1. Self-inspection report on personal work in operating room
20____ is my second year working in the operating room! In the past two years, under the leadership of the head nurse and the director of the department, and with the close cooperation and support of my colleagues, I have earnestly completed my work tasks. The summary is as follows: 1. Ideologically and politically, I actively support the principles and rules and regulations of the hospital, take patients as the center, strictly demand myself according to the standards of an excellent qualified nurse, treat patients as relatives, adhere to the patient as the core and take patient satisfaction as the standard.
Second, actively learn new technologies and new businesses. As an operating room nurse, she strictly carries out various operating procedures, abides by the rules and regulations of various departments in the hospital, always pays attention to maintaining the concept of sterility, treats her work seriously and responsibly, works overtime, establishes a high sense of collective responsibility and honor, unites colleagues, and puts work first in everything. Provide patients with all-round quality services, actively cooperate closely with surgeons and anesthesiologists, unite and cooperate, create a harmonious working atmosphere, and ensure the smooth completion of the operation.
Third, actively participate in the rescue work of critically ill patients organized by departments, cooperate with various departments to do a good job in rescue work, unite colleagues at work, be proactive, strictly control, be rigorous and meticulous, and prevent mistakes and accidents. While completing the operation process with good quality and quantity, we should constantly improve the operation level and actively participate in the development of various new businesses. Over the past two years, under the guidance of comrades in various departments, I have worked hard and made continuous progress, mastered the operation coordination steps of obstetrics and gynecology, urology, general surgery, hepatobiliary and other departments, and deepened the concept of sterility and operational requirements.
The new year is coming. Looking back on the past year, I am filled with emotion. Looking forward to 20 years, I am full of confidence. In the new year's work, I will overcome all my shortcomings, learn from each other's strong points, guard against arrogance and rashness, constantly improve myself and improve my professional level, and strive to achieve brilliant results in by going up one flight of stairs in all aspects in the new year.
Future goals:
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 head nurse and the director of the department, 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.
Nursing is an ordinary job, however, we use sincere love to heal the trauma of patients' hearts and ignite the courage of patients to overcome diseases with fire-like enthusiasm.
Nursing work is a noble and sacred cause-dedicate your limited life to unlimited nursing work. I am proud to be a member of the team of nurses. In the future work, I will redouble my efforts to make my due contribution to the nursing cause of mankind! Although the nursing work is trivial and boring, sometimes I am really proud of myself. I am the watcher of life. Many people live a happy life because of my efforts, diligence, enthusiasm and dedication.
My hands, my smile and my kindness make the world warm! Although they can't remember my name, although they don't know my efforts, although they don't understand my hard work, the gift of roses has a lingering fragrance! We are angels! So in many days and nights, although wandering in patients, pain, blood, injuries, but I am happy!
In the past year, I thanked all the people who worked with me. Thank you for your kindness, for meeting and knowing each other like this, for your kindness and beauty, and for letting me live in such a warm family! I hope that in the new year, we can still feel the beauty of life and create a better future with * * *!
I use my love, sincerity and kindness; Let you warm your heart, feel comfortable and rest assured.
2. The operating room personal work inspection report
_ _ _ _ Hospital operating room is a team full of energy, courage and dedication. With the vigorous development of the new inpatient building, we have worked hard for another year. In this year, we never forget the purpose of "patient-centered", meet the needs of every surgical patient with our love, enthusiasm and sincerity, strive to achieve "social satisfaction, patient satisfaction and self-satisfaction", and put the work style of saving lives through the whole process of nursing work. Under the leadership of the hospital and the nursing department, with the close cooperation and support of various departments, all medical staff paid close attention to implementation, earnestly implemented and made unremitting efforts, successfully completed various tasks, and achieved a double harvest of social and economic benefits. First, create departmental culture and build team spirit.
