Chapter 1: Summary Template of Surgeon's Work in 2022 The year of 20xx is coming to an end. Looking back on this year's work and study, I am deeply grateful to all my colleagues and teachers in my cardiopulmonary bypass team and operating room, which has made great progress. Special thanks to my beloved director and teacher Niu.
First of all, carefully complete the external auxiliary machine work for each operation. From the preparation of articles to the installation of machines, we must abide by the operating rules and working systems, work rigorously, focus on the surgical needs of patients and doctors' surgical habits, overcome difficulties, and ensure smooth and safe transfer.
Second, strengthen the specialty of cardiopulmonary bypass and cardiac surgery, combine theory with practice, constantly sum up, constantly consolidate and improve their professional ability, have goals and plans for their professional development and progress, and complete them with the best academic mentality.
3. Under the guidance and help of the director and Mr. Niu, some operations were performed in vitro. In the nearly 60 operation drills, I recorded every harvest and inspiration, and strictly analyzed my habits and thinking deficiencies that were not conducive to professional requirements, so that I could walk steadily every step.
Only by learning with an open mind can we gradually improve ourselves. Whether it is cardiac surgery, anesthesiology or our colleagues during cardiopulmonary bypass, each of them has many good habits and work qualities. They have different ways to treat patients, majors and problems. Only by being a conscientious person can they make progress.
5. Details determine success or failure, and personality determines fate. This is the greatest spiritual gain of my cooperation with our director. I was deeply moved and shocked by the rigor of the director's transfer, his lack of eyesight and speed in inspecting various operations, and his accurate diagnosis and treatment of the reasons when he encountered difficulties, which inspired me to develop the most cautious working attitude. The director doesn't talk much, but example is more important than words and deeds.
Looking back on this year's work growth experience, sorting out the gains and shortcomings again is like packing your luggage and embarking on a new journey with wisdom and navigation marks.
Chapter II: Summary Template of Surgeon's Work in 2022 This year is my first year of work. Under the care and direct leadership of hospital leaders and head nurses, with the service tenet of "patient-centered, patient-centered", we successfully completed all the nursing work assigned by hospital leaders and mastered all the clinical operation skills. The work is summarized as follows:
Since I joined our hospital in March this year, after less than one year's internship, I feel that if I want to combine the theoretical knowledge I have learned before with my clinical work, on the one hand, I should be strict with myself in my usual work and consult more teachers, on the other hand, I should study hard in my spare time and understand the essentials.
There are relatively many surgical patients, and they have also learned relevant knowledge before and after operation. Preoperative preparation includes psychological counseling, intestinal preparation and dietary guidance. Postoperative vital signs monitoring, incision observation, assistance in coughing and expectoration, observation of infusion volume and infusion speed, nursing of various drainage tubes, nursing of catheter, diet nursing, observation and nursing of postoperative complications, etc. In our daily work, we are required to communicate with them more patiently. Only in this way can we better improve the quality of nursing and make patients trust our work.
Because the pace of surgery is faster, work is busier than talking on the phone. Trivial. I remember when I first arrived in surgery, I was not used to it. In order to do a good job and obey the arrangement of the leader, I am not afraid of trouble. I asked the teacher, learned from my colleagues and groped for it myself, and soon I became familiar with the work of surgery. Understand the responsibilities of each class, clarify the working procedures and direction, improve the working ability, form clear working ideas in specific work, and be able to carry out the work smoothly and complete the work skillfully and smoothly.
After nearly a year's study, besides being familiar with the professional knowledge of the department, I also pay great attention to the professional image of nurses. In my daily work, I pay attention to civilized and polite service, adhere to civilized language, be dignified, dress neatly, do not wear heavy makeup, do not wear shoes, be polite, be kind and have standardized language. Seriously study the Regulations on Handling Medical Accidents and its laws and regulations, and actively participate in the activities organized by hospitals to enrich legal knowledge and enhance safety awareness.
Under the active and serious guidance of the head nurse, I have made great progress and improvement in many aspects. Usually, I insist on participating in the professional training of the department and the three-basic training of nursing staff every Friday. In the past year's work, I have always adhered to the service concept of "taking patients as the center and quality as the core" to improve my quality and emergency response ability.
Of course, I still have some shortcomings to improve. For example, at school, sometimes I still feel impetuous, I feel that I have too much to learn, and I am impetuous, especially when I encounter setbacks, and I can't handle it calmly. At work, sometimes the standard is low. Although I can basically perform my duties and obligations, my initiative needs to be further improved, which is what I need to improve and improve in the future.
In the coming year, I would like to thank the hospital leaders, head nurses and teachers for their education, guidance, criticism and help, and my colleagues for their concern and support. Looking back on the past, there have been many advances and improvements, but there are also some shortcomings; Looking forward to the future, we should carry forward our own advantages and overcome our own shortcomings.
In the coming 20xx year, I will continue to carry forward the spirit of the past year, do my job well, be anxious about the patient's urgency, be responsible for the patient, and never make the patient's condition worse because of my reasons. I will be absolutely responsible for my work. This is the minimum work that a good nurse should do to save lives.
