Summary of internal medicine work 1 20xx years, under the management of hospitals and departments, a department successfully completed its annual work tasks and achieved good results. The work is summarized as follows:
1 Completion of work objectives:
1) The total business income (running water) was 3.32 million, an increase of 700,000 over the previous year;
2) 920 inpatients throughout the year; An increase of 44 person-times over the previous year;
Hospitalized diseases: 658 cases of ischemic cerebrovascular disease, 60 cases of dizziness, 60 cases of other nervous system diseases (epilepsy, headache, myasthenia, neurosis, etc. ), subarachnoid hemorrhage in 7 cases, cerebral hemorrhage in 37 cases, organophosphorus poisoning 15 cases, upper gastrointestinal bleeding in 8 cases, and gastrointestinal diseases in 75 cases, among which ischemic cerebrovascular disease accounts for 78% of the total number of inpatients, hemorrhagic cerebrovascular disease accounts for 4.5% of the total number of inpatients, and others.
2. Department management and discipline construction:
1) carry out standardized treatment of cerebrovascular diseases;
The first department mainly treats cerebrovascular diseases, with single disease type, strong professionalism and fierce competition in the medical market. In order to maintain the advanced nature of the subject, our department, according to the domestic and foreign guidelines on cerebrovascular diseases, combined with the economic and cultural characteristics of patients in our hospital, makes full use of our medical resources and formulates the routine of diagnosis and treatment of cerebrovascular diseases in our department, so as to standardize the treatment of cerebrovascular diseases and make patients get reasonable and effective treatment. Through the implementation of routine diagnosis and treatment, the professional level of the department has been improved and higher economic benefits have been obtained reasonably. While ensuring medical safety.
Through reasonable and effective treatment, the rate of repeated hospitalization has obviously increased, and the department has a certain patient group and a certain popularity. This year's economic goal was achieved with fewer patients. There are no medical disputes throughout the year to ensure medical safety.
2) Expand the subjects of diagnosis and treatment, and improve the professional level of departments;
This year, we treated many complicated cases in neurology, such as multiple sclerosis myelopathy, encephalitis and psychological disorders. In particular, a patient with ankylosing syndrome diagnosed in our department failed to make correct diagnosis and treatment in several tertiary hospitals. After the diagnosis and treatment in our department, the symptoms improved, and finally the reexamination in Beijing confirmed our correct diagnosis. Another case of Guillain-Barre syndrome and myasthenia gravis was not diagnosed in many tertiary hospitals in other places, but was diagnosed by professional examination in our department. Many cases of psychological disorders have been treated as organic diseases in hospitals at all levels for many years, but they can't be alleviated after spending a lot of medical expenses. After the correct diagnosis and treatment in our department, they recovered their ability to live and work in a short time. In addition, many stroke patients who are not satisfied with their diagnosis and treatment in other cities and counties have made a special trip to visit or be hospitalized, and all have achieved satisfactory results. The outpatient department has carried out professional diagnosis and treatment of headache, epilepsy, facial paralysis, Parkinson's disease and neurosis, which has improved the professional level of the department, expanded the professional influence and attracted some patients from other counties to see a doctor. At the same time, such patients who often need to go to tertiary hospitals can get timely and convenient diagnosis and treatment in our hospital.
3) Early rehabilitation and interventional therapy for cerebrovascular diseases;
This year, the early rehabilitation intervention of cerebrovascular disease was strengthened, and the early rehabilitation intervention was carried out by using exercise therapy, muscle rehabilitation instrument, acupuncture, good posture placement and other rehabilitation means, which effectively promoted the recovery of paralysis, especially effectively prevented the occurrence of deep venous thrombosis of lower limbs and limb disuse, and improved the rehabilitation level of cerebrovascular disease. The development of rehabilitation specialty has increased the treatment items of cerebrovascular patients, improved the satisfaction of patients and formed certain professional characteristics.
4) extensive health education:
Health education is widely carried out in clinics and wards, especially popular science propaganda on cerebrovascular diseases, hypertension, diabetes and psychological disorders, which promotes the communication between doctors and patients, improves the doctor-patient relationship and enhances the trust of patients.