Actively responding to the call of "building hospital culture and establishing team spirit", the department insisted on organizing medical staff to learn medical laws and regulations, hospital rules and regulations, accept various medical ethics education such as loving their posts and being dedicated, and recorded discussions. Adhere to the concept of patient-centered and quality-centered nursing service, adapt to the new situation of health reform and social development, actively participate in various political activities, take serving the people and contributing to society as the purpose, take patient satisfaction as the standard, and serve the people wholeheartedly. Actively participate in various social welfare activities and do practical things for the people. Organize "science, technology, culture and health" activities to go to the countryside, free clinic, medical delivery, physical examination, donation, etc. For Hanshou people, there are still many people who donate blood many times. Love contributes to society and adds luster to the department.
Second, take patients as the center and strive for first-class quality 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". Actively carry out the "one-on-one full service" planned at the beginning of the year, receive every surgical patient well, provide good service and care for every patient. When patients enter the operating room, nurses warmly greet them at the door of the operating room, introduce themselves, do a good job of appeasement, strengthen communication with patients, reduce patients' fear of unfamiliar environment and enhance patients' confidence in surgical treatment. Head nurses often ask colleagues about their work skills, attitudes and patients' requirements, attach importance to patients' opinions and suggestions and solve them in time.
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 planning every week and summarizing every month. Establish and improve the service object, and consciously accept the supervision of the illness and society. Carry out holistic nursing, give full play to the subjective initiative of responsible nurses, especially strengthen intraoperative nursing, postoperative guidance, implementation of nursing measures and satisfaction survey of nurses in operating room, thus greatly enhancing nurses' sense of responsibility. In order to make holistic nursing more perfect, our department organized all nurses to learn the relevant knowledge of holistic nursing and new theories such as humanized nursing, evidence-based nursing and comfortable nursing. Strict implementation of the check system and nursing operation procedures, no mistakes and accidents. Strictly implement, manage and monitor disinfection, sterilization and isolation measures. Pay close attention to the aseptic technical operation of nursing staff and inject one person, one needle, one tube and one towel. Strict management of disposable medical supplies, disposable sterile syringes, blood transfusions, infusion sets, etc. After disinfection, destruction and incineration, the infection rate of surgical incision was 0 within half a year. 5%。
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 excellent professional skills. First of all, through continuous learning, improve the theoretical level of nursing specialty, so as to carry out business study every month, conduct operation assessment and "three basics" theoretical examination every quarter. Moreover, in order to raise their cultural level to a higher level, nursing staff actively signed up for various self-study and adult exams in their busy schedules, from which everyone's thinking mode, manners, manners and temperament were obviously improved imperceptibly. The seventh session held in the hospital. A "performance", 5. Excellent results were achieved in the 12 talent show and computer typing competition. _ _ _ _ _ _ was named "Excellent Nurse in County". We believe that only by constantly improving the cultural quality, professional ethics and professional skills of all nurses can we better serve and contribute to society.
Verb (abbreviation for verb) job performance
Many major and minor operations have been completed, and many critically ill patients have been rescued. Lobectomy has been carried out in cooperation with cardiothoracic surgery, and new technologies such as laparoscopic ovarian tumor resection and turp have been developed, as well as radio frequency internal fixation of spinal fractures and other difficult operations. * * * received five groups of ophthalmologists in our department for cataract intraocular lens implantation, and all of them were well received. With the improvement of nursing conditions, nursing level and service quality, our department has achieved a "win-win" effect. The economic income of the department ranks among the best, and the nursing quality management has won the first place in the hospital for many times.
Achievements are like the fruits of autumn. Although they are happy, they have all quietly fallen. While tasting success, we should also clearly see the shortcomings: be bold and innovative in management consciousness and persevere; In the aspect of humanized nursing, the visit of surgical patients and health education are still a mere formality; There are still a few comrades who are indifferent to the implementation of rules and regulations; Thesis writing and nursing research are almost absent; Especially in the service attitude and patient satisfaction, it is still obviously insufficient. The demand of patients is the scope of our service, the satisfaction of patients is the standard of our service, the touch of patients is the goal we pursue, and the quality service is endless. We will constantly sum up experience, study hard, make the service more emotional and humanized, and make unremitting efforts for the hospital's service level to a new level.