Chapter III: Summary of Surgeon's Work in 2022 Template The main points of urological nursing practice teaching are summarized as follows.
1. Fully prepare for practical teaching.
1. 1 Psychological preparation teachers must have noble moral quality, high accomplishment, love nursing specialty and be keen on nursing teaching. Teaching teachers are the enlighteners of nursing students' contact with clinical practice. In clinical teaching, teachers' morality, talent and style directly affect the psychology and behavior of nursing students. Excellent teaching teachers are the fundamental guarantee to improve the quality of clinical teaching. Teachers are required to correct teaching attitude, teach patiently, guide nursing students to start with details, focus on imparting knowledge, prevent mistakes and accidents and ensure good teaching quality.
1.2 knowledge preparation urology teaching teachers should not only have comprehensive basic nursing knowledge, but also master skilled specialized nursing knowledge and teaching skills, constantly improve their own quality, accumulate nursing experience, organize many nursing teaching seminars in departments every year, exchange experiences, introduce teaching skills, foster strengths and avoid weaknesses, and improve the teaching level of general nursing.
1.3 Develop a targeted teaching plan. After each batch of nursing students arrive at the school, they should work out a specific and targeted teaching plan with the nursing students according to the requirements of the internship syllabus of different majors. Nursing in urology department is highly operational, and the teaching plan of nursing theory must have specific teaching time, operational requirements, assessment rules and safeguard measures.
2. Do a good job in training, so that nursing students can adapt to the internship role as soon as possible.
In view of the characteristics that nursing students are highly motivated and curious at the initial stage of clinical practice, but they are not familiar with or have a superficial understanding of the laws and characteristics of hospital nursing work, we focus on pre-job training, explaining the general situation of departments, nursing rules and regulations, how to prevent mistakes and accidents, clinical practice methods and skills, etc. And invite nursing backbones with teaching experience to give special lectures to students. Through the explanation of typical cases, students are guided to participate in clinical practice, so that nursing students can smoothly realize the role change from school to hospital and from students to nurses.
3. Specific teaching should be systematic, professional and personalized.
3. 1 Institutionalize the warm reception of interns with teachers when they enter the department, so as to shorten the distance between teachers and students, reduce the strangeness, make them feel intimate with the new learning environment and teachers, stimulate their strong interest in internship work, and devote themselves to internship work with great enthusiasm. And arrange time as soon as possible to explain the undergraduate nursing knowledge to interns, and explain the basic knowledge of urology system through concentrated lectures, such as the etiology, clinical manifestations, treatment and nursing points of urinary calculi, infections, tumors, injuries, benign prostatic hyperplasia, hypospadias and other diseases. , and focus on all kinds of pipeline nursing, health guidance, discharge guidance and other necessary knowledge.
3.2 Specialization In view of the characteristics of high aseptic requirements, strong professionalism and much privacy of patients in urology nursing, students' internship guidance should be more patient and meticulous, and the operation should be more rigorous and standardized. For professional knowledge, the teaching teacher should make students learn repeatedly and understand deeply through the methods of one explanation, two demonstrations and three operations, so as to achieve the purpose of mastering knowledge. Such as urethral catheterization, although it is a general nursing operation, but specific to urethral catheterization, professional requirements are higher, and it is also the key content of urology nursing practice. In practical guidance, we should do the following:
(1) requires nursing students to master the operation essentials and precautions under the guidance of teachers, neither blindly nor rudely, nor dare to operate because of timidity and shyness.
(2) Focus on how to protect patients' privacy during operation, and inform students of the consequences of exposing patients' privacy: sexual characteristics exposed by catheterization, especially unmarried patients feel more shy and nervous, leading to stress reactions such as anxiety, and strong psychological reactions increase pituitary-adrenal cortex secretion through sympathetic nerves, leading to hemodynamic changes.
(3) At the same time, explain the methods of psychological care for patients before and during operation: for example, tell patients not to be nervous and actively cooperate with the operation. If the coordination is improper, it will increase the resistance during intubation, increase the discomfort during catheterization, guide patients to take a deep breath during intubation, and ensure the smooth catheterization.
(4) According to different patients, different diseases and different purposes of catheterization, guide students to master specific operation methods, such as the depth of intubation, the method of indwelling catheter, balloon water injection and gas injection. Another example is bladder perfusion and bladder irrigation, which are also common specialized operations in urology. Nursing students should be informed of the main points of operation and let them practice it in person to understand the "steps" and how to keep the patient's bed unit dry during the washing process to prevent the washing liquid from leaking wet. In the process of continuous bladder irrigation, teach students how to judge whether the patient is bladder spasm or urethral orifice discomfort caused by pipe blockage.
3.3 Personalization
3.3. 1 Provide different guidance according to the specific situation of students. Because urology has its particularity, it will contact different patients of the opposite sex. For introverted and timid students, encourage them to overcome shyness and fear, so as to increase the opportunity of exercise and increase their sense of accomplishment; For self-motivated nursing students, guide them to be bold and cautious, not sloppy, and strive for perfection.
