Personal annual work summary, a busy and substantial XX year for an obstetrical nurse (1) has passed in a hurry, so it's time to take stock of the harvest and sum up the lessons, leaving a solid step; Sedimentation and accumulation, moving and inspiring, a good start is after the end of success. The new year is coming, which draws a satisfactory conclusion for the past XX years.
First, down-to-earth, starting from the basic work of nursing
First of all, the staff of the department are relatively young, lacking work experience and specialized knowledge. In order to improve the quality of nursing service, we should start with the basic nursing work, strictly implement the ward round procedure and the handover system, take morning nursing and handover as the communication platform, carry out in-depth and meticulous specialist health knowledge education and humanized communication, effectively improve patients' satisfaction and achieve good results. At the same time, the implementation of the core system will be the focus of this year's assessment, and one will be assessed every week to gradually standardize the workflow. In addition, to improve the service quality, we should start with improving the work details:
1. Improve the check method, instead of calling the patient's bed number and name, ask the patient's name, so that the patient can take the initiative to answer and avoid the possibility of wrong check;
2. Improve skin preparation method, use disposable skin preparation knife, cancel civil skin preparation knife, and change talcum powder lubrication into soap solution lubrication to improve work efficiency and skin preparation effect;
3. Promoting the use of family escort chairs only symbolizes the collection of user fees, which provides great convenience for patients;
4. Establish a nurse communication book, writing daily work quality control content, meeting content, handover matters needing attention, etc. The communication book is for each class's reference, so as to reduce the disadvantages of long communication period before the meeting and unable to improve in time, and achieve the goal of continuous and timely improvement of quality.
5. In conjunction with the city baby photo studio, the first photo of the newborn baby was provided free of charge, leaving the joy of the newborn to us and the patient's family, which achieved particularly good results.
Two, grasp the implementation of the system, a clear division of labor, to prevent loopholes in the work.
The work is detailed, the division of labor is implemented, and the responsible nurses and quality inspectors are responsible for writing documents. The three-level quality control mode, in which the bed nurse is responsible for filling in the medical record, the responsible nurse is in charge of management and the quality inspector is in charge of quality control, effectively controls the writing errors and irregular writing, and improves the writing quality. The discussion on holidays, the rescue of medicines, the lectures of interns, and the business study are all responsible for people, so that everyone has something to do, everyone is responsible, and everyone participates in department management, which effectively improves everyone's enthusiasm.
Third, strict delivery room management, complete the layout transformation.
Strengthen the management of delivery room, print the common emergency procedures of obstetrics, post them on the inner wall of delivery room, strengthen the operation procedures, implement the wristband identification system, strictly implement the wristband wearing work of newborns, establish the delivery room handover process and supervise the implementation, effectively strengthen the safety management of pregnant women and newborns, improve the vaccine reporting and checking procedures, and strengthen vaccine management. In addition, according to the acceptance standard of management year, the delivery room was improved again, disinfection supplies were configured, and the positions of waiting room, isolation delivery room and isolation delivery room were adjusted to meet the standard requirements.
Fourth, practice hard and strictly control the quality.
According to the situation of young nurses, we should make an operation training plan, incorporate basic operation items into daily assessment, check and supervise one item every week, assess common operation items one by one, especially TCM operation items, formulate operation standards, train all staff, and constantly improve operation procedures in operation assessment. Improve operation technology and effectively improve service quality.
Five, pioneering and innovative, continuous learning, complete the continuing education and teaching work.
Constantly enrich specialized knowledge, send midwives to study in XX, send head nurses to study in XX and XX, introduce new concepts and technologies, improve work and technology, promote the learning atmosphere of departments, complete business study XX times a month, carry out TCM nursing technology projects, learn TCM theory, and complete a national paper. At the same time, supervise general nurses to complete the task of continuing education and strengthen the study of specialized knowledge. There are a lot of interns this year. In order to ensure the quality of teaching, detailed teaching plans and teachers' teaching plans are formulated to ensure that each batch of students receive two professional knowledge studies and successfully complete the teaching tasks throughout the year.
A year's efforts are not perfect, there are always gains and losses, enrichment and melancholy go hand in hand, and dissatisfaction with the status quo is the beginning of progress. It's another year, and only hard work can set sail and enter another cycle of struggle.
