Chapter 1: Summary of nursing work in operating room in the first half of the year.
The operating room is a team full of energy, courage and dedication. With the vigorous growth of the new comprehensive building, we have conscientiously gone through the first half of 20xx. In the past six months, we have never forgotten the purpose of "people-oriented, quality first", met the needs of every surgical patient with our love, enthusiasm and sincerity, strived to achieve "social satisfaction, patient satisfaction and self-satisfaction", and put the work style of "scientific, standardized, harmonious and efficient" throughout the whole process of nursing work. Under the leadership of the hospital and nursing department, with the close cooperation and support of all departments, according to the target plan formulated at the beginning of the year and the requirements of the "Second Class" hospital, all medical staff paid close attention to implementation, earnestly implemented and made unremitting efforts, successfully completed various tasks and achieved double harvests of social and economic benefits.
First, create a departmental culture and build a team spirit.
As the saying goes, "a hero has three gangs, a fence has three piles", and everyone collects firewood with a high flame. A person can walk very fast, but if he wants to go further and better, he must walk together, which requires the fighting ability of teamwork. The successful completion of one operation after another and the major rescue again and again require a harmonious, efficient, enterprising and fearless team. In the past six months, we have implemented the flexible scheduling system, and adopted the bonus system of bringing the old with the new, matching at different levels, optimizing the combination, and getting more for more work, which effectively mobilized the enthusiasm of general practitioners, not only effectively avoided potential safety hazards, but also condensed the general practitioners into a "wolf-like" team with positive, United and hard work.
Second, patient-centered, striving for first-class quality nursing service
In daily work, nurses always keep in mind the service tenet of "patient-centered", put themselves in the patient's shoes and start from the perspective of "if I am a patient". Deeply and actively carry out holistic nursing
Giving full play to the subjective initiative of responsible nurses, especially strengthening intraoperative nursing, postoperative guidance, implementation of nursing measures and satisfaction survey of nurses in operating room, greatly enhanced nurses' sense of responsibility.
Third, standardize holistic nursing and strive for first-class management
Good management is the basis and premise of quality service. In order to make the management more standardized and professional, we insist on making weekly plans and summarizing them every month. Actively implement the "6s management" implemented at the beginning of the year, treat every surgical patient well, do a good job, care for every patient, improve literacy, ensure safety and optimize the process; Improve efficiency, provide high-quality and efficient services, strive for brand departments, and build assured operating rooms. Strict implementation of the check system and nursing operation procedures, no mistakes and accidents. Strictly implement, manage and monitor disinfection, sterilization and isolation measures. In the past six months, the infection rate of surgical incision
Fourth, improve the quality of nurses and cultivate first-class talents.
With the continuous progress and development of society, we deeply realize that comprehensively improving the comprehensive quality of nursing staff is an important link in the development of departments. Strive to cultivate a team with high cultural quality, good professional ethics and superb professional skills. First of all, through continuous learning, we can improve the theoretical level of nursing specialty, and do business study every month, operation assessment and "three basics" theoretical examination every month. Not only that, nurses actively sign up for various self-study and professional title exams to improve their cultural level. In the past six months, 1 nurse successfully passed the nurse qualification examination, and 2 new nurses passed the nurse qualification examination. During the "5. 12" Nurses' Day, she won the first prize of the group and the excellent organization prize in the nursing skill competition organized by the nursing department of the hospital.
Verb (abbreviation for verb) job performance
Over the past six months, we have * * * completed 802 large, medium and small operations, rescued more than 30 critically ill patients, and there was no medical error. Keep up with the pace of Jia Chuang Office and Nursing Department of the Hospital, make vigorous rectification according to the requirements of the Second Hospital, and carry out various medical operations in strict accordance with the system and procedures. Cooperate with obstetrics and gynecology
Hysteroscopy, laparoscopic ectopic pregnancy and laparoscopic ovarian tumor resection were performed. Laparoscopic varicocele ligation and transurethral resection of prostate were performed in cooperation with the operation. Cooperate with another department to successfully carry out artificial knee replacement and so on. No mistakes or accidents occurred. During the Women's Day on March 8th, she was awarded the honorary title of "Advanced Collective of Female Workers" by the provincial coal trade union.
