Summary of personal work of nurses in gastroenterology 1 One year passed quickly. In this important year, I ended my student career, passed the qualification examination for practical nurses, and an ignorant intern officially embarked on my nursing career. With great excitement, I was assigned to the Department of Neurology. As a new nurse who lacks practical experience, she received enthusiastic guidance from the head nurse and selfless help from teachers and colleagues, which made me adapt to the work of neurology quickly and let me grow up slowly. I am very happy that I came to such a harmonious team. My work this year is summarized as follows:
First, enhance ideological and moral awareness and legal awareness.
No matter in school or unit, leaders and teachers always teach us that as a medical worker, having good ideological and moral and legal awareness is the basis of doing a good job in nursing. I keep in mind the teachers' teaching, and remind myself all the time in this year that I should abide by the law and not do anything that violates the professional ethics of nurses. Under the leadership of hospitals and departments, we should conscientiously study legal knowledge, collect and study relevant laws and regulations through various channels, and learn and summarize legal problems existing in nursing work, such as medical and health regulations and nursing law. , familiar with the legal status and legal basis of nurses and their legal responsibilities.
I know that as a nurse, I should have a strong sense of responsibility and dedication in my work, maintain a correct working attitude, strictly abide by nurses' professional ethics, conscientiously implement various nursing systems and technical operating procedures, correctly implement doctor's orders, accurately and timely complete various nursing work, strictly implement the system of ward rounds and succession, prevent mistakes and accidents, and avoid legal disputes.
Second, find your own position and base yourself on your own work.
College students who have just graduated are often considered to have low thoughts and poor practical ability. Maybe we have some impetuous emotions. To do a good job, we must first "sink our hearts", find our own position and starting point, and take every step in a down-to-earth manner. This year, I ended my student status and officially became a professional nurse. I'm not familiar with some of the work. Although there is no problem in daily work, after all, I have short working hours and lack experience in dealing with emergencies. For example, I seem to be in a hurry when dealing with critically ill patients or dying patients, and sometimes there are problems such as incomplete rescue preparations.
I am well aware of my own shortcomings. Under the guidance of head nurses and department teachers, I also found many places that I should improve. Therefore, I carry forward the good habits left in school, reflect on myself at any time, make up for my shortcomings through study at any time, and strengthen the training of basic theory, basic knowledge and basic skills in my spare time. At the beginning of my work, I participated in the vocational training of the nursing department and passed the exam smoothly. Usually, I take an active part in the lectures in the hospital and the operation skills training organized by the nursing department, so as to become a professional nursing staff as soon as possible.
The daily work is very complicated and busy, and sometimes it is easy to become a machine that only knows the work, and forget one of its own nursing staff, a professional nursing staff who should solve patients' difficulties, meet patients' basic needs, and find and deal with potential nursing problems in time. As a patient's family member, I can deeply feel the need of being a patient's family member. Therefore, I always treat every patient with "love, patience, carefulness and responsibility" in my daily work, and earnestly do what a nurse should do. At the same time, my attitude won me the affirmation of them and their families, which gave me more motivation to move forward.
Third, adhere to theoretical study and strengthen work ability training.
At the beginning, theory was always divorced from practice and lacked practice, so it was impossible to analyze and solve some problems in practical work rigorously. Theory is summed up in practice, but only when theory returns to practice can the focus of theory be brought into play. At school, we have learned a lot of theoretical knowledge. The course allows us to learn nursing from the most basic medical knowledge, but at work, we often forget what we have learned because of panic and are ashamed to face our original teachers and ourselves. I am often surprised by some knowledge I have encountered in clinic, but when I look back at this book, I find that these are the key points that the teacher emphasized at the beginning.
Therefore, I will strengthen the review of my clinical problems in the teaching materials, even if it is a small problem, and return the problems to anatomy, biochemistry, physiology, pathology, pathophysiology and diagnostics, and promote the review layer by layer according to this idea, which not only consolidates the basic theory but also solves the imperceptible mistakes in the work. At the same time, strengthen the professional study of neurology, and carefully read and think about the learning materials provided by the department. Through study, I have strengthened the theoretical basis and communication skills training of patient health education.
