Self-evaluation of nurses in emergency department 1 Both in emergency department and post-emergency department, the knowledge gained has benefited a lot. The work of emergency department is the first line of patients' life, especially the emergency room. When the patient was taken to the emergency room from the car on 120, I improved my spirit and devoted myself to the rescue of the patient. Here, I witnessed the rescue of many dying patients, such as cardiac arrest, ventricular fibrillation and cerebral hemorrhage. In short, to sum up, the work of the emergency department is urgent, and your agility means the life of the patient. Similarly, in the work of the pre-examination desk, I initially learned what kind of patients to triage. When I was in the intensive care unit, I learned how to extract blood gas from teacher Chen, and learned the difference between venous blood and arterial blood in practice. In the work of emergency department, I also mastered the most basic measures to rescue patients, the process of gastric lavage technology, and ECG. The use of various instruments, such as defibrillators, ventilators, sputum aspiration techniques, artificial respiration machines, chest compressions, etc. , is self-identity.
There are only four months before the end of the internship. I will try my best to leave a better impression on teachers and patients. I hope I can get my wish.
How time flies! In a blink of an eye, I have been practicing in the emergency department for a month. During this month's internship, I benefited a lot from the knowledge I learned. During my internship in the emergency department, I will abide by the rules and regulations of the hospital and various departments of the hospital, respect teachers, unite with comrades, and be strict with myself, so as not to be late, leave early, be absent from work without reason, or leave without authorization. Under the guidance and guidance of teachers, in strict accordance with the "three checks and seven pairs" and aseptic operation, we strive to apply the theoretical knowledge and basic skills we have learned to practice. In this process, I constantly summed up my learning methods and clinical experience, initially learned to triage patients, became familiar with the nursing of common diseases in emergency and the rescue cooperation of critically ill patients, and initially mastered the first-aid professional techniques and the operation of first-aid instruments such as gastric lavage, cardiopulmonary resuscitation, defibrillation, sputum aspiration and ECG monitoring. Now I feel that my goals are clearer and more motivated. I hope I can do better and help more patients through my efforts. Self-evaluation of emergency nurses' practice: initially master the principles of handling all kinds of emergency patients, nursing implementation and various rescue techniques.
Self-evaluation of nurses in emergency department 2 i. Ideology and politics
As a members of the Communist Party of China (CPC), I can always demand myself as a party member. Under the premise of observing the rules and regulations of the department, we should conscientiously study all kinds of advanced ideas, broaden our horizons, strive to improve our ideological consciousness and professional level under the leadership of the department director and head nurse, earnestly carry out and organize business study, arm ourselves with knowledge, and go forward like an excellent emergency nurse.
The emergency intensive care unit is an unaccompanied ward, and I can serve patients seriously and responsibly. Birth, aging, illness and death is a natural process, but I can empathize with patients' physical and mental pain, worry about patients' families, treat patients as my own relatives, and try my best to save patients' lives, help patients and alleviate their pain. Always remember: it is our duty to save lives!
Second, the business technology
The intensive care unit requires higher comprehensive quality of nurses, which requires us to work harder and be better on weekdays. Ideological awareness should reach a certain level and professional skills should be meticulous. Oxygen inhalation technology, intravenous infusion and ECG monitoring must be mastered, especially the application of ventilator, tracheal intubation and cardiopulmonary resuscitation, which are essential skills for an emergency nurse.
On weekdays, I can seriously consolidate my textbook knowledge, practice various operations repeatedly at work, and strive to make practice perfect. I will also attend business studies on time every month, keep records and actively participate in various skill competitions. Won the second prize of one-handed cardiopulmonary resuscitation and the second prize of oxygen inhalation technology of oxygen bottle in the first workers' skills sports meeting of the First Affiliated Hospital of XX Freshman. But these achievements only represent the past, and I will work harder to become an excellent technical expert!
Third, practice and thinking
Life is a colorful picture. While harvesting colorful pictures, there will inevitably be some unsatisfactory places, and I also found many shortcomings and deficiencies in my work.
1, the business is not skilled.
For example, the application of ventilator, tracheal intubation, nursing of various pipes, etc. Because of my short working hours and lack of experience, it will inevitably lead to some waste of time and resources. I will study hard, do more and try to master everything in the future.
