The emergency department focused on the work center proposed by the nursing department, grasped the key points and highlighted the characteristics, and all the medical staff United and cooperated to successfully complete the rescue work. The work summary report for the past year is as follows:
First, strengthen service awareness and improve service quality.
Adhere to the patient-centered and take the interests and needs of patients as the starting point. If the nurse is required to quickly push the car to the emergency room door after hearing the sound of the ambulance, the patient will be admitted. Provide patients with facial tissues, paper cups and boiled water. Register for the unaccompanied elderly, the weak, the sick and the disabled to take medicine. Every emergency inpatient is escorted to the hospital by a nurse or nurse. In order to solve the problem that there are many transfusion patients at night in summer, flexible scheduling is implemented to increase the number of people going to work at night. These measures have been welcomed by patients. Especially in disputes between doctors and patients, even when we beat and scold our medical staff, our nursing staff tried their best to explain reasonably, and they didn't fight back or scold, which was praised by the hospital.
Second, strengthen learning and cultivate high-quality teams.
The emergency department formulates a learning system and plans to strengthen the professional knowledge learning of nursing staff. To carry out emergency professional training and send nurses to anesthesiology department and operating room to learn tracheal intubation requires everyone to pass eight emergency operations. Learn the new progress of cardiopulmonary resuscitation, acute coronary syndrome first aid and trauma first aid with doctors. Improve the level of emergency treatment and the speed of rescue response. General practitioners consciously learn from Wei Ran. At present, there are 8 nurses taking the national higher education nursing junior college classes and undergraduate self-study exams. Two nurses who worked for one year passed the nurse's practice examination. Assign senior nurses to study the new concept of emergency nursing and emergency simulated first aid training.
Third, do a good job in teaching new nurses and interns.
According to the working characteristics of the emergency department, a three-month training plan for new nurses was formulated, requiring new nurses to master the first aid procedures, pre-hospital first aid, how to answer emergency calls, master the use of all instruments in the emergency department, and strengthen theoretical study and assessment within three months. In the first year of training, good results have been achieved. For interns, let go of their eyes and give small lectures every week.
Fourth, care for life and race against time.
It is the direction of emergency department's efforts, and we should also do a good job of "urgent" articles. For example, xx1October 7, the patient who was sent to the emergency department from a height 165438, had no companion, was delirious, restless, unresponsive, had bloody fluid overflowing from his mouth, and had open fractures of both lower limbs. As soon as the nurse on duty saw it, she was given oxygen and intravenous injection, and decisively took tracheal intubation, sputum aspiration and oxygen inhalation, and at the same time opened a green channel to win valuable time for rescuing patients.
Five, do a good job in the management of first-aid drugs and first-aid equipment.
The preparation of first-aid drugs and the debugging of various first-aid equipment are the basis of first-aid work. Now there is a special person in charge of every job, and the responsibility is carried out to people, so that the class can check regularly. During this year, there was no influence on the rescue work because of first-aid drugs and first-aid equipment.
I came to the emergency department with trepidation, because I just entered the hospital without much work experience, and I was used to the single working environment and process of obstetrics and gynecology. I am not familiar with a lot of first aid knowledge, first aid technology and first aid equipment. I'm afraid it's difficult for me to take on the responsibility of an emergency nurse. But with the patient teaching and help of the head nurse and other sisters, I gradually adapted to and integrated into this urgent, busy and complicated working environment. From the first time I inserted a stomach tube into a patient, my hands were still shaking, and I was on duty to rescue critically ill patients. I saw my growth and progress. Time passes like water, and 20xx comes quietly in waves of fireworks and firecrackers. I also want to sum up my successful experience and lessons of failure in the past year, continue to carry forward the good aspects, strive to improve the shortcomings and meet the challenges of the new year.
2.2022 Personal Work Summary of Emergency Nurses
Time flies, time flies. In a blink of an eye, it's the end of 20xx. 20xx years, work is full of hardships and happiness, passion and challenges. Over the past year, under the leadership and care of the director and head nurse, I have strictly abided by the rules and regulations of the hospital, adhered to the concept of "patient-centered" clinical service, carried forward the spirit of saving lives, and devoted myself to study and work with rigorous attitude and positive enthusiasm.
In the past year, although there were many setbacks and painful experiences, more were successes and gains. In terms of work, it has been well received by patients and recognized by the director and head nurse. The work of the past year is summarized as follows:
First, strengthen ideological and political education and create an atmosphere of unity and harmony.