Insufficient intransitive verbs
Not bold enough in management consciousness, can't persevere. In the aspect of humanized nursing, the visit of surgical patients is still a mere formality. There are still a few comrades who do not attach importance to the implementation of rules and regulations. Thesis writing and nursing research are almost absent. In the future work, we will continue to redouble our efforts to contribute to the two benefits of our hospital and the success of dimethyl ether creation.
Chapter 2: Summary of nursing work in operating room in the first half of the year.
The operating room is a sacred place to heal the wounded and rescue the dying, but it is also a collective with silent dedication, willingness to contribute, unity and forge ahead, and courage to endure hardships. 20 1 1 in the first half of the year, under the leadership of the hospital and nursing department, with the close cooperation and support of various departments, all medical staff paid close attention to the implementation of the target plan formulated at the beginning of the year, earnestly implemented it, made unremitting efforts, basically completed various tasks, and achieved certain social and economic benefits.
First, the continuous improvement of nursing quality and nursing safety management in operating room
1, the number of operations completed in the first half of the year was * * *, which was more than that in the same period last year. In the case of tight work, heavy tasks and few staff, all nurses have no complaints and work hard, especially nurses Zhang and Bu Jinhui of ENT, who often leave early and return late for the smooth operation.
2. In the first half of this year, there were no vacancies in the second emergency department, and all of them arrived in the operating room within the specified time. In particular, Shi Chunping, an ophthalmologist, works normally during the day and has to shoulder the second emergency work at night and weekends for many years.
3. In addition to completing the work plan formulated by the hospital and the nursing department, we also organized professional study according to the characteristics of the undergraduate course, which greatly improved the professional level of each nurse.
Second, patient-centered, striving for first-class service
1. In daily work, nurses always keep in mind the service tenet of "patient-centered", putting themselves in the patient's shoes and always putting themselves in the other's shoes.
Strengthen the study of patients' common sense and basic knowledge of intraoperative safety management, take patients as the center everywhere, solve problems in time when they are found, and make continuous improvement. Really people-oriented, giving patients a sense of security and comfort.
Continuously improve and strengthen perioperative nursing management, and earnestly do a good job in preoperative visit and postoperative follow-up; For every patient who enters the operating room, we try our best to do every job well, care for patients, strengthen communication with patients, reduce patients' fear of unfamiliar environment and enhance patients' confidence in surgical treatment. 4 Head nurses, quality control nurses and visiting nurses regularly visit departments, and often ask about the cooperation of operation and the requirements of operating room nurses for doctors and patients, and solve the opinions and suggestions put forward by patients in time.
Third, strictly implement the check system and nursing operation procedures.
1, carefully check every patient who enters the operating room and fill in the patient safety checklist in time. In the first half of the year, there was no omission of nursing items in the patient safety checklist, and the qualified rate was 100%.
2. There are strict disinfection, sterilization and isolation measures, and the infection rate of surgical incision in the past six months.
3, constantly improve and improve the rules and regulations and operational procedures, conscientiously implement and implement the rules and regulations and job responsibilities, a clear division of labor.
4, the implementation of flexible scheduling and bonus distribution system according to work, truly reflect more pay for more work, ban the previous bonus distribution system, and fully mobilize the enthusiasm of each nurse.
Increase income and reduce expenditure, and contribute to the economic benefits of the hospital.
1. Standardize the warehousing and warehousing system of secondary warehouses, strengthen the management of disposable goods, designate a person to be responsible, reduce the disposable goods's overdue phenomenon, prevent the occurrence of running, running, dripping and leaking, and make contributions to the economic benefits of hospitals.
At the end of February and April, a resuscitation room was set up in the operating room, which has been running normally so far, which not only ensures the safety of patients after general anesthesia, but also makes the operation more smooth, and also brings certain economic benefits to the hospital.