2. Immature thinking.
Saving lives, saving patients' lives and relieving their suffering are the unshirkable responsibilities of every medical worker. However, when I encounter the incomprehension and support of patients and their families, I will still be irritable, impatient and cautious. I will remind myself more in my future work: I should treat every patient and every family member with a tolerant and loving heart.
3, the workmanship is not fine.
Details determine success or failure. The work of EICU is no better than that of ordinary wards, which is characterized by urgency, danger and heaviness. Sometimes I hug watermelons and throw sesame seeds when I am busy. For example, I don't know how to put the micro-pump back in place after use, such as forgetting to clean the filter screen of the ventilator, and so on. I will pay more attention to these details in the future and try to do every job well.
Half a year's work is full of ups and downs. Only by summing up experience and lessons in time can we get on the road easily. The most beautiful scenery in the journey of life is not the destination, but the scenery along the way. I hope I can go forward, strive to be an excellent emergency nurse, and win glory for the development of emergency department and XX First Hospital!
Self-evaluation of nurses in emergency department 3. I am Sun xx, a student of Class 0 in ordinary care, the nursing department of XX. After two years of theoretical knowledge study, according to the needs of study, the school arranged 10 months of clinical practice study for us.
We entered No.251Hospital of Zhangjiakou People's Liberation Army in July1,and carried out clinical nursing practice for 10 months. Clinical practice is the consolidation and strengthening of theoretical learning stage, the training and exercise of nursing skill operation, and the exercise stage before our employment. Here, I would like to thank Zhangjiakou 25 1 Hospital for providing me with such a good internship environment and various excellent internship conditions, and also thank all the teachers for their care and hard guidance, so that I can have such a good opportunity to exercise myself before I set foot on my job.
During the internship in the hospital, according to the careful arrangement of the nursing department, we took turns to practice in several departments such as surgery and internal medicine.
The first stop of my internship is cardiology, and our internship time is two months. Because this is my first internship department, I am full of curiosity and expectation. When I first entered the ward, my mind was blank and everything seemed so fresh. When we first went, the head nurse arranged a tutor for us. The tutor first familiarized us with the environment here, and then explained the rules and regulations of the department to us. In the first few days, I still felt strange and puzzled. As a student, I feel either standing or sitting. Fortunately, my tutor is very kind to me, explaining everything to us and letting us do some things. Slowly, we became familiar with the procedures here. In these two months, we have studied the knowledge about the heart, understood the working nature of the department, and got familiar with the pathological situation of each patient. During the two-month internship, I can basically carry out intravenous infusion alone. Basic nursing operations such as various injections. And learned the use of ECG.
The second department is neurosurgery, where I practice. As a student, I rest in front of the head nurse and the tired teachers in the department. I feel really tired and tired, and my whole body aches. After work, I went back to my apartment and fell asleep. Physical and mental exhaustion.
When I first entered the surgical ward, I always felt at a loss. However, with the pace of time, the environment has become familiar, and learning has gradually entered a formal track. In the ward internship stage of each department, I know the most about various diseases and their commonly used therapeutic drugs, such as the usage and dosage of drugs. Master the basic operation of all kinds of nursing.
The ultimate goal of practice is to cultivate good operating skills and improve various nursing abilities. Therefore, under the teaching principle of "let go, don't look around, don't worry about looking around", actively strive for every exercise opportunity, such as catheterization, stomach tube insertion, bed bath, oral care, intravenous infusion, muscle injection and other basic nursing operations.
I know that the job of a nurse is very heavy and messy. Although I felt something before I entered the clinic, I really felt more deeply after I entered the ward. Indeed, the work of nurses is very fragmentary and messy, which can be said to be humble, but through the incomprehension of most people, we find that nurses have their unique charm. Hospitals cannot live without nurses, which shows the importance of nurses. Doctors can't do without nurses, patients can't do without nurses, and the whole environment can't do without nurses. This kind of trivial work has a complete system, which can be described as "the sparrow is small and complete", and it is precisely because of this that it can play its unique role and produce an indispensable role. Because of clinical practice, I have a more comprehensive and profound understanding of nursing work and a more detailed understanding of this industry. The second gain from entering the clinic is to correctly understand nursing, establish correct professional ethics and develop a good working attitude.
This department is a turning point for me. It taught me a lot, let me know that as a nurse, I should not only learn the most basic acupuncture, but also know many things such as catheterization, enema, sputum aspiration and nasal feeding.
