The rapid development of medicine has brought great challenges to nursing work and nursing staff.
Put forward higher and more comprehensive requirements. The challenges faced by emergency nurses are more severe.
Have a sense of urgency. Because the emergency department is the window of the hospital and the window of hospital treatment.
The patient's boundary. Its medical technology level is related to acute, dangerous and serious patients.
Life and death. It reflects the medical level of a hospital. Emergency treatment
The department is a microcosm of the hospital, and the comprehensive quality of emergency nurses is direct.
It reflects the service culture and emergency medical service level of the hospital. Therefore,
How to cultivate the comprehensive quality of emergency nurses, I am engaged in emergency clinic.
Years of nursing experience.
The emergency department has a large scope of work, involving many disciplines and strong technology.
This requires emergency nurses to have good quality. Quality of emergency nurses
It refers to the comprehensive embodiment of knowledge, ability and morality. Except for a good one.
Ideological and moral character, professional quality, but also should have the following elements.
Quality.
(A) good and healthy psychological quality
The work of emergency department is more complicated, and one of its characteristics is that patients are in a hurry.
Promotion, rapid change, critical condition. For example, acute myocardium often encountered in clinic.
Compound trauma caused by infarction, organophosphorus pesticide poisoning and traffic accidents
And patients with massive bleeding are in danger at any time. In this case, it is urgent
The diagnosis and treatment of soil must be calm, calm, urgent and unhurried, busy and not chaotic, and conspicuous.
Six roads, all ears, work in an orderly way. The nursing operation is stable and accurate,
Come on, fight for precious time to save the patient's life. If the nurse's psychology
Inadequate preparation, panic about emergencies, can not be comfortable. such
If you can't give full play to your operational skills, it will affect the first aid effect.
This requires us to constantly improve our psychological quality in our usual work training.
According to the ability, combined with clinical work, adjust the psychological state and stabilize the psychological defense line.
Improve psychological endurance, study mental health knowledge seriously and exercise yourself.
Tolerance of difficulties and setbacks. Cultivate optimism, cheerfulness and stability.
Xu. No matter what the situation, you can face it with a peaceful mind.
Sincere and refined language, skilled operation technology, calm and steady behavior.
Help, care and comfort patients, and make them feel safe and trust.
(two) rich knowledge of medical theory and skilled first aid nursing.
technology
Nurses in the emergency department are always in a state of emergency, and all kinds of rescues are available.
Nursing operation is a highly technical job. Emergency nurses must have
Comprehensive and solid medical knowledge and skills, rich clinical experience and multi-professional doctors.
Learn nursing knowledge, skills and basic first aid knowledge. Besides, what's more.
Understanding of disease system. Skilled in using all kinds of rescue instruments and
Management. Analysis of monitoring parameters and its clinical significance. Protect in emergency rescue
A scholar should have the ability to collect data, analyze and judge problems quickly and solve problems.
Force. Rich professional and technical knowledge, so that nurses in every first aid.
When dealing with people, you should know what to do first and then what to do. In many
First aid should be done before the doctor arrives. In the case of the heart
Patients with cardiac arrest should immediately think of cardiac arrest while pressing chest.
First aid procedure. Timely and accurately prepare all kinds of rescue drugs and materials. Outside
Bleeding patients should stop bleeding as soon as possible, establish venous access and give oxygen.
Closely observe the patient's vital signs, breathing, pulse, blood pressure and
The patient's symptoms. Accurately judge whether the patient is complicated with compound injury and what kind of injury it is.
Affection is the main contradiction that endangers patients' lives, so it is necessary to inform relevant departments in time. and
Do a good job in rescue records and checking. This requires that emergency nurses should
Constantly learn new knowledge, expand knowledge, and master and understand domestic and foreign countries.
With the development of modern medicine, new business and new technology, I encounter diseases at work every time.
We should use our brains to think, analyze, observe and ask more questions.
What? Be able to combine theory with practice and sum up and accumulate experience from it.
