Chapter 1: Summary of Personal Nursing in Operating Room Nursing profession is a noble and sacred profession, and I am proud to be a member of community nurses. In the future work, I will redouble my efforts to make my due contribution to the nursing cause of mankind!
In the next _ _ year, I will continue to carry forward the spirit of the past year, do my own job well, be anxious about the patient's urgency, be responsible for the patient, and never make the patient's condition worse because of my reasons. I will be absolutely responsible for my work. This is the minimum work that a good nurse should do to save lives.
As a nurse, I am always aware of the heavy responsibility on my shoulders. I won't discredit the hospital, it will only inspire me to work harder. I will also be strict with myself in my life, and I believe I will do it!
This year, based on the principle of "consolidating advantages and developing steadily", we have done some work in the past year, taking into account a game of chess in the new building, the main building and the whole hospital, especially achieving a "zero" breakthrough in infusion response in the new building; Through the inspection system, drug quality loopholes 12 cases and disposable goods quality loopholes 29 cases were blocked throughout the year.
Cooperate with the joint-stock management model, pay attention to nursing quality and high-quality service, use nursing workers reasonably, and ensure the rate of basic nursing in place for patients; Emphasize the environmental management of the ward, completely put an end to the problem that the environment of acupuncture department is dirty, chaotic and poor, and the urine pad is drying everywhere.
Strengthen the training of young head nurses in Xinsha from the aspects of business skills and management theory, so that they can mature as soon as possible and become the backbone of management. After passing the examination this year, five deputy head nurses became full members and three were promoted to ward deputy head nurses.
Intensified publicity, this year hosted and planned a large-scale celebration of "5. 12 Nurses' Day", which was well received by city leaders and nursing experts. Actively explore the publicity space of Xingyuan Daily, Daily News, Tianjin Daily and Tianjin Radio and Television Station, and show the hard work and dedication of nurses through health education, story reporting and works exhibition.
Pay attention to the continuing education of on-the-job workers, hold university-level lectures, and the penetration rate reaches over 90%; Offering training courses on basic knowledge of traditional Chinese medicine for newly assigned employees and newly transferred employees; Completed the annual theoretical and operational assessment of nursing staff, and the qualified rate reached 97.9%. Pay attention to the quality education of nurses, carry out the education of "respecting life and caring for patients", advocate a number of donation activities, and offer love to patients in hematology and cardiac surgery.
Meeting the annual quality control inspection organized by the Municipal Health Bureau, our hospital's nursing achievement reached the standard, with a total score of 96.7, ranking first in the city.
Personal self-construction: this year won the title of "Tianjin Excellent Care Worker"; Through studying in the United States, I brought back some advanced management experience and actively summarized clinical experience. This year, I finished 3 national papers, 2 conference papers and 1 summary.
As the director of nursing department and a glorious party member, I pay special attention to my honesty and self-discipline. I endure hardship first, enjoy it later, persist in my work despite illness, and personally lead the head nurse and the head nurse to check each position; Efforts have been made to improve ideological understanding and actively participate in the construction and development of nursing branches. At present, the team of party member in Xinsha has grown to more than 20 people, mainly young clinical backbones, which makes the nursing branches show positive vitality and vitality.
The smooth development of nursing work and the improvement of nursing level are the results of the correct decision of leaders headed by Dean Shi and the joint efforts of grassroots nursing staff at all levels. Next year, the nursing department will set up its own academic journal, improve the academic level of nursing, give full play to the advantages of traditional Chinese medicine and integrated traditional Chinese and western medicine, and strive to make the nursing quality of our hospital internationally certified.
Ideological and moral character, political quality: can conscientiously implement the party's basic line, principles and policies, and actively study political theory through newspapers and books; Abide by the law and study legal knowledge seriously; I love my job, have a strong sense of responsibility and dedication, actively learn the professional knowledge of nurses, have a correct working attitude and be serious and responsible. In the process of medical practice, we should strictly abide by the medical ethics and standardize the operation.
Professional knowledge and working ability: with the goal of "doing better", I collected and sorted out the sense of pioneering and innovation, and actively and successfully completed the following duties: assisting the head nurse in ward management and sorting out medical documents. Seriously receive every patient, treat every patient as his friends and relatives, and always put yourself in others' shoes.
