#report# Introduction In order to improve the quality of their work, standardize medical behavior, and eliminate safety hazards, nurses have conducted strict self-examination and self-correction work. The following is a compiled nurse self-examination and rectification report. Welcome to read!

Part 1

Through careful study and combined with my own actual work, I will thoroughly and carefully search for existing problems, analyze the causes of the problems, propose practical rectification measures, and improve work style. Optimize work results and improve work efficiency.

1. Analysis of the causes of existing problems

1. The enthusiasm for learning is not strong, the desire for knowledge is not high, the study of specialist knowledge is not deep enough, and the mind is not fully armed with theoretical knowledge. This leads to insufficient proficiency in handling problems and insufficient explanations to patients.

2. Using the reason of being busy at work, when the patient asks, he continues to do his own thing, fearing that something will go wrong with the matter at hand, and he will not answer in a timely manner and will not be patient enough.

3. In order to complete the task early, some steps were omitted, the rules and regulations were not fully followed, or the work was done based on impressions, resulting in some nursing errors.

2. Corrective measures

1. Study hard, inspire your spirit, and strive to improve your technical level. You must consciously regard theoretical learning as your first need and study solidly and deeply. , apply what you have learned in order to better serve patients and reduce the pain of patients during treatment. You should spend your free time studying, learning basic knowledge, new technologies, and new theories. Constantly arm your mind with new knowledge and new ideas, enhance your talents, and improve your ability to work in nursing.

2. Strengthen the service concept, improve the awareness of serving patients, and think about the patients

For me who work in pediatrics, I must have enough responsibility and patience. Start bit by bit. During each venipuncture process, due to the parent's police mentality, we were prompted to exert tension during the puncture, resulting in failure to successfully puncture the first time. This leads to conflicts between patients and parents. Pediatrics is a large department. Depending on the season and weather, children continue to get sick repeatedly. There are not enough beds during the hospitalization of the patients, and the nursing staff cannot provide care in time. This leads to communication barriers between doctors and patients.

During the treatment period, the ward could not be inspected in time, and the replacement of the suspension fluid could not be completed in time. Amid various problems, we hope to gain parents’ understanding and cooperation. Therefore, we must find problems in our work and keep a series of problems and contradictions in their bud. In future work, we must continue to improve the success rate of venipuncture, be patient-centered, and care about patients. During the treatment period, patrol the ward in a timely manner and think about the patient's concerns and concerns. This is our ultimate service concept.

Chapter 2

I remember that when I was a child, I had this memory: my anxious parents sent me to the hospital because of illness. I was originally afraid of hospitals. When I entered the hospital gate, I kept crying and wanted to go home. The doctor also said that I needed an injection. So, under the coercion of my parents, I came to the place where the injection was given. I saw an aunt wearing a white coat and a white mask. There was a white hat on his head, and his whole body was white. He was holding a needle in one hand and a cotton swab in the other. He came to me expressionlessly. I became more and more frightened and kept backing away. Although I was beaten by my parents, She held her body down forcibly, but still kept twisting. After struggling like this for a long time, the aunt became anxious and shouted: "If you move again, if you move again, I will give you more injections!" She also ordered her mother. I was pressed until I couldn't move. Now that I think about it, if the nurse hadn't been so secretive at that time, but encouraged me with her smile syndrome, maybe I wouldn't be so scared!

As time goes by, I slowly Growing up slowly, when faced with life choices, I became a nurse in a dramatic way and became an "angel in white" in people's eyes. From the first day I became a pediatric nurse, I told myself: Since I As a pediatric nurse, I must use my smile to face sick children and change the expressionless and intimidating image of a nurse in my mind when I was a child. Not long ago, a 6 to 7-year-old boy’s words made me even more convinced that what I was doing was right.