5) Treatment of difficult and critical cases:
Many patients with severe cerebral hemorrhage, massive cerebral infarction and cerebellar infarction who refused to be treated by surgery were all successful after conservative treatment in internal medicine. Many critical cases such as multiple organ failure and severe organophosphorus poisoning were successfully rescued.
3 department marketing:
In our daily work, we emphasize treating every patient well to the maximum extent, selling departments and every medical treatment to patients, and obtaining patients' satisfaction to expand publicity. Give special care to patients sent by rural doctors and strengthen the relationship with rural doctors. Carry out telephone follow-up work and strengthen contact with patients. Through these measures, the source of patients has been expanded. Through careful diagnosis and treatment of patients and in-depth communication, the department has a certain patient group in the local area, and repeated hospitalization and hospitalization through old patients have gradually become the mainstream of patient sources.
4 advanced deeds:
General practitioners unite and support each other, and work hard to achieve this year's work goals. Especially when there are few people and busy work, doctors take care of each other. Doctors work around the clock to overcome personal difficulties and successfully complete various medical work without complaint in the case of staff reduction in departments, ensuring medical safety.
Attending doctors are active, enthusiastic, active, have in-depth communication between doctors and patients, often work overtime, actively support and care for the work of departments, and play a key role.
Nurses work actively and take an active part in various political activities in the hospital. When the post of head nurse is vacant, they take the initiative to undertake nursing organization work, coordinate the relationship between doctors and patients, and find problems in time many times to avoid mistakes.
5 There are problems:
1) single disease, insufficient source of patients, low hospitalization indications and low bed utilization rate;
2) Patients in our hospital have poor competition, and the patients in this major have the most shunt, especially patients with cerebral hemorrhage. In addition, the cadre ward also diverted patients with chronic cerebrovascular disease to a certain extent.
3) The quality of medical nursing specialty does not match the professional development goal, and the nursing work lags behind, which seriously restricts the professional development.
4) The doctor in charge has been away from the patients for a long time after work (outside the county), so it is impossible to guarantee daily rounds, and patient management is not in place.
6 20xx work plan:
1) business income increased by 20% on the basis of this year; Further expand economic income.
2) Inpatients will increase by 20% on the basis of this year, so as to improve the utilization rate of beds;
3) Strengthen the construction of brain specialty, improve the professional level and level,
(1) Carry out routine thrombolytic therapy for ischemic cerebrovascular disease and minimally invasive treatment for cerebral hemorrhage to improve the treatment level of cerebrovascular disease;
(2) Initially develop the stroke unit treatment mode, treat cerebrovascular diseases in a multidisciplinary way, integrate rescue, treatment and rehabilitation, and carry out seamless treatment of cerebrovascular diseases to form professional characteristics. To further improve the professional level of cerebrovascular disease treatment in our hospital.
(3) Carry out intensive care treatment of cerebrovascular diseases, improve the utilization rate of ICU wards, and improve the success rate of treatment of patients with critical cerebrovascular diseases.
(4) Set up specialized clinics for headache, epilepsy, Parkinson's disease, psychological disorder and stroke consultation, further expand the scope of professional treatment and improve the professional level of departments. Expand the source of patients.
(5) Explore the application of clinical pathway model in single disease treatment.
The year of 20xx is coming, and all the staff in our department are full of confidence in the work objectives of the new year and will meet the challenges of the new year with full enthusiasm.
Underwear department
20xx.xx. 15
I'm just an ordinary nurse in the affiliated hospital of medical college. During my four years working in the hospital, I was moved by those eyes that longed for life but suffered every day. I want to do a lot for them, not only to cure their physical diseases with my professional skills, but also to give them hope and feel the warmth of life through the care we provide, such as a comfortable hospital bed, a bowl of delicious food and a hospital.
In our work, there are no gorgeous costumes and gorgeous language, only our sincere warm smile, ordinary work, ordinary language and ordinary actions. This is the interpretation of nursing work, but it is these ordinary things that have made our life brilliant. In ordinary work, we use smiles to soothe patients' sad hearts. In ordinary posts, we bring hope to patients with angelic love.
