Summary of Personal Work of Obstetricians and Gynecologists in Township Hospitals 1 In recent years, under the correct leadership of the hospital committee, obstetrics and gynecology department has taken the opportunity of establishing a "second-class" maternal and child health hospital, evaluating the political style and establishing a "top 100" grass-roots station in the whole hospital, paid close attention to internal management, carried out all the work in a down-to-earth manner, and completed all the work objectives as scheduled through the joint efforts of all the staff in the department. The work is summarized as follows:
First, strengthen political and ideological education.
Enhance the sense of unity and cooperation. Department staff can adhere to the party's line, principles and policies, establish a good spiritual outlook and pragmatic work style, and carry out high-quality and efficient services. The department adheres to the system of morning meeting every Monday, at which political and ideological study, organizational discipline education, medical ethics and professional ethics education are carried out. Through the morning meeting, employees' sense of unity and cooperation has been obviously enhanced, and the overall quality of the department has been improved.
Second, business development:
1, conscientiously implement the core system and medical record writing norms, and the first-class medical record rate is over 90%. Do reasonable examination, reasonable treatment, rational use of drugs, and do not abuse antibiotics; Can do a good job in daily nursing, mother-infant rooming management and breastfeeding education; Proficient in the diagnosis and treatment of common, frequently-occurring and difficult diseases in obstetrics and gynecology; Can skillfully handle obstetric complications such as obstetric hemorrhagic shock and pregnancy-induced hypertension, seriously carry out gynecological surgery and various family planning operations, and strictly grasp the surgical indications.
2. During the period of1-1,the total hospitalization income was 4.05 million yuan, and the outpatient income was 520,000 yuan. Inpatients 1648, including pregnant women 149 1 person, vaginal delivery of 470 people and cesarean section 10265438 people.
3. Medical Quality and Safety In order to improve the quality of obstetrics and gynecology work and ensure medical safety, we pay close attention to medical quality management.
First, strengthen business study and emphasize discipline. The department requires every employee not only to attend all business studies organized by the hospital department on time, but also to take study notes and pass the post-study exam, and to impose heavy penalties on those who do not participate in the study or fail the exam;
Second, through the regular meeting every Monday within the department, we will strengthen theoretical study in all aspects, and at the same time take turns to teach and learn business, so as to jointly improve our business level and work ability;
Third, strengthen the study of medical laws and regulations, improve the awareness of medical risk prevention, strictly implement legal practice, rationally arrange the work of employees without professional qualifications, avoid them practicing alone, and reduce the accident rate;
Fourth, strengthen the system management, standardize the operation, and strictly implement the management systems such as the first-visit doctor responsibility system, the succession system, the doctor's rounds system, and the operating system. Through the above management measures and the efforts of all staff, our department effectively prevented medical risks, and no major mistakes and accidents occurred throughout the year.
Third, complete other work of the hospital department.
While completing the daily work with good quality and quantity, our department also actively cooperated with the hospital to establish the "second-class" maternal and child health hospital, democratic political style evaluation, the establishment of "top 100" grass-roots stations, the special rectification of service charges of medical institutions, and the evaluation of "obstetrics specialty", and took the special work as an opportunity to pay close attention to the internal management of the department and improve the overall quality of the department.
Fourth, the existing problems:
1, there are some shortcomings in the writing of medical documents, such as incomplete registration items, missing items in medical records and so on.
2. Service attitude needs to be further improved, and labor discipline needs to be further strengthened.
3. The overall medical quality needs to be further improved.
Generally speaking, in the work of 20XX years, our department has completed various tasks as scheduled and achieved some achievements, but there are also some shortcomings. In next year's work, we will further strengthen management, establish the concept of quality service, improve the quality of medical services, and strive to push our work to a new level.
Summary of personal work of obstetricians and gynecologists in township hospitals II. Down-to-earth, starting from basic nursing work.
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 way of ward round, 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 making mistakes in ward round;
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, and write the contents of daily work quality control, meeting contents, handover precautions, etc. into the communication book for each class's reference, so as to reduce the disadvantages of long period before meeting communication and unable to improve in time, and achieve the purpose of continuous and timely quality improvement.
5. United City Baby Photo Studio provided the first photo of the newborn baby for free, leaving the joy of the newborn to us and the patient's family, and achieved particularly good results.
Second, pay attention to the implementation of the system, clarify the division of work, and prevent loopholes in 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 responsibilities of discussing after work and rest, rescuing drugs, giving lectures by interns and studying in business lie with people respectively, so that everyone can take charge of everything and participate in departmental management together, 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.
