Time flies, and the year full of opportunities and challenges is coming to an end. 20xx65438+February 26th to 20xx165438+1October 25th, the number of deliveries in our hospital was xxxx, the number of natural deliveries was xxx, the number of cesarean section was xxx, the number of dystocia was xx, the number of fetal head was xx, the number of breech deliveries was X, 9 cases of postpartum hemorrhage were successfully rescued, and the number of fetal heart monitoring was xxxx, which achieved good economic benefits and society. In the past year, under the correct leadership of hospital leaders and department directors, I adhered to the service concept of "patient-centered" and devoted myself to my study and work with a serious and rigorous attitude and proactive enthusiasm. In the practice study and delivery room nursing work, it has been widely praised by patients and recognized by leaders at all levels, and successfully completed the task of 20 12. Now I will briefly summarize my performance in all aspects this year as follows:

First, ideological and moral, political quality:

Can conscientiously implement the party's basic line, principles and policies, and actively study political theory through the internet, magazines and newspapers. Respect leaders and unite colleagues. I am law-abiding, love my job, have a strong sense of responsibility and dedication, actively study the professional knowledge of obstetrics and gynecology delivery room nursing, have a correct working attitude and be serious and responsible. In the process of medical nursing practice, obey orders, obey orders and standardize operations. Strictly abide by the rules and regulations of the hospital, abide by the medical ethics norms, and actively participate in various activities organized by the hospital and departments.

Second, professional knowledge and working ability:

1. In terms of work attitude, the goal is to "do the work better and finish the work actively and successfully". In my daily work, I ask myself to receive every patient seriously, treat every patient as my friend and relative, and be able to put myself in others' shoes. Every time I walk into the ward, I spare no effort to encourage the parturient, patiently help the parturient understand the situation and build up confidence. Adhere to the check system, so that BANCHA is correct and the patient is handed over at the bedside.

2. In terms of improving my ability, I ask myself to strictly abide by the rules and regulations of the college, always pay attention to learning and mastering the three basics (basic theory, basic knowledge and basic skills), and adhere to the three strictness (serious attitude, strict requirements and strict methods). Every month, theoretical training and assessment, basic operation and professional knowledge assessment will be organized twice, so that every midwife can truly master what she has learned.

3. In terms of medical prevention, I strictly follow the requirements of the operating room to standardize the delivery room, do a good job in air bacteria culture, disinfectant testing, equipment bacteria culture, and strengthen hand hygiene in the midwifery room. Standardize delivery operation, strengthen aseptic operation procedures, prevent perineal incision infection and neonatal infection, and avoid mistakes and accidents.

Iii. study and life:

I'm very impressed by Malik's words. He said, "A person's heart swells because of grievances." In medical work, we often encounter things misunderstood by patients or their families. Such grievances often make people feel sad and shrink back. With the growth of work experience, I have experienced more and more things, and now I find my ability to resist grievances is getting stronger and stronger. What I used to feel wronged, now it seems, is not. With the goal of becoming an excellent national standard angels in white and a strong pursuit of knowledge, I have to be strict with myself, study hard, study hard, basically master some professional knowledge and skills in obstetrics and gynecology, and integrate theory with practice. In addition to learning professional knowledge, we should also pay attention to expanding our knowledge, extensively dabbling in other disciplines and improving our ideological and cultural quality. At the same time, adhere to a rigorous attitude and good style in life, develop good living habits, and live a full and organized life. Warm and generous, honest and trustworthy, helpful, able to live in harmony with colleagues, actively participate in various activities, and constantly enrich their experience.

Four. Future goals:

During my time as a midwife, I dare not say that I have achieved anything. I'm just trying to adapt and finish all the tasks seriously, but I'm also aware of some shortcomings. For example, the nursing work plan of the department is not comprehensive enough, and the communication ability in dealing with some nurse-patient incidents is still lacking. I also know that I am far from being a good midwife teacher. Nursing is not only an ordinary job, but also a noble and sacred cause. In the future work, I will redouble my efforts to set an example in the nursing team of the department.

1, strengthen safety precautions and reduce nursing defects.

It is necessary to improve the safety awareness of all staff, carry out safety education for nursing staff, strictly implement various rules and regulations and operating procedures, and strictly control the quality of obstetric care.

2. Strengthen the management of delivery room to prevent hospital infection.

Delivery room is the key monitoring area of the hospital, and the management of delivery room is directly related to the safety of mother and baby. This year, we will strictly strengthen the monitoring of hospital infection, standardize the management of delivery rooms and prevent hospital infection. Standardize the delivery room reasonably according to the requirements of hospital infection quality control. Standardize the delivery room according to the requirements of the operating room, strictly manage the personnel on duty, control the flow of personnel in the delivery room, and equip night nurses to do cleaning, disinfection and final disposal at any time. Strengthen the disinfection inspection of delivery room, do a good job in air bacteria culture, disinfectant inspection and equipment bacteria culture, and strengthen hand hygiene in midwifery room according to regulations. Standardize delivery operation and strengthen aseptic operation procedures to prevent perineal incision infection and neonatal infection.

