Experience selection of hospital laboratory 1
Four years of college life is over. On October 25th, 20__ _165438+/kloc-0, I came to the laboratory of the First People's Hospital. Conversely, I worked in microbiology, biochemistry, immunology and clinical laboratories for 4 months.
The first department to enter is the microbiology room. First of all, we should master the basic knowledge of biological safety, the collection, transportation, preservation and treatment of clinical microbial specimens, and the treatment process of medical waste. Then, with the help of the teacher, learn the common bacterial staining methods, the preparation of common culture media, the related technologies of hospital infection, the culture of tuberculosis, the culture of fungi, and the microscopic examination of acid-fast bacilli.
The second department we entered was the biochemical room. First of all, master the collection requirements and influencing factors of clinical chemical test samples, the pre-test treatment of samples, and the biosafety related knowledge of chemical test group. Unlike the microbiology team, the work here is basically an assembly line, which requires you to be very familiar with the instruments. Be very careful when operating. Learn the detection and clinical application of routine chemical items (liver function, renal function, electrolyte, blood lipid and myocardial enzyme), the operation and principle of biochemical analyzer and chemiluminescence analyzer with the help of teachers.
The third department to enter is the immunization room. Unlike the biochemical group, immunization requires a lot of manual operation. Because of many things, microscopic experiments will miss thousands of miles. Therefore, we must be extra careful when operating. With the help of the teacher, we learned the enzyme-linked immunosorbent assay for hepatitis B, Treponema pallidum, TORCH experiment, schistosomiasis related examination, autoimmune disease examination and so on.
The fourth department to enter is the laboratory. Clinical examination room is divided into body fluid room and outpatient room. Different from other departments, the laboratory needs to face a large number of patients and communicate with patients from time to time. Patience is also important. In the body fluid room, with the help of my teacher, I learned urine slagging test, stool routine test, stool occult blood test, rotavirus test, leucorrhea routine test and so on. Learn how to draw blood in the clinic. With the help of the teacher, I learned four tests: blood routine, white blood cell classification and counting, erythrocyte sedimentation rate and coagulation.
Although the internship is only over 4 months, I have learned a lot about clinical laboratory work, gained a new understanding of this major and my future, and laid a solid foundation for further stepping into the society in the future.
Working experience in hospital laboratory II
In the first half of 20 years, with the strong support of hospital leaders and our continuous efforts, we constantly added new inspection items to meet the needs of clinical diagnosis and brought economic benefits to the hospital. More importantly, we have improved the quality of testing, increased the reliability of testing results, and implemented the concept of "taking patients as the center and improving service ability" in hospitals.
With the strong support and cooperation of all the comrades in the department, we studied hard, worked actively, changed the management concept, conscientiously implemented the responsibility system at the hospital and the department level, led the comrades to carry forward the spirit of hard work, pioneering and innovative, and forge ahead, and closely cooperated with the hospital work, and achieved certain results in the work, as follows:
First, strive to complete various economic indicators. In the first half of the year, * * * completed economic tasks of more than 2.46 million yuan, checked 37,500 person-times, and earned about 280,000 yuan from blood transfusion. The total laboratory income (including blood bank income) in the first half of the year was about 2.7 million yuan. An increase of 30% over the same period last year;
Second, the service attitude towards patients has improved significantly. The average outpatient service in our department receives 100 person-times every day, and the work is complicated and meticulous. Everyone strictly implements the check system, including patient information, outpatient invoice number, blood drawing precautions, etc. , patiently explain the patient's various reports, and strictly control the quality before analysis. The patient is satisfied with our performance.
Third, labor discipline has improved significantly. Generally, you arrive at work five minutes in advance, and there will be a little delay after work. Even if you meet a patient who is late, you should complete the handover procedure before work and change the bad habit of being late and leaving early.