The first time I treated this little boy, I walked into the ward with a smile on my face as usual, and he always stared at me. By the second year, he was crying and asking his grandma to ask me to give him an injection. , I heard from his grandma that a nurse was going to give him an injection, but he refused, holding his fist to prevent others from touching him, and wanted to find me, so I went, but he stopped using it when he saw me. He just obediently held out his two little hands for me to choose. I was very surprised why this little boy would behave like this, but I didn’t ask at the time. I was just thinking about it. I would conduct all the treatments for him in the next few days, but Because I was busy with work, after finishing his injection, I was busy with my own affairs in my class. After not seeing me for a long time, he said that the injection site was very painful and asked my grandma to find me to see him. I went After that, while smiling and stroking gently, he asked softly: "Does it still hurt?" He blinked and looked at me and said: "It doesn't hurt. In fact, it doesn't hurt at all." When he was discharged from the hospital, I asked him why he came to me every time for an injection, and he said something that touched me very much, Auntie, because I want to see you smiling at me.

"Three points of treatment, seven points of nursing." So I can feel more and more the importance of nursing work. Someone once said. "The person who opens the curtain of life is a nurse, and the person who closes the curtain of life is also a nurse." Yes, who in a person's life does not need the meticulous care and careful care of a nurse? "Nursing work is a delicate job. Worldly Skills. “Nurses must have a compassionate heart and hands willing to work. "Nurses with a new image will use their love, patience, carefulness and sense of responsibility to relieve patients' pain, use selfless dedication to support feeble lives, raise the sail of life again, put smiles on painful faces, and make people happy." Families reappeared with joy and laughter ~ “The beauty of the angel in myth lies in her holiness and kindness, while the beauty of the angel in white lies in warmth and smile. "In the new century, especially after joining the WTO, all our work is facing a new environment, new opportunities and new challenges. If I want to create a new image of nurses in the new era, I should start from the heart and It starts with the heart!~

People often say: "The eyes are the windows to the human soul." The joy and anger in human emotions can be expressed in the eyes, and what people want to see more is The fiery eyes of the medical workers and the sincere smiling faces behind the white masks cannot be separated from the image construction of all walks of life, let alone the new changes in each industry. To create a new image of a city, the health department As a "window" industry, it affects and reflects the new image of a place. To create a new image of medical staff, it is inseparable from the joint efforts of doctors and nurses. We must abandon the old image with keen insight and sensitive observation. Be innovative, forge ahead, and have a strong will and perseverance, be down-to-earth, work hard, constantly improve yourself, enrich yourself, emancipate your mind, change your concepts, be good at learning, learning from each other, learn from each other's strengths, and practice the nursing model from case to case. Nursing, from group nursing to functional nursing, responsible nursing and now systematic holistic nursing, is no longer as simple as before to treat headaches and feet, but to treat the patient as a whole person. . Each of these new working methods is an inheritance from the original nursing working methods, and is designed to provide patients with more comprehensive, more holistic, and more systematic services!

As a nurse in the new era, as a As a member of Jiangxi’s medical staff, I will definitely comply with the requirements of the times, work unremittingly, contribute to shaping a new image of Jiangxi’s medical staff, add luster to the overall image of Jiangxi’s medical staff, and keep up with the pace of health reform and development. In this era, we will work hard to realize the grand cause of Jiangxi's rise in the central region!

Chapter 3

Since the launch of the xxx activities, I have carefully studied the spirit of relevant documents in accordance with the requirements, and Carefully understand, and at the same time, I also began to seriously reflect on myself. Through study, education and in-depth thinking, I personally have a deeper understanding of xxxx work style activities. At the same time, I now have a better understanding of my own problems. , make an in-depth analysis, hoping to achieve the goals of self-education, self-improvement, and self-improvement in the later period.

1. Main problems

1. Lack of initiative in professional knowledge learning, unsystematic and unsystematic. Not in-depth. I just read books and look up information every time I study business to understand the knowledge of a certain disease. But it is often not in-depth enough. I have no study plan. There are many things that I tend to lose after learning. I only touch the surface and do not delve deeply. , Didn’t learn enough.