What I lack most as a new nurse is experience. Strengthening the exercise of my working ability has become the top priority this year. Strengthen the technical training of nursing business, and strictly master the operating procedures of infusion, oxygen inhalation, sputum aspiration, catheterization, cardiopulmonary resuscitation and monitor. Collect video learning materials by yourself, operate according to the standard, find out the key links in learning operation, and correct the bad habits in the links that are prone to errors and disputes in normal operation. Cultivate your own risk prevention ability. Especially in infusion technology, neurology patients are generally older and have poor blood vessels. Improving venipuncture technology is an important ability to improve daily work efficiency and rescue critically ill patients. In the work, I actively reflect on my own shortcomings in puncture technology, consult with teachers with long experience, actively practice, and strive to sum up experience, so as to lay a solid foundation for future work.
Cultivate your ability to deal with emergencies. In this year's work, I felt overwhelmed and nervous when I first met the rescue, but under the guidance of my teacher, I have gradually learned how to deal with it. After work, carefully study the emergency risk plan and learn the procedures and methods for handling various emergencies. Seriously complete the tasks assigned by the head nurse. I am glad to come to the neurology department and receive the training of the head nurse. In order to cultivate my working ability and let me participate in all the work of the department, I have my own work tasks, which makes me feel that I am also the owner of the department.
In particular, the nursing rounds I am responsible for have taught me a lot and cultivated my ability to find, analyze and solve problems. The management of medical devices in departments has made me more familiar with their structures, usage methods and operating specifications, and solved many difficulties in practical work, which is a rare opportunity in other places. Plan and allocate your working hours reasonably. There are many operations in clinical nursing and there are many operations at the same time. If you are not familiar with your own work, it is easy to do nothing well, which will cause patients' dissatisfaction and low work efficiency. At work, I carefully observe the working methods of teachers, combine my own reality, and make rational use of time to deal with the things at hand.
Strengthen the training of communication skills. Good communication can avoid the contradiction between nurses and patients, and patients actively cooperate with treatment to improve work efficiency. At the same time, communication with doctors can help me solve my own problems and learn more professional knowledge of neurology. Strengthen the research of drugs in our department. Master indications, dosage, usage, compatibility contraindications and antagonists. Recall when dispensing, introduce to patients when adding liquid, and carry out health education. At the same time, I learned the rehabilitation exercise methods related to neurology, and taught patients to exercise correctly at work.
Fourth, strengthen the sense of teamwork.
I came to the neurology department and got the care and help from the head nurse, teachers and colleagues. At work, I realized the convenience brought by a group cooperation and the great power of my rapid growth. As a member of the Department of Neurology, I am willing to devote my energy and enthusiasm to clinical nursing and do my bit for the development of the department.
Fifth, enhance the sense of responsibility and service.
I have been working for a year, and I found that my most obvious change is my stronger sense of responsibility and service. I didn't have to take responsibility before and didn't think too much. Now I feel more and more responsible in my work, which makes me more active and serious in complex work. The people-oriented service concept requires me to try my best to implement holistic nursing.
Nursing is a noble and sacred cause, and I am proud to be a member of the team of nurses. In the future work, I will redouble my efforts to make my due contribution to the nursing cause of mankind! I will continue to carry forward the spirit of this year, do my job well, be anxious about the patient's urgency, be responsible for the patient, and never let the patient's condition deteriorate because of my reasons. I must be absolutely responsible for my work. This is the minimum work that a good nurse should do to save lives. As a nurse, I am aware of my heavy responsibility, so I want to motivate myself to devote myself to work and life with 100% enthusiasm.
Summary of personal work of nurses in gastroenterology department: With the support and help of head nurses and colleagues, all the work has been successfully completed in the past year. Now I will summarize my completed work and my outlook for the future as follows:
I. Ideological and political aspects
Actively study political theory through morning meetings, newspapers, and the Internet, abide by the law, love their posts and work hard, actively support the principles, policies, and rules and regulations of hospitals and operating rooms, take patients as the center, set strict demands on themselves with the standards of an excellent nurse, adhere to the quality of medical services as the core and patient satisfaction as the standard, and firmly establish the spirit of teamwork.