Over the past year, I have persisted in conscientiously implementing the Party's basic line, principles and policies, actively studied political theory and medical laws and regulations in various ways, consciously abided by the rules and regulations of hospitals and departments, firmly established the service concept of "taking patients as the center", constantly improved the level of ideological and moral education, strived for civilized medical practice, and provided quality services for patients. At the same time, under the premise of observing departmental rules and regulations, we should conscientiously study various advanced ideas, strive to improve our ideological consciousness, and establish a correct outlook on life and values; Actively respond to the call of the department, actively participate in various activities organized by the hospital, unite colleagues, live in harmony, constantly improve themselves in their work, exercise themselves and promote their all-round development.
Two, study hard business knowledge, improve emergency rescue ability.
As an emergency nurse, I assist the head nurse to improve the quality of emergency nursing, conscientiously implement various operating procedures and rescue workflow, and prevent the occurrence of medical nursing adverse events such as mistakes and doctor-patient disputes.
According to the training and assessment plan of the department, through reading books and consulting papers, we should conscientiously study business knowledge, regularly participate in business study and training, earnestly study business, communicate and promote each other, master all kinds of rescue equipment and rescue technologies skillfully, and implement them in work practice to improve emergency response ability. Such as cardiopulmonary resuscitation, mechanical ventilation, tracheal intubation, electric defibrillation, electric gastric lavage, ECG monitoring and other operating techniques.
In addition to strengthening the study of business knowledge, I also pay attention to the expansion of all aspects of knowledge, extensively dabble in other disciplines, and improve my ideological and cultural quality.
Third, work hard to improve innovation ability.
In the past year, based on the goal of "doing a better job", I cultivated my sense of innovation and actively did the following work:
Assist the head nurse in ward management and writing, sorting and filing medical documents to ensure the integrity and standardization of medical document file management. The writing of medical documents needs to be serious and responsible, with a correct attitude and clear thinking. I downloaded the courseware, carefully studied the writing norms of medical documents, and carefully wrote nursing records and rescue records.
Do a good job in teaching practice nurses. The teaching process of guiding, operating and improving the practice nurses, combined with teaching methods such as lectures and operation demonstrations, can quickly improve the practice skills of the practice nurses and ensure that they can work independently.
Do a good job of psychological counseling for patients. At work, in order to alleviate the pain of patients, I use limited time to encourage them every time I enter the ward, patiently help them understand their illness, establish confidence in overcoming the disease, and actively cooperate with nursing work. It is a great happiness to see the patient recover.
Strictly abide by the rules and regulations. Keep in mind the three basics (basic theory, basic knowledge and basic skills) and three strictness (serious attitude, strict requirements and strict methods) and implement them as work guidance. Implement hospital infection management rules and regulations and work norms, strictly implement operating procedures and work standards, prevent the spread of infectious diseases, do a good job in self-protection, disinfection and isolation, medical waste management, and prevent cross-infection in hospitals.
Fourth, in life, be honest, simple and enthusiastic.
Over the years, I have developed simple living habits, rigorous life attitude, good life attitude and style. I am strict with myself, never extravagant, and make my life full and organized. Moreover, when getting along with people or colleagues in life, you should be warm and generous, honest and trustworthy, ready to help others, have your own good accident principles, and live in harmony with colleagues; Take an active part in all kinds of extracurricular activities, so as to constantly enrich your experience. Future goal: I am determined to further invigorate my spirit, strengthen the transformation of my personal world outlook, and strive to overcome my own problems, so as to:
(1) Do a good job in theoretical study and maintain political firmness.
(2) Under the care and guidance of the hospital leaders and department directors, successfully complete the medical and nursing tasks, earnestly perform their duties, and love their jobs.
(3) Take the department as the home, work actively, treat patients with enthusiasm and patience, and meet patients' needs.
Five, strengthen the publicity of the department, establish a window image.
The emergency department is an important window for hospitals to face the society. Its medical level and service quality directly affect and reflect the mental outlook and social image of the hospital. Emergency is the savior to heal the wounded and rescue the dying, and the "green channel" to protect people's lives and health. As an emergency nurse, she represents the image of the hospital, always pays attention to the image, pays attention to communication with patients and their families, eases the relationship between doctors and patients, and contributes to the comprehensive, harmonious and healthy development of the hospital. At the same time, we should also do a good job in explaining patients and their families to reduce contradictions in our work.
Nursing is an ordinary post. However, in this ordinary post, I am full of passion. I can persist in using sincere love to heal the trauma of patients' hearts and ignite the courage of patients to overcome diseases with fire-like enthusiasm. Although some achievements have been made in the past year, it is definitely not enough to meet the goals of leaders and the requirements of patients.