Self-evaluation of nurses in emergency department. The emergency department internship is almost over, and I will leave soon. I really hate to part. Looking back on the dribs and drabs of this month, it is really mixed. Emergency is like a kaleidoscope, with all kinds of patients and diseases. When I first entered the department, I felt that I was redundant and couldn't help. The theoretical knowledge of school study seems to be divorced from practice, and I can't find a breakthrough. Over time, the teacher's careful teaching, several common operations are familiar, and the movements are no longer so unfamiliar. I can play a role in my work, and I didn't give people any trouble when I first entered the department. My self-confidence is increasing day by day, and my work goes smoothly day by day.
What impressed me most in the first aid work is undoubtedly the rescue work. There are many emergency patients every day, but that day, the 59-year-old man stubbornly turned into a straight line and refused to jump again, watching his son silently red-eyed. At that moment, life was so fragile; At that moment, I watched the fresh life wither in front of my eyes, but I couldn't catch it. Suddenly I was satisfied with myself and could do nothing. At that moment, I realized how the duties of doctors are intertwined with the lives of patients; At that moment, I knew how important it was to be a doctor, with superb skills, calm in the face of danger, always keeping a clear head and quick and calm judgment.
I remember when we first entered the department, the director asked us (1) to have the humanitarian spirit of saving lives and serving patients wholeheartedly; (2) to have keen observation and strong will to rescue; (3) to protect the medical system; (4) to be good at summing up emergency and rescue experience, to be familiar with various clinical symptoms, and to have the ability to distinguish emergency, infectious diseases and emergency rescue measures. After this incident, these four things are unforgettable.
The teachers in the emergency department are very good. They gave me a lot of encouragement when I first entered the medical profession, and also told me a lot of ideas about learning to protect myself. One of the teachers is from my hometown, and I don't know if it is psychological, so I always feel very kind. Oh, and a security guard comes to inspect every day. One thing is very sad, that is, being scolded by patients. Some patients are really savage. At night, they get drunk, make trouble and fight. What's more, they treated an epileptic patient at 120 that day. There is no family in such a heavy rain, and our teacher is fooling around after waking up. It's really too much. Being scolded by that woman that day really hit my enthusiasm. Alas, I can't get over it for several days.
Now I am still full of enthusiasm, and my ability and experience are relatively poor. I hope my medical ethics and ruthlessness will not be covered up or erased by anything. After nearly a month's internship, my biggest experience is that being a doctor is really hard and I really need real skills. Being a doctor is really entangled with patients, and the wheel of history cannot be reversed. We can only try our best to control the speed.
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Self-evaluation of emergency nurses 5 During the internship in the emergency department, I observed the rules and regulations of hospitals and departments, respected teachers, and worked actively and conscientiously. Basically mastered the nursing routine of common diseases in the emergency department and the technical operation procedures such as nasal feeding, sputum aspiration, oxygen supply, gastric lavage, subcutaneous injection, intramuscular injection, intravenous injection and ECG monitoring.
During my internship in the emergency department for one month, I learned a lot, whether it was pre-hospital emergency or post-hospital emergency. The work of emergency department is the first line of patients' lives, especially the emergency room. When the patient was taken to the emergency room from the car on 120, I improved my spirit and devoted myself to the rescue of the patient. Here, I witnessed the rescue of many dying patients, such as cardiac arrest, ventricular fibrillation and cerebral hemorrhage. In short, to sum up, the work of the emergency department is urgent, and your agility means the life of the patient.
Similarly, in the work of the pre-examination desk, I initially learned what kind of patients to triage. When I was in the intensive care unit, I learned how to extract blood gas from teacher Chen, and learned the difference between venous blood and arterial blood in practice. In the work of emergency department, I also mastered the most basic measures to rescue patients, the process of gastric lavage technology, and ECG. The use of various instruments, such as defibrillators, ventilators, sputum aspiration techniques, artificial respiration machines, chest compressions, etc.
Of course, being a good emergency nurse is not enough. It also needs a solid theoretical foundation, rich rescue experience, quick response and quick action. This is a guarantee to stand the test in an emergency. (Article from resume)
Self-evaluation of nurses in emergency department 6 During my internship in emergency department, I observed the rules and regulations of hospitals and departments, with correct internship attitude, clear internship motivation and strong subjective initiative. Under the guidance and guidance of the teacher, strict "three checks and seven pairs" and aseptic operation were carried out. Now, the pre-hospital examination and pre-hospital emergency procedures have been solved, and I am familiar with the nursing of common diseases in emergency and the rescue cooperation of critically ill patients, and master the first-aid professional skills such as gastric lavage, cardiopulmonary resuscitation and defibrillation and the operation and maintenance of xx first-aid instruments.