Second, the work attitude
As a nurse, she can strictly implement various operating procedures and processes in her work, abide by the rules and regulations of hospital departments, always pay attention to maintaining the concept of sterility, and be on standby all day to deal with emergencies. Establish a strong sense of collective responsibility and honor, unite colleagues and take work as the center. Insist on providing patients with all-round quality services, closely cooperate with surgeons, actively cooperate, create a harmonious working atmosphere, and ensure the smooth completion of the operation.
Third, professional skills.
In the past year, I participated in the quality management and continuous quality improvement of the operating room, and carried out the cqi work of the project "Strengthening the Management of Surgical Instruments" in the operating room. Through the continuous quality improvement project in the past year, the management of surgical instruments in operating room has made great progress.
In the special management assigned by the head nurse, we can do a good job in the special management of medicine room, rescue vehicle, refrigerator and incubator, and successfully complete various special tasks. In daily work, I can master the operation process of visiting nurses and hand washing nurses, and participate in the cooperation of several major operations in the operating department to ensure the smooth operation.
At work, I can actively participate in the rescue of critically ill patients, master the nursing first aid technology, rescue procedures and the use of rescue medical equipment. Daily inspection is strict, rigorous and meticulous, put an end to minor mistakes and accidents, complete the operation process with good quality and quantity, and constantly improve your own operation level and actively participate in the development of various new businesses.
Four. Annual outlook
On the basis of expanding the existing knowledge level, we should get in touch with new technologies and new knowledge, and keep up with the needs of the times in terms of updating our thinking and knowledge level. In the future cqi work, it is planned to carry out the work of "implementing surgical site identification" to improve the safety level of patients.
I hope that in the new year, under the leadership of the head nurse, we will work hand in hand with all the colleagues in the operating room, take "team spirit and quality hospital" as the purpose, adhere to the patient-centered and quality-centered nursing service concept, take patient satisfaction as the standard, and serve the people wholeheartedly.
Summary of personal work of nurses in gastroenterology III. The achievement of nursing management objectives in cardiology department in 20xx years is as follows:
Up to now, 20xx has basically completed the task target set at the beginning of the year, and has taken the lead in carrying out the demonstration project of "consolidating basic nursing and providing satisfactory service", which has greatly improved the service consciousness of nursing staff, further improved the quality of nursing, and laid the foundation for developing the stewardess-style demonstration post. In interventional diagnosis and treatment, the development of emergency coronary angioplasty and stent implantation has opened up a green channel for better saving patients' lives. Independent completion of coronary angioplasty and stent implantation, successfully implanted stents for two patients with three-vessel disease, creating another milestone. The independent completion of single-chamber and dual-chamber pacemakers has once again created a precedent. The clinical application of defibrillation pacemaker and three-chamber pacemaker has brought our nursing to a new level. Up to now, nurses have completed 5 papers, all of which have been published in journals above the provincial level. Most of the nursing goals set at the beginning of the year have reached the standard, but efforts are still needed in nursing staff training and nursing safety awareness.
Second, the specific implementation details
(1) Take the system as the criterion and human nature as the foundation.
Each system of the department is clear, and the regular nursing meeting is used to strengthen learning and supervise implementation. At the same time, the process is standardized, so that every nursing staff can put forward reasonable suggestions for the corresponding process and better apply it to clinic. In the demonstration project of "consolidating basic nursing and providing satisfactory service" initiated by our department, nurses expressed their opinions and quickly put their work on the right track. Our department has always adhered to the principle of restraining people by system, inspiring people by emotion and infecting people by atmosphere. Let every nursing staff have rules to follow, work happily and live happily. In the case of shortage of personnel, all tasks were successfully completed. Conscientiously implement the awareness rate of nursing staff on various systems, and ensure 100% awareness.
(2) Focus on improving nursing quality and strive for departments that patients can trust.
1, improving nursing quality.