3. Strengthen midwifery technical training to ensure the safety of mother and baby.

Midwifery technology is a key factor directly related to the development of obstetrics, and it is also the guarantee of maternal and infant safety. The midwife team in our department is young, with relatively insufficient midwifery experience and clinical experience. At present, the technical level of midwifery team has obviously restricted the development of departments, so we take turns to train and enrich midwifery technology. Strengthen on-the-job training and adopt weekly lectures and monthly nursing rounds. , and monthly theoretical and operational assessment of midwives, so that each midwife can truly master the knowledge they have learned. Carry out systematic practical drills for obstetric critical illness, cultivate teamwork and awareness of first aid, and continuously improve the level of first aid. Especially postpartum hemorrhage, pregnancy-induced hypertension syndrome, amniotic fluid embolism, pregnancy complicated with heart disease, neonatal resuscitation and rescue. Every obstetrician should keep the rescue procedure in mind and master it skillfully in practice.

4, the implementation of new midwifery mode, the implementation of new delivery projects.

In the future work, we will continue to innovate and gradually carry out doula delivery, airbag bionic midwifery and painless delivery.

5. Create a warm delivery room and create a care effect.

The establishment of a warm delivery room not only requires midwives to adhere to the beauty of appearance, language and behavior every day. And to do: 1, warm etiquette service; 2. Warm knowledge service; 3. Humanized and warm nursing service; 4. Humanized nursing service. Obstetric risk is high, the condition changes rapidly and the predictability is poor. Therefore, every obstetrician should tighten the safety rope, carefully observe the labor process, pay attention to the patient's chief complaint, earnestly abide by various operating routines, ensure the safety of mother and baby, and prevent accidents.

Over the past year, I thank the leaders of the hospital for their guidance and concern, and thank everyone who works 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 * * *!

extreme

The work of 20XX is coming to an end, and the overall quality of delivery room is improved at 20xx at the fastest. Cesarean section rate dropped from 70%-80% to 40%, and patients' satisfaction was greatly improved. Good social and economic benefits have been achieved. Always adhere to the mode of responsible midwifery centered on mother and baby to carry out nursing work. First of all, all midwives change their ideas, not only from the technical aspect, but also from improving the comfort of pregnant women and fully implementing health education. The work is summarized as follows.

Over the past xx years, under the guidance of hospital leaders and nursing department, we have worked according to the plan and process, worked out the work plan every month, arranged the work every week, carried out the first-level quality control of nursing quality every month, and rectified and followed up the existing problems. Work methodically. From the monthly quality control, find out the weak points and difficulties in the work, organize everyone to hold a morning meeting to discuss and analyze, and formulate departmental rules and regulations and workflow. Improve the quality of nursing in delivery room.

Nursing in delivery room is complicated and risky, and a little carelessness will cause serious consequences. We not only undertake pelvic measurement, birth canal examination and evaluation, medical record writing of obstetric inpatients, but also mainly undertake delivery, induced labor, resuscitation and treatment of newborns after cesarean section. Three nets monitoring should be reported in time, including monthly reports of family planning, hospital delivery, induced labor registration, birth defects, hepatitis B prevention, syphilis, mother-to-child blocking of AIDS, birth registration and other quarterly and annual reports. At the same time, we have done a good job in the first issuance, registration and collection of birth certificates, and have been highly praised by superior leading units for many times. The high risk of our work is related to the lives of mothers and babies, which determines that our midwives will have higher requirements for responsibility. Therefore, the delivery room regularly carries out safety education and business study, strengthens the understanding from the thought, and carries out it according to the operating norms. We midwives are all under my guidance.

Join the midwifery alliance group of China, which is composed of midwives and midwifery experts from all over the country, with 1 000 members. There are midwifery doctor Dr. Zhang Hongyu, dean Meng Xue of Qingdao Wellcome Nursing College, founder of midwifery alliance, and head nurses and directors of nursing departments of maternal and child health hospitals in various provinces. There will be business learning and operation videos in the group every week for everyone to learn. We have a platform to learn new knowledge and technology, and more space to communicate with our peers, which stimulates midwives' enthusiasm and enthusiasm for their work, enabling them to pursue their own majors and fully display their self-worth. The department organizes business study twice a month, theoretical assessment and business assessment once each. It has improved our midwifery technology as never before.