Since I came to work in the hospital last July, I have worked in 20 departments, 20 departments and intensive care unit. Experiential learning, through a year's experience, combines the theoretical knowledge obtained before with clinical practice. On the one hand, we should be strict with ourselves in peacetime, on the other hand, we should work hard with more teachers to learn the application of business and experience elements in our spare time.
During the same period, the X discipline of cancer chemotherapy, the indications of chemotherapy, contraindications of various professions and the treatment of complications were all unfamiliar to me. After four months of study, I feel that I have learned a lot of useful knowledge, such as: the stimulating effect of various forms of chemotherapy drugs in different peripheral veins, the danger of leakage of chemotherapy drugs, immediate health care measures, and long-term chemotherapy for patients who have been cared for by deep venous catheter after operation. In addition, patients receiving chemotherapy will have a series of reactions such as gastrointestinal tract, skin, mucosa, mental state and chemotherapy. At this time, it is necessary to provide patients with enthusiasm, respect and patience to listen to their complaints and do a good job of bedside handover and spiritual support.
Preoperative psychological counseling, intestinal preparation and dietary guidance. Postoperative vital signs monitoring, incision observation, assistance in coughing and expectoration, observation of infusion volume and infusion speed, various drainage tube nursing, catheter nursing, diet nursing, observation and nursing of postoperative complications, etc. As women's affairs bureau and patients with specific tumors, this requires us to communicate with them more patiently in our daily work, so as to better improve the quality of nursing and make patients trust our work.
Now I rotate in ward 30, which is a comprehensive department with ultrasonic scalpel, interventional research, western medicine and chemotherapy. I think studying here, for example, many things: patients with ultrasonic scalpel should pay attention to skin protection, feel the body temperature of activity, and feel the pulse of limbs and instep; It is necessary to brake the patient's limbs one by one, interfere with objects, add pressure to sandbags, and observe the patient's urination.
After nearly a year's investigation, apart from my understanding and familiarity with all departments of the enterprise, I still noticed that I pay attention to polite service, adhere to civilized language, have dignity in my daily work, do paperwork, have a professional image of nurses, dress neatly, do not wear heavy makeup, do not wear high heels, do not block rings, have a polite attitude and have a standardized language. Seriously study the Regulations on Handling Medical Accidents and its laws and regulations, actively participate in medical treatment learning activities organized by hospitals, enrich legal knowledge, and enhance self-protection awareness of safety regulations. Under the active and strict guidance of the head nurse, I have made great progress and improvement in many aspects. I usually take part in business department study once a month. At the meeting every Tuesday morning, I insist on the key rounds of patient care, the training mainly for nursing staff and the nursing organized by the Ministry. Secondly, I insisted on the technical operation exam and got good results.
In one year's work, I can always love my post and be dedicated, implement the service concept of "patient-centered, patient-centered", and improve my own quality and emergency ability.
Of course, I found that there are still some shortcomings that need to be improved. For example, when studying, we sometimes have impetuous emotions, and feel that there are too many things to learn, which is easy to be impetuous, especially when facing setbacks. At work, sometimes the standard is not high. Although they can basically perform their duties and obligations, they have further improved their actions and need to be improved and strengthened.
Summary of the personal work of obstetricians and gynecologists in township hospitals for 3-20xx years, with the guidance and help of the Municipal Health Bureau, xx District Bureau, hospital leaders and various business departments, our department conscientiously implemented the Law of the People's Republic of China on Maternal and Infant Health Care, and implemented the Outline of Women's Development in China, the Outline of Children's Development in China and the Project of Maternal and Infant Safety. By continuing to carry out maternal and child health care, we have achieved the goals of protecting women's and children's health, reducing maternal mortality and eliminating neonatal tetanus. The achievements and existing problems of 20XX work are summarized as follows:
I. Work indicators
In 20XX, there were 550 hospitalized women, 554 live births, 0 maternal deaths and 0 neonatal deaths 1 person.
Second, the work situation
Over the past year, with the support of the Municipal Health Bureau and the attention and guidance of the XX district government, our department has conscientiously implemented the law on maternal and infant health care, taken measures to standardize and strengthen maternal and infant health care technical services, strengthened law enforcement supervision and inspection, gradually standardized the market of maternal and infant health care technical services, and improved the quality of obstetric services. Especially, after supervising the quality of obstetrics in our hospital in 20xx, the municipal bureau seriously rectified the existing problems and achieved good results.
(a) maternal and child health care technical services to further standardize.
