What do you do? Look at the blood flowing out. I quickly explained to the patient that a patient who had just been admitted to the hospital was delayed, and the venous blood could be flushed back to the vein by changing the bottle. Don't be nervous ... The patient is relaxed. Some patients will see you with a treatment tray and say to you, I don't want an intern to give me an injection, let your teacher give it to me. At this time, we need to learn to adjust ourselves ... It must be the patient's own factors and the intern's own factors that the patient refuses to let the intern have an injection. Later, I learned that my mother-in-law had been swollen by one of our interns before, so I was embarrassed to give the interns an injection. Therefore, how important it is to strengthen our nursing skills.
When I met a black Congolese, I discovered the importance of English only by communicating in English. As an international industry, nursing is also indispensable in foreign language ability, which can at least ensure the minimum communication when meeting foreign patients, which is also the advantage of reading foreign literature.
Nursing work is actually a team work. Many times, two people need to check before a nursing operation, and several people need to cooperate when rescuing. When there are only two nurses and one intern in the night shift, cooperation is particularly important at this time, so it is also a direction in the future to exercise your ability to cooperate with colleagues.
In fact, as an intern, there are many things to learn, such as reading and accumulating. As long as teachers encourage us and patients have trusting eyes, we can be full of confidence and stride forward.
After half a year's internship, I deeply feel that there are too many things to learn if I want to stand on tiptoe in the nursing field. My keen observation and analysis ability, communication ability with patients, solid nursing operation technology, excellent nursing theoretical knowledge and good foreign language ability are all the results of my efforts.
The road is at your feet, go ahead, come on ~
Summary of Cardiovascular Medicine Work 3 20XX Under the leadership of the hospital and the nursing department, all nursing staff took the opportunity of establishing a grade hospital and did a good job of each work item by item according to the standards. Through continuous quality improvement, the institutionalization and standardization of nursing management in our department were effectively promoted, and the nursing quality was steadily improved. Based on the principle of "patient-centered", "quality nursing" runs through the whole nursing work. Establish a high sense of professionalism and responsibility, constantly strengthen the training of service quality and nursing skills, seek truth from facts, work hard, and successfully complete the work plan at the beginning of the year through unremitting efforts and hard work. The nursing work in 20XX years is summarized as follows:
First, treat patients.
Strengthen the education of professional ideals, professional ethics, professional responsibility and professional discipline of nursing staff, carry forward the industry fashion of "saving lives, being loyal to their duties, loving their posts and being dedicated, full of enthusiasm, pioneering and enterprising, striving for perfection, being willing to contribute and practicing medicine in a civilized way", and firmly establish the service concept of "saving lives and healing the wounded" and "taking patients as the center". At the same time, improve the medical ethics norms, so that medical staff consciously strengthen the construction of medical ethics, standardize medical behavior, and serve patients wholeheartedly.
Second, strengthen the professional ethics of nurses and change the service concept.
Organize nursing staff in departments to seriously study and listen to the spirit of the meeting organized by the party and government leaders of the hospital on the construction of political style, carry out the "mass line" activities, implement the concept of "all for patients and all for clinical services", and strengthen the service attitude, health education and consultation work for hospitalized patients and their families.
Third, strengthen quality nursing and improve patient satisfaction.
Enthusiastic reception of patients, high-quality care throughout the entire medical process from admission to discharge, clean and tidy bed units are prepared for patients at admission, responsible nurses and doctors in charge visit patients in the shortest time, and introduce themselves voluntarily, and directors and head nurses take the initiative to care for patients at the bedside. During hospitalization, ward rounds were made on time in strict accordance with the nursing level, the basic nursing service items were effectively implemented, and life nursing was well done. Every morning, the nurse goes to work 30 minutes in advance, completes the bed unit for the patient, asks about the situation at night, and does the morning care well. Instruct patients to carry out functional exercise, encourage patients to do life care by themselves, and enhance their confidence in overcoming diseases. Do a good job in health education when patients leave the hospital, and follow up after discharge to understand the situation of patients after discharge.