(1) fully mobilize the consciousness of every nursing staff, strengthen the study of nursing quality, give play to the role of the department quality team, and adhere to the principle of twice-weekly assessment and irregular assessment. Timely rectification when problems are found has greatly improved the quality of nursing this year.
(2) The head nurse makes full use of "five rounds" and holiday rounds, finds problems in time and solves them in time, and formulates effective improvement measures for continuous improvement. If you make mistakes on the same issue twice in a row, you will be deducted from the assessment and linked to the bonus.
(3) Seriously study the problems existing in the monthly inspection of nursing department and departments, find out the reasons, standardize the process, implement the improvement and follow up the evaluation.
(4) The incentive mechanism has been implemented. In the monthly quality inspection, those who have few or no problems will be rewarded appropriately in the bonus, and those who have many problems or do not follow the principle will be fined.
(5) Fully listen to the opinions and suggestions of each nursing staff, and the nursing staff can actively put forward reasonable suggestions on nursing quality, which fully embodies humanized management.
2. Strengthen nursing safety to ensure nursing quality.
(1) Organize the nursing staff to study relevant knowledge seriously, and the head nurse will take the lead in studying relevant laws and regulations and do the work carefully.
(2) Strengthen the usual assessment, focus on discussion and analysis when encountering hidden dangers, and formulate corresponding measures to ensure nursing safety. The "three basics" monthly assessment should have relevant contents to improve safety awareness.
(3) Establish a tradition for many years, strictly implement relevant systems, educate new comrades, and analyze and learn past cases, which aroused everyone's safety awareness. However, the safety awareness of individual nurses still needs to be improved.
(3) Establishing reasonable training and putting it into practice ideologically has made great progress for nurses.
1, implement business ability training
(1) Carefully formulate the training plan, tailor the training plan for different personnel and stick to it. Formed a process of training specialist nurses. On the basis of the original specialist nurses, three more nurses have been trained this year, making them the backbone of the department.
(2) Earnestly implement the monthly study and assessment of the "three basics" theory, implement the training and assessment of professional skills, and achieve the predetermined goal, which not only strengthens theoretical knowledge, but also strengthens practical ability. In order to solve the problem that patients complain about the low success rate of intravenous infusion puncture of individual nurses, mutual help groups and experience teaching groups have been carried out, and great progress has been made in wearing 24-hour dynamic electrocardiogram and ECG recording.
(3) Adhere to monthly business rounds and conduct targeted inspections. Insist on business study once a week, and earnestly implement the morning meeting to ask questions. According to the development of new business and new technology in this department, make a study plan and implement it seriously.
Summarizing the personal work of nurses in Gastroenterology Department for 20XX years, under the leadership of the Party Committee of our hospital, combined with the central work of the hospital, taking the opportunity of developing "quality nursing service", we deepened the service concept of "patient-centered", closely focused on the work focus of "reforming nursing mode, fulfilling nursing duties, providing quality services and improving nursing level", constantly improved the level of nursing service, improved various nursing rules and regulations, improved service processes and improved the hospitalization environment. The work of the past year is summarized as follows:
First, strengthen training and education, and constantly improve the quality of nursing ability.
The society is developing and the times are progressing. Only by continuous learning can we keep pace with the times and be invincible in the fierce medical competition. In clinical nursing work, nurses in our department deeply realize that providing high-quality service for patients requires not only solid theoretical knowledge and skilled operation skills, but also the sympathy and conscientious dedication of nurses, which has promoted the development of nursing career.
Based on "three basics and three strictness", the professional skills of nursing staff have been improved. Do a good job in the study and evaluation of "three basics". The scope involves basic knowledge, basic skills, basic operation and other first aid knowledge. At the same time, actively participate in the business study organized by the nursing department and strengthen the on-the-job education of nurses. While strengthening theoretical study, we should pay attention to the improvement of operational skills. According to the work plan, operation evaluation runs through our daily work. In organizing the training of "three basics" and professional skills, our department pays special attention to what skills are needed in clinic to learn and assess a certain knowledge point, so that the examination is closer to the clinic, and on-the-job training is organized by combining on-site assessment with on-site evaluation, and combining physical teaching with standardized demonstration.