During my internship in the emergency department for one month, I learned a lot, whether it was pre-hospital emergency or post-hospital emergency. The work of emergency department is the first line of patients' lives, especially the emergency room. When the patient was sent to the emergency room from the car of 120, his spirit improved by 10,000 times120, and I devoted myself to the rescue of the patient. Here, I witnessed the rescue of many dying patients, such as cardiac arrest, ventricular fibrillation and cerebral hemorrhage. In short, to sum up, the work of the emergency department is urgent, and your agility means the life of the patient!
Similarly, in the work of the pre-examination desk, I initially learned what kind of patients to triage. When I was in the intensive care unit, I followed Mr. Chen to learn how to extract blood gas and practice distinguishing venous blood from arterial blood. In the work of emergency department, I also mastered the most basic measures to rescue patients, the process of gastric lavage technology, and ECG. The use of various instruments, such as defibrillators, ventilators, sputum aspiration techniques, artificial respiration machines, chest compressions, etc.
There are only four months before the end of the internship. I will try my best to leave a better impression on teachers and patients. I hope I can get my wish.
Self-evaluation of nurses in emergency department. Strengthen service consciousness and improve service quality
Adhere to the patient-centered and take the interests and needs of patients as the starting point. If the nurse is required to quickly push the car to the emergency room door after hearing the sound of the ambulance, the patient will be admitted. Provide patients with facial tissues, paper cups and boiled water. Register for the unaccompanied elderly, the weak, the sick and the disabled to take medicine. Every emergency inpatient is escorted to the hospital by a nurse or nurse. In order to solve the problem that there are many transfusion patients at night in summer, flexible scheduling is implemented to increase the number of people going to work at night. These measures have been welcomed by patients. Especially in disputes between doctors and patients, even when we beat and scold medical staff, our nursing staff tried their best to explain reasonably, and they didn't fight back or scold, which was praised by the hospital.
Second, strengthen learning and cultivate high-quality teams.
The emergency department formulates a learning system and plans to strengthen the professional knowledge learning of nursing staff. To carry out emergency professional training and send nurses to anesthesiology department and operating room to learn tracheal intubation requires everyone to pass eight emergency operations. Learn the new progress of cardiopulmonary resuscitation, acute coronary syndrome first aid and trauma first aid with doctors. Improve the level of emergency treatment and the speed of rescue response. General practitioners consciously learn from Wei Ran. At present, there are 8 nurses taking the national higher education nursing junior college classes and undergraduate self-study exams. Two nurses who worked for one year passed the nurse's practice examination. Assign senior nurses to study the new concept of national emergency nursing and emergency simulated first aid training.
Third, do a good job in teaching new nurses and interns.
According to the working characteristics of the emergency department, a three-month training plan for new nurses was formulated, requiring new nurses to master the first aid procedures, pre-hospital first aid, how to answer emergency calls, master the use of all instruments in the emergency department, and strengthen theoretical study and assessment within three months. In the first year of training, good results have been achieved. For interns, let go of their eyes and give small lectures every week.
Fourth, care for life and race against time.
It is the direction of emergency department's efforts, and it is also the commitment to do a good job in an emergency article. For example, on October 7th, 20xx165438+/kloc-0, the patient who was sent to the emergency department due to falling from a height was unconscious, restless, unresponsive, with bloody fluid overflowing from his mouth and open fractures of both lower limbs. As soon as the nurse on duty saw it, she was given oxygen and intravenous injection, and decisively took tracheal intubation, sputum aspiration and oxygen inhalation, and at the same time opened a green channel to win valuable time for rescuing patients.
Five, do a good job in the management of first-aid drugs and first-aid equipment.