In the future work, I will definitely continue to strengthen my study, be diligent and dedicated, actively participate in the nursing cause, and make continuous efforts to realize my ideals, promote the prosperity and development of the hospital, and further improve the service work.
3.2022 Personal Work Summary of Emergency Nurses
How time flies! The two-month study abroad is over. I am very grateful to the hospitals and departments for giving me such a good opportunity to study in Hangzhou Grand Hospital. Although two months is very short, I am very busy and tired, and I have worked a lot of night shifts, but these short two months have broadened my horizons, increased my knowledge and gained a lot.
The emergency department of traditional Chinese medicine hospital is mainly divided into four areas: rescue room, infusion room, emergency ward and intensive care unit. I mainly work in the emergency room and infusion room, so I will talk about the workflow and good aspects of these two areas.
A, intensive care work
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2. Patients entering the intensive care unit will generally take measures such as ECG monitoring, oxygen inhalation, blood sugar measurement and venous access according to the situation.
3, rescue patients to fill in the emergency nursing records of critically ill patients, to ensure that the rescue records are complete, timely and accurate.
4. When escorting critically ill patients, carry a first-aid kit (including adrenaline, atropine, dopa, injection equipment and other rescue materials) and an ECG monitor.
5. Nurses are experienced in rescue, skilled in technology, careful in observing the condition and able to deal with abnormal situations in time. After treatment, the critically ill patients were sent to the ward for further treatment.
6. Establish a return visit system for inpatients, understand patients' satisfaction with emergency work, listen to opinions and suggestions, and better carry out emergency work.
7, in critically ill patients, doctors in various departments help each other, help each other, * * * cooperate to rescue patients.
8, new and old nurses work in shifts, and the spirit of mentoring is better.
Second, the infusion room
1, the workload is very heavy, there are two or three hundred patients every day, but there are only three nurses, so they are very busy and have no free time.
2. Although the manpower is relatively small, the check system is very strict, and the doctor's advice will not be implemented until two people check it. Every step of the operation (dispensing, injection, inspection, etc.). ) must be scanned and confirmed by PDA before it can be executed to prevent errors.
3. Disinfection and sterility are very strict. One towel for injection. Soak the tourniquet for disinfection after use and send it to the supply room for plastic sealing.
4. The drug is now on the market to avoid failure.
5. Put a red label on the last bag of liquid for infusion to prevent the liquid from leaking.
Third, other aspects.
1, skin test solution configuration, with stock solution configuration, disinfected with bromogeramine (add 5ml bromogeramine to 250ml normal saline) or alcohol.
2, skin allergy history stamp, family signature, strict implementation of the inquiry system, to better protect themselves.
3. Fees: All patients who enter the rescue room are charged bed fees, grade nursing fees, rescue fees for critically ill patients, etc. And the charge is relatively small, so there is no leakage.
4. The learning atmosphere of the department is very good, and the department organizes operation training and business learning. Both new nurses and old nurses are seriously involved and trained.
Fourth, new technology.
1, Application of oropharyngeal ventilation tube. Indications:
(1) airway obstruction caused by weakened vomiting reflex or jaw muscle relaxation in comatose patients.
(2) When the unconscious patient fails to open the airway by other methods, such as head and back chin support or chin extension.
(3) When the patient gives oxygen through the simple breathing bladder, the oropharyngeal snorkel can support the soft tissue after swallowing, which is beneficial to lung ventilation and prevent flatulence.
(4) To prevent oral intubation from biting endotracheal tube.
(5) It is necessary to suck out the patient's pharyngeal secretions.
2, blood gas (2ml syringe heparin sodium 1ml- hit in the needle sleeve-arterial blood-needle sleeve-test).
3. Patients with hypoxia and low blood oxygen saturation are given oxygen storage masks for oxygen supply.
Through these two months of study, I realized my own shortcomings. In my future work, I will continue to learn medical knowledge, improve emergency rescue ability and care for critically ill patients, and better serve patients.
4.2022 Personal Work Summary of Emergency Nurses
With the support of hospital leaders and department directors, and with the mutual cooperation and support of various departments, I successfully completed this year's nursing tasks, which are summarized as follows:
First, provide quality nursing service for patient care.
Adhere to the patient-centered, patient satisfaction as the core and patient requirements as the goal. First of all, we should give patients humanistic care, think from the needs of patients, and establish the concept of caring for and respecting people. Secondly, with warm, cordial and warm words, understand and sympathize with patients' pain, make patients feel cordial and natural, strengthen communication with patients, explain the occurrence and development of diseases in an easy-to-understand way, introduce in detail the purpose of various examinations, matters needing attention in doctor's advice, carefully observe the changes of illness, and cooperate with doctors to rescue critically ill patients.