Personal Annual Work Summary of Obstetric Nurses (II) In order to promote the construction of nursing team, deepen warm nursing service, provide patients with a good medical environment, and create a United, cooperative and enterprising working atmosphere for nursing staff, the nursing department launched the "Warm Nurse Station" activity in the whole hospital in XX, XX, and our department actively responded to the call of the nursing department to formulate and organize the implementation of the "Warm Nurse Station" activity plan. Over the past year or so, general nurses have persisted in taking pregnant women as the center, taking improving nursing technology, knowledge and service quality as the guiding ideology, and strived to create a warm and harmonious baby-friendly ward. The work is summarized as follows:
First, create a warm and comfortable ward environment.
1. There is a rest area for family members in the ward hall, and videos of breastfeeding and neonatal nursing education are played for family members to watch when doctors make rounds and implement treatment; In the ward, there are a series of family facilities, such as printed bedding, refrigerator, color TV, low cabinet, sofa, bathroom and so on. Let pregnant women feel at home.
2. Beautify the ward environment, replace the old blackboard newspaper, and use uniform pink as the blackboard newspaper for ward health education, which is illustrated and illustrated, increasing the perceptual knowledge of pregnant women and their families and is deeply loved; At the same time, the end of each month is designated as the department hygiene and cleaning day to help pregnant women to carry out life care, clean up the ward passages and sanitary corners, and keep the ward unobstructed, bright and clean.
Second, standardize nursing behavior and service process
1. In order to make pregnant women feel at home from the moment they step into the ward, we have changed the traditional consultation process and formulated a warm consultation process: when pregnant women arrive at the ward with a hospitalization card, nurses immediately stand up, greet pregnant women with a smile, warmly receive pregnant women, weigh pregnant women, measure vital signs, introduce the competent doctors and responsible nurses, and introduce the ward environment to patients and their families in detail, including guidance, assistance or pushing.
2. Nurses actively and enthusiastically receive pregnant women, and shoulder the responsibility of asking questions to pregnant women and their families, and must give timely and effective answers to those within their own scope; Report to the head nurse in time if it is beyond this scope, and don't ignore the questions raised by pregnant women and their families, so that pregnant women or their families can come with questions and return satisfied.
3, strict hospital rules and regulations, in accordance with the medical ethics, cultivate good quality of nurses. Nurses should be well dressed, wear standard clothes, do not wear jewelry, do not wear bright foam; Treat pregnant women, their families and visitors with kindness and courtesy; Do four things at work: speak lightly, operate lightly, close the door lightly and walk lightly; Don't chat together, don't talk about patients' privacy, and don't talk about things unrelated to work with patients.
4. Send warmth to the discharged parturient: On the day of discharge, the responsible team leader will explain to all discharged parturient the knowledge of diet and nutrition, exercise and rest, cleanliness and hygiene, medication, contraception, breastfeeding, neonatal care, and explain the measures to deal with abnormal conditions, postpartum review, the time of neonatal vaccination, and the process of handling birth certificates. And tell us to call the hotline at any time if you have any questions after discharge.
Third, implement basic nursing responsibilities and improve nursing services.
1. Define the basic nursing items and work norms that clinical nurses should be responsible for, perform basic nursing duties, standardize nursing behaviors, and improve the level of nursing services. Strengthen early, middle and late nursing, actively provide patients with various conveniences in life and help them solve their difficulties.
2, clear clinical nursing service items, service items and working standards. According to the service content and service items of graded nursing, patients are provided with observation, treatment and nursing measures, life care, rehabilitation and health guidance.
Fourth, the nursing process embodies humanization.
1. Warm language service is integrated into intravenous infusion operation. Ask the pregnant and lying-in women's needs before infusion, explain them well, help them urinate and defecate, and inform them of the drugs used and the possible adverse reactions of drugs, so that they can understand; Ask pregnant women about their feelings during puncture; If a puncture is unsuccessful, the nurse can say in sincere language: "I'm sorry for causing you more pain, I'm really sorry" and make up for the technical defects with language service; In the process of infusion, patrol regularly to understand the needs of pregnant and lying-in women and the infusion situation and help to feed the baby, so that the baby can feel the warmth and care of the nurse.
2. Humanized nursing should be carried out when perineal irrigation, breast care or breast feeding are carried out for parturients: during perineal irrigation and breast care, visitors should be instructed to leave the ward, and privacy parts should be shielded as much as possible when operating. After operation, the parturient should put on clothes or cover the quilt as soon as possible before leaving the ward, so that the parturient can feel respect and care.