At the beginning of March and May, we launched a sexual technology-painless gastrointestinal endoscopy with gastroscope room. In the past two months, * * * closed the case, and the follow-up results were satisfactory.
Improving the quality of nurses and training first-class talents
1. All nurses complete their undergraduate study tasks in their spare time. There are 24 undergraduate nurses, specialists and undergraduate students in general medicine. Through continuous learning, everyone's way of thinking and manners have been subtly improved. Constantly update the concept and change the passive service concept into the active service concept.
2. Straighten out the scheduling, match the old with the new, and give full play to the mentoring role of old comrades. Young nurses will gain a lot from it, study in groups, constantly improve the professional level of young nurses, and gradually improve the echelon construction in Corey.
In the first half of this year, we completed a number of major and minor operations, rescued a number of critically ill patients, carried out painless gastrointestinal endoscopy and established an anesthesia resuscitation room. But we still have many shortcomings: management consciousness is not bold enough to persevere. In the aspect of humanized nursing, the visit of surgical patients is still a mere formality. In the implementation of rules and regulations, there are still a few comrades who do not attach importance to paper writing and nursing research. We will continue to work hard in the future to contribute to the two benefits of the hospital.
Chapter III: Summary of nursing work in operating room.
First, preoperative psychological care surgery, regardless of size, patients need to bear certain psychological pressure.
When patients enter the operating room, they often have the psychology of "life is in the hands of medical staff", and what medical staff say and do will directly affect the patient's complex. Therefore, the nurses in the operating room must be kind, neat and dignified. Paying attention to all aspects of self-cultivation is an important prerequisite for psychological nursing.
Constantly learn new medical theories and techniques, sum up experience, enrich themselves, carry forward the spirit of dedication, improve the quality of nurses, eliminate the tension and fear of patients, and make patients cooperate with surgery in the best psychological state.
Second, preoperative vision care
Go to the ward before operation to prevent patients, communicate with patients with their own words and deeds, let patients express their concerns, ask various questions, and patiently answer them with a scientific and honest attitude, so that patients can eliminate their concerns and have confidence in the operation.
Most patients are eager to know about anesthesia and surgical methods, so we will check the patients in the ward before operation, introduce them to the operation and anesthesia methods, and demonstrate their posture during the operation, so that they can train in the ward bed before operation and actively cooperate after entering the operating room to improve the success rate of anesthesia and ensure the smooth operation.
Read medical records, ask about medical history, check the general situation of patients and laboratory documents and other auxiliary examinations, the name of surgery and anesthesia methods, fully grasp the patient's condition, predict possible accidents during surgery, and formulate measures to solve problems in time. Explain the time and importance of indwelling gastric tube, urinary tube, fasting and drinking water before operation, inform relevant precautions, and obtain patients' active cooperation.
Three, intraoperative anesthesia accident with nursing.
Preparation of standing instruments and drugs, such as anesthesia machine, tracheal intubation materials, ECG monitor, aspirator, etc. Rescue drugs such as adrenaline, lidocaine, atropine, dopamine, m-hydroxylamine, sodium bicarbonate, etc.
Close observation of the condition during anesthesia can be found early and rescued as soon as possible. Keep the respiratory tract unobstructed. If there is a foreign body in the mouth, assist the anesthesiologist to suck it out. If the airway is blocked, prepare a tracheotomy bag and do a tracheotomy if necessary. When the anesthesiologist prepares for tracheal intubation, the nurse should give mouth-to-mouth artificial respiration first to avoid the interruption of patient ventilation. Establish a feasible vein channel to buy time for emergency medication.
In case of cardiac arrest during preoperative anesthesia, the nurse should press the chest first, speed up the infusion at the same time, and use the rescue drugs accurately according to the doctor's advice. In the past, most resuscitated patients were injected directly into the heart, but now intravenous injection and tracheal administration are advocated, with the same onset time and efficacy as intracardiac injection, so as to avoid the unfavorable factors of myocardial injury caused by intracardiac injection, monitor the myocardium as soon as possible and provide accurate data for doctors.
;