Summary of nursing work in general surgery: In order to reflect the feeling that the hospital is home, I have established the service tenet of "patient-centered, patient satisfaction as the core and patient demand as the goal" in the department.
Starting from me, practicing, and then subordinate nurses should first give humanistic care to patients, think about problems from the needs of patients, and establish the concept of caring for and respecting people. Secondly, use warm, cordial and warm words to understand and sympathize with patients' pain, make patients feel cordial and natural, and introduce the hospital environment, various rules and regulations, patients' rights and obligations in the form of hospitalization instructions. Strengthen communication with patients, explain the occurrence and development process of diseases in a simple way, introduce the purpose of each examination and the matters needing attention in doctor's advice in detail, carefully observe the changes of the condition, cooperate with doctors to rescue critically ill patients, grasp the psychological state of patients, formulate humanized and personalized nursing measures, evaluate the nursing effect in time, let patients participate in treatment and nursing, eliminate tension and anxiety, and make patients feel safe and satisfied. Thirdly, from the list of patients' sensitive days, the charging items and standards are explained in detail, so that patients can clearly understand the consumption.
As long as we persist in taking patients as the center, taking patients' satisfaction as the core, taking patients' needs as the goal, and providing high-quality personalized services, the economic and social benefits of the department can achieve double harvest. Satisfying patients is the core of hospital work. The improvement of patients' satisfaction is essentially to establish a sincere relationship between patients and hospitals. Only when patients are satisfied can patients become loyal customers of the hospital. Over the past year, nurses have given sincere smiles to patients, and patients have left favorable comments to departments and medical ethics offices. Although the bonus in our hospital is not high, our nursing service is really the best. We have been diligent and conscientious, practicing angels in white's oath in ordinary posts, and handing over a satisfactory answer sheet to patients with high-quality nursing service. In one year, the hospital treated 1650 people, 354 more than last year. The annual income was * * 65,438+06,565,438+0,874 yuan, 420,000 yuan more than last year, and the patient satisfaction was adjusted by 99.8%. Praise 136 person-times, return 12 person-times, totaling 8,000 yuan, with zero complaints throughout the year. This is a breakthrough, this is a leap, this is the result of the concerted efforts of 22 people in our obstetrics and gynecology department, Qi Xin, and the crystallization of our efforts and sweat over the past year, which is worthy of our pride and obvious to all.
In order to ensure nursing safety, I constantly strengthen safety awareness education in daily nursing work, remind unsafe factors in work in time, and put forward rectification measures. Taking the nursing errors in and out of the hospital as an example, organize discussions and learn lessons, so that nurses can fully understand the new situation and new characteristics of nursing error factors, learn lessons from them, and let the safety alarm ring constantly.
1. Strengthen the system and responsibility education, reaffirm the responsibilities of nurses at all levels, and clarify the post responsibility system and nursing work system: for example, microcomputer nurses try their best to eliminate patients' doubts about fees, and roving nurses try their best to eliminate patients from changing infusion bottles and getting rid of needles.
2. Strengthen teaching safety management.
For the management of key employees such as intern nurses, rotating nurses and new nurses, it is necessary to carry out legal awareness education to improve their awareness and ability to resist risks, so that they can clearly care for patients only under the guidance or supervision of teaching teachers. At the same time, qualified nurses with clinical experience and strong sense of responsibility are employed as teaching teachers to cultivate students' communication skills and clinical operation skills.
3. Strengthen management in critical period.
Adhere to the bedside morning, noon and night shift system, strengthen the management of night shift, afternoon shift, holiday shift and other key periods, and take the management of key patients such as intensive care unit patients and critically ill patients in general wards as the discussion focus of morning meeting and succession shift, evaluate the existing and potential risks of patients, and achieve * * * knowledge, which will attract the attention of each class.
4, adhere to the inspection system
(1) Please ask the doctor's advice class BANCHA to check the doctor's advice and record it at noon every day;
(2) Nursing operation requires three checks and seven pairs;
(3) Implement the infusion card review process;
(4) Assist in checking the implementation of the double-check signature system;
(5) signature system for daily, night and discharge inspection.
(6) Check and maintain the signature system of various medical and nursing devices;
(7) Check the signature system of first-aid equipment and medicines;
(8) Daily inspection and replacement of isolation and disinfection signature system;
(9) Daily check and signature system for long-term medication;
(10) Medical waste destruction, classification and recovery registration and verification system;
(1 1) Check nursing documents and records every week, conscientiously implement the cross principle in nursing records, that is, "objectivity, truthfulness, accuracy, timeliness and completeness", and avoid irregular writing, such as missing words, unclear alteration, and inconsistency with doctors' records. It should not only reflect the comprehensive nursing problem record, but also reflect the particularity of specialist symptoms.
5. Improve the nursing risk plan.
Pay attention to the cultivation of nurses' emergency ability in daily work: improve the on-site rescue ability of emergency patients, common sense of fire prevention and fire fighting and emergency plan. Improve the nursing emergency risk plan, make a retrospective evaluation of each emergency work, draw lessons from it, improve the nurses' ability to respond and deal with emergencies, and ensure the normal daily work.