3. Implement humanized nursing in the process of neonatal care: when bathing, touching and swimming the newborn, beautiful light music is played indoors, and the nurse gently bathes, massages and assists in swimming with caring and friendly language, so that the baby is no longer afraid and feels the care of love.
Problems with verbs (abbreviation of verb)
1. Nursing work lacks active service consciousness, and it is often impossible to actively serve pregnant women and help them solve practical problems before opening their mouths.
2. Young nurses lack communication skills with patients and their families.
3. The overall quality of nurses needs to be improved. In the process of implementing humanized nursing, nurses are required to have not only excellent nursing skills, but also rich professional knowledge, so as to correctly evaluate the overall situation of pregnant women and newborns, take corresponding nursing measures according to existing problems, meet the needs of pregnant women in time, and help pregnant women solve practical problems in time.
Warm nursing service is a creative, personalized, holistic and effective nursing model. It is embodied in the value of patients, that is, the care and concern for patients' life and health, patients' rights and needs, patients' personality and dignity, which is an understanding and emotion of the process of pursuing truth, goodness and beauty in nursing, and also the behavior and norm of practicing humanized nursing service. Through the activity of "Warm Nurse Station", nurses can consciously provide humanized services for pregnant women, make nursing work dominated by pregnant women, respect the life value and personal dignity of pregnant women, and meet their basic needs and wishes. Our department will thoroughly implement the requirements of "quality nursing service demonstration project" established by the nursing department of our hospital in 20xx, earnestly practice Scientific Outlook on Development, adhere to "patient-centered", further standardize clinical nursing work, earnestly strengthen basic nursing, improve nursing service, improve nursing quality, ensure medical safety, and strive to provide safe, high-quality and satisfactory nursing services for pregnant women.
Annual work summary (3), an obstetrical nurse, how time flies. In a blink of an eye, 20xx years passed. Under the care, support and guidance of hospital leaders and nursing departments, and with the joint efforts of nurses in various departments, we have actively carried out high-quality nursing service activities around the principle of "patient-centered and service-centered", earnestly implemented various work systems, and gradually improved the quality of work and service level.
First, develop quality services and expand service connotation.
Our department is one of the demonstration wards of quality nursing service. Starting from the basic nursing work, focusing on the morning and evening nursing, the bed unit should be kept clean and free of blood stains and stains, and it should be changed once a week to ensure the cleanliness and comfort of patients. To achieve "three short and nine clean", and to clean perineum and replace sanitary pads for postoperative and postpartum patients, to ensure the cleanliness and pollution-free of patients.
Two, according to the evaluation standard of dimethyl, TCM nursing technology training.
Traditional Chinese medicine nursing techniques, such as fumigation and washing with Chinese medicine, cervical sticking with Chinese medicine, and acupoint massage of lower limbs, embody the characteristic nursing of Chinese medicine, increase the economic income of departments and improve patients' satisfaction.
Three, grasp the implementation of the system, a clear division of labor, to prevent loopholes in the work.
Detailed work, division of responsibilities, give full play to the role of the responsible team leader and the responsible nurse, and put the responsibilities of off-duty discussion, drug rescue, intern lectures and business study on people, so that everyone is in charge and everyone participates in department management, which effectively improves everyone's enthusiasm.
Four, delivery room management, strict implementation of disinfection and isolation system.
Implement the wristband identification system, strictly implement the wristband wearing work of parturient and newborn, establish the delivery room handover process and supervise the implementation.
Effectively strengthen the safety management of pregnant women and newborns; Strengthen vaccine management and improve vaccine reporting and inspection procedures; Strict implementation of disinfection and isolation system, standardized treatment of medical waste, neonatal room and fever patients department tube daily air disinfection, patients discharged from the hospital on the day of final disinfection, and make registration.
Fifth, strengthen the study of professional knowledge.
Every month, organize general nurses to learn the knowledge of specialized nursing in obstetrics and gynecology, neonatal resuscitation, emergency obstetric care and emergency procedures, teach in turn, and conduct first aid drills for critical diseases in obstetrics and gynecology, requiring everyone to pass the examination, so as to improve their first aid ability and specialized nursing level; At the same time, urge general nurses to complete the task of continuing education and strengthen the study of professional knowledge.
