Summary of medical ethics of medical staff 1
X years of college time is fleeting. Looking back now is a review and summary of the past and a vision and hope for the future. I am about to step out of school, and I am full of expectations for the challenges and tempering of this world.
The short one-year internship is coming to an end. Looking back on the dribs and drabs of this period, although I can't say I'm excited, after all, I've worked hard and I'm inevitably excited. It's really sad to leave the teachers who led us into the ranks of doctors, but all things must come to an end. This time, the difference is that we can get together better next time. Our first experience as a doctor will never be forgotten. Here, I will make a small summary of the work and study of six members of our group in the past year, hoping to find some advantages and disadvantages and increase experience for future study and work.
Clinical practice is the consolidation and strengthening of theoretical learning stage, the cultivation and exercise of clinical skill operation, and the best training before our employment. Although this period of time is short, it is very important to each of us. We cherish this time, cherish the opportunity of daily exercise and self-improvement, and cherish this rare mentoring relationship with teachers.
When I first entered the ward, I always felt at a loss I am in a relatively unfamiliar state with my clinical work, and I still don't have a formed concept of what I can do in such a new environment.
Fortunately, some teachers introduced us to various departments, introduced some rules and regulations, the responsibilities of doctors at all levels and so on. And teach teachers rich experience, so that we can quickly adapt to the clinical work of various departments in the hospital. Being able to adapt to the hospital environment as soon as possible has laid a good foundation for internship and work in the hospital, which should be regarded as a harvest in the internship stage: learning to adapt and learn to grow and survive in the new environment.
To practice in the ward, you should have the most contact with patients, have a deep understanding of diseases and have a thorough grasp of basic skills. The biggest and ultimate goal of practice is to cultivate good operating skills and improve various diagnosis and treatment skills. Therefore, under the teaching principle that teachers keep their eyes open, but don't worry about their eyes, we actively strive for every exercise opportunity, at the same time constantly enrich our clinical theoretical knowledge, actively think about various problems, humbly ask teachers or other teachers for questions that we don't understand, and take knowledge notes. When teachers don't have time to answer questions, we will consult books after work, or consult teachers and more people, so as to better strengthen the combination of theoretical knowledge and clinical practice. According to the requirements of schools and hospitals, I actively completed medical record writing, teaching rounds and case discussions, and cultivated my writing, organization and expression skills.
During the internship in the hospital, everything we do is for the health of patients and the prognosis of diseases. We strictly abide by the rules and regulations of the hospital, and all operations strictly follow the aseptic principle. In internal medicine, surgery, gynecology and pediatrics, we do all the work conscientiously, and under the guidance of teachers, we can correctly prevent, diagnose and deal with various common diseases and frequently-occurring diseases. Proficient in common clinical diagnosis and treatment skills. In the spirit of three basics and three strictness, I have cultivated and improved my ability to think and work independently.
During this short internship, we gained a lot. If summed up in simple words, it will look pale and powerless, at least it can't be expressed accurately and clearly, but we have benefited a lot. The harvest during the internship will lay a good foundation for our future work and study. In short, while thanking the hospital for cultivating our dribs and drabs, we will take up our respective jobs with more proactive working attitude, more solid operational skills and deeper theoretical knowledge, improve our clinical work ability and do our best for the health cause!
Overview of medical ethics of medical staff II
After working for X months, under the example and care of hospital leaders and head nurses, and with the support and help of colleagues, I have continuously strengthened my ideological and political study, improved my work and successfully completed various tasks. My personal ideological and political quality and professional work ability have made some progress, which has laid a good foundation for my future work and study. Now I will sum up my work and study.
First, political thought:
Adhere to the concept of patient-centered and quality-centered nursing service, adapt to the new nursing model and the new situation of social development, actively participate in various political activities, take serving patients and contributing to society as the purpose, take patient satisfaction as the standard, and serve patients wholeheartedly.
Second, enhance legal awareness:
Seriously studying the Nurse Law and its laws and regulations has made me realize that with the improvement of the legal system and the enhancement of the legal concept, it has become common sense for people to act according to law and safeguard their legitimate rights and interests according to law. The concept of modern nursing quality is to satisfy patients in all directions and in the whole process, which is the demand for higher and newer medical nursing services. This requires me to enrich my legal knowledge, enhance my awareness of safety protection, let nurses know the usage of the law and reduce the occurrence of medical accidents according to law.