In order to conscientiously implement the maternal and infant health care law and related laws and regulations, and standardize the practice behavior of general practitioners, general practitioners are regularly trained and assessed on maternal and infant health care laws and policies. According to the requirements of "Basic Norms of Maternal and Infant Health Care Services", the department setup, facilities and equipment, staffing and other aspects were self-examined and evaluated, and the technical training of maternal and infant health care for general practitioners was carried out to improve the technical level of maternal and infant health care for staff in our department.
The staff engaged in maternal and infant health care technical services in the department were investigated and assessed. Hold lectures on technical specifications of maternal and infant health care, laws and regulations on maternal and infant health care, and medical safety in obstetrics and gynecology. Attach importance to continuing education. This year, two doctors and five nurses from our department were selected to participate in XX maternal and child health technical service qualification examination, and all of them obtained the Certificate of Guangxi Maternal and Child Health Technical Service Examination. Every year, 1 doctors are sent to tertiary hospitals for further study in obstetrics and gynecology. Systematically manage high-risk pregnant women, and arrange special personnel to be responsible for the registration and reporting of pregnant women, perinatal deaths and birth defects. In order to control the imbalance of sex ratio between men and women, our department strictly implements the provisions of "fetal sex identification for non-medical needs and selective termination of pregnancy". And put up eye-catching signs, formulate work systems and staff responsibilities.
(2) The issuance and management of birth medical certificates have been strengthened.
According to the Notice of the Ministry of Health on the Management and Use of Legal Documents, the Measures for the Administration of Birth Medical Certificates and the Notice on Uniform Use jointly formulated and issued by the Public Security Department of XX District, we will do a good job in issuing birth medical certificates. The newborn born in our hospital shall be handled in time, strictly controlled during handling, to control the occurrence of problems such as wrong hair and recurrence, and communicate with the local household registration police station for evidence collection when necessary. Strict and standardized management has been implemented to reissue the Birth Medical Certificate. After investigation and evidence collection and other related procedures, those who meet the requirements will be given relevant certificates and sent to XX Birth Medical Certificate Office (XX Maternal and Child Health Hospital), and those who do not meet the requirements will be resolutely refused.
(3) The construction and functions of the three-level network for maternal and child health care have been gradually improved.
After the regional conference on maternal and child health in 20XX, the city held a conference on maternal and child health attended by county health directors, directors of maternal and child health centers (stations), main leaders of relevant medical and health institutions directly under the municipal government, department directors and health section chiefs, and issued the Standardized Management Plan for Grassroots Maternal and Child Health in XX and the Compilation of Grassroots Maternal and Child Health Information in XX. The county health bureau and maternal and child health care institutions have made comprehensive arrangements. Through inspection, it is found that most counties and districts have established statistical reporting, auditing and feedback systems for maternal deaths, deaths of children under 5 years old and birth defects, and established maternal death auditing committees. The city organizes a death review once a year, and all counties and districts organize a death review once every six months to find out the main reasons that affect the local maternal death and formulate scientific intervention measures. Regular meetings and the "reduction project" have been paid attention to, and the construction of the three-level network of maternal and child health at the grassroots level has achieved remarkable results.
The quality of obstetric services has improved significantly.
Obstetrics is an important part of clinical medicine and the focus of maternal and child health care. It is not only related to the health and life safety of pregnant women, but also related to the birth, quality and future of new life. Strengthening obstetric construction and quality management is the key to reduce maternal and infant mortality, which is of great significance. Since the "reduction and elimination" work was carried out in Liuzhou in 20xx, with the reduction of hospitalization delivery expenses and the increase of hospitalized pregnant women, our department has paid more attention to the quality of medical services and improved the technical level.
However, there are also shortcomings in the work. In view of the problems in obstetric quality and safety found by superior inspection, our department held a meeting in time to discuss solutions and make serious rectification, which further improved the quality of obstetric service in our hospital, established and improved the obstetric work system, personnel responsibilities and operational routines, improved the obstetric registration system, clarified the reporting procedures of maternal death, perinatal death and birth defects, and strengthened the training of obstetric personnel, especially the promotion of neonatal asphyxia resuscitation technology. Set up a leading group for obstetric first aid and publish the emergency telephone number; Obstetric emergency medicines are complete, safe and effective; Standardize the writing of medical records and the use of labor charts; The establishment of departments and obstetric facilities and equipment have been improved, further improving the technology and quality of obstetric services. Through inspection and evaluation, our department successfully passed the obstetric medical quality and safety inspection in the second half of xx.
(5) The level of family planning work has been gradually improved.