Fourth, pay attention to inspection quality and ensure the accuracy of inspection results. Standardized the indoor quality control of the laboratory, insisted on doing it every day, actively participated in the outdoor quality evaluation activities of the Shandong Provincial Laboratory Center, and performed tests on coagulation, immunity, biochemistry, blood and urine. Excellent results have been achieved in the evaluation of five projects, which fully shows the accuracy and comparability of the test results of our experimental projects between laboratories.
Five, actively carry out hospital sense monitoring. Since February, all clinical departments in the hospital have sampled and monitored air, objects, hands of medical staff, disinfectants and sterile articles every month, and strictly carried out aseptic operation to ensure that the culture results of each monitored sample are true and effective, including 48 air samples, with a qualified rate of 89%;
Six, vigorously promote component blood transfusion, to ensure the safety of clinical blood use. In the first half of the year, the blood transfusion department used whole blood 1200ml, 600U of suspended red blood cells, more than 60,000 ml of fresh frozen plasma and platelets 10. At the same time, the operating procedures of pre-transfusion examination, irregular antibody screening, blood type identification and cross matching were strictly implemented, and the indications for blood transfusion were strictly implemented. There were no accidents and medical disputes caused by blood transfusion.
Seven, the establishment and implementation of emergency inspection system and critical value reporting system. Timely notification, timely report and timely communication provide strong evidence for the clinical diagnosis of patients and win time for diagnosis and treatment.
In short, although our department has made some achievements in the first half of the year, there are still some unsatisfactory aspects in the department's labor discipline, system construction, cost control and personnel inspection. In the second half of the year, we will strive to improve, learn from each other's strengths, always take "patient-centered" as the core and motivation of our work, always take "improving the quality of inspection services" as our lifeline, and complete the second half of the year with more vigorous energy and full enthusiasm.
Working experience in hospital laboratory 3
In _ _ _ _, under the correct leadership of hospital leaders and directors, and with the help of colleagues, we in Qi Xin worked together around the hospital center and combined with the working characteristics of departments to establish a high degree of professionalism and sense of responsibility. We were proactive in our work, seeking truth from facts, working hard, constantly improving the quality of medical care, ensuring medical safety and improving the quality of general medical care, and were able to actively cooperate with the director to do a good job in clinical laboratory. Some achievements have been made, but there are also some problems. The summary is as follows:
I. Ideological and political aspects
Actively demand progress, earnestly study the party's principles and policies, establish and adhere to the correct world outlook, outlook on life and values, and actively participate in various political activities and business studies in the hospital. Adhere to the combination of political theory study and business study, improve ideological understanding and service skills, firmly establish a sense of service and overall situation, and be brave in practice and innovation. Establish the idea of serving the people wholeheartedly, think about what patients think, be anxious about what patients are anxious about, focus on the overall situation of our hospital's reform and development, and conscientiously complete all tasks assigned by the hospital. Be decent, don't make irresponsible remarks about others, don't snitch, and don't judge the decisions of superiors. Take care of the overall situation, get along well with colleagues, and care for and help each other at work and in life.
I actively responded to the party's call. When people in need in some areas asked for help, although the salary was not high, I actively lent a helping hand and gave generously.
Second, medical ethics and medical quality
Treat every patient who comes to the examination with a strong sense of professionalism and responsibility, and be able to "worry about the patient's urgency and think about the patient's thoughts" and serve the patient wholeheartedly. Hard-working, always maintain a positive work style and diligent mental state. For samples that do not meet the inspection quality, the patient is required to take them again, and the reason is explained to the patient to obtain the patient's approval. We can actively cooperate with the clinic when patients ask to explain the test results, and do not make any explanation according to the requirements of hospital clinicians. Strictly organize the concept of discipline, so as to get to work early, get off work late, not be late, not leave early, and not string posts. There is no phenomenon of accepting patients' meals and accepting red envelopes, gifts and kickbacks, and there is no medical accident. Correct and correct the problems found in the work in time, keep in touch with various departments at any time, and find that two samples are left for patients.