Sometimes when faced with new problems, they are not proficient in handling them, cannot use the most accurate method to deal with them, and their explanations are not in place, causing misunderstandings among patients.

2. Inadequate doctor-patient communication skills, insufficient enthusiasm in service attitude, and indifferent awareness of "service with a smile". Sometimes they are not very patient in answering the patient's questions and are not active in accompanying the patient for examinations, which makes the patient feel that the nursing staff is indifferent and that he or she has been left out.

3. Sometimes they go to work with personal emotions, resulting in not being careful enough at work and making mistakes, or they vent their emotions on colleagues, which damages the image of the nursing staff and affects the harmonious relationship between colleagues.

2. Analysis of the causes of the problem

1. The study of professional theoretical knowledge is not comprehensive and in-depth enough, the enthusiasm for learning is not high, and the understanding of nursing work is biased. I always think that nursing work is What is important is practical ability. The level of theoretical knowledge does not play a big role in one's own technical level. The importance of theory is ignored, which leads to insufficient proficiency in handling problems, insufficient explanation to patients, and inappropriate handling of problems.

2. Insufficient work experience, unable to properly manage one’s emotions, and insufficient understanding of how to distinguish between work and life, often bringing emotions from life into work, thereby affecting the normal development of work .

3. I have little life experience. I usually work on two points and one line. At work, I always think that I just need to do the job well, talk less and do more, say less, make fewer mistakes, and don’t say anything good, so I ignore it. Communicate with the people around you, which leads to your own poor words and lack of communication skills with others.

3. Corrective measures

1. Overcome your impetuous mood, calm down and study theoretical knowledge seriously, consciously regard theoretical learning as your own needs, and recognize that even if you have excellent skills, , Without theory as a foundation, the work will still be like a headless fly. Only by using a strong theoretical foundation and applying what we have learned can we serve patients better and reduce the pain of patients during treatment.

2. It is necessary to realize that technical level is accumulated bit by bit in the practice process, and make full use of all opportunities to enhance one's technical level and improve the ability of nursing work. Keep in mind that "among three people, there must be a teacher". When you encounter problems or difficulties, you should humbly ask the teachers and colleagues around you for advice.

3. Correct your mentality, constantly hone your patience at work, improve your awareness of serving patients, always adhere to "everything is patient-centered", treat patients like your own relatives, and want to Think about what the patient thinks, address the patient's concerns, solve the patient's difficulties, patiently answer the patient's questions, and serve the patient enthusiastically. Don't let the patient be left out in my place, don't let the image be damaged because of me.

4. Abandon bad habits in life, read more and good books, improve your cultural accomplishment, and cultivate noble moral sentiments. Learn to take the initiative to care for and help the colleagues around you. They are not only work partners, but also friends in life, and establish good interpersonal relationships.

The above is my self-examination and self-correction. If there is anything inappropriate, please criticize and correct it from your leaders and colleagues.

Chapter 4

In order to enhance the quality of its own work, standardize nursing behavior, eliminate safety hazards, and ensure the safety of patients in medical treatment, the hospital nursing department has conducted strict self-examination and self-correction work. The situation is as follows :

Existing problems are as follows:

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1. Aseptic techniques and other operations are not strict enough

2. Doctor-patient communication needs to be Strengthen

3. The concept of teamwork is not strong

4. The awareness of professional medical risks is weak

5. The medical care service process is not standardized enough

7. The ward’s neatness and comfort are not strict

In view of the above points, we should do the following:

1 . In medical care and other operations, patients should be truthfully informed of the patient's condition, medical measures, and medical risks, and their inquiries should be answered in a timely manner. It is strictly forbidden to use irritating language or language that has a negative impact on the patient's disease treatment and recovery. Pay attention to the way you talk. , methods and techniques.