The purpose of population and family planning work is to improve the quality of the population, stabilize the low fertility level and promote the coordinated development of the whole social economy. In order to strengthen the management of family planning technical services, control the population, improve the quality of the population and protect citizens' reproductive health rights, our hospital strictly implements the regulations on the management of family planning technical services formulated by the Ministry of Health, and cooperates with the family planning administrative departments to do a good job in family planning services. Our hospital is a medical institution with the practice license of family planning technical service issued by the state, which meets the setting standards stipulated by the family planning administrative department of the State Council.
The clinical medical staff of obstetrics and gynecology who are engaged in family planning all have the qualification certificates of practicing doctors or nurses, have received formal training in family planning, and strictly implement the Law on Practicing Doctors and the relevant national regulations on nurse management. In the past 20xx years, our hospital has never carried out non-medical fetal sex identification or sex-selective artificial termination of pregnancy, and strictly controlled the family planning operation in the operation of removing the ring, the operation of removing the ring and the operation of abortion, and no out-of-range family planning operation has occurred. Moreover, there has never been a medical error accident in family planning surgery. In the implementation of contraception, birth control surgery, special examination or special treatment, our hospital insisted on obtaining the consent of patients, strictly disinfected the operating room and equipment, and all indicators were qualified to ensure the safety of patients.
Third, there are problems.
Achievements are like the fruits of autumn. Although they are happy, they have all quietly fallen. While tasting success, we should also clearly see the shortcomings.
(1) Insufficient funds, equipment and instruments, imperfect department settings, insufficient housing beds, mixed phenomenon, unreasonable layout and process.
(2) The number of obstetricians is short, the structure is unreasonable, there is no echelon (1 line resident, line 2 attending physician, line 3 deputy director), and there is no full-time midwife.
(3) Medical record writing and labor chart need to be further standardized, the coincidence rate of disease diagnosis needs to be met, and the technical service level of maternal and child health care needs to be further improved.
(4) Some people are unfamiliar with the laws and regulations on maternal and child health care, and a few comrades are still indifferent to the implementation of rules and regulations and pay insufficient attention to them.
(5) Visiting and health education are still a mere formality.
IV. Work Plan
(a) increase income, increase investment in equipment and instruments, try to improve the setting of departments, improve the utilization rate of beds, and strive to make the layout of houses and clinics scientific and reasonable.
(two) enrich the obstetric work team, form a reasonable work echelon, and give play to the role of personnel at all levels.
(three) to strengthen skills training, actively participate in the training courses organized by the Municipal Health Bureau, such as obstetric medical record writing norms, to improve professional medical record writing, professional quality and skills.
(four) to strengthen the study of laws and regulations, business knowledge and departmental rules and regulations related to maternal and child health care.
(5) Strengthen the work of visiting and health education, pay attention to connotation and avoid becoming a mere formality.
(six) to further strengthen the management of "birth medical certificate", and strive to implement computer management as soon as possible.
Summary of personal work of obstetricians and gynecologists in township hospitals 4. This year, under the leadership and support of the leaders of the hospital, our team entered a brand-new field and carried out its work smoothly; With the care and help of hospital leaders, it has been perfected and matured; With the support and cooperation of relevant departments, through our treatment, the parturient has been actively recovered and created value. Therefore, at the end of the year and the beginning of the year, gratitude, gratitude and infinite motivation are filled with our hearts. The following is what happened in the past year.
First, ideological style.
Strict requirements, in line with the purpose of "all for the patient, all for the patient". Cultivate team consciousness and advocate the spirit of cooperation. Strengthen the awareness of learning and work hard on talent training. Nurses mature as soon as possible through various studies and become technical backbones. Organize business study every week and keep learning records. Take the exam once a month.
Second, in the field of obstetrics and gynecology.
I have excellent professional quality and ability, as well as good medical ethics, good attitude towards patients, well received by the masses. At work, you can actively treat your illness. At work, I can master the treatment of common and frequently-occurring diseases in obstetrics and gynecology, and I can also skillfully operate various operations in obstetrics and gynecology. For example:
(1) Family planning: induced abortion, curettage, IUD placement and removal, drug abortion and induced labor;
(2) Obstetrics: Cesarean section of lower uterus and delivery;
(3) Gynecology: hysteromyomectomy, appendectomy, tubal ligation, ovarian cyst stripping and ooplasty, familiar with the operation of laparoscopic hysterectomy.