Innovate nursing scheduling, and implement 24-hour double shift system according to the characteristics of delivery room. The delivery of pregnant women is irregular, and there is no difference between daytime and nighttime delivery peaks, so it is very different from the characteristics of morning treatment peaks in internal medicine. There are fewer nurses at night. If there is a midwife to deliver the baby on stage, the work under the stage can't be done, and the newborn needs a baby sitter. At this time, the risk is greater, and arranging two people to work at night can effectively ensure nursing safety. In addition, according to the traditional characteristics of our country, there are many people who choose cesarean section, so there is no rest on the third and sixth day of the lunar calendar. This scheduling method has been well reflected by midwives, family members and doctors in the past year.

With the development of new technology, our non-invasive perineal delivery and late umbilical cord amputation, as well as free posture and painless delivery, have achieved initial results this year. It has been recognized by pregnant women, family members, doctors and midwives. The development of our new technology is the frontier of obstetrics in Xuchang. Patient satisfaction has been greatly improved. In the future, we will continue to work hard to make the technology stable and mature.

Strengthen the implementation of the core system and the training of emergency plans. Conduct monthly training and assessment on the core system, and conduct supervision and inspection in actual work. Those who don't carry it out will be punished.

Training of some emergency plans, actual evaluation and operation drills for obstetric emergencies, such as postpartum hemorrhage, fetal distress, amniotic fluid embolism and neonatal asphyxia. Improve the emergency rescue ability of midwives.

Strengthen the guidance for young nurses, rotating nurses and interns. Enter the department for safety education and labor discipline training, and leave the department for theoretical assessment. Improve the quality of teaching.

Do a good job in psychological comfort and guidance for patients during childbirth, and do a good job in health education and guidance after childbirth. Introducing Doula delivery into the labor process can not only improve the comfort of patients, but also improve the natural delivery rate, which is also one of the initiatives advocated by body position. Postpartum midwives implement the system of ward rounds on duty, and patients who give birth naturally have their own midwives. The midwife on duty after delivery will visit the ward to observe the wound, lochia and breastfeeding. Closes the distance between midwifery and patients.

The quality control requirements of delivery room infection are strict. We regularly carry out surface and air tests according to the requirements of the Infection Office, and there is no unqualified phenomenon in the past year. There was no wound infection or umbilical cord infection. This year, we won two cash awards for infection quality control, which can not be separated from the supervision of superior leaders and everyone's efforts.

20xx years' work has both achievements and shortcomings. Individuals may not do very well, but we have the thinking and direction of work, and we will gradually grow and improve in the future work. We will continue to work hard next year, and I believe we can do better.

Tisso

The sun and the moon alternate, and the years are like songs. We have gone through 20 13 in our work. This year, under the leadership and strong support of the nursing department, we closely focused on the working principle of "patient-centered, quality-centered", combined with the actual work of the department, further improved the workflow of the department, refined management, conscientiously implemented various work systems, and gradually improved the quality of nursing. Now we summarize as follows:

First, strengthen ward management and consolidate basic nursing. Create a good medical environment for patients

This year, our department strengthened ward management, paid attention to morning and evening nursing, ensured that the bed sheets were flat and wrinkle-free, ensured that the bed sheets and bedding were free of blood and stains, and changed with the dirty, and formulated a system of changing the bed sheets every Monday to ensure that each patient's bed unit was flat, clean and comfortable. To achieve "three deficiencies" and "six net"; And insist on cleaning the vulva for the parturient until leaving the hospital to ensure that the patient is clean and pollution-free.

Second, with the development of quality nursing service in our hospital this year, combined with the actual situation of our department, we will formulate quality nursing measures from the following aspects:

(1) Change the service concept. In the department, Director Liu often emphasizes that our nursing work is service work. We should renew our ideas and provide good service. In the service, we should not only use civilized language, but also have warm language and kind expression. Therefore, in practical work, we not only call gynecological patients "aunts" and "mother-in-law", but also regard obstetric patients as "darlings".

(2) change the organizational structure. In April this year, the department implemented responsible nursing, and divided the wards into A 1 and A2 two responsibility districts, with two responsible nurses respectively. The nurse in charge is responsible for observing the patient's condition, implementing therapeutic nursing, health education, psychological nursing and life nursing, realizing all-round nursing, ensuring that the nurse in charge of the bed is in place and the responsibility is implemented to people, which greatly changes the limitations of functional nursing in the past. The responsible nurses this year are: Hong Ying and Li Li. They try their best to provide quality services for patients in their posts, and participate in some management work, which improves their comprehensive quality and wins the praise of some patients' families.

(3) Change the scheduling mode. In order to adapt to the frequent surgical handover at noon and reduce the pressure of nursing work at noon, the original mode of one nurse from 8 am to 4 pm was changed to the mode of two responsible nurses from 8 am to 4 pm, which reduced the intermediate handover, which was not only acceptable to nurses, but also ensured the nursing safety.

Third, strengthen the continuing education of nurses and cultivate specialized nursing talents.