2. To write nursing documents correctly, they must be objective, truthful, accurate, timely and complete.

Do not use methods such as sticking, painting, etc. to cover up or remove the original writing

3. Strengthen the spirit of teamwork and unite internally

4. Actively learn advanced medical and nursing knowledge and improve Improve their own professional and technical level, improve the quality of medical care, and provide better services to patients. At the same time, they should strengthen the learning and cultivation of humanistic knowledge and etiquette knowledge, and enhance their own communication skills.

5. Be responsible and compassionate towards patients, memorize the core medical care system, and strictly implement it in actual clinical work.

6. Moreover, we should achieve the "Ten Essentials" in future nursing work.

Pay attention when speaking; explain clearly; check carefully; records must be complete; and the system must be Strict; technical skills must be proficient; operations must be standardized; rescue medicine must be timely; internal coordination must be carried out; and a strong sense of responsibility

Part 5

Analysis of nursing safety hazards:

1. Nurses’ legal awareness and self-protection awareness are weak: Nurses lack legal knowledge in school education and on-the-job education. For a long time, traditional medical habits have placed nurses’ work in a dominant position in medical services. Nurses only focus on solving patients’ health. Problems, while ignoring potential legal issues. Lack of awareness of self-protection and evidence awareness in the actual nursing process, and neglecting the collection and management of evidence.

2. Checking is not strict: Checking is when the nurse executes the doctor’s order. Implementing the necessary steps for treatment and care is the basic means to ensure patient safety. Nurses are too mechanical when executing medical orders and cannot accurately detect incorrect medical orders. During medication checks, they cannot conscientiously perform "three checks and seven pairs" and "double checks". "Sometimes they do not carry treatment books or treatment orders when performing various treatments, and sometimes they use habitual thinking to handle and implement medical orders, which violates the principle of "three checks and seven pairs" and poses potential safety hazards.

3. The comprehensive knowledge level of nurses is low: Due to factors such as low seniority, low academic qualifications, and high mobility of nurses working on the front line of clinical practice, when observing the condition, due to insufficient specialist knowledge; lack of clinical experience, insufficient foresight; and inability to respond in a timely manner Accurately judging the signs of changes in the condition can lead to potential risks. For example, patients receiving chemotherapy in oncology departments have relatively high puncture requirements for nurses. If the puncture is unsuccessful, it will cause extravasation of chemotherapy drugs; during the chemotherapy period, due to high concentrations, Drugs repeatedly stimulate blood vessels for a long time, leading to extravasation of drugs. If the extravasation of drugs cannot be detected in time, causing necrosis of the tissue at the puncture site, it will cause great harm to the patient; in addition, chemotherapy drugs are different, and the methods used are also different. Lack of knowledge may affect treatment, etc. With the large-scale introduction and development of new technologies and new projects, there are more and more services with high technical complexity and high technical requirements in nursing work, which not only brings great challenges to nursing staff. Greater work pressure may lead to increased technical risks in nursing work, thereby affecting nursing safety.

4. The configuration of nursing staff cannot meet the needs of patients: the lack of nursing human resources, especially. The increase in the demand for night shift treatment and nursing has made nurses overloaded with heavy work, resulting in a lack of responsibility, lack of concentration, inability to control the quality of the process, and inadequate service, which has brought insecurity to patients.

Nursing safety precautions:

1. Regularly carry out nursing safety education, analyze and discuss work links that are prone to nursing defects and errors, propose rectification measures, and review various nursing safety precautions , enhance the sense of responsibility, and keep the alarm bell ringing.

2. Strengthen legal study and improve self-protection awareness. Nursing safety is closely related to laws and regulations, and enhance the legal awareness and legal concept of nursing staff.

3. To improve the overall quality of nurses, managers must correctly understand the importance of nursing work. They must not only strengthen their continued learning of professional theories, but also cultivate their own operational skills and improve their communication skills with patients. Strengthen basic knowledge and basic operational skills training for junior nurses, and strengthen standardized training and continuing education for young nurses.