If there is any problem, notify the relevant departments in time and ask them to take samples again for inspection to avoid mistakes and accidents. At work, we should pay attention to the study and accumulation of all kinds of knowledge, insist on independent thinking, practice boldly, and constantly improve our comprehensive quality and working ability. Honest, open-minded, and persist in pursuing high standards, high efficiency and strict requirements. Strong professional ability, capable of doing my job and loving my job.
Third, business work and study:
Actively participate in various business studies organized by hospitals and departments, and strengthen the improvement of their own quality through study and review. In the second half of this year, Mr. Xiong left without a tutor. In the reality of heavy study and work tasks, he was able to actively cooperate with Director Tan and his colleagues to finish the work on time, and he was able to correct his learning attitude well and never complained. In business work, conscientiously implement the rules and regulations of the department and strictly abide by the inspection operations. Treat the work seriously and responsibly, always treat each specimen to be tested with a cautious attitude, and seriously deal with the difficult problems encountered in the work. If the test results are inconsistent with the clinical diagnosis, report to the teacher at the first time, insist on reexamination, ensure the accuracy of the test report, contact the clinician in time, and provide favorable diagnosis basis. Strictly abide by the critical value reporting system and inform clinicians or patients in time to gain time for the diagnosis and treatment of patients. Work hard and complete the tasks assigned by the leaders with good quality and quantity. Constantly sum up the work and send the reference values of clinical biochemistry to all departments for the convenience of doctors and nurses.
Facing the new situation, new opportunities and new challenges, I can clearly realize that practicing internal strength is the way to survive, so I study professional theoretical knowledge hard after work, actively participate in various learning lectures and online continuing education in this discipline, and learn the latest knowledge and new progress. Try to take the examination of inspection technicians next year.
Working experience in hospital laboratory 4
The 20__ year is coming, and we have made a serious summary of the work in this year. Summing up experience from failures, checking for leaks and filling gaps. Strive for the strong support of hospital leaders and our efforts to make our work in by going up one flight of stairs in the new year. The work report for this year is as follows:
First, the completion of medical service indicators
1 and 20__, the total outpatient and inpatient income 12 1668 12 yuan exceeded the annual task by 2.24 million yuan, an increase of 24 10000 yuan over last year. The annual physical examination income is 568327. Free malaria testing in CDC is 28 1 person.
2. Actively carry out hospital sensing. Every month, samples of air, objects, hands of medical staff, disinfectants, sterile articles and so on in various clinical departments of the hospital are tested, and aseptic operation is strictly carried out to ensure that the culture results of each test sample are true and effective. * * * Sampling 1282, and 5 confirmed cases of AIDS were detected in routine detection of infectious diseases. Whenever HIVTPHCV-positive patients are found, the clinical departments should be informed to take precautions at the first time to ensure that medical staff are not infected.
3. Improve the workflow. Our department implements group management, including instrument maintenance group, quality control group, reagent storage group, mixed-race group, bloodletting group and marrow-dissolving group, with one person with multiple posts and multiple responsibilities. This grouping has improved everyone's work enthusiasm and sense of responsibility, saved manpower and material resources, reduced costs and achieved good results.
4. Pay attention to inspection quality and ensure the accuracy of inspection results. The quality control team standardizes the indoor quality control of clinical laboratories and insists on doing it every day. At the same time, he actively participated in the external quality evaluation activities of Shijiazhuang Clinical Laboratory Center, and achieved good results in six evaluations, such as immunity, biochemistry, blood and urine. We also participated in the blind test of HIVTP in the AIDS laboratory of Shijiazhuang CDC, and achieved good results, which fully showed the accuracy of the test results of our experimental projects and the comparability between laboratories.