At the beginning of this year, we made a talent training plan for this major, including in-class study and off-campus study to participate in training courses, and all of them have completed the training plan.

In-department learning is to use the morning meeting every day to strengthen the training of basic nursing, nursing routine, health education and other nursing knowledge and techniques, and constantly improve the professional knowledge level of nurses in departments. I went out to train a specialist nurse in obstetrics this year, and I can work independently.

In addition, there are one-to-one nursing teachers for new nurses to adapt to their jobs as soon as possible, actively encourage nurses who have worked for more than one year to continue their studies, and allow them to learn by themselves in various forms to improve their academic qualifications. This year, two nurses got university degrees, and the head nurse got the title of nurse in charge.

Fourth, strictly implement the core system to reduce the occurrence of nursing errors. The key point is:

(a) strict bedside shift, adhere to the diagnosis, treatment and operation of all hospitalized patients every night shift, make the morning shift more detailed and rigorous, and check the basic nursing situation at any time, point out the existing problems in time and correct them in time to ensure the safety of patients.

(2) Improve the nursing inspection system. In view of the irregular stop of doctor's orders in our department, a double-person and double-BANCHA checking system is specially designed, that is, after checking the doctor's orders in the day shift and general affairs every afternoon, check the doctor's orders with the midwife again in the evening, thus avoiding the phenomenon of missed inspection and repeated execution.

There are many young nurses in our department. In order to make them more confident, we advocate the concept of studious and enterprising in the department and actively participate in various activities organized by the hospital, such as 5 12 operation competition and knowledge competition. I am Wang, Zhang Hui, Ran Xiaomei, etc. Everyone took an active part in these activities and won the third prize in the knowledge contest. The participation of these activities not only allows them to participate in the knowledge contest. At the same time, Tang Jing, a nurse in our department, was rated as an "excellent nurse"!

Sixth, standardize the writing of nursing documents and reduce the writing pressure of nurses.

Our department adopts tabular nursing documents according to the characteristics of specialties, which greatly reduces the time for nurses to record. Let nurses have more time to provide patients with direct nursing services.

Seven, innovative service forms, so that patients can really feel our concern and care.

In order to enhance the connotation of high-quality nursing service in our department, some new service measures have been specially formulated, so that patients can truly feel our medical services and taste our high quality. For example:

(1) Send a cup of hot milk powder to the patient who has just finished the abortion operation;

(2) Give the parturient a cup of brown sugar water;

(3) designing and sewing skirts for lying-in women and patients;

(4) In obstetric service, we also use the mode of responsible nursing for reference, and adopt the mode of one-on-one midwifery, so that pregnant women can get the overall service. And establish a QQ group for pregnant women, assign a special person to be on duty every day, and answer questions raised by pregnant women in time.

(5) Specially apply for an induction cooker to the hospital to provide convenience for the parturient.

(6) In the nursing of newborns, not only the mother-infant sharing room is strictly implemented, but also the daily bathing is completed. During the hospitalization, the midwife personally feeds the newborn and changes diapers.

(7) Strengthen the follow-up after discharge, timely understand the nursing problems encountered by patients, parturients and newborns after discharge, conduct telephone consultation, and come to the hospital for examination in time for special problems. 22 1 person was followed up by telephone this year, which was widely praised by patients and their families.

Eight, strengthen the management of delivery room, and actively control hospital infection.

In strict accordance with the management standards of key departments of the hospital, standardize various emergency procedures and emergency plans for all kinds of acute and critical diseases, add special drugs for all kinds of acute and critical diseases in obstetrics in the rescue vehicle, implement various disinfection and isolation systems, and strengthen various infection monitoring.

Improve the quality inspection standard of delivery room. Midwives' meetings were held regularly to feed back the problems existing in the work, carefully summarize and analyze them, formulate the next rectification measures, and carry out follow-up inspection of quality defects, which improved midwives' quality awareness and management awareness and successfully passed the obstetric nursing quality inspection. The indicators of obstetric work are as follows:

In the whole year, 22 1 person was delivered, early contact and early sucking 100%, mother-infant rooming 100%, perinatal mortality rate was 0%, and the qualified rate of breast-feeding skills of staff was 100%.

The mortality rate of live-born newborns is 0, and the rate of postpartum breastfeeding education is 100%. 9. Establish and improve the performance appraisal and incentive mechanism, fully mobilize the enthusiasm of nurses, and reflect the merit.

Over the past year, although some work has been done and some achievements have been made, there are still many shortcomings: the content of quality nursing service needs to be deepened and the service form needs to be innovated; Young nurses still need to learn basic theoretical knowledge and specialized nursing knowledge, and the enthusiasm and initiative of service need to be further enhanced; Nursing scientific research and thesis writing are also very weak. Therefore, in the new year, we will sum up experience, make bold innovations and make unremitting efforts for the sustainable development of hospitals.