Third, specific work.
In terms of work and study, we should strictly abide by the rules and regulations of hospitals and departments, strictly implement the ward round system and nursing operation procedures, implement the system, reduce the occurrence of errors and accidents, strictly implement aseptic operation, ensure the safety of pregnant women and newborns, implement the service concept of patient-centered and quality-centered, serve politely, adhere to civilized terms, and implement it in every post in our work. Working hours are dignified, neatly dressed, polite and patient-friendly.
Seriously pass on, help and guide young nurses, do a good job of nurses, and strive to improve the writing quality of nursing medical records and the qualified rate of nursing forms; In view of shortcomings and mistakes, carefully summarize, analyze and find out hidden dangers in work, so as to nip in the bud.
In the process of work, I deeply feel my own shortcomings and know little about various infectious diseases. I obviously feel the urgency of strengthening my own study and improving my own quality.
I always remind myself that we should constantly strengthen ideological and moral cultivation and the exercise of personality quality, enhance the sense of dedication, and take selflessness as the focus of personality training. Not affected by some bad social atmosphere, start from small things; Be strict with yourself, be loyal to your duties, prevent delay, and firmly establish the purpose of serving patients wholeheartedly.
The above is a summary of my work in the hospital for X months. These days, I deeply feel the positive vitality of the hospital, full of confidence in the future, and willing to contribute my meager strength to the Sixth Hospital. Please give supervision and support to leaders and colleagues!
Overview of medical ethics of medical staff III
This year, based on the service concept of "patient-centered" and with a serious and responsible working attitude, I carried forward the revolutionary spirit of saving lives, did a good job in nursing and completed the work tasks seriously. The following is my medical ethics summary report this year:
First, do your duty and do a good job in nursing.
As the saying goes, "three points of treatment, seven points of care", after X years of nursing practice, more and more feel the importance of nursing work. In my daily work, I insist on dressing neatly and generously, using civilized and standardized language, being kind and polite. Strictly abide by medical ethics norms and operating procedures, carefully write nursing records, do everything possible to alleviate the pain of patients, and do their jobs safely. No matter the family members of employees or local patients, I always treat patients as relatives, with good attitude, friendly words and gentle movements, patiently answering patients' and their families' inquiries about the illness, as well as matters needing attention in family treatment and health care. There was no verbal conflict with patients, and there was no dispute caused by service attitude, service efficiency and service quality, which was well received by patients and their families.
Second, play a role and do a good job in helping.
For patients, nursing is not a job that a nurse can manage, but a job that requires team rotation. In recent years, hospitals have added new strength to the nursing team. In the work, we can give full play to our advantages of high qualifications and rich experience, actively help young nurses, explain business technology and knowledge of communicating with patients, solve difficult problems in nursing business, guide the implementation of nursing measures, help young nurses grow up as soon as possible, and make their own contributions to the improvement of overall nursing level.
Third, keep learning and improve your ideological and professional level.
In the past year, I was able to study the party's principles, lines and policies through newspapers, television and politics, and learn the instructions and rules and regulations of my superiors. Through the study, the level of political theory has been improved, the service attitude has been further corrected, and the enthusiasm of doing a good job and consciously maintaining the good image of the hospital has been enhanced. At the same time, actively participate in business learning and skills training organized by hospitals and departments, and insist on self-learning related business books. By constantly learning new knowledge and renewing my knowledge accumulation, I have improved my professional quality and business ability and adapted to the needs of the continuous development of the medical industry.
With the development and progress of society and the improvement of people's quality of life, patients have higher and higher requirements for nursing quality. In the future work, I will further firmly establish the idea of "serving patients and shaping the image of the hospital", stand on my post, work hard and perform my duties, adding luster to the overall image of community medical staff.
Overview of medical ethics of medical staff 4
20_ year is the first year of the second venture with the main content of "strengthening connotation, improving quality, raising level and striding over steps". Under the correct leadership of the hospital leaders, all medical staff in the endocrinology department of our hospital have firm confidence, passionate entrepreneurship, strengthened connotation and accelerated development. In accordance with the guiding ideology of hospital work in the past 20 years, combined with the actual work in the region, they practiced in accordance with the law and in an honest manner, carried out in-depth nursing quality services, earnestly completed all the nursing work assigned by the nursing department, and successfully completed the work plan at the beginning of the year. Won the title of "the second national advanced nursing group of traditional Chinese medicine", and there were no nursing mistakes and medical accidents in the past year. The work is summarized as follows:
First, political thought:
1. Actively respond to the call of hospital departments, carefully organize and study the spirit and content of hospital work reports in the past 20 years, actively respond to the spirit of hospital party committees to carry out "striving for Excellence" activities, establish awareness of development, responsibility, hardship and overall situation, conscientiously do a good job in the unity and cooperation between departments and employees, actively play the team spirit of departments, and actively participate in various activities organized by hospital departments. Actively strive for "* * party member Pioneer Post" and "Worker Pioneer Post".