Strive to make every nurse familiar with the basic skills, bring the old with the new, insist on learning and practicing, realize multi-function in one post, and form a good atmosphere in which everyone loves learning and everyone delves into business. Not only do their own duties, but also actively cooperate with each other, forming a United, harmonious, energetic, effective, competitive and innovative team, enhancing cohesion and improving the comprehensive quality and work efficiency of nursing in our department. During the "5. 12" Nurses' Day, she held a nursing technical operation competition and won the third prize in the operation competition. * * * I took the "Three Basics" theory test for 4 times throughout the year, and 1 person in the department won the second place, with a pass rate of 95%. Nurses can consciously study cultural knowledge in their spare time, sign up for adult self-study exams, and continue their college and undergraduate studies. Constantly improve their cultural literacy.
2, nursing document writing standard training, enhance the awareness of legal responsibility. Conscientiously implement the Ministry of Health's Basic Specification for Medical Record Writing (Trial) and the Detailed Rules for the Implementation of the Basic Specification for Medical Record Writing (Trial) formulated by our province, and strengthen the quality inspection of medical records. The standardization of work nursing documents can not only better reflect the dynamic changes of medical care during hospitalization, but also provide an important basis for medical care diagnosis and an important legal certificate for medical care behavior. Our department takes strengthening the legal awareness of nursing staff and improving the writing quality of medical documents as the key work. Organize nurses to participate in the training of nursing document writing norms, and constantly strengthen the significance of regular writing of nursing documents, so that each nurse can correct his writing attitude and strengthen supervision and inspection. Check the previous records for errors in each shift, check and check the final quality of the discharged medical records regularly and irregularly, and correct the problems in time. Analyze the quality of nursing documents every month, put forward rectification measures for existing problems, and continuously monitor them, focusing on helping nurses with poor sense of responsibility and scrawled handwriting. The qualified rate of discharged medical records and nursing documents reached 98% this year.
3, strengthen etiquette training, improve the level of humanized service. Generous and decent behavior can bring good mood to patients. When organizing nurses to carry out etiquette training, the department requires nurses to behave gracefully, be dignified and generous, move lightly, dress neatly, communicate with patients with a smile and be kind, so as to combine the external image of nurses with their internal cultivation. There are many elderly patients with femoral fractures in our department this year, and life care is the most basic demand of elderly patients. Therefore, our department regards life care of patients as an important part of nursing work, and nurses take the initiative to help patients turn over and pat their backs, so that patients can get comprehensive, timely and satisfactory care. The patient praised the nurse for "superb technology and first-class service". After strengthening humanized nursing education, nurses' service concept has changed, overcoming the shortcomings of carelessness, carelessness and recklessness, and having a stronger sense of active service. It also makes the theme of "three good and one satisfaction" better reflected in the process of serving patients.
Second, strict rules and regulations, pay special attention to nursing quality and safety management.
Nurses carry out safety awareness education every week, find out unsafe factors in their work, put forward rectification measures to solve problems, eliminate errors and hidden dangers of accidents, conscientiously implement various nursing rules and regulations and operating procedures, and regularly and irregularly implement various nursing systems. The fundamental guarantee to ensure medical safety.
1, define the post responsibility system and nursing work system, such as nurses on duty and visiting nurses, and be familiar with their own work contents and responsibilities. Instruct the responsible nurses to fully perform the duties of observing the patient's condition, treating and nursing, basic nursing and health guidance. Put an end to the bad phenomena of patients changing their own infusion bottles, pulling out their own needles, failing to take oral drugs and failing to provide health education.
2, adhere to the check system. (1) asked BANCHA to check the doctor's advice and always check the records 1-2 times a week; (2) Nursing operation requires three checks and seven pairs; (3) Insist on filling in the infusion card.
3. Seriously implement the routine of orthopedic care, insist on filling in all kinds of information and data registers, and standardize all kinds of signs and labels commonly used in nursing (such as bedside cards, lists, infusion cards, oxygen labels, item labels, etc. ), strengthen the management of drugs in the ward, especially the management of toxic drugs and dangerous drugs, and strengthen the management of details during the operation.
