I became attached to orthopedics from 65438 to 0994. At that time, I received a patient with a severe fracture of the right thigh in Tantou Hospital. Because it was a male patient who I felt the most, I wrote two articles by participating in rescue, treatment and careful nursing: Love gathers here was published in the comprehensive edition of Contemporary Nurses, and First Aid and Nursing of a Patient with a Severe Fracture of the Right thigh participated in the National Journal for the first time. To truly understand, practice, think and summarize the patients in orthopedics and traumatology, we should remember from 1997 when we officially went to work in orthopedics and traumatology. Transferred from 1995 to Longhui County Hospital of Traditional Chinese Medicine, worked in internal medicine, orthopedics and nursing department for three years, and finally stayed in orthopedics and traumatology department. The first orthopedics department was mixed with obstetrics and gynecology department and burn department, and received different kinds of patients every day. Patients in orthopedics and burn department are arranged in 1-40 beds, while those in obstetrics and gynecology only have 10 beds, which is 4 1-50 beds. When traffic accidents occur frequently, we have to add beds or occupy beds in obstetrics and gynecology. When there is a gas explosion in a coal mine and a fire in a firecracker factory, there are many burn patients. Besides being assigned to our own department, we will also be assigned to other departments. During the family planning movement, there were many patients in obstetrics and gynecology ... Orthopedics doctors (and burn doctors) often had conflicts with obstetricians and gynecologists, and the number of nurses was small, which was particularly uncomfortable.
With the continuous expansion of the hospital scale, the department of orthopedics in our hospital has changed from the original chaotic situation to a key specialty in Hunan Province: there are four independent orthopedic departments: one department of orthopedics (mainly treating upper limb orthopedics and osteomyelitis), two departments of orthopedics (lower limb orthopedics), three departments of orthopedics (craniocerebral and spinal injuries) and four departments of orthopedics (minimally invasive lumbar disc herniation). Therefore, specialized nursing in orthopedics and traumatology is particularly important, and training specialized nurses is the general trend.
If you want to be a qualified specialist nurse, you should do the following: First, take the initiative to learn specialist nursing knowledge and technology. Second, strengthen the training of nurses in the whole hospital and improve the overall level. Third, strive for the attention of leaders and carry out characteristic nursing. Fourth, be diligent in practice, think more and be good at summing up. 5. Caring, enthusiastic, careful, persistent and responsible. Six, a correct understanding of the importance of specialist nursing, despite difficulties. (article reading network: www.sanwen.net)
Now I'll talk about how I did the above six points in combination with reality.
Any knowledge and technology are learned, not given by others. Therefore, to become an excellent orthopedic nurse, we must actively learn the knowledge of treatment and nursing of orthopedic diseases. During my study in health school, advanced nursing class and self-taught undergraduate course, I knew little about orthopedics and traumatology. During my work in the beachhead hospital, I spent most of my time in internal medicine and pediatrics (8 years for patients of all ages). Orthopedics is a specialty, but the complications of patients vary with age. Most patients with upper limb fractures are younger, while patients with lower limb fractures are older, especially femoral neck fractures, and most of them are elderly patients, and they are complicated with various medical diseases. Therefore, my eight-year clinical experience as an internal medicine nurse has given me confidence to cope with the medication care, life care and psychological care of orthopedic patients. But for the special treatment of patients, such as small splint fixation, plaster external fixation, bone traction, skin traction, intraoperative internal fixation, stent external fixation, functional exercise and so on. Be sure to consult an orthopedic surgeon with an open mind, and at the same time, go to the bookstore to buy professional nursing books such as orthopedic nursing, compare the books, and study and think about various fracture patients encountered in clinic. Stick to it, and slowly, I will also judge whether the patient has a fracture and how to deal with it.
The development of any new technology can not be separated from the unified planning and implementation of nursing department. Specialist nurses do not mean that they naturally become nurses after working in a specialist for several years. They must know the relevant knowledge of specialized diseases, including its etiology, clinical manifestations, examination, diagnosis, treatment, nursing and rehabilitation. They must also master the techniques of hemostasis, dressing, fixation, puncture, external application of traditional Chinese medicine, fumigation and massage. That is, under the condition of mastering basic nursing techniques (bed making, intramuscular injection, intravenous infusion, blood transfusion, catheterization, enema, oxygen supply, sputum suction, oral care, skin care, defecation care, etc.). ), it is also necessary to meet the needs of specialized nursing in orthopedics and traumatology, meet the health needs of patients, and provide holistic nursing for patients from physical, psychological, spiritual and cultural aspects. Only by carrying out systematic specialist training for nurses in the whole hospital can we meet the needs of temporary professional transfer and frequent transfer of nurses (temporary nurses often participate in the recruitment and deployment of hospital nurses).
