I am a nurse in the composition department of blood station. Since I worked in the blood station, with the care and support of the bureau leaders and the help of comrades, I have been able to overcome all kinds of difficulties in my work, carry forward the work spirit of not being afraid of hardships and tiredness, forge ahead in unity, work hard, have excellent professional skills and excellent work performance, and have won unanimous praise from leaders and comrades. The composition department under my leadership has also been rated as an advanced department for many years in a row. The preparation of blood components I am engaged in is not only professional and technical, but also develops rapidly, which is related to the quality and safety of blood use for all patients. This requires the staff not only to have a high sense of professionalism and responsibility and solid business skills, but also to have innovative spirit and innovative mind. In order to improve my own quality and better meet the needs of ingredients, I continued to strengthen my study after work, obtained the employment certificate of blood station industry with good results and obtained a college degree, and also led all general practitioners to obtain a college degree in a short time, which improved the working ability of the whole department.
Originally, the blood composition of our station was single, only red blood cell suspension and fresh frozen plasma. In order to meet the needs of clinical blood transfusion, improve the curative effect of blood transfusion and ensure the safety of blood transfusion, with the support of the station leaders, we led the members of our department to go through many experiments, regardless of difficulties or failures. Within two years, we have successfully prepared various new blood components, such as leukocyte-depleted red blood cell suspension, frozen red blood cells, washed red blood cells, cold precipitation, virus-inactivated fresh frozen plasma and so on. , effectively solved the problem of blood transfusion for rh-negative patients who have been troubled clinically for many years, greatly reduced the occurrence of clinical blood transfusion reactions, and made the clinical blood component supply work in our station step up to a new level.
For many years, the platelet products provided by our station have only been prepared by hand, but the blood transfusion effect of platelets prepared by hand is not as good as that of platelets collected by machinery, and the probability of blood transfusion reaction is also high. Moreover, only one blood station in the province 18 did not carry out the work of collecting platelets by machine. In order to solve this problem, the station leader decided to carry out the work of collecting platelets by machine and sent me to the provincial blood center to study. To this end, I put down my child who was a few months old and resolutely obeyed the arrangement in the station. During the two-week study in the provincial blood center, I was able to ask questions, be good at learning, and successfully completed the study of new technology, which was well received by the teachers of the provincial blood center, enabling me to successfully carry out the work of mechanical platelet collection. In order to ensure the clinical supply of platelets collected by machine, I worked overtime, worked hard, was on call, strictly implemented various operating procedures and rules and regulations, and strictly controlled the quality, which ensured the quality of each bag of platelets and the infusion effect of clinical platelets, and was also well received by clinical hematologists. Give full play to one's own advantages and do a good job in departmental management.
Most comrades in my department are young comrades who have just graduated from school. They have little work experience, unstable thoughts and are prone to problems. To ensure the quality of ingredient preparation. With the advantages of several years of clinical work experience, I have given them meticulous care and love in life, guided them to establish a correct outlook on life and values ideologically, respected leaders and United comrades. In business, general practitioners are required to be strict, learn with an open mind, be brave in improvement, strive for perfection, master basic skills and ensure quality. Play a leading role in the usual work, not afraid of being dirty and tired, suffering first and enjoying later. Through my efforts, I have formed a strong cohesion among the staff in our department, so that everyone can clearly divide the work according to the requirements in the future work, unite and cooperate, make the work of the component department orderly, and the quality of various blood components can meet the quality control requirements. In the assessment and inspection of all the work carried out in the station, other work of the constituent departments can meet the requirements and have been recognized by the station leaders. In the city's activities to create a national health city and a civilized city, I asked all members of the department to have a sense of the overall situation, resolutely obey the arrangement of the station leader, and draw out a comrade to participate in the creation work. In the case of relatively tight personnel, as a department director, I can be conscientious, hard-working and not afraid of hard work. While completing my job with good quality and quantity, I actively cooperated with the creation work in the station, so that I successfully passed the inspection and acceptance of creating a national health city and won the commendation of the municipal government. As a blood station staff, I deeply understand the difficulties in the development of unpaid blood donation, and our words and deeds may affect the enthusiasm of blood donors. Mechanical platelet collection is a new project with long collection time. Many people don't understand it, so they can't accept it. In order to solve the above problems, while mastering the business skills of mechanical platelet collection, I strengthened the study of civilized manners and asked all comrades in the department to standardize the use of civilized manners. I sincerely communicate with every blood donor in the work of collecting platelets, patiently publicize the relevant knowledge of platelet collection by machine to everyone, let everyone fully understand the benefits of platelet collection by machine, provide high-quality and standardized services for blood donors with excellent blood collection technology, ensure the stability of blood donors, expand the team of platelet collection by machine, and get unanimous praise from blood donors. At present, more than 100 people take part in platelet collection by machine every year in our station, and there is no service in our department all year round.