Through the development of high-quality service activities, the department has achieved remarkable results in the quality of nursing service and medical care. Strict quality control, in order to prevent mistakes and accidents, the department set up a quality control team to strictly control the quality, correct problems in time when found, discuss mistakes and deficiencies at the end of each month, and formulate practical improvement measures. There were no major mistakes, accidents and nursing disputes in the past year.
Fourthly, strengthen nursing safety management.
Improve nursing risk prevention measures, effectively avoid nursing risks, and provide patients with high-quality, safe and orderly nursing services. Conscientiously implement the "Ten Safety Goals" of inpatients, everyone should master and flexibly use them, constantly strengthen safety awareness education, remind them in time when unsafe factors are found in their work, and make timely rectification, 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.
Strengthen the management of key periods, such as night shift, middle shift and holidays. , the implementation of flexible scheduling system, reasonable collocation of old, middle-aged and young people on duty, strengthen nurses' good professional identity, sense of responsibility and cautious spirit when they are on duty independently.
Strengthen the management of critical, key and key patients in key periods, and take it as the focus of discussion in the morning meeting and shift change, evaluate the existing and potential risks of patients, reach a * * * knowledge, and attract the attention of each class.
Improve the nursing emergency risk plan, pay attention to cultivating nurses' emergency ability in daily work, make a retrospective evaluation of each emergency work, learn from it, and improve nurses' ability to deal with emergencies.
Summary of Cardiovascular Medicine Work 4 Up to now, the tasks set at the beginning of the year have been basically completed, and the demonstration project of "consolidating basic nursing and providing satisfactory service" has been first carried out, which has greatly improved the service consciousness of nurses and further improved the quality of nursing, laying the foundation for developing the stewardess-style demonstration post. In interventional diagnosis and treatment, the development of emergency coronary angioplasty and stent implantation has opened up a green channel for better saving patients' lives. Independent completion of coronary angioplasty and stent implantation, successfully implanted stents for two patients with three-vessel disease, creating another milestone.
The independent completion of single-chamber and dual-chamber pacemakers has once again created a precedent. The clinical application of defibrillation pacemaker and three-chamber pacemaker has brought our nursing to a new level. Up to now, nurses have completed 5 papers, all of which have been published in journals above the provincial level. Most of the nursing goals set at the beginning of the year have reached the standard, but efforts are still needed in nursing staff training and nursing safety awareness.
First, in improving the quality of nursing.
(1) fully mobilize the consciousness of every nursing staff, strengthen the study of nursing quality, give play to the role of the department quality team, and adhere to the principle of twice-weekly assessment and irregular assessment. Timely rectification when problems are found has greatly improved the quality of nursing this year.
(2) The head nurse makes full use of "five rounds" and holiday rounds, finds problems in time and solves them in time, and formulates effective improvement measures for continuous improvement. If you make mistakes on the same issue twice in a row, you will be deducted from the assessment and linked to the bonus.
(3) Seriously study the problems existing in the monthly inspection of nursing department and departments, find out the reasons, standardize the process, implement the improvement and follow up the evaluation.
(4) The incentive mechanism has been implemented. In the monthly quality inspection, those who have few or no problems will be rewarded appropriately in the bonus, and those who have many problems or do not follow the principle will be fined.
(5) Fully listen to the opinions and suggestions of each nursing staff, and the nursing staff can actively put forward reasonable suggestions on nursing quality, which fully embodies humanized management.
Second, strengthen nursing safety and establish guarantee for nursing quality.
(1) Organize the nursing staff to study relevant knowledge seriously, and the head nurse will take the lead in studying relevant laws and regulations and do the work carefully.
(2) Strengthen the usual assessment, focus on discussion and analysis when encountering hidden dangers, and formulate corresponding measures to ensure nursing safety. The "three basics" monthly assessment should have relevant contents to improve safety awareness.