3. The operating room personal work inspection report
In the past 20 years, under the correct guidance of hospital leaders, under the hard cultivation and guidance of department directors, head nurses and department comrades, I have made great progress in my thoughts and work. At present, the year-end summary of nurses in operating room is as follows: 1. Ideologically and politically, we actively support the principles and rules and regulations of the hospital, take patients as the center, set strict demands on ourselves by the standards of an excellent qualified nurse, regard patients as relatives, adhere to quality as the core and patient satisfaction as the standard, and firmly establish team spirit.
Second, actively learn new technologies and new businesses. As an operating room nurse, she strictly implements all operating procedures, abides by the rules and regulations of various departments in the hospital, always pays attention to maintaining the concept of sterility, treats her work seriously and responsibly, works overtime, establishes a high sense of collective responsibility and honor, unites comrades, and puts work first in everything. Provide patients with all-round quality services, actively cooperate closely with surgeons, unite and cooperate, create a harmonious working atmosphere, and ensure the smooth completion of the operation.
Third, actively participate in the rescue work of critically ill patients organized by departments, cooperate with various departments to do a good job in rescue work, unite colleagues at work, be aggressive, strictly control, be rigorous and meticulous, put an end to mistakes and accidents, complete the operation process with good quality and quantity, continuously improve their own operation level, and actively participate in the development of various new businesses. Since I joined the work for one year, under the guidance of comrades in various departments, I have worked hard and mastered the steps of surgical cooperation in general surgery, orthopedics, thoracic surgery, obstetrics and gynecology, brain surgery and other departments. , and deepened my aseptic concept and operational requirements.
On the first day of entering the operating room, the teacher gave us a detailed introduction to the environment and equipment of the operating room, which made me realize the importance of understanding the environment and equipment-this is not a simple visit, but more importantly, it enables us to get familiar with and master it in the shortest time and find what we need quickly in the environment! At the same time, let us realize that time is life, and we must race against time!
Being a hand-washing nurse for the first time, I felt nervous, but with the patient guidance and encouragement of the teaching teacher, I quickly adjusted my mentality. From coming on stage, to wearing sterile clothes and sterile gloves, to delivering instruments, to blades and needles. In the course of my work, I have a better understanding of the meaning of "watching is better than practicing"! The work experience of visiting nurses made me realize the importance of this job. It seems simple, but it is not. Only with a solid theoretical foundation and rich clinical experience can we complete the work better. At the same time, like hand washing nurses, they bear great responsibility and pressure.
During the practice in the operating room, I strengthened my aseptic concept and increased my understanding of aseptic principles. Let me have a deeper understanding and understanding of the tasks of hand-washing nurses and visiting nurses, and let me understand the importance of mutual cooperation between posts. The work in the operating room made me realize the preciousness and fragility of life, and also made me more aware of the importance of nursing work.
The new year is coming. Looking back on the past year, I am filled with emotion. Looking forward to 2002, I am full of confidence. In the new year's work, I will overcome all my shortcomings in 2002, learn from each other's strong points, guard against arrogance and rashness, constantly improve myself and improve my professional level, and strive to achieve brilliant results in all aspects of by going up one flight of stairs in the new year.
4. The operating room personal work inspection report
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 a 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. Adrenaline, lidocaine, atropine, sodium bicarbonate and other rescue drugs.
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.
5. The operating room personal work inspection report
The operating room is a team full of energy, courage and dedication. The operating room in our hospital has been open for a year. In this year, all the staff in the operating room never forgot the purpose of "patient-centered", met the needs of every surgical patient with their love, enthusiasm and sincerity, strived for "social satisfaction, patient satisfaction and self-satisfaction", and put the work style of saving lives throughout the whole process of nursing work. Under the leadership of the hospital and the nursing department, with the close cooperation and support of various departments, all medical staff paid close attention to implementation, earnestly implemented and made unremitting efforts, successfully completed various tasks, and achieved a double harvest of social and economic benefits. I. Work performance
Major and minor operations 124 1 set were completed throughout the year, including 8 in obstetrics and gynecology, 425 in surgery, and major and difficult operations 16 1 set. Cooperate with the rescue of many critically ill patients, cooperate with orthopedics to carry out double hip replacement, open reduction and internal fixation of pelvic fracture, resection of extramedullary subdural lesions, discectomy, radiofrequency internal fixation of spinal fracture and minimally invasive radiofrequency treatment of intervertebral disc; Laparoscopic ovarian tumor resection and subtotal hysterectomy were performed. Radical gastrectomy; Splenectomy; Liver injury repair plus lung repair; Common bile duct exploration, T tube drainage and cholecystectomy; Extracranial epidural hematoma removal and other new difficult operations. With the improvement of nursing conditions, nursing level and service quality, our department has achieved a "win-win" effect.