Without rules, Fiona Fang cannot be established. This year, the state promulgated the quality management standard for blood stations. I am well aware of the importance of this standard to the work of blood stations. In the process of implementing the national quality management standard of blood station and the quality system document of our station, I studied the standard seriously, understood the connotation of the standard sentence by sentence, overcame my own difficulties and worked overtime. I organized the department members to write the quality system documents of the departments in strict accordance with the standard requirements, and submitted the manuscripts on time according to the time requirements in the station and passed the joint review in the station. In the operation of the department quality system, organize the members of the department to seriously study the system documents, standardize the implementation of the system documents, and constantly improve the system documents, so that the work of the constituent departments has reached a higher level. In the future work, I will treat every work with a more rigorous attitude, receive every blood donor with full enthusiasm and standardized service, and make my due contribution to the development of blood donation in our city.
Chapter II Summary of Work in Hematology Department of Blood Station
In the past 20** years, with the correct guidance of the station leaders and the support of all departments in the station, our department has implemented the Scientific Outlook on Development, closely focused on the overall development of blood donation, took "providing first-class services for blood donors and first-class quality blood for blood recipients" as its own responsibility, and strictly followed the requirements of the Ministry of Health's "one law and two norms" to manage and promote development and ensure the needs and safety of clinical blood use, and mainly did the following work.
I. Main achievements:
(1) Do a good job in ideological and political work and provide organizational guarantee for all work.
Based on the concept of "safety is the foundation, security is the foundation", we will fully implement the "Five Ones" project, comprehensively and thoroughly implement the decision of the station leaders, earnestly do a good job in ideological and political education in general practice, actively promote the improvement of employees' comprehensive quality, and effectively ensure the smooth development of all work. Strengthen management, clarify responsibilities, take people's health and blood safety as the fundamental starting point of our work, and form a good situation of sincere unity in the whole department. According to the "Opinions of the Municipal Health Bureau on Further Strengthening the Work Style Construction of the Health Industry", our department conducted a satisfaction survey on clinical blood units, listened to the opinions and suggestions of blood units with an open mind, further improved the quality of blood supply services, and actively carried out the "Quality Service Year" activities. Through concentrated study and education, the cadres and workers of our department have further enhanced their work consciousness, firmer political stance, purer moral character, more innovative work, more effective style and advanced behavior, which has played an exemplary role and become the backbone of our department's work development.
(two) pay attention to quality, strict control, and better complete the task of safe blood supply throughout the year.
In order to ensure the quality of blood and ensure the safety of blood transfusion, our department strictly implements the "one law and two regulations", strictly controls the quality from scrapping positive blood to sending qualified blood, and implements the system of scrapping positive blood and issuing blood in batches, which basically meets the needs of clinical blood use.
(3) Improve the emergency mechanism of blood use and formulate three emergency plans for blood use.
In order to ensure the emergency use of blood in emergencies, according to the clinical use of blood in recent years, the emergency plan for blood supply in Huizhou City has been further improved. Three major blood emergency plans have been made:
1, emergency blood use plan during the Spring Festival
2. Emergency plan for power storage and transfer.
3, rh(-) blood emergency plan to ensure the need of clinical emergency blood.
(four) to develop the latest blood inventory dynamic table to ensure clinical use of blood.
Referring to the consumption of blood products of different blood types in clinical medical institutions in previous years, our department initially estimated the blood consumption in emergencies in our city, and formulated the weekly consumption of blood products of different blood types in major hospitals in our city to ensure the needs of clinical blood use. Our department also formulates the highest, best and lowest stocks of blood products such as adding red blood cells, frozen platelets and cryoprecipitate. When the actual inventory of red blood cells of a certain blood type exceeds the maximum inventory or falls below the minimum inventory, our department will immediately report the inventory situation to the station leader, and ask the station leader to inform the blood collection department to reduce or stop collecting blood of this blood type or step up the recruitment of blood donors of this blood type. By establishing the highest, lowest and best blood bank, on the one hand, medical accidents and medical disputes that may be caused by untimely blood supply are fundamentally reduced, on the other hand, blood scrapping caused by excessive blood collection is eliminated.
(5) Strengthen the internal audit of the quality system and continuously improve the quality system documents.