2, strengthen the construction of medical ethics of nursing staff, strengthen the study and implementation of the construction of party style and clean government, practice in accordance with the law, practice in a clean manner, vigorously promote advanced models and advanced figures, and actively create a team atmosphere of honesty, unity, harmony and progress. The department has no "small treasury", no illegal and disciplinary phenomena such as accepting "red envelopes" and "kickbacks", and no complaints about service quality.
3. Elaborate the human resource allocation plan, emergency plan and scientific and reasonable flexible scheduling. "People-oriented", humanized management, to ensure the quality and safety of nursing, no mistakes and accidents.
4. Strengthen the education of love and dedication, implement the service concept of "patient-centered, quality-centered", improve the professional ethics and comprehensive quality of nurses, aim at serving the people and contributing to society, take patient satisfaction as the standard, and serve patients wholeheartedly. Many times in the "voice of patients", "satisfaction questionnaire" and "post-hospital management return visit" by patients, received pennants and letters of commendation.
5. The department "Nursing Quality Control Group" was established to encourage nurses to participate in department management through authorization. Each nurse is directly responsible for a department management project, which stimulates the enthusiasm and initiative of nurses.
Second, enhance legal awareness:
1. Seriously organize and study the Regulations on Handling Medical Accidents, the Regulations on Nurses, the Measures for the Management of Hospital Infection and other relevant laws and regulations, and actively participate in various trainings and studies organized by hospitals and nursing departments. Such as hospital awareness knowledge training, occupational protection knowledge training, doctor-patient communication lectures, etc. Improve the legal awareness of each medical staff, enhance the awareness of safety protection, conscientiously implement the nursing grading system, and establish a nurse patrol record sheet.
2, seriously organize to participate in fire knowledge lectures, set up department fire quality controller, organize fire drills and emergency plan evaluation, conscientiously implement the hospital fire control system, check the fire safety hazards in the ward, and ensure the fire safety of departments and hospitals. There were no fire accidents such as fires throughout the year.
Third, strengthen business study and strive to improve the quality of endocrine team.
1, scientifically formulated the learning plan and system of our department, including monthly business study, monthly technical competition, monthly learning experience exchange meeting, weekly morning meeting to ask questions, etc. , with basic theoretical knowledge and professional knowledge as the main content. It creates a strong learning atmosphere and enables civilized members to consciously learn business. And conscientiously do a good job in the registration of credits and assessment results.
2. Strengthen the training and assessment of "three basics" skills, arrange shifts reasonably, and ensure that junior nurses in nursing department can participate in "three basics training". Change the traditional teaching mode, insist on pre-job training for new nurses, complete the monthly teaching target schedule of new nurses, adopt the method of combining teaching with self-study, and be assessed by the teaching teacher. If the score is above 90, pass, otherwise enter the next round of training. This training was given to 1 new comrades in our ward this year, and the effect was good.
Fourth, strengthen nursing quality management, improve nursing quality and service efficiency.
1, strengthen quality control and strictly implement the system. Adhere to the department nursing quality control self-examination twice a month, the head nurse and the department nursing quality controller (including writing, doctor's advice, fees, hospital feeling, first aid, surgery, specialist nursing, ward management, critical care, basic nursing, grading nursing, etc.). ) will carry out quality control. Pdca is applied to the problems existing in quality control, and continuous quality improvement is implemented to improve the level of nursing quality. Feedback the monthly nursing quality control results of nursing department to each nurse in time, and use pdca to implement continuous quality improvement to continuously improve nursing quality.
2. Do a good job in the management of critically ill patients, master the nursing emergency technology, rescue procedures and the use of rescue medical equipment, and improve the success rate of rescue of critically ill patients. Emergency medical devices are managed by special personnel, so as to achieve "four decisions" and "three timeliness", and the intact rate of emergency medical devices reaches 100%. This year, all departments organized "cardiopulmonary resuscitation" and "suffocation" emergency drills once each, and the results were good.