Open source and reduce expenditure to improve economic benefits;
1. Increase income: master all kinds of charging standards, make full use of charging policies, take back the collected money one by one, carry out more nursing services, strengthen dunning efforts, and avoid the phenomenon of patients' arrears.
2. Cost saving: minimize the waste of water and electricity, disposable materials and medicines, pay special attention to the repair and maintenance of medical equipment in the department, ensure normal operation, and create maximum economic benefits for the department.
The above are the achievements and achievements that my department and I have made in the past year. "Without enough money, no one is perfect" has many shortcomings and deficiencies. Achievements can only represent the past, and we have to face the future work. Looking back, we have come all the way, full of hardships and joy; Looking ahead, we have a long way to go and are full of hope. I believe that under the guidance of President xxx of our hospital, with the sincere cooperation of all members of our hospital and the close cooperation of our brother departments, our hospital will definitely overcome every problem and every difficulty. I will lead our department to do better, go further and get more benefits. At the same time, we should overcome our own shortcomings and deficiencies, strengthen management internally, shape our image externally, and make greater achievements in nursing quality, professional ethics and medical ethics.
Summary of nursing work in general surgery: Looking back on the nursing work in neurosurgery in the past year, it is mainly manifested in the following aspects:
I. Ideological and political aspects
1, actively participate in various activities and temporary mandatory tasks organized by the hospital. In the activities of studying the concept of scientific practice development, we should work hard, deeply understand and accurately grasp the profound connotation and spiritual essence of the concept of scientific practice development, closely link with the actual situation of the department, deeply think about the areas that need to be improved and innovated in the current work, and turn doing good things for patients into conscious actions; Teach nursing staff to love their posts and be dedicated in their future work, starting from the patient, thinking for the patient and serving the patient. Cherish the good working environment, study hard and work hard.
2. Carefully and actively prepare for the inspection of "patient-centered" medical safety and "demonstration hospital for the people", and put the guiding ideology and core of this activity through every link of nursing activities. In nursing work, by constantly improving the political quality and professional quality of nursing staff, we can do a good job in nursing quality management and improve service.
3. Elected as an excellent nurse in Henan Province. He won the first prize and the third prize in the Nursing Science and Technology Innovation Competition of Henan Provincial People's Hospital.
Second, the business work
1. Up to 20xx1October 30th, a total of 873 patients165438 * * were admitted, including 59 emergency patients/kloc-0, 603 operations, 79 tracheotomy patients and 35 critical patients. These include brain stem tumor, acoustic neuroma, cerebral aneurysm, spinal canal tumor, hemifacial spasm and so on.
2. The qualified rate of each nursing quality index in ward is 100%. However, there are still some problems that need to be improved: the basic nursing of patients needs to be strengthened; There are too many accompanying staff in ward management; Staff's awareness of active service is not good, and their service attitude needs to be further improved. Organize general practitioners to analyze the problems found and put forward improvement measures. Through tracking and monitoring, we hope to solve these problems fundamentally.
3. In terms of new nursing business, subclavian vein catheterization was carried out in the second half of this year, and as of 20xx165438+1October 30 * * * 10.
4. Due to the establishment of universal health insurance and cooperative hospitals, the number of patients has increased sharply, and the number of emergency patients has increased sharply, often in an extra bed state. At present, the ratio of nurses 16 and beds: nursing = 1: 0.4 is far from the neurosurgery beds: nursing = 1: 0.6 required by the health department. There is still a certain gap, there are many critically ill patients, and nursing work is still difficult to carry out.
Summary of general surgery nursing work Fan Wensan: Reviewing the nursing work of neurosurgery in the past year, it is mainly manifested in the following aspects:
First, the continuing education of nurses
1, organize a small lecture every week by using morning meeting class and bedside class for critically ill patients in the department; The department organizes business study once a month, and the old experts and doctors with doctoral degrees explain the professional knowledge of neurosurgery, so as to cultivate the ability of nursing staff to observe, analyze, handle and express problems.
2, organize personnel to participate in business lectures held by the nursing department on time.
3. In order to better use monitors, micropumps, blood glucose meters and other instruments, organize and invite relevant manufacturers to explain the correct use methods and precautions, so that everyone can often learn and update their knowledge.
4. Organize a nursing technical operation examination once a month, with scores above 93. Organize department nurses to take a professional theoretical knowledge examination every quarter, with an average score of 95 points.
5. Five people went out to attend provincial conferences throughout the year and went to xuanwu hospital for neurosurgery treatment 1 person.
6. At present, there are 6 nurses in our department 10, 6 with bachelor degree and 3 with junior college degree10 (among them, 3 are studying undergraduate nursing).
Second, nursing teaching
Throughout the year, * * * received nursing interns 1 person and 50 nursing interns in the whole province. Three nursing interns.
Third, the writing of nursing academic papers
Four nursing academic papers were written by ward nurses throughout the year. Nursing staff went out to attend provincial conferences 5 times throughout the year.
Four, the new nursing business:
Subclavian vein catheterization will be carried out in the second half of this year.