Testing. Only in this way can it be made in the shortest time in the rescue work.
The most accurate judgment. Assist doctors to pay attention to the main factors that threaten life.
The line is handled correctly.
Emergency nurses are skilled in nursing operation and have a solid foundation.
Work plays an important role in the success of rescue. A successful sexual intercourse
Only in this way can we effectively save patients without losing time and racing against time. Fast and accurate
We must implement rescue measures to win precious lives for patients. So, in Ping
During the training period, we can pass the teaching demonstration, nursing technology examination, skills
Operating competitions and other activities; Through every first aid in daily life
Manage the success or failure of technical operation, learn from experience and lessons, and improve in all directions.
Nurse's rescue skills.
(3) Good language skills and communication skills.
Nightingale, the founder of nursing, once said: "Nursing is the most important course.
Art "involves a wide range of emergency work and serves a complex population."
There are many related departments and a lot of coordination work is needed. This is not the case.
Often in a hurry. At the same time, emergency patients and their families are also very nervous and anxious.
Worry and irritability. This requires nurses to communicate with the medical staff of patients' families.
Both verbal and nonverbal communication need to master certain skills. Both.
Realize that nurses serve patients, relieve patients' pain and create the best physical and mental state.
The need for posture is also to promote understanding and support between nurses and patients. carry
The demand for high treatment and nursing effect. Therefore, emergency nurses should use empathy.
The way of the exam is "if I am a patient", in a language they can understand.
Words, ways, explanations and mutual communication. Help them stabilize their emotions. okay
Language and communication skills can get twice the result with half the effort.
(4) Good physical fitness
Emergency work is sudden, with heavy responsibilities and heavy tasks. At the end
A large number of emergency patients may arrive in time. Need continuous work
Work. At the same time, in order to save patients, sometimes it takes a long time to "fight". So,
Without a strong body, it is difficult to be competent for emergency nursing. this
This requires us to strengthen physical exercise in our daily work.
In short, emergency nurses must have good personal cultivation and
"People-oriented" service concept, we must have the spirit of selfless dedication, we must have
In order to live, we should have a spirit and patients who are not afraid of suffering and fatigue.
Safety above all else's professional ethics
(The postal code of Xi Electric Power Central Hospital in Shaanxi Province is 7 10032)
Analysis of Drug Consultation in Ward Pharmacy of Our Hospital
Zhao Shuyuan
Hospital pharmacy work has changed from drug supply as the center to
Patient-centered pharmaceutical care. Pharmaceutical service is the role of pharmacists in prevention, protection
Health, medication before and after recovery, circumference
Focusing on the goal of improving the quality of life, providing the public with direct responsibility and
Services related to drug treatment [1]. Our hospital is a comprehensive enterprise.
There are no full-time clinical pharmacists in the hospital, and the ward pharmacy undertakes clinical medication.
Consulting work. In 2005-2006, the ward pharmacy in our hospital is now open for business.
The drug consultation report is as follows.
I. Data sources and statistical methods
The data comes from the drug use in the ward pharmacy of our hospital from 2005 to 2006.
Consultation records. According to the identity of the consultant, the types of drugs consulted, the contents of the consultation, etc.
The recorded data are input into the computer for statistical analysis. The identity of the consultant is only unified.
Including doctors, nurses and patients.
Second, the statistical results
1. Distribution of consultants
The total number of consultations was 407. Doctors made 227 visits (55.7%) to protect the soil.
67 times (16.4%), patients 1 12 times (27.6%).
2. Consult the drug type
According to the types of consulting drugs, the top five types of consulting drugs and
The times of questioning were anti-infective drugs, cardiovascular and cerebrovascular diseases 125 (30.7%).
93 times (22.8%), 55 times (13.5%), antihypertensive drugs.
40 times (9.8%), 36 times (8.8%) with antineoplastic drugs.
3. Consultation content
According to the statistics of the main consultation contents, the name of the drug is