5. Strengthen communication with clinicians, pay attention to the feedback from clinical departments, and cooperate with the clinic to carry out homocysteine screening, irregular antibody screening, card blood fusion screening, neonatal hemolysis screening and other projects. This week, our department also carried out the detection of group A rotavirus, which provided a basis for the auxiliary diagnosis of infantile diarrhea. At the same time, actively publicize the matters needing attention in specimen collection and the collection requirements of special specimens to clinical departments.
6. Vigorously advocate component blood transfusion to ensure the safety of clinical blood use. There are few people in the blood bank, and the work is heavy. Strictly carry out the operation procedures of pre-transfusion inspection and blood matching test in the work. Erythrocyte suspension 3692u, whole blood 1200ml, 74 therapeutic platelets, plasma15180ml, and other hospitals used erythrocyte suspension 123u. The relative decline in the proportion of clinical blood use this year shows that the clinical rational blood use activities in our hospital have achieved initial results, avoiding the waste of blood sources and reducing the economic burden of patients. Three cases of adverse blood transfusion reactions occurred throughout the year, and we all actively cooperated with clinical departments to find out the causes as early as possible and actively reported them. In order to ensure that the mobile phone of clinical blood general practitioners is turned on 24 hours a day, every time comrades in the South Hospital and the North Hospital rescue patients, they can arrive at their posts in time and work in an orderly manner, which fully develops the spirit of unity and cooperation and is well received by clinical departments. In June+February, 5438, the blood bank was also connected with the network system of Hebei Blood Center, and will be connected with the HISLIS system of our hospital in 20__.
7. Do a good job in the maintenance of various experimental instruments. When the instruments fail, handle small problems on their own, and contact the Pharmaceutical Machinery Department to solve major problems in time, which not only ensures the normal operation of various instruments in our department, but also saves maintenance costs for the hospital. Thank you for your strong support to our work.
8. The service attitude has improved significantly. The average number of outpatient visits in our department is about 400 per day, and the work is more complicated. Everyone strictly implements the checking system, including the patient's information, outpatient number, invoice number, etc. , and patiently explain all kinds of questions raised by patients on the report. This department is divided into two groups: North and South. Two people resigned for special reasons and two people took time off. There is a shortage of personnel and the workload is getting bigger and bigger. Especially from Monday to Thursday, there are so many patients that it is impossible to get off work. Old comrades often rush to work, while young comrades work overtime. They all work hard and have no complaints. I was particularly moved by their dedication to their jobs.
9. Construction of information system After the HIS system and LIS system went online, all general practitioners actively studied and mastered the essentials of work, made suggestions on the problems, and strived to get the work on the right track in a short time. Our department also realized the networking between LIS system and physical examination center, which simplified the working procedure and ensured the accurate return of the results.
10 our department actively participates in various political activities and business studies in the hospital, strives to improve ideological understanding and service skills, improves the overall quality of the inspection team, actively carries out various tasks, diligently studies professional theoretical knowledge, and solves difficult business problems. The deputy director organizes departmental business study every Tuesday. We are all teachers and students. Lecturers prepare lessons carefully and listen carefully, which greatly improves the learning enthusiasm and professional and technical level of comrades. Although our work was very busy, we overcame difficulties and sent six comrades to participate in short-term training and study. After returning to the department, everyone who went out gave corresponding lectures, so that they could study alone and benefit the whole department.
Second, the clinical laboratory three-year plan
1. On the basis of existing equipment, carry out urgent projects in clinical departments, such as urinary albumin, urinary creatinine, respiratory syncytial virus, etc.
2. Three-year plan will arrange _ _ _ _ _ _ _ comrades to concentrate on studying blood cells and microbiology in superior hospitals, and other comrades will participate in short-term training to ensure a steady stream of talents in the department.
3, urge the department staff to take the title examination, continue the basic knowledge training in the classroom, and improve the professional and technical level of general practitioners as soon as possible.
4. Introduce 3-4 college students, let them work independently as soon as possible, and let the blood bank operate independently.