3. Strengthen ward management, make ward environment clean and tidy, and strive to create a clean, tidy, quiet and comfortable hospitalization environment for patients. The head nurse attends the morning meeting every day and comments on the quality of the morning meeting, emphasizing the key points of safe medical care and nursing work that day.
4, adhere to the system of succession, each class to do a good job of bedside succession. The head nurse strengthens clinical supervision, insists on going deep into the ward every day, participates in bedside handover, does a good job of supervision, and promptly handles, coordinates and solves existing or potential problems in clinical nursing management and nursing quality.
5, do a good job in morning and evening nursing, improve the quality of basic nursing. The qualified rate of basic nursing basically reached 100%, and the incidence of pressure ulcers was zero. Implement pressure sore reporting system, fall/fall bed reporting system, and implement pressure sore evaluation system and fall/fall bed evaluation system. Pay attention to the nursing and preventive measures of pressure ulcers, falls and bed falls, and implement the preventive measures of pressure ulcers in traditional Chinese medicine. Standardize the identification and posting of warning signs.
6. Strengthen the quality management of nursing form writing, carefully check, carefully deliver, help and guide young nurses, and strive to improve the quality of nursing medical records, with the qualified rate of nursing writing reaching over 95%.
7, strengthen nursing safety management, nip in the bud, carefully organize nursing safety discussion more than once a month, for the shortcomings and hidden dangers of the department, use pdca to implement continuous quality improvement, carefully summarize and analyze, actively find out the reasons and implement corrective measures to prevent accidents and medical complaints.
Five, give play to the characteristics of traditional Chinese medicine, and actively carry out nursing work with China characteristics.
1. Strengthen the study of cultural knowledge of traditional Chinese medicine and firmly establish the nursing concept of traditional Chinese medicine. Traditional Chinese medicine nursing is an important part of daily nursing work. All the nurses in our department 13 have participated in the "Western Nursing Training Course" of the nursing department of our hospital. Among them, 5 nurses have completed 100 hours of study and successfully obtained the certificate of completion through the examination, and the rest continue to study. The certificate of TCM nursing credits was established, the theoretical knowledge of TCM was regarded as the necessary content of monthly business study in the department, and TCM experts in our department were invited to teach, which organically combined the basic theoretical knowledge with specialist nursing and formed the TCM nursing norms with the characteristics of our hospital. And established the clinical path of single disease nursing in our department.
2. Actively carry out TCM nursing and strive to improve the efficiency of TCM nursing. In nursing work, we have made full use of the specialty of traditional Chinese medicine and combined with modern medical knowledge and methods to form a set of perfect nursing norms and operating procedures of traditional Chinese medicine. Actively use the nursing characteristics of traditional Chinese medicine in specific nursing work. Starting from the admission of new patients, under the guidance of the nursing theory of traditional Chinese medicine, the patients were comprehensively and carefully evaluated by the methods of "looking, smelling, asking and cutting", and the collected clinical data, symptoms and signs were analyzed in the most basic way. Under the premise of establishing their etiology, disease nature and disease location, the advantages of traditional Chinese medicine nursing were brought into play and dialectical nursing was carried out. In the specific nursing operation of traditional Chinese medicine, every nurse is assessed by combining regular and irregular methods, and every nurse is required to master the basic operation of traditional Chinese medicine nursing. In the field of acupuncture rehabilitation, according to the characteristics of patients, we have developed a series of standardized rehabilitation training exercises, such as head and face acupoint massage exercises, bed bridge exercises, sitting and sitting balance training exercises, shoulder and shoulder strap activities and lower limb control ability training exercises, and at the same time carried out scraping, cupping, water injection, massage, Chinese medicine application, Chinese medicine fumigation, foot soaking and other Chinese medicine nursing operations. In the field of endocrine, there are many patients with diabetes and hyperthyroidism. We mainly carried out TCM nursing in the following aspects:
1) In view of diabetic retinopathy, we have carried out "burying beans in ear points", that is, sticking "Vaccaria vaccaria" on the corresponding ear points for regular massage. 2) For diabetic neuropathy, physical therapy such as foot bath with traditional Chinese medicine, supplemented by magic lamp and medium frequency electrotherapy instrument. 3) In view of the vascular diseases of diabetic patients, traditional Chinese medicine is used to protect the vein during intravenous infusion to prevent the occurrence of complications such as phlebitis and relieve the pain of patients.