The preparation of first aid drugs and the debugging of various first aid equipment are the basis of first aid work. Now there is a special person in charge of every job, and the responsibility is carried out to people, so that the class can check regularly. During this year, there was no influence on the rescue work because of first-aid drugs and first-aid equipment.
four
I believe you have a new understanding of the emergency department. Facing the first diagnosis and rescue of critical emergency patients, emergency patients often have unclear diagnosis, unclear condition and rapid changes. If it is not handled properly, it is easy to have medical disputes. However, patients and their families are prone to impatience, anxiety and fear. The emergency room is different from the ward. Medical staff have enough time to communicate with patients and their families, understand the needs of patients in time, and establish a good nurse-patient relationship. In the emergency department, patients and their families have not yet established a good sense of trust in their brief contact with medical staff, and they are very sensitive to every nuance of medical staff. The speech and behavior of medical staff will have a great influence on patients' psychology. As a result, the rescue behavior of medical staff is not understood, leaving patients and their families with the illusion that they are not taken seriously and the emergency is not urgent. Therefore, the more I feel that communication is the most easily overlooked and important thing in an emergency.
Nightingale said: Nursing needs not only exquisite skills, but also art. First, you must learn to observe, so that you can be good at discovering the existence of problems, including observing the patient's condition, psychology, needs and family members. For example, some patients' families are critical of nurses' behavior, but they don't fully understand patients' fluids. For such family members, we should patiently remind them where to call a nurse when changing fluids. At the same time, we should also patrol the ward on time to observe the progress of the liquid, so as to avoid conflicts with the patients' families to a great extent because the liquid was not replaced in time. Second, learn to communicate. Mutual respect and trust between people is based on communication. For patients who come to the emergency department, we should actively ask and guide them enthusiastically. For example, we can help patients with mobility difficulties, or help them take them to the clinic with carts, measure their vital signs and give them to the nurses in the clinic; For patients who need and can go to the ward for treatment, the location of the ward can be pointed out in detail to prevent patients from running the wrong way. For patients who have been ill for a long time but their condition is not critical, we can advise them to go to the outpatient clinic for medical treatment, and patiently and carefully inform them of the location and time of medical treatment, so as to facilitate patients' arrangements. A smiling expression and a hand gesture can not solve the physical pain of patients, but can quickly shorten the distance between nurses and patients, effectively meet the psychological needs of patients who need care, thus facilitating our follow-up nursing work. Finally, through observation and communication, learn to judge, and have an accurate understanding and judgment of the patient's condition and needs, which is conducive to the rescue work of medical staff and buys time for patients. For example, trauma patients can know the location and severity of their injuries through observation and general inquiry, and seek medical treatment at the first time. Registration procedures can also be prepared. The above is just a brief talk about my work in the emergency department, and there are still many things to learn.
Of course, being a good emergency nurse is not enough. It also needs a solid theoretical foundation, rich rescue experience, quick response and quick action. This is a guarantee to stand the test in an emergency. During my internship in the operating room, I strengthened the concept of sterility and increased my understanding of the principle of sterility, which made me have a deep understanding and understanding of the work tasks of hand-washing nurses and visiting nurses, and also made me have a better understanding of the cooperation between nurses and doctors.
five
During the internship in the emergency department, I should abide by the rules and regulations of hospitals and departments, have a correct internship attitude, clear internship motivation and strong work initiative. Under the guidance and guidance of the teacher, I learned the process of pre-inspection and pre-hospital first aid, became familiar with the nursing of common diseases in emergency and the rescue cooperation of critically ill patients, and mastered the first-aid professional techniques such as gastric lavage, cardiopulmonary resuscitation and defibrillation and the operation and maintenance of xx first-aid instruments.
During my internship in the emergency department for one month, I learned a lot, whether it was pre-hospital emergency or post-hospital emergency. The work of emergency department is the first line of patients' lives, especially the emergency room. When the patient was taken to the emergency room from the car on 120, I improved my spirit and devoted myself to the rescue of the patient. Here, I witnessed the rescue of many dying patients, such as cardiac arrest, ventricular fibrillation and cerebral hemorrhage. In short, to sum up, the work of the emergency department is urgent, and your agility means the life of the patient.
Similarly, in the work of the pre-examination desk, I initially learned what kind of patients to triage. When I was in the intensive care unit, I learned how to extract blood gas from teacher Chen, and learned the difference between venous blood and arterial blood in practice. In the work of emergency department, I also mastered the most basic measures to rescue patients, the process of gastric lavage technology, and ECG. The use of various instruments, such as defibrillators, ventilators, sputum aspiration techniques, artificial respiration machines, chest compressions, etc.
There are only four months before the end of the internship. I will try my best to leave a better impression on teachers and patients. I hope I can get my wish.