5. Strengthen the construction of departmental culture, and formulate departmental code of conduct: love their posts and be dedicated; Respect others and communicate honestly. Employees are required to obey the overall situation, have both division of labor and cooperation, and have a strong sense of collective honor and team spirit. Strive to achieve four satisfactions: patient satisfaction, clinical satisfaction, leadership satisfaction and self-satisfaction. Through the construction of departmental culture, employees are full of confidence in the development of the department and the cohesion of the department is enhanced.
Third, the existing problems
1, due to the shortage of staff and heavy workload, it is impossible to send people to the higher hospital for further study.
2, there is no good way to pay attention to work, communication skills need to be further improved.
3. It is necessary to further strengthen the construction of departmental echelon and departmental culture.
In 20 years, our department took over the banner of patients, and the achievement was the result of the concerted efforts of all comrades Qi Xin. I am very grateful to the hospital leaders and comrades in other departments for their strong support. 20__, we will strive to improve, learn from each other's strengths, always take "unity and cooperation, pioneering and enterprising" as the core and motivation of our work, always take "improving the quality of inspection services" as our lifeline, and complete all tasks next year with more vigorous energy and full enthusiasm.
Working experience in hospital laboratory selected 5
Under the correct leadership of the hospital leaders, with the strong support and cooperation of comrades in various departments, the clinical laboratory worked hard and made extraordinary efforts to conscientiously implement the tasks and work assigned by the hospital leaders. Some achievements have been made, but there are also some problems. The summary is as follows:
I. Basic information
There are 3 people in our department, who are responsible for the daily work of the whole department, including blood room, body fluid room, biochemical and electro-optic light-emitting room, hiv room and blood bank, quality control work of the above departments, daily maintenance and maintenance of instruments, biological safety work, health work, hospital infection monitoring work of the whole department and so on.
Second, ventricular interstitial assessment
With the correct leadership of hospital leaders and the strong support of department members, our department passed the acceptance of laboratories and blood banks in secondary hospitals in _ _ _, and participated in the interstitial evaluation of various items of the Ministry of Health, including total blood cell count, urine analysis, four items of coagulation, infection A marker, blood gas and pH value analysis, ten items of prenatal and postnatal care, blood transfusion compatibility test and hiv antibody detection for 20 times, of which 17 times.
III. Relevant training and inspection
In _ _ _ _, all the staff of our department participated in various trainings of different projects, including trainings organized by Beijing CDC, Chaoyang CDC, Chaoyang Maternal and Child Health Hospital and Health Bureau, as well as trainings organized regularly within the department, which ensured the continuous improvement of the knowledge and business level of the whole department. This year, with the correct leadership of hospital leaders and the strong support of department members, our department passed the acceptance of laboratories and blood banks in secondary hospitals, and accepted and passed the inspections of Tongzhou Blood Station, Chaoyang Maternal and Child Health Hospital and CDC.
Fourth, department income and workload.
In _ _ _, our department originally planned to develop ferritin, vitamin b 12, folic acid, afp, cea, ca 125, ca 153, prenatal and postnatal care, etc. However, due to the limited position and detection speed of the original luminometer, it is impossible to add all the items, so only 10 has been carried out for eugenics, chromosomes, B-chain and so on. This year, the total blood consumption of the blood bank is 2400 ml of suspended red blood cells and 800ml of plasma, and the income of the department has increased from about 300,000 yuan per month in _ _ _ to more than 600,000 yuan per month in _ _ _ _.
Problems with verbs (abbreviation of verb)
Although we have made some achievements in _ _ _ _, there are still some shortcomings in labor discipline, hygiene, consumables control, and publicity, utilization and operation of some rare projects. The reagent level and detection speed of luminometer are limited, which can not meet the clinical needs. The test method related to blood transfusion is the test tube method (recommended card method), and the interventricular interstitial evaluation of biochemistry and endocrine is not involved, and efforts will be made to improve it next year.
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