Second, 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 have carried out a number of continuous improvement projects since July:
1. continuous improvement project of surgical instruments: continuous improvement project of classification, specification, model and cardinal number of basic instruments in operating room, and continuous improvement project of clear classification, identification and standardized storage of sterile instruments in sterile room, so as to standardize the standardized management of instruments and sterile instruments in operating room.
2. Continuous improvement project of hospital sense in departments: implementation, management and monitoring of strict disinfection, sterilization and isolation measures;
1) carried out the standard preparation, use, monitoring and registration of chlorine-containing chemical disinfectants.
2) Chemical and biological monitoring and standard registration of sterilization of high-pressure table sterilizer.
3) The air colony culture in the operating room, the colony culture on the surface of articles and the hand disinfection of medical staff were monitored and registered, and the qualified rate of all monitoring results reached 100%.
4) Standardize the treatment process of infected surgical supplies, instruments, medical wastes and air in the operating room.
3. Operation is a continuous improvement project of safety management: standardize and use antibiotics safely during operation.
4. Standardized management of disposable sterile articles: disposable sterile articles are clearly classified, marked and stored.
5. Standardized management of special instruments: a special person should be appointed to manage endoscopic instruments, and a special register for cleaning, disinfection and use should be established.
6. Standardized management of operating rooms: each operating room is used according to the classification of specialized operations, and the items in the operating room are managed by individuals, with fixed points, standardized varieties and fixed bases. At the same time, the implementation of intraoperative and postoperative nursing measures was particularly strengthened, which greatly enhanced the sense of responsibility of nurses. In order to improve the management of nursing quality control, our department strictly implements the quality control requirements of nursing department, completes the content of nursing quality control on time and with good quality every month, and arranges records and files. The average score of nursing quality control is greater than 93!
Third, improve the quality of nurses and cultivate top-notch 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, and we need to strive to cultivate a team with high cultural quality, good professional ethics and excellent professional skills. First of all, improve the theoretical level of nursing specialty through continuous learning, so as to conduct morning questioning, business study, operation assessment and theoretical examination every month, and record and file them. Moreover, in order to make their own cultural level by going up one flight of stairs, nurses actively sign up for various self-study and adult exams in their busy schedules, from which their thinking mode, manners and temperament are obviously improved imperceptibly. We believe that only by constantly improving the cultural quality, professional ethics and professional skills of all nurses can we better serve and contribute to the hospital.
Fourth, correct evaluation and perseverance.
Unreasonable allocation of human resources, lack of nursing staff, the daily workload of nurses is about 10h, and nurses are overloaded for a long time, which makes nurses work under great pressure and prone to nursing negligence.
Nurses lack the spirit of "cautious independence". Most of the nursing operations of nurses in the operating room are carried out by one person without the supervision of others. Whether the work can be carried out in accordance with the quality and quantity of routine operations depends entirely on the restraint ability and self-discipline of nurses, while individual nurses are not self-disciplined enough to strictly follow the technical operation procedures, which artificially causes nursing safety hazards.
The theoretical knowledge and skills of basic nursing knowledge are inaccurate. Due to the lag of nursing education system for many years, the vast majority of nursing staff have only received junior college education, and most of them are self-taught junior college. Senior nursing staff with bachelor's degree are not popular. Nurses with low academic qualifications have relatively narrow knowledge and poor temporary coping ability when encountering new problems and situations. With the use of new instruments and equipment and the development of new operations, medical technology has entered a new height. Nurses did not study relevant theoretical knowledge seriously and timely, and their professional and technical operations were not skilled enough. They have no concept of some complicated operations, and it is difficult to meet the needs of operation.