In my nursing experience, there is a very special patient who has no ideology. When he opens his eyes, he only tries to moan and groan. He will become quiet after eating and drinking enough. He is often called a vegetable. During the months in hospital, he spent more time with us. He happened to know that May 24th was his 30th birthday, and we wanted him to feel this special day. Colorful, but from now on, in his world, I can't see others' concern for him, hear others' blessings and feel others' love for him. Such a day may accompany him all his life. On the morning of May 24th, we carefully finished life care for him, put on brand-new clothes, sent exquisite flowers, lit 30 birthday candles and made a long-lost birthday song for him. Our hearts trembled and moved, and everyone was in tears. Perhaps this contains more of our expectations for him at this time, and the medical staff, patients and their families in the whole hospital building are silently praying for him! My heart is full of admiration and cherish for life! We should be grateful for our health, bless those who are still struggling with the disease in hospital beds, and hope that they will recover soon and be healthy and happy!
The beauty of an angel in mythology lies in her holiness and kindness, and the beauty of angels in white lies in her warmth and smile. Angels are not in distant heaven, but in a world full of diseases, right next to patients. We have this angelic love, which is nobler than angels. Maybe angels are really on the other side of the sky, the sea, the time and space, the soul, and our love is still on the other side of life. All we can do is. We use every drop of love to soothe every sick heart, hoping that in the days with us, they can have the best things in life: health, happiness and happiness!
Summary of internal medicine work for 3 20xx years is a gratifying year, a harvest year and a vigorous year! Tanghe county People's Hospital, under the correct leadership of hospital leaders and with the joint efforts of all medical staff, has gradually standardized its management system, further improved its working procedures, meticulously promoted its academic research and steadily broadened its business field. The staff of each department are conscientious in their respective posts, which makes the hospital as a whole show a good development trend of gradual and healthy progress!
Thanks to the trust of hospital leaders and nursing department in my work, I was entrusted with the important task of head nurse in the second ward of neurology. With the help of all the leaders and colleagues, I quickly entered the role and devoted myself to my work. In order to make the work detailed, practical and practical, I further observed every member of the nursing team in our department, explored their temper and personality, grasped the advantages and disadvantages of their work, made targeted work plans according to their different characteristics, and achieved the scheduled work goals in an orderly manner. However, because I haven't been a head nurse for a long time, and I am a young man with special lack of work experience, I realize that if I want to do a good job, I must try my best to care for everyone in my life, be close to every heart in my mind, and resolve every possible stumbling block in my work. I don't play with fake condoms, and I don't play with immediate interests. I am strict with myself, lead by example, drive general nurses, improve myself ideologically and forge myself professionally.
Through one year's work practice, I have a deeper understanding of the responsibilities of a head nurse. I will work harder to bring this nursing team, assist the work of various departments, successfully complete the nursing task, communicate with doctors in various departments and master the situation of each patient in detail, so as to better complete the nursing task, better serve the patients and establish a brand for the hospital! Since 20xx, a "quality nursing service demonstration project" has been established in the whole city, which has changed the original functional division of clinical nursing, implemented the overall nursing responsibility system, and ensured the bed to nursing. Bedside nurses evaluate each patient's self-care ability, provide personalized nursing services on the basis of * * * *, wash their hair and feet, and bring them closer together, so that patients can feel the warmth of home. Group and partition, relatively fixed nurses to manage patients, clear the responsibilities of each class: emphasize the participation of all staff in basic nursing work "-self-care patients."
Since the implementation of quality nursing service in our department, initial results have been achieved. It has been well received by hospital leaders, all walks of life and patients, and the patient satisfaction has been significantly improved. Not only patients who have been hospitalized in our department will choose to stay in six departments when they are hospitalized again, but also introduce relatives and friends to stay in our department when they are sick. The Ministry has established a fixed source network for one year, and this network is still expanding. These are inseparable from the hard work of doctors and nurses in the department. In the past 20xx years, our department has treated 1 106 cases, 73 cases of surgical patients and 1 18 cases of critically ill patients, and successfully completed this year's work tasks. Of course, there are still some shortcomings in the work, such as the low quality of individual nurses, the weak concept of sterility, and the inadequate management of wards. Due to the lack of nursing staff, basic nursing is not in place, such as first-class nursing patients can not get first-class nursing services. High-quality nursing service is still in the exploratory stage, and the writing of nursing documents is not standardized and the connotation is poor. In the future, we will redouble our efforts to do better quality nursing work.