Six, practice teaching practice one-on-one teaching mode.
On a monthly basis, the students who practice in the department are tested on the theory and operation of nursing foundation and professional knowledge. But the management of interns is not enough. A case of burning a magic lamp occurred, which triggered a dispute between doctors and patients. In the future, the management of interns' teaching will be strengthened, and teachers are required to open their eyes to ensure nursing safety.
Seven, change the service consciousness, increase the service connotation.
Provide every newborn baby with the first step of birth free of charge, bring the joy of the newborn to the whole family of the parturient, and achieve special publicity effect.
Eight, completed the "quasi-mommy class" plan
The preparatory work and the design, printing and distribution of the invitation letter are planned to officially start on XX, XX, XX.
Nine, hold regular nursing safety seminars.
Feedback the problems existing in the work, carefully summarize and analyze, formulate the next rectification measures, and carry out quality defect tracking inspection, which has improved the quality of nursing work. The indicators of obstetric work are as follows:
Throughout the year, * * * delivered XX people (XX-XX months), carried out early contact and early sucking XX%, carried out rooming with mother and baby XX%, perinatal mortality XX%, qualified rate of staff's breastfeeding skills XX%, mortality rate of live-born newborns XX%, and postpartum breastfeeding education rate XX%.
Looking back on last year's work, many places have not been done enough. We have learned from experience and summed up the lessons. We will continue to adhere to the "patient-centered" service concept, further improve the quality of nursing work, and strive to provide a better medical environment for patients and their families.
Annual Work Summary of Personal Obstetric Nurses (IV) This year, under the leadership and strong support of the nursing department, closely around the working principle of "patient-centered, quality-centered", combined with the actual work of the department, we further improved the workflow of the department, refined management, and conscientiously implemented various work systems, and gradually improved the quality of nursing. The summary is as follows:
First, strengthen ward management, consolidate basic nursing and create a good medical environment for patients.
This year, our department strengthened ward management, paid attention to morning and evening nursing, ensured that the bed sheets were flat and wrinkle-free, ensured that the bed sheets and bedding were free of blood and stains, and changed with the dirty, and formulated a system of changing the bed sheets every Monday to ensure that each patient's bed unit was flat, clean and comfortable. To achieve "three deficiencies" and "six net"; And insist on cleaning the vulva for the parturient until leaving the hospital to ensure that the patient is clean and pollution-free.
Second, with the development of quality nursing service in our hospital this year, combined with the actual situation of our department, we have formulated quality nursing measures from the following aspects.
(1) Change the service concept. In the department, Director Liu often emphasizes that our nursing work is service work. We should renew our ideas and provide good service. In the service, we should not only use civilized language, but also have warm language and kind expression. Therefore, in practical work, we not only call gynecological patients "auntie" and "mother-in-law", but also use "dear" as our honorific title for obstetric patients.
(2) change the organizational structure. In XX years, responsible nursing was implemented in the department. Ward is divided into A 1 and A2 two responsibility District, with two responsible nurses respectively. The nurse in charge is responsible for observing the patient's condition, implementing therapeutic nursing, health education, psychological nursing and life nursing, realizing all-round nursing, ensuring that the nurse in charge of the bed is in place and the responsibility is implemented to people, which greatly changes the limitations of functional nursing in the past. The responsible nurses this year are: Hong Ying and Li Li. They try their best to provide high-quality services for patients in their posts, and participate in some management work, improving their comprehensive quality and winning the praise of some patients' families!
(3) Change the scheduling mode. In order to adapt to more surgical handover at noon and reduce the pressure of nursing work at noon, the original mode of one nurse from XX to XX was changed to the mode of two responsible nurses from XX to XX, which reduced the intermediate handover, not only made it acceptable to nurses, but also ensured the nursing safety.
Third, strengthen the continuing education of nurses and cultivate specialized nursing talents.
At the beginning of this year, we made a talent training plan for this major, including in-class study and off-campus study to participate in training courses, and all of them have completed the training plan.
In-department learning is to use the morning meeting every day to strengthen the training of basic nursing, nursing routine, health education and other nursing knowledge and techniques, and constantly improve the professional knowledge level of nurses in departments. I went out to train a specialist nurse in obstetrics this year, and I can work independently.