4. Strengthen the awareness of checking. In nursing work, you should keep in mind "three checks and seven pairs" and strictly implement them. Do not rely on your own imagination or hold on to ideas that others have already checked, or It's because you are busy with work and don't check it.

5. Strengthen the management of the system. In daily nursing work, we must strictly implement operating procedures, conscientiously implement various rules and regulations, and conduct regular inspections on the implementation and implementation of the system to promptly discover problems and rectify them promptly and effectively.

Chapter 6

According to the document No. 2**(18) attached to the hospital, our hospital carefully organized all employees to study the spirit of the document and conduct all aspects of the hospital's work according to the requirements. Self-examination and special rectification activities were carried out. Since the rectification activities were carried out, the existing problems and rectification measures during the self-inspection of the Nursing Department of our hospital are now reported as follows:

1. Existing problems

(1) Existing problems in medical quality Problems:

1. Simplify the operating procedures and cannot strictly implement the "three checks and seven pairs" system.

2. The handover is not careful, the handover system cannot be strictly implemented, and the handover is unclear.

3. The rounds were not timely and the observation of the patient's condition and fluid drip rate was neglected.

4. The concept of sterile technology is not strong, disinfection and isolation are not thorough enough, and the operation still needs to be further improved.

The destruction of disposable items is not thorough and standardized.

(2) There are deficiencies in service quality:

1. The study of political theory is not in-depth enough.

2. The service purpose is not strong enough.

3. The business has lost its pursuit of goals and its improvement has been slow.

2. Reason analysis

1. Insufficient understanding of the importance of strengthening learning; not solid learning, insufficient initiative and conscious learning, thus lagging behind in updating one's own concepts.

2. Theoretical study is not placed in an important position, and the study is one-sided. This is a concrete manifestation of the immaturity of political theory.

3. The "two skins" of theory and practice are not completely integrated.

3. Rectification measures

(1) Effectively strengthen nursing safety education, establish a patient-centered service concept, and vigorously advocate the idea of ??changing passive service to active service.

Specific measures:

1. Nursing staff must adhere to the regular meeting system and participate in medical safety education and study. If they are found not to perform one, they will be punished according to the hospital's rules and regulations.

2. Combined with the "Quality Nursing Service Demonstration Project" carried out by our hospital, establish the concept of patient-centered service, provide proactive services, strengthen the sense of responsibility of nursing staff, and encourage nursing staff to use "love, carefulness" ", patience and responsibility" to serve patients, and carry out selection activities for advanced individuals in high-quality nursing services.

3. By strengthening clinical nursing work and consolidating basic nursing services, we will establish a good image of the medical and health industry serving the people wholeheartedly in the whole society, achieve "three good and one satisfaction", promote the humanitarian spirit of saving lives and helping the wounded, and promote The doctor-patient relationship is harmonious.

(2) Establish and improve relevant rules and regulations and clarify job responsibilities. Summarize experience, gradually explore and improve the hospital nursing management system suitable for our hospital, establish a long-term mechanism for continuous improvement of nursing quality, and continuously improve the level of nursing work.

Specific measures:

1. It is necessary to further implement the "Nursing Regulations", "Notice of the Ministry of Health on Strengthening Hospital Clinical Nursing Work", and "Guiding Principles of Graded Nursing in General Hospitals (Trial)" ", "Basic Nursing Service Projects for Inpatients (Trial)", "Basic Nursing Service Work Standards", and "Common Clinical Nursing Technical Service Standards" requirements, effectively strengthen nursing management, standardize nursing services, and consolidate basic nursing.

2. Establish and improve relevant rules and regulations and clarify job responsibilities.

1) Hospitals and wards have complete establishment plans, goals, tasks and implementation measures, and nursing staff are registered to work and practice in a standardized manner.