Do a good job in writing medical documents. The writing of medical documents needs to be serious and responsible, with a correct attitude and clear thinking. I seriously study the writing standard of department documents, and carefully write ordinary care records, critical care records and rescue records. Abide by the rules and regulations and keep in mind the three basics (basic theory, basic knowledge and basic skills) and three strictness (serious attitude, strict requirements and strict methods).
Chapter II: Summary of Personal Nursing Work in Operating Room The operating room is a sacred place to heal the wounded and rescue the dying, but at the same time it is also a collective with silent dedication, willingness to contribute, unity and forge ahead, and courage to endure hardships. In 20xx, 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 and made unremitting efforts, basically completed various tasks and achieved certain social and economic benefits. Now we will start the work in the first half of the year.
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.
2. Strengthen the study of patients' safety management knowledge and basic knowledge during operation, take patients as the center, find problems and solve them in time, and make continuous improvement. Really people-oriented, giving patients a sense of security and comfort.
3. Constantly 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, the head nurse, quality control nurses, visiting nurses to the department for follow-up on a regular basis, often ask about the operation cooperation, the operating room nurses' requirements for doctors and patients, and timely solve the opinions and suggestions put forward by patients.
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.
Fourth, increase revenue and reduce expenditure to contribute to the economic benefits of hospitals.
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.
Fifth, improve the quality of nurses and train 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 future work, we will continue to work hard to contribute to the two benefits of the hospital.
Chapter III: Summary of Personal Nursing Work in Operating Room The operating room is a team full of vigor, 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 for disinfection and sterilization of autoclave;
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 reached100%;
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.
Chapter IV: Summary of Personal Nursing in Operating Room With the completion of the comprehensive building in our hospital, we have worked hard for another year. Under the leadership of the hospital and the nursing department, with the close cooperation and support of the clinical departments, all the nursing staff in our department paid close attention to the implementation, conscientiously implemented the target plan formulated at the beginning of the year, successfully completed this year's nursing tasks, and achieved certain results. The work summary report is as follows:
First, improve the nursing notification procedure and the responsibilities of each class.
1. Inform patients about various surgical nursing techniques before operation, and adopt encouraging language and gentle actions to make patients feel the warmth like relatives.
2, earnestly implement the preoperative and postoperative visit system and surgical verification system.
3, according to the workload and personnel situation, timely adjust the responsibilities of each class, to ensure the normal development of nursing work in the operating room.
Second, the daily nursing work:
1, aiming at the shortcomings in the work, take corresponding rectification measures. Meet all reasonable requirements of patients, create a warm and comfortable operating environment for patients, and the satisfaction rate is over 95%.
2. Strictly implement the disinfection and isolation system, and the qualified rate of disinfection and isolation is 100%. Organize general nurses to learn the knowledge about laminar flow operating room to ensure the normal use of laminar flow operating room. Strictly implement aseptic technical operation procedures to prevent hospital infection and ensure that the infection rate of surgical incision is 0.
3. Strengthen the management of first-aid drugs, and the intact rate of first-aid drugs reaches 100%. Strengthen the training of first aid knowledge and rescue process, and make regular assessment to ensure the successful completion of surgical rescue work.
Third, do a good job in nursing work plan, study hard and improve the professional and technical level.
1, strengthen the "three basics" training, organize technical training for departmental personnel, the training rate reaches 100%, and the qualified rate is over 95%.
2, strengthen the study of basic theoretical knowledge, weekly, monthly, hospital, department two-level assessment, the pass rate of more than 95%.
3. Strengthen continuing education and actively participate in various studies organized by the nursing department.
4. Strengthen professional knowledge training and further improve health education, and the coverage rate of health education in perioperative period will reach 100%.
Four, save costs, reasonable fees
1, strictly manage medical and office supplies to reduce waste and loss. There should be a special person responsible for the maintenance of medical equipment, accurately record the performance and use of instruments and equipment, and ensure the normal clinical operation.
2. Accurately record the charging items. The department has set up a microcomputer recording system for operating rooms, which is recorded according to the doctor's advice, without charging fees or missing fees, and checks at different levels to ensure the accuracy of various operation fees.
There are still many problems in our nursing work. We will continue to improve seriously in the future work, improve quality service, ensure medical quality and patient safety, and do our nursing work better!
Chapter 5: Summary of personal nursing work in 1 operating room. Preoperative psychological care, 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.