Our department has strengthened the training and study of general practitioners on "one law and two norms", deepened the understanding and implementation ability of employees on "one law and two norms", enabled them to carry out blood supply and service work in a more standardized and high standard, and ensured the safety and quality of blood. In order to strengthen the quality management supervision, quality evaluation and pursuit of total quality management in our station and make continuous improvement, according to the standard of "one law and two norms", the quality supervisor of our station organized the internal auditors of the department to conduct internal audit on the operation of the new quality system, so as to realize continuous improvement and further improve its suitability, sufficiency and effectiveness.
(6) Add fixed blood storage points to facilitate patients to use blood.
In 20 15 years, Huiyang Sanhe Hospital used additive red 1303u, 97750 ml of fresh plasma, 52450 ml of ordinary plasma and 52u of cryoprecipitate. The amount of blood used in the whole year is large, and it takes hospital drivers more than 2 hours to get blood from Huizhou Central Blood Station, which is a long way, so it is very difficult to use blood in clinical emergency. In order to effectively ensure the demand for clinical emergency blood in our hospital, according to the opinions of the Municipal Health Bureau, our department sent people to Sanhe Hospital to check the blood storage conditions on the spot, and added a fixed blood storage point, which was approved by the Municipal Health Bureau. The blood transfusion driver in our department provides voluntary blood transfusion service for this hospital once a week. With the addition of fixed blood storage points in Sanhe Hospital, the number of fixed blood storage points in our city has reached 1 1, which greatly facilitates the blood rescue of patients in Sanhe Hospital, shortens the time for rescuing patients, and ensures the safety of people's lives, and has been well received by Huiyang District Health Bureau and Huiyang Sanhe Hospital patients.
(seven) standardize the management of blood transfusion, to ensure the scientific and rational use of blood.
In order to give scientific and reasonable technical guidance on blood use in various medical institutions, put an end to the waste and abuse of blood and ensure the quality and safety of blood for clinical use. Strengthen the propaganda and guidance of medical staff on voluntary blood donation and scientific and rational use of blood in daily work, so that medical staff can play an active role in promoting voluntary blood donation and mobilizing relatives and friends to help each other donate blood; At the same time, enhance the awareness of medical staff to cherish blood resources and minimize unnecessary invalid blood transfusion.
(eight) to strengthen quality and safety management, strengthen training.
Strictly implement the blood quality and safety management plan of Huizhou central blood station, and our department signed and implemented the Responsibility Letter of Blood Quality and Safety Management and the Scoring Method of Blood Quality and Safety Management, which further promoted the institutionalization, standardization, standardization, scientificization and accountability of blood quality and safety management in the whole station, continuously strengthened the education of our staff's sense of responsibility for quality and safety, prevented and eliminated the occurrence of blood quality and safety accidents and errors, and truly guaranteed the needs and safety of blood for clinical medical treatment and emergency use in this city. According to the business knowledge learning plan formulated at the beginning of the year, undergraduate staff received more than 30 trainings on standard operation knowledge of hematology, participated in blood safety education in the whole station for 3 times, learned "etiquette knowledge" 1 time, participated in the whole city blood transfusion study 1 time sponsored by the Municipal Health Bureau, and received various kinds of learning, education and training, which greatly improved the management level and professional technical level of staff in our hospital.
Second, the existing problems
Summarizing this year's work, our department has made great progress in blood supply professional norms, personnel training, quality system construction, blood donation without compensation and so on. Ensure the need and safety of blood for medical clinical use. It has made positive contributions to building a harmonious Huizhou. However, due to the particularity of its work, there are still many difficulties and deficiencies in our department, mainly including the following problems:
First, with the opening of the First People's Hospital and the increasing consumption of O-type blood in various medical institutions, the contradiction between supply and demand of O-type blood is still outstanding. It is necessary to increase the publicity of blood donation, regularly analyze and explore new models suitable for the development of blood donation in our city, and establish a long-term mechanism for blood donation, so that the cause of blood donation in our city can develop continuously, healthily and steadily.
Second, it is a long-term project to plan, coordinate and effectively organize scientific and rational blood use research and training, and it is necessary to further strengthen the professional guidance and quality control of blood storage points (blood transfusion departments) of medical institutions in Huizhou.
Thirdly, in order to further standardize the management of blood banks, it is suggested to invest money to improve the working environment and process of blood banks, so that the layout of work areas and the connection of various tasks are scientific and reasonable. Expand hematology department and purchase blood storage equipment to ensure blood quality. Move the plasma bank on the third floor to the first floor for temperature monitoring.
Third, the work plan for next year
1, strengthen the supervision and inspection of blood use in primary medical units.
2, strengthen the training of employees, improve their theoretical knowledge and business skills.