4, adhere to the bedside shift system and morning care, to prevent the occurrence of complications. According to the characteristics of the department, standardize the key points, time requirements, content and process of nursing bedside shift. The quality of bedside shift is improved, and the patient's condition observation is continuous.
5. Strictly implement the disinfection and isolation system in the ward. Insist on daily ultraviolet disinfection of the treatment room and dressing room of the ward, timely destroy the disposable articles after use, concentrate on soaking, and conduct regular inspection and supervision. Regularly check the concentration of all kinds of disinfectant, and insist on wet sweeping in one bed, one middle school and one morning. During the resignation of the hygienist in our department, the ward hygiene improved, and there was only one hygienist. Patients have a comfortable and clean medical environment.
Third, give full play to our special advantages and serve the soldiers without discount.
Although the hospital has been downgraded to a clinical department, the quality service provided to soldiers has not changed. Third, under the leadership of academic leaders, the concept of "soldiers first, grassroots first" should be truly implemented in every hospitalized soldier. At the same time, further deepen the nursing service, and provide personalized and humanized nursing service for the wounded and sick soldiers. Nurses should be patient, meticulous, gentle and considerate according to the differences of patients' age, gender and knowledge level, so as to increase patients' trust and make them actively cooperate with the treatment. Feedback patients' opinions regularly. There is an opinion book in the military ward. If the patient has any difficulties, opinions and suggestions, write them down in the notebook, communicate with each other, coordinate with each other and help solve them. Patients can talk with medical staff, express their views and enhance understanding. Nurses can know patients' dissatisfaction in time, make corresponding improvements as soon as possible, gain patients' trust, understanding and support, and meet the needs of officers and men. Through the investigation of nursing satisfaction, aiming at the problems existing in nursing work, measures are formulated to serve the officers and men of the army wholeheartedly.
Fourth, self-examination and self-correction find problems and find measures to solve them.
Our department has done a lot of work in improving nursing skills and implementing quality service activities, but there is still a gap with the requirements of superior leaders and the satisfaction of patients. The main problems found in this year are:
1, basic nursing is not in place, professional skills are not exquisite, and there are serious mistakes in catheterization operation, which causes strong dissatisfaction among patients.
2. There are some defects in the writing of nursing documents, such as missing items, missing records and lack of continuity in content.
3. Ward management needs to be improved, and patients bring more items.
4. Careless health education. Nurses are only busy with various treatments and nursing operations at work, ignoring detailed health guidance for patients. They believe that once health guidance is completed, health education lacks dynamic continuity. 20 18 on the basis of continuing to pay special attention to the quality of nursing and improving the professional and technical level of nursing staff, we should take high-quality nursing service as the core, innovate management methods and continuously improve social satisfaction. 20 18 annual nursing work plan is formulated as follows:
First, strengthen nursing safety management, improve nursing risk prevention measures, strengthen risk management in key links, effectively avoid nursing risks, and provide patients with high-quality, safe and orderly nursing services.
Second, the management of key employees, such as intern nurses and new nurses, should be educated in legal awareness to improve their awareness and ability to resist risks, so that students can clearly care for patients only under the guidance or supervision of teaching teachers. At the same time, nurses with clinical experience, strong sense of responsibility and nurse qualifications are employed as teaching teachers to cultivate students' communication skills and clinical operation skills.
Third, further standardize the writing of nursing documents, reduce potential safety hazards, pay attention to the problems existing in nursing documents at this stage, and make records "objective, true, accurate, timely and complete" to avoid irregular writing, such as typos, unclear alterations, inconsistencies with doctors' records, etc., so as to standardize and standardize nursing documents.
Fourth, take patients as the center, advocate humanized service, strengthen communication between nurses and patients, and take the initiative to do health education for discharged patients. Improve patient satisfaction and avoid nursing disputes. Five, based on the basic theoretical knowledge, specialized theoretical knowledge and hospital infection knowledge, strengthen the "three basics" training plan to improve the overall quality of nursing staff.