The hospital is a whole. To give full play to the importance of nursing work, we must win the support of hospital leaders. Like other departments, orthopedics and traumatology used infusion as the main treatment. From admission to discharge, a few bottles of medicine are infused every day, which not only causes physical and economic losses to patients (high cost of antibiotics, damage to liver, kidney and blood system), but also brings risks and burdens to nurses (adverse reactions such as drug allergy, nurses taking medicines, dispensing medicines, changing infusion bottles, pulling out needles, observing the changes and records of illness, and patients generally respond well after treatment and nursing with China characteristics. For example, the traditional Chinese medicine Sanyu Xiaotong Plaster is used externally for one to three days, which has obvious detumescence and analgesic effect, much stronger than mannitol injection and glycerol fructose injection, and has no side effects, and the cost is halved. The local treatment of orthopedics and traumatology should be the main one. After reduction and fixation, it is necessary to quickly reduce swelling, relieve pain and increase nutrition, and carry out functional exercise step by step to promote fracture healing and early recovery.
No matter what position you work in, if you want to make achievements, you must work hard, think seriously, be good at finding shortcomings in your work and sum up successful experiences in your work. We have to face patients with fractures every day. From admission to discharge, where is the fracture, how much is it, what examinations have been made, what drugs have been used, and what treatment methods have been used? How are we progressing in nursing? How should I deal with the same patient or a more serious patient in the future? Ask yourself more in your mind, what have I gained from working in orthopedics for so long? Why do some patients recover slowly from fractures? Why are elderly patients prone to complications such as pressure sore, pneumonia, urinary tract infection, joint stiffness and venous thrombosis? As long as you work hard, you will have new insights every day. I have worked in orthopedics for a long time, so I have an idea to write it down. In this way, the application of nursing procedures in elderly patients with femoral neck fracture, 1 psychological care of patients with replantation of severed limbs complicated with fracture of both knees, 1 perioperative care of patients with multiple fractures of limbs complicated with shock, etc., have been written and published in Contemporary Nurses.
Being a specialist nurse requires love, enthusiasm, carefulness, perseverance and responsibility. Without love, people will lose their temper with patients and their families or blame others. Without enthusiasm, they can't write a nursing paper. Without nursing, they can't observe the special changes of patients. Without perseverance, you will give up halfway or change your major. Without a sense of responsibility, they will not take pains to mediate various contradictions between doctors and patients and put an end to medical disputes. It can be said that I love nursing, whether it is internal medicine or orthopedics. I love every patient from beginning to end, no matter where they come from, rich or poor, high-ranking officials, illiterate people, old people and children, as long as their needs are reasonable, I will try my best to meet them. In orthopedics and traumatology, I insist on 16. Whether it is the backward old inpatient department or the modern new inpatient department building, I always bow my head to do things. Try to spend time on patients during work, and help patients solve practical problems after work, such as buying rice, boiling water, changing sheets, explaining and eliminating the contradiction between doctors and patients, guiding patients to eat reasonably, keeping happy, taking medicine correctly, and insisting on functional exercise.
Sometimes being a specialist nurse is not your own will, but the needs of the unit. After orthopedics in our hospital became a key specialty in Hunan Province, I feel that we should strengthen our study and self-cultivation to be worthy of hospitals and patients. The hospital is our foothold. Without the support of the big family of the hospital, it is difficult for us nurses to give full play to their intelligence. Through the study of health school, advanced nursing class and self-study exam, our theoretical knowledge of nursing specialty has been improved step by step. However, only through the hospital can we bring our knowledge and technology into play, that is, to test our learning effect, otherwise it is a waste of reading. Patients are our customers and our foundation. All the knowledge and skills we have learned are aimed at maintaining life, alleviating pain and improving health. No patients, no doctors. Nurses work in hospitals and fight side by side with doctors. Whether patients call us doctors or nurses, we all have the same name-angels in white. Orthopedic patients temporarily lost their labor force because of injury, physical loss, psychological frustration, family and social influence one after another. The importance of orthopedic nursing is to try our best to help patients recover as soon as possible, return to society and work and live normally.
Of course, it is difficult to be a specialist nurse. As long as we establish confidence and courage, advance despite difficulties, get rid of difficult words, never adapt to adaptation, and then adapt to handy, skilled and perfect, so as to become a real specialist nurse.