2) Establish and improve clinical nursing work rules and regulations, disease nursing routines and clinical nursing service specifications and standards.

3) Establish a nurse position responsibility system, formulate and implement job responsibilities and work standards for nurses at all levels and types, and standardize clinical nursing practice behaviors.

4) Establish a nurse performance appraisal system, and combine the appraisal results with the promotion and evaluation of nurses based on the quantity and quality of clinical nursing work completed by nurses and the satisfaction of inpatient patients.

3. Clarify the basic nursing items and work specifications that clinical nurses should be responsible for. They must perform basic nursing duties, standardize nursing behaviors, and improve nursing services.

4. Clarify the connotation, service items and work standards of clinical nursing services.

The service connotation and service items of graded care should include disease observation, treatment and nursing measures, life care, rehabilitation and health guidance for patients, etc., and should be included in the disclosure of hospital affairs as content disclosed to patients, and the participation of patients and society should be introduced evaluation mechanism.

(3) Strengthen the study of laws, regulations, rules and work standards.

Specific measures:

1. Carry out the "Nursing Regulations", "Notice of the Ministry of Health on Strengthening Hospital Clinical Nursing Work", "Guiding Principles for Graded Nursing in General Hospitals (Trial)", The study of laws and regulations such as "Basic Nursing Service Projects for Inpatients (Trial)", "Basic Nursing Service Work Standards", "Common Clinical Nursing Technical Service Standards", etc. enables nursing staff to master various rules and regulations and legal provisions.

2. Establish and improve various rules and regulations, strictly implement operating procedures, continuously standardize nursing work processes, and formulate patient safety management plans.

3. Strengthen the management of quality control measures, increase key quality control efforts, and establish a quality control team in the department to regularly inspect the implementation of the system and quality management of each link, nip quality problems in the bud, eliminate and reduce occurrence of hidden dangers.

4. Repeatedly strengthen nurses’ legal awareness, use morning meetings and daily business studies to teach legal knowledge and prevent medical dispute cases, and use specific cases to inform nurses that any small negligence may lead to serious consequences. causing irreparable losses. Safety analysis meetings are held regularly to allow nursing staff to work in conjunction with their positions to find error-prone links, especially for problems that arise, analyze the causes and formulate improvement measures. Update the management concept, encourage nursing staff to report safety hazards, and establish a reward system for self-examination reports of hidden hazards. If concealment is not reported, punishment will be based on the corresponding system.

(4) Strengthen the study and assessment of the "three basics" and "three strictnesses" of nursing.

Specific measures:

1. Strengthen theoretical examinations and technical operation assessments.

2. Encourage nursing staff to participate in various forms of professional learning and training inside and outside the hospital.

3. Formulate preferential policies to encourage nursing staff to participate in adult higher education to improve their professional skills and theoretical knowledge.

4. Adopt the method of "invite in and go out" to strengthen the learning of new nursing business and new technologies. Every two months, superior experts will be invited to our hospital to provide guidance and lectures, and nursing staff will take turns to go to superior hospitals for short-term training.

(5) Strengthen the study of nursing regulations, strictly implement the medical order execution system, and resolutely prevent the occurrence of medication inconsistencies with medical orders.

Specific measures:

Intensify supervision and inspection, and deal with it seriously if a nurse's medication is found to be inconsistent with the doctor's orders.

(6) Strengthen the training of aseptic operating procedures, the management of sterile items, manage the distribution and use process of various sterile items, and monitor and supervise inspections of pressure cooker sterilization; do a good job in treating infectious patients Disinfection and isolation work, and supervise the hygienists to do a good job in handling the wards.

Specific measures: work together to divide work and strengthen the sense of responsibility of nursing staff.

(7) Strengthen the duty handover system.

Specific measures:

1. Study the core system once a week.

2. Nursing staff will hand over shifts collectively at least once a week.

3. Increase the intensity of inspection and supervision of administrative ward rounds.