He is good at the diagnosis and treatment of some gynecological diseases, has many years of clinical work experience, and can master obstetrics and gynecology business skillfully. In the long-term medical work, I have always insisted on using new theories and technologies to guide my professional work, mastered the clinical manifestations of common gynecological diseases and frequently-occurring diseases, the treatment techniques of difficult diseases, and the pharmacological effects and side effects of commonly used first-aid drugs, and strived to improve my professional quality and constantly asked myself to improve my professional ability.
Third, in terms of working ability.
Constantly improve their professional ability, participate in skill training for many times, carefully observe and master the psychological characteristics of gynecological patients in daily diagnosis and treatment, implement targeted psychological intervention, improve the psychological state of patients in time, so as to accurately discover the changes of patients' condition, and at the same time have the ability to correctly analyze and independently handle complex and difficult diseases, correctly evaluate and analyze according to the symptoms and signs of gynecological patients, formulate treatment plans that are beneficial to patients' physical and mental health, and give systematic treatment, thus accumulating rich clinical experience. As an obstetrician and gynecologist, I have always been serious and responsible for my business at hand, learning new medical knowledge many times, updating my knowledge in time, facing new knowledge and technology, constantly improving my professional level, perfecting my knowledge loopholes, constantly enriching my life and keeping my knowledge in mind by studying and consulting business magazines. In 20xx, I studied obstetrics and gynecology in the First People's Hospital. Through systematic study, my theoretical knowledge has reached a new level. At the same time, I am proficient in the treatment and technical operation of various diseases in obstetrics and gynecology, and I am proficient in the diagnosis, treatment, nursing and rehabilitation of common and frequently-occurring diseases in obstetrics and gynecology. As far as the therapeutic effect is concerned, I am very popular with patients.
The summary of personal work of obstetricians and gynecologists in township hospitals has passed by in five years. During my internship in obstetrics and gynecology, with the care and education of department leaders and the help and support of colleagues, I quickly adapted from a medical student to a new role as a doctor, laying a solid foundation for becoming a real clinician. During this period, I have made great progress in politics, work and study.
First, strengthen political study and constantly improve their own quality:
During the internship, I can consciously abide by the rules and regulations of hospitals and departments, love my job, abide by professional ethics, have a correct attitude, work hard and actively cooperate with leaders. And as a member of the Communist Youth League, I actively participate in the collective political and ideological education activities organized by the Communist Youth League, constantly improve my political and ideological consciousness, strengthen my ideological and moral cultivation and professional ethics, give play to the spirit of hard work and innovation of the members, and strive to become a solid youth reserve force in the department.
Second, work hard to learn business knowledge and improve business level:
During my internship, I changed from a medical student with only theoretical knowledge to a doctor who can apply theory to clinical work. Under the careful guidance of the leaders, I have mastered the clinical knowledge that obstetricians and gynecologists should have, such as the routine diagnosis and treatment of common and frequently-occurring diseases in obstetrics and gynecology, the handling principles of obstetric emergencies, the observation and handling of obstetric labor, and participated in the training of family planning technology and midwifery technology in * * city, and obtained the qualification certificate through the examination. At the same time, it has been able to independently complete various common operations in obstetrics and gynecology, as well as complete various operations in obstetrics and gynecology under the leadership of superior doctors, such as cesarean section, tubal resection and ligation. Taking the opportunity of standardized training of residents and rotation of pediatrics and B-ultrasound room, we have a deeper understanding of the diagnosis and treatment of neonatal diseases and the application of B-ultrasound diagnosis in gynecological diseases. Seriously participate in the business study organized by departments, strive to master the domestic advanced knowledge and technical development trends of this discipline, actively participate in the business study organized by hospitals, strengthen exchanges with young doctors, and broaden their knowledge. If you encounter problems, you can seriously consult your superior doctors, constantly improve your clinical thinking ability and diagnosis and treatment level, study abroad, and at the same time link clinical practical problems with theoretical knowledge to consolidate and deepen theoretical study in combination with practice.
Third, keep pace with the times, overcome shortcomings, make persistent efforts and open up new achievements.
Through studying in obstetrics and gynecology, I further improved my professional level and other aspects. In the future, keeping pace with the times will always be my insistence. I will try my best to overcome my shortcomings, keep learning and keep my advanced thoughts. Strengthen the study of business knowledge, constantly expand their knowledge, constantly improve their hands-on operation ability and business level, and embark on a new level of work. At the same time, they strive to learn from the older generation, learn from advanced models, and carry forward the revolutionary spirit and the spirit of hard struggle. Give full play to the characteristics of the youth of the times, adhere to enthusiastic service, use new horizons, new concepts, new thinking and new methods to carry out work, improve work efficiency and promote overall progress.