In addition, there are one-to-one nursing teachers for new nurses to adapt to their jobs as soon as possible, actively encourage nurses who have worked for more than one year to continue their studies, and allow them to learn by themselves in various forms to improve their academic qualifications. This year, two nurses got university degrees, and the head nurse got the title of nurse in charge.
Fourth, strictly implement the core system to reduce the occurrence of nursing errors.
(a) strict bedside shift, adhere to the diagnosis, treatment and operation of all hospitalized patients every night shift, make the morning shift more detailed and rigorous, and check the basic nursing situation at any time, point out the existing problems in time and correct them in time to ensure the safety of patients.
(2) Improve the nursing inspection system. In view of the irregular stop of doctor's orders in our department, a double-person and double-BANCHA checking system is specially designed, that is, after checking the doctor's orders in the day shift and general affairs every afternoon, check the doctor's orders with the midwife again in the evening, thus avoiding the phenomenon of missed inspection and repeated execution.
Verb (abbreviation for verb) takes an active part in activities.
There are many young nurses in our department. In order to make them more confident, we advocate the concept of studious and enterprising in the department, and actively participate in various activities organized by the hospital, such as XX operation competition and knowledge competition, as well as XX in our department. They all took an active part in these activities and won the third prize in the knowledge contest. The participation of these activities not only makes them happy in the activities, but also makes them grow up in the activities! At the same time, our nurse XX was rated as "excellent nurse"!
Sixth, standardize the writing of nursing documents and reduce the writing pressure of nurses.
Our department adopts tabular nursing documents according to the characteristics of specialties, which greatly reduces the time for nurses to record. Let nurses have more time to provide patients with direct nursing services.
Seven, innovative service forms, so that patients can really feel our concern and care.
In order to enhance the connotation of high-quality nursing service in our department, some new service measures have been specially formulated, so that patients can truly feel our medical services and taste our high quality. For example:
(1) Send a cup of hot milk powder to the patient who has just finished the abortion operation;
(2) Give the parturient a cup of brown sugar water;
(3) designing and sewing skirts for lying-in women and patients;
(4) In obstetric service, we also use the mode of responsible nursing for reference, and adopt the mode of one-on-one midwifery, so that pregnant women can get the overall service. And establish a QQ group for pregnant women, assign a special person to be on duty every day, and answer questions raised by pregnant women in time.
(5) Specially apply for an induction cooker to the hospital to provide convenience for the parturient.
(6) In the nursing of newborns, not only the mother-infant sharing room is strictly implemented, but also the daily bathing is completed. During the hospitalization, the midwife personally feeds the newborn and changes diapers.
(7) Strengthen the follow-up after discharge, keep abreast of the nursing problems encountered by patients, parturients and newborns after discharge, and conduct telephone consultation. Please come to the hospital in time for special problems. This year, XX people were followed up by telephone, which was widely praised by patients and their families.
Eight, strengthen the management of delivery room, and actively control hospital infection.
In strict accordance with the management standards of key departments of the hospital, standardize various emergency procedures and emergency plans for all kinds of acute and critical diseases, add special drugs for all kinds of acute and critical diseases in obstetrics in the rescue vehicle, implement various disinfection and isolation systems, and strengthen various infection monitoring.
Improve the quality inspection standard of delivery room. Midwives' meetings were held regularly to feed back the problems existing in the work, carefully summarize and analyze them, formulate the next rectification measures, and carry out follow-up inspection of quality defects, which improved midwives' quality awareness and management awareness and successfully passed the obstetric nursing quality inspection.
The indicators of obstetric work are as follows:
Throughout the year, * * * midwives carried out early contact and early sucking XX%, the perinatal mortality rate was XX%, the qualified rate of staff's breastfeeding skills was XX%, the mortality rate of live newborns was XX%, and the postpartum breastfeeding education rate was XX%.
Nine, establish and improve the performance appraisal and incentive mechanism, fully mobilize the enthusiasm of nurses, reflect the merit.
Over the past year, although some work has been done and some achievements have been made, there are still many shortcomings: the content of quality nursing service needs to be deepened and the service form needs to be innovated; Young nurses still need to learn basic theoretical knowledge and specialized nursing knowledge, and the enthusiasm and initiative of service need to be further enhanced; Nursing scientific research and thesis writing are also very weak. Therefore, in the new year, we will sum up experience, make bold innovations and make unremitting efforts for the sustainable development of hospitals.