Keywords: professional ethics of qualified nurses in medical safety
Being a qualified nurse is easier said than done. Especially in today's society, nursing workers are no longer "ordinary nurses" who used to give injections, distribute medicines and take temperature, but shoulder the responsibility of "promoting health, preventing diseases, restoring health and alleviating pain".
Professional image
To be a qualified nurse, you should have a perfect professional image: in medical and health services, dress neatly, fit, elegant and generous, and always maintain a standardized but not rigid, healthy and polite, energetic, sincere and humble posture. Be sure to stand well, sit well and raise your hand politely. Pay attention to your manners, appearance and mood at any time to leave a good impression on patients.
Professional quality
Good professional ethics and professional emotion: As a nursing worker, one should be physically and mentally healthy, highly alert, skilled, absolutely reliable, inspiring, confident and elegant. Caring for patients, pleasant attitude, good cultural background and professional responsibility. As soon as I enter the job, I will put aside all grievances, gains and losses, worries and troubles, adjust my mood at all times and maintain a good attitude. Put an end to the attitude of being raw, cold and hard at work, provide quality service, learn to put yourself in the patient's shoes, and establish a good relationship with the patient. We should establish a correct service concept and abide by medical ethics. When talking with patients and explaining problems, words must be appropriate, and never give patients the illusion that they feel cheated. When treating patients, we should be serious, so that patients can eliminate their fears and feel reliable, credible and at ease. Respect the patient's personality and keep the patient's privacy. Do five things: care about patients' sufferings, serve patients enthusiastically, care and treat them carefully, answer questions patiently and listen to opinions with an open mind. In the whole work process, try to create a quiet environment for patients, and pay attention to four lightness when speaking, acting and operating: speaking lightly, walking lightly, operating lightly and closing the door lightly.
Nurses are called "angels in white" and should be worthy of this title. If white is a pure and sacred dream, then the nurse is the supreme ruler of this dream. When patients break into this strange dream, they will inevitably have negative emotions such as fear, worry and disgust. At this time, our nurses should use their enthusiasm to influence the patients, and they should not only have a high degree of sympathy, but also keenly observe and analyze the changes of the patients' body and mind. Learn five languages: encouraging language, explaining language, comforting language, information language and therapeutic language.
Professional norms
Familiar with hospital rules and regulations: To be a qualified nurse, you should be familiar with all kinds of hospital rules and regulations, and master 14 core nursing systems: nursing quality management system, ward management system, rescue work system, graded nursing system, nursing handover system, ward round system, drug administration system, nursing ward round system, patient health education system, nursing consultation system, ward disinfection and isolation system, nursing safety management system and nursing errors and accidents. Restrain yourself with various systems and motivate yourself to work with Nightingale spirit.
Clear job responsibilities: To be a qualified nurse, you should always be clear about your job responsibilities. Work under the leadership of the hospital at two levels, conscientiously implement various nursing systems and technical operating procedures, correctly implement doctor's orders, and accurately and timely complete various nursing work; Strictly implement the system of ward rounds and hand-over to prevent nursing defects and nursing accidents; Do a good job in basic nursing and psychological nursing of patients, often patrol the ward, closely observe the changes of the condition, and report any abnormality in time; Participate in nursing teaching and scientific research, and guide the work of clinical interns and nurses in nursing specialty.
Learn legal knowledge and strengthen professional ethics education: nurses should learn legal knowledge in their daily work, protect themselves with legal knowledge, know the law, abide by the law and practice according to law, and avoid exceeding their authority and dereliction of duty. Learn nursing management methods, prescription management methods, hospital infection management methods, antibiotic use principles, medical accident handling regulations, hospital organization management regulations, etc.
Change the concept of nursing service: nursing work is not only to provide care for patients, but also to provide life, spirit, environment and social services for patients. According to the report of WHO, the tasks that nurses will undertake in 2 1 century are: ① providing health education and guidance. ② Do a good job in community nursing. ③ To provide high-quality and high-tech holistic nursing care for critically ill patients. ④ Cooperate with other medical staff on an equal footing. Therefore, health education, interpersonal communication, cooperation with others and taking responsibility for their professional behavior will be the basic requirements and skills of nurses.
Strengthen continuing education and professional knowledge: pay attention to the renewal of new knowledge, new theory, new technology and new methods, especially in today's rapidly changing industry, nursing workers should study hard to meet the needs of industry development. Only by practicing excellent nursing skills can we solve problems for patients. In the usual nursing work, only by observing more and summing up more experience can the clinical rescue work be fearless, clear-headed, sharp-eyed, quick-witted, accurate in observing things, properly handling problems, clear about what to do first and then what to do, and not be influenced by the head nurse or reminded by the doctor. Nurses are doctors' executors, supervisors and close collaborators. At work, they should have team spirit, unite and cooperate in emergency rescue work, take saving lives as their own responsibility and serve patients wholeheartedly.
Strictly implement the check system to prevent errors and accidents in various operations, and strictly implement three checks and seven pairs. Such as blood drawing, drug administration and blood transfusion, three checks: preoperative check, intraoperative check and postoperative check. Seven pairs: bed number, name, drug name, dosage, concentration, time and usage; Check the name, sex, age, surgical site and anesthesia method before operation, and count the instruments, dressings and special supplies before and after operation. Master the nursing points before and after various operations. Familiar with the usage, dosage, concentration, maximum dosage and incompatibility of various drugs, and strictly follow the doctor's advice. In the special case of rescuing critically ill patients, doctors will give oral orders, and nurses will repeat them until they are confirmed. Familiar with the usage, concentration and speed of special drugs. For example, KCI can only be injected intravenously, not intramuscularly, and the concentration cannot exceed 3%; 20% mannitol intravenous drip, fast, not touching the skin. The infusion of patients with heart disease should be slow, and the infusion of patients with shock should be fast before slow, salt before sugar, and potassium supplementation in urine. Intravenous drip 10% calcium gluconate is prohibited from exudation of blood vessels. Children with pneumonia complicated with heart failure should strictly control the infusion speed to prevent pulmonary edema. At the same time, accurately observe the condition and deal with the doctor's advice in time.
discuss
A qualified nurse should be a medical worker with both ability and political integrity, good political quality, professional quality and scientific quality, and also an executor of health education, doctor-patient communication and various nursing work. At work, we should be calm, entangled with anger, warm and patient, and relieve their psychological tension and discomfort. Nursing work is trivial, trivial and never known, but it is always linked with patients' lives. Therefore, since nursing is chosen, it should be clear that it is a hard, dedicated and noble profession. We should take Bethune as an example, be highly responsible for our work and strive for perfection in technology. Take nightingale as an example, she is full of enthusiasm for her work, always striving for self-improvement and pioneering.