Grasp the patient's psychological state, formulate humanized and personalized nursing measures, and even evaluate the nursing effect, so that patients can participate in treatment and nursing, eliminate tension and anxiety, and make patients feel safe and satisfied. As long as we persist in taking patients as the center, patient satisfaction as the core and patient needs as the goal, we can provide high-quality personalized services, and patient satisfaction is the core of hospital work. The improvement of patient satisfaction is essentially the honest relationship between patients and hospitals. As long as patients are satisfied, patients can become loyal customers of hospitals.
Second, to ensure nursing safety
1, strengthen system and responsibility education
Reaffirm the responsibilities of nursing staff at all levels, clarify the post responsibility system and nursing work system, and all nurses should perform their duties to prevent patients from changing infusion bottles and pulling out needles themselves.
2. Strengthen learning safety management.
Organize sisters in departments to carry out legal awareness education, improve their awareness and ability to prevent risks, designate nurses with clinical experience, strong sense of responsibility and qualifications as teaching teachers, and cultivate their communication skills and clinical operation skills.
3. Improve the nursing risk plan.
Pay attention to cultivating nurses' emergency ability in their usual work; Improve the risk plan of nursing emergencies, evaluate each emergency work retrospectively, draw lessons from it, and improve the ability of nurses to deal with emergencies.
Third, strengthen nursing quality control.
1, redesignate feasible inspection and assessment quality control rules, carry out key quality inspection regularly or irregularly, conduct random inspection on the problems found out, give feedback to the quality inspection of nursing department, conduct comprehensive analysis, find out the reasons, analyze the insufficient reasons and make timely rectification, check the implementation of rectification, and strengthen the service awareness and quality awareness of nursing staff.
2, constantly modify and improve all kinds of nursing quality standards, and implement all kinds of nursing work according to the standards.
Fourth, the existing problems
1, ward management is not satisfactory, there are many new nurses and lack of experience.
2, due to the shortage of nursing staff, the basic nursing department is not in place, such as first-class nursing patients can not get the service of first-class nurses, which is second only to daily work.
The nursing work in the past year has received the attention, support and help of the hospital leaders, and the construction of professional ethics has made some achievements, but there are also shortcomings, which need to be further improved in the future work.
5.2022 Personal Work Summary of Emergency Nurses
In a hurry for a year, as a nurse in the emergency department, just like the name of our department, I have always been in a hurry. However, this "sense of urgency" is not my haste in work. This sense of urgency comes from the anxiety of treating patients, from the anxiety of feeling the pain of patients, and from the impatience of family members outside the door. But none of this will affect my mentality at work. In the process of being an emergency nurse, I have always maintained a rigorous, careful and calm attitude, actively and efficiently handled my own tasks and took responsibility for the health and life of patients.
At work, I put the "urgency" of patients and their families on my shoulders, which has become the responsibility and motivation on my shoulders. Their desire for "life" has prompted my love and concern as a nurse. To this end, I can stick to this busy job and work hard for myself silently. The following is my year-end personal summary:
First, ideological work.
As a nurse, I have always maintained love and care for patients in my work and worked hard for them. But now, later, I feel a new mood. That is the "worry" of the family members of the ward! When we are trying to save the patient's life, the family members can only wait quietly outside. I have seen that kind of helplessness and pain many times. Every time I see my family, I will ask the patient how he is. Seeing the eyebrows relieved when the patient's family heard that the patient was safe and sound, a big stone in my heart seemed to finally fall to the ground, which made people feel comfortable and carefree. But I also know that life is fragile, so I put this expectation on myself, hoping that every effort I make will add more hope.
Ideologically, I can put myself in the shoes of patients and their families, be strict with myself in my work, strengthen my management and requirements, and actively urge myself to make progress.
Second, the work.
At work, I always face every patient with a positive and enthusiastic attitude, bring a positive and optimistic smile to patients, and handle the work seriously and rigorously. At work, many patients like my smile, which makes them feel cheerful and makes me happy. But some patients also like to be strict with our work and sometimes make things difficult for us. But in any case, I will always keep smiling and try my best to bring my services to patients.
At work, I have been actively learning and strengthening myself. Although I am very busy at work, I will also use my spare time to consult my predecessors, and I will also actively charge through books and the Internet, strengthen my professional knowledge reserve, actively exercise at work, strengthen my ability, and make continuous progress.
Now, the work of the past year is over, and I have learned to adjust myself this year. The work in the emergency department is really tiring, but I will adjust myself well and let myself face every patient with full enthusiasm!