We know that the development and progress of the hospital can not be separated from a united leading group, the concerted efforts of Qi Xin, the medical staff, and the unremitting pursuit of this cause! There is a dream in the heart, and there is a direction for action. In the new year's work, I will further clarify my work goals: to be a good instructor in thought, to be a good counselor in business, to study hard and work hard, and to strive to make the professional level of nursing staff in the whole hospital go up a step, so that every nursing staff can realize their own value in their own jobs and lay a solid foundation for our hospital to achieve greater and stronger development goals!
I will try my best to do the following work in 20xx:
1, strictly abide by the rules and regulations of the hospital, be strict with yourself, set an example, approach everyone with your heart, infect everyone with your personality, and strive to build a more cohesive nursing team;
2. Actively participate in the rescue and nursing of critically ill patients in our hospital;
3, dress as required, clean and tidy.
4, in strict accordance with the requirements of nursing staff's code of conduct, patient-centered, to achieve: thoughtful service, kind attitude, civilized language, to achieve four hearts, two satisfaction, four things (careful treatment, careful care, family members rest assured, patients rest assured; Patient satisfaction and leadership satisfaction; The same day and night, the same leader and absence, the same check and no check), patients' satisfaction with nurses is above 95%.
5, cooperate with each other, actively cooperate with the work of various departments, and successfully complete various nursing tasks;
6, constantly improve their own quality, and in a planned and targeted way to all nursing staff for business learning, regular assessment, and keep records.
I will redouble my efforts in next year's work, and we are confident and capable of doing all kinds of nursing work better.
Summary of Internal Medicine Work The work in Chapter IV is summarized as follows:
First, seriously implement the rules and regulations. Strict implementation of various rules and regulations is the fundamental guarantee to improve nursing quality and ensure medical safety.
1, the nursing department reiterated the responsibilities of nursing staff at all levels, clarified the post responsibility system and nursing work system for nurses on duty and visiting nurses, and put an end to the bad phenomenon of patients changing infusion bottles and pulling needles by themselves.
2, adhere to the inspection system:
(1) asked the class to check the doctor's advice, and the head nurse attended the total check 1-2 times a week and recorded it.
(2) Nursing operation requires three checks and seven pairs; .
(3) Insist on filling in the infusion card, and no major nursing mistakes have occurred in the past year.
3, conscientiously implement the respiratory medicine nursing routine and microsurgery nursing routine, adhere to fill in all kinds of information and data register, equipped with five kinds of surgical disposal tray.
4, adhere to the bedside shift system and morning care, to prevent the occurrence of complications.
Second, improve the management level of head nurses.
1. Adhere to the record and assessment of the head nurse's handbook: require the head nurse's handbook to be submitted to the nursing department for assessment before the 5th day of each month, and supervise the implementation according to the annual plan, seasonal arrangement and monthly plan formulated by the head nurse, and monitor the implementation effect, and require the head nurse to summarize the monthly work so as to sum up experience and carry out the work.
2. Adhere to the regular meeting system of head nurses: according to the requirements of grade hospitals, hold a regular meeting of head nurses once a week, with the contents as follows: arrange the focus of this week's work, summarize the advantages and disadvantages of last week's work, put forward corresponding rectification measures, feed back the nursing quality control inspection to the head nurses, and learn the relevant materials of head nurses' management.
3, check the quality of nursing every month, and timely feedback, and constantly improve the management level of the head nurse.
4. Organize head nurses to study abroad, learn from the advanced experience of brother units, and expand their knowledge: at the end of May, head nurses from three wards were selected to participate in the new international nursing progress class, and reported to all nurses after the study.
Third, strengthen the construction of medical ethics of nursing staff.
1, continue to carry out the code of conduct for nurses, and carry out 50 civilized expressions for nurses in daily work.
2. Organize all nurses to attend xx etiquette training in June and 165438+ 10 respectively.
3. Continue to carry out health education and distribute satisfaction questionnaires to inpatients. The results of satisfaction surveys (regular or irregular evaluations) are all above 95%. In addition, corrective measures were put forward for the problems existing in the satisfaction survey, and the best nurses were selected.
4, the department held a symposium on a regular basis every month, solicit opinions from patients, to meet the demands of patients to the maximum extent.