3. Carry out patient-centered health education, set up diabetes patients' association, and formulate and distribute diabetes health handbook, TCM health prescription and TCM diet prescription with our department's characteristics. Carry out bedside education, make patients familiar with disease prevention, rehabilitation and related medical care, nursing and self-care knowledge through the words and deeds of nurses and the distribution of health education manuals. Throughout the year, * * * organized 12 health talks, with nearly 600 patients attending. Health knowledge column ***24. Participated in free clinic activities ***5 times. 165438+1October 14 "United Nations Diabetes Day" held large-scale free clinic activities and health talks to monitor blood sugar and blood pressure for patients free of charge, and * * * received nearly 500 patients.
Six, actively carry out nursing research and TCM nursing continuing education projects, organize and participate in the whole hospital nursing paper exchange and reading report activities.
A project of the Provincial Administration of Traditional Chinese Medicine is in progress, and a project at the hospital level is being declared. Send three people out for study and training. Two nurses obtained the certificate of primary diabetes teacher issued by the World Health Foundation.
Of course, there are still some shortcomings in our work, such as the business level of the department needs to be further improved; Ward management, first aid awareness and skills need to be further improved, the characteristics of traditional Chinese medicine need to be further developed, and nursing research papers need to be further strengthened. In the future work, our young members of the Department of Endocrinology will make persistent efforts under the leadership of the hospital, by going up one flight of stairs!
Overview of medical ethics of medical staff 5 pages
In recent years, a small number of medical staff have paid more attention to medical skills than medical ethics, and their service awareness is weak. They even accept red envelopes and kickbacks, which has infringed on the image of doctors to a certain extent and aggravated the difficulty of solving the problem of difficult medical treatment for the masses. To solve this problem, we must strengthen the ideological and political work of medical staff and carry out professional ethics education with humanistic spirit as the main content.
At the same time, we should optimize the incentive mechanism of medical staff from the actual environment of market economy and people-oriented.
Incentive mechanism for medical staff is a system and process in which hospital managers design certain incentive measures according to the needs of management objectives to control and guide the behavior of medical staff to develop in a certain direction. It is highly directional. What is the reward? How to reward? Who decides this kind of award?
Only from the local interests of the hospital, or pay more attention to solving the social needs of difficult and expensive medical treatment while considering the interests of the hospital? The answer is different. Looking at the incentive mechanism of a considerable number of hospitals at present, the former is mostly and the latter is very few.
It is true that the basic duty and business work of a hospital is to cure diseases and save lives. It is impossible to run a hospital by a quack with poor medical skills. The development of hospitals also depends on economic benefits, and hospitals with long-term losses cannot survive.
Therefore, it is absolutely necessary to encourage medical staff to study hard, improve their medical skills and increase economic benefits fairly. In fact, this has been widely valued in the incentive mechanism of hospitals at present, and it has also been quantified accordingly. In fact, the optimization we advocate is not to remove these incentive contents, but to increase the content of medical ethics and improve its position and weight in the incentive mechanism.
The content of medical ethics is very extensive. It is not difficult to establish the content of optimized incentives. The key issue is how to achieve fairness and justice.
The realization of fairness and justice needs a set of scientific and just methods. Based on the current practice of some hospitals, it is feasible to implement quantitative assessment plus comprehensive assessment plus public participation. First of all, the energy should be quantified as much as possible to facilitate control.
Secondly, the implementation of medical ethics evaluation system is a fundamental measure to strengthen the construction of professional ethics and work style, an effective means to build a harmonious doctor-patient relationship, correct unhealthy practices in the industry and civilized hospitals, and an important measure to optimize the incentive mechanism. Third, an effective supervision mechanism is two aspects that complement the incentive mechanism. There should be supervision not only by hospital leaders and employees, but also by the public and the media.
To form a purposeful, planned and organized atmosphere of medical ethics propaganda and supervision, praise advanced and criticize bad behaviors, which plays an important and positive guiding role. Hospital leaders should discover the good deeds of medical staff in time and report them in the media. Criticism of the media, as long as the facts exist, should be welcomed, actively cooperate with the rectification, and take it as an important basis for the implementation of the assessment system to ensure the survival and development of the hospital and the establishment of a harmonious doctor-patient relationship.
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