(3) Establish a tradition for many years, strictly implement relevant systems, educate new comrades, analyze and learn past cases, and stimulate everyone's safety awareness. However, the safety awareness of individual nurses still needs to be improved.
(3) Establishing reasonable training and putting it into practice ideologically has made great progress for nurses.
Third, the implementation of business ability training.
(1) Carefully formulate the training plan, tailor the training plan for different personnel and stick to it. Formed a process of training specialist nurses. On the basis of the original specialist nurses, three more nurses have been trained this year, making them the backbone of the department.
(2) Earnestly implement the monthly study and assessment of the "three basics" theory, implement the training and assessment of professional skills, and achieve the predetermined goal, which not only strengthens theoretical knowledge, but also strengthens practical ability. In order to solve the problem that patients complain about the low success rate of intravenous infusion puncture of individual nurses, mutual help groups and experience teaching groups have been carried out, and great progress has been made in wearing 24-hour dynamic electrocardiogram and ECG recording.
Summary of cardiovascular work Chapter 5 I came to the Department of Cardiology as the deputy head nurse for half a year. I summed up my work and made a plan for the coming year as a reflection on my work and an incentive for the coming year.
A, ward nursing management
I worked in the Department of Cardiology for half a year, and worked hard to learn professional knowledge to overcome the shortcomings in my business. When the rescue and ward staff are nervous, they can take the lead and directly participate in patient care. According to nursing quality standards, establish various work routines. Monitor and record all kinds of quality indicators, and improve them in time if any deficiencies are found. Applying the quality improvement method of pdca to implement the cqi project in the whole hospital can give full play to the intention of nurses, improve the management level of deep vein, promote the standardized evaluation of patients, improve the health education of patients and improve the standardized implementation of the handover system. Do a good job in nursing work plan, promote standardized records of medical records, conduct regular inspections, and feed back the inspection results to relevant nurses in time to help nurses improve standards, handle, report and discuss incidents.
Second, personnel management.
This floor understands that new employees can arrange standardized pre-job training in the department and give serious teaching and guidance so that all new nurses can adapt to work as soon as possible. In the aspect of employee motivation, through the combination of continuous nurses' timely evaluation feedback and quarterly evaluation, it helps nurses to continuously improve their work, praise good behaviors in time and promote excellent working atmosphere. By means of authorization, nurses are encouraged to participate in department management, and almost every nurse is directly responsible for a new department management data to stimulate nurses' work intention.
Support and encourage nurses to continue their studies. As the deputy head nurse, it is as convenient as possible in the work arrangement. At the same time, nurses are encouraged to learn English, and the department organizes Professor Qi to give lectures to help nurses improve their English. In the absence of teaching, we can give full play to the intentions of department nurses and undertake the teaching work of students together. Various small lectures have been well received by students, and at the same time, the teaching potential of nurses in departments has been improved.
Third, the work management
Carry out floor cost accounting management according to hospital requirements. Fixed the number of weekly deliveries in the supply room. According to the requirements of the hospital, standardized management of fees. Standardize the finance and goods of the management department and check them regularly. Adjust the position of items on the floor to make the floor environment cleaner. Reaffirm the system of departmental shift arrangement and shift change, and promote nurses to shift change according to the standard. According to the patient's condition, bring appropriate nursing manpower to ensure the nursing effect and arrange manpower reasonably. Attend meetings held by hospitals and nursing departments, and hold nurses' meetings once a month to convey the working ideas and work arrangements of hospitals and nursing departments to clinical nurses in time. According to the purpose and goal of the hospital, guide nurses to follow. Promote the cooperation between nursing department and other departments, help the director of cardiology to undertake some management work, and promote the cooperation between doctors and nurses. As a major member of the Communication Committee, I will participate in the activities of the Committee and promote its development.