5. Carry out pre-job professional ethics education, rules and regulations, nurse code of conduct education and basic nursing knowledge, specialist knowledge and nursing technology operation assessment for newly assigned nurses, and those who pass the examination will be given posts.
Fourth, improve the professional quality of nursing staff.
1. Conduct "three basics" training for on-the-job personnel and organize theoretical examinations.
2, cooperate with the medical department, hire experts to teach, teach respiratory medicine knowledge, in order to improve professional knowledge.
3. Each department asks questions 1-2 times a week in the morning, and the content is basic theoretical knowledge and orthopedic knowledge.
4. Women's Day held a nursing technical operation competition (aseptic operation), and the first prize (xx), the second prize (xx, xx) and the third prize (xx) were selected and rewarded respectively.
5.6.5438+the beginning of February, the nursing department carried out nursing technical operation assessment on nurses in the whole hospital: ward nurses' assessment: intravenous infusion and oxygen inhalation; Examination of nurses in emergency room: cardiopulmonary resuscitation, oxygen inhalation and gastric lavage; Examination of nurses in operating room: intravenous infusion and aseptic operation.
6, strengthen the nursing of critically ill patients, adhere to the bedside succession system and morning care.
7. Insist on nursing rounds: conduct nursing rounds in three wards in turn every month to discuss nursing diagnosis and nursing measures to improve professional quality.
8.165438+1October 9-June, 9 nurses who entered the hospital this year were given pre-job training on basic nursing and specialized nursing knowledge, and each head nurse was organized to have a class to improve their teaching ability.
9. There are 5 nurses in the whole hospital who take the self-taught examination for nursing specialty and 3 nurses who take the correspondence course for nursing specialty.
Five, strengthen the management of hospital infection.
1, strictly implement the disinfection and isolation system formulated by the hospital management leading group.
2. Each department insists on monthly air culture in the ward treatment room and dressing room, and secondary air culture in summer in high-risk departments such as operating room and outpatient operating room, which ensures the good effect of aseptic incision without infection.
3. The department insists on ultraviolet disinfection of the treatment room and locker room every month, and make records. The ultraviolet lamp tube is dusted with anhydrous alcohol every week, and recorded, and the ultraviolet intensity is monitored every two months.
4. After the disposable articles are used, all wards, operating rooms and emergency rooms can be damaged, soaked, concentrated and inspected regularly. Regularly detect and check the concentration of various disinfectants, and insist on one bed, one middle school, one morning and one wet sweep.
5. The treatment room and dressing room in each ward can insist on mopping the floor with disinfectant (1: 400 disinfectant) twice a day, and regularly mop the floor with disinfectant (1: 400 disinfectant) in the ward for final disinfection (clean the bedside table and wipe it with disinfectant).
6, operating room, strict implementation of hospital dyeing management requirements, aseptic package with chemical indicators.
7. The supply room has established a disinfection project monitoring record book, and regularly monitors each disinfection project.
Six, nursing staff to better complete the nursing work.
1, adhere to the patient-centered, quality-centered, and provide quality services for patients, and carry out patient-centered health education in depth. Through the distribution of health education manuals and the words and deeds of nurses, patients are familiar with the knowledge of disease prevention, rehabilitation and related medical care, nursing and self-care.
In February and August, the holistic nursing mode was carried out in the third ward. Nurses in the third ward not only teach patients knowledge of disease prevention and rehabilitation, but also go deep into the ward to talk with patients.
3. 2357 cases were hospitalized, 25 cases were observed/kloc-0, and 2380 cases were operated in operating room. Emergency nurses provide full service for emergency patients, including escorting patients to take photos, doing B-ultrasound, doing electrocardiogram, accompanying patients to go through admission procedures, and sending them to the operating room. There are fixed nurses on duty and visiting nurses in all three wards, so that patients can get thoughtful service.
4. The nursing staff of the whole hospital wrote 30 nursing papers, one of which participated in the xx national academic exchange of respiratory medicine nursing.
Seven. existing problems
1, the quality of individual nurses is not high, and the concept of sterility is not strong.
2. Holistic nursing is still in the exploratory stage, and nursing writing is not standardized.
3, due to the shortage of nursing staff, basic nursing is not in place, such as first-class nursing patients can not get the service of first-class nurses, second only to daily work.