Note that the nursing record sheet is not new enough. After the implementation of the Regulations on Handling Medical Accidents, the contents of surgical nursing records have increased, requiring detailed, accurate and standardized records. Some nurses don't pay enough attention to the surgical records, and they often remember wrong, miss items, scratch or have unclear records, such as the name, specification and certificate of conformity of implantable products, which leads to negligence and future troubles. Preventive measures:
1, in addition, according to the situation that the staff in the department are nervous and the operation task is heavy, the nurses' ability to cooperate with the operation is understood, and at the same time, the nurses are rationally allocated according to the amount of operation, paying attention to the hierarchical use of nurses, and trying to match their ability with that of young and old in the operation arrangement, so that young nurses can have sufficient learning opportunities and get exercise, ensure the quality of operation cooperation, and prevent mistakes and accidents.
2. Strengthen professional ethics education, strengthen the quality education of operating room nurses, strengthen their medical ethics and cultivate their "cautious independence" spirit, which is the requirement of professional ethics and an important prerequisite for ensuring surgical safety. Nurses are required to strengthen the cultivation of "being cautious and independent", correct their working attitude and improve their self-discipline ability, so that nurses can know that in specific work, whether supervised or not, they should work according to the operating routine and restrain themselves with the system to ensure that the operation conforms to the norms.
3. Strengthen professional skills training and professional theory learning. With the development of surgery, the emergence of new instruments and equipment and the development of new operations, higher requirements are put forward for nurses in operating rooms. Nurses in operating room must update their knowledge and master their skills in time to meet the needs of surgical development. Invite engineers to give lectures on the new instruments and equipment introduced by the department, so that each nurse can master the performance of the instruments skillfully. For the new operation, the professors were invited to give lectures on the surgical methods, anatomy and procedures. Use the morning meeting to learn the basic knowledge of operating room, ask two small questions at a time, and deepen the mastery of the basic knowledge of nurses. Assign an operation skill to senior nurses, make full preparations, teach in the whole hospital regularly, and then the head nurse will assess the operation skill. Taking advantage of the morning meeting time, the newly-developed or complex operations in the previous 1 day were reviewed, and the key points of operation cooperation were pointed out, so as to facilitate better cooperation next time.
4. Strictly regulate the writing of surgical nursing records. Surgical nursing record sheet is a written reflection of nursing work in operating room. As an objective medical record, it has legal effect. Therefore, nurses in operating room should attach great importance to the authenticity, accuracy and timeliness of surgical nursing records. When writing nursing records, the items should be filled in completely, the terminology should be standardized, the handwriting should be clear, and the data should be unified, and it is not allowed to be altered, omitted or added. Accurately record the number of hemostatic gauze, adding instruments, silver clips and titanium clips during operation; Implant identification must be attached to the nursing record sheet. Visiting nurses and hand-washing nurses sign their full names after checking the record sheets correctly.
5, the establishment of nursing safety supervision mechanism to establish a nursing safety monitoring system composed of head nurse-department quality control team. The head nurse of the department randomly checks the implementation of various rules and regulations and nursing quality standards, holds monthly quality control group meetings of the department, strengthens communication, and puts forward rectification measures for potential safety hazards. In order to arouse the enthusiasm of general nurses, everyone strives to be the master of the department, and the department implements the leadership responsibility system, that is, all the work of the department is divided into several types, and one is assigned according to each person's ability, namely, the management of sensory control, business study, teaching, operating room, various instruments, aseptic attachment room, disinfection room, cleaning staff management, dirt room, nursing documents, etc. Team leaders regularly check their respective management work, and call the names of the bad ones in time.
The demand of patients is the scope of our service, the satisfaction of patients is the standard of our service, the touch of patients is the goal we pursue, and the quality service is endless. We will constantly sum up experience, study hard, make the service more emotional and humanized, and make unremitting efforts for the hospital's service level to a new level.