3.3.2 For different patients with the same disease, instruct students how to care for patients who often encounter the same prostate surgery in the ward. After removing the catheter, all patients have different degrees of frequent urination and urgency, and the recovery time of this process is longer in some patients and shorter in others. Therefore, the first reaction of some patients and their families is to doubt whether the patient's operation is successful or not, and often ask the medical staff "Why didn't someone else's operation be done well?" Therefore, under the premise that the medical staff in the department do a good job in explaining patients and psychological care, the teaching teacher should explain the psychological care principle, treatment methods and key points of patients with the same disease and patients with different individual reactions to the nursing students in detail.
Chapter IV: Summary Template of Surgeon's Work in 2022 During the period of 20xx-20xx, I completed the second rotating department-urology, which taught me a lot of knowledge and was worthy of my memory.
It has been three months since I came to urology in a blink of an eye. During these three months, I have basically mastered the clinical preliminary diagnosis and simple treatment of common diseases in urology, such as urinary calculi, bladder calculi, prostatic hyperplasia, urinary tract infection, scrotum enlargement and its complications. Participate in and observe the surgical treatment methods commonly used in urology, such as transurethral lithotripsy, transurethral resection of prostate, laparoscopic nephrectomy, laparoscopic unroofing of renal cyst, suprapubic cystotomy, suprapubic cystostomy, partial cystectomy, cystoscopy cystectomy, cystocentesis, urethroplasty, prepuce incarceration, orchiectomy, high ligation of spermatic vein and retroperitoneal ligation of spermatic vein. Ultrasound-guided percutaneous puncture of renal cyst, traction fixation of cryptorchidism, hydrocele operation and its basic anti-inflammation. At that time, I mastered catheterization, bladder perfusion, replacement of ureteral catheter and cystostomy tube, and I was basically familiar with the basic process of urological surgery. The electronic system of the department, including writing medical records, writing doctor's orders, writing prescriptions and writing checklists, has been mastered; In terms of surgical skills, strictly follow the concept of aseptic operation, including dressing change, stitches removal, drainage tube removal, hand washing, dressing change, gloves wearing, routine disinfection in operating room and towel laying. After three months of study, the operation skills have been further consolidated and improved. Can go to work every day, not late, not leaving early, responsible
Patients can be enthusiastic, familiar with the course of disease and know their overall situation. For the patient's reaction, you can deal with it first, or report it to the teaching doctor in time. I will continue to work hard, take the initiative to undertake the task, seize the opportunity of exercise, strive to improve my level, and strive for greater and more gains in the study of the next department.
Chapter 5: The template of surgeon's work summary in 2022 has passed in a blink of an eye, and 20xx years will soon pass, and the work of xx surgery is basically on the right track. Summarized as follows. Mentally. This year, xx Surgery has at least eight nurses and at most twelve nurses. Every nurse loves this young group very much. No matter how busy and tired the work is, everyone has no complaints and often works overtime to do the work well. In order to safeguard the collective honor, comrades can sacrifice their personal interests and take care of the overall situation at critical times. Comrades can also carry forward the spirit of unity and friendship, care for each other and help each other.
First, at work, according to the plan at the beginning of the year.
1, earnestly carry out the "100-day defect-free activity", implement the department's plan to prevent nursing defects, enhance the participation consciousness of nursing staff, and * * * improve the quality of nursing;
2. Organize nursing staff to study the two books "Details Decide Success or Failure" and "No Excuses", and implement the quality control measures of nursing details in this department;
3. A detailed quality control management system for surgical skin preparation was established, which can be implemented by every nurse, effectively improving the quality of skin preparation and controlling infection;
4. Standardize the department's admission guidance, hospitalization guidance and perioperative guidance, bind them into pamphlets, facilitate the consultation of inpatients and the guidance of nurses, and effectively improve the quality of nursing;
5. All the staff participated in the etiquette training organized by the nursing department, actively participated in the evaluation of etiquette sitcoms to show their elegance, and strived to win glory for the department;
6, according to the requirements of the nursing department, standardize the implementation of "bedside handover" etiquette and "reception etiquette";
7. We have basically managed the detailed laboratory sheets throughout the year, ensuring that every patient can keep the required laboratory sheets in time during hospitalization, thus truly putting people first; Management, follow the hospital.
Various reforms in nursing department:
1, learn to promote the use of HIS system. Organize all staff to study, teach every comrade to audit accounts, and communicate with you in time after finding the reasons for the problems found in the use process.
2. Nursing quality management has been gradually improved. Cooperate with the nursing department to cancel the quarterly check-up and change it to daily random check-up. Each nurse should do his own job, try to manage his patients and do his own job well.
3. According to the post changes, adjust the job responsibilities in time, add auxiliary classes in the general ward, and re-formulate the daily key work of each class to make the key work more prominent and the work of comrades more clear.
4. Set up a "notebook" to record what every nurse should know and pay attention to, and fix it at the nurse station, signed by the reader to ensure effective communication.
5. Establish the register of discharged patients and consultation register to ensure that the discharge certificate can be sent to the discharge office and consultation office accurately and timely, but it can be sent to the consultant in time.
Second, in learning.
1, in order to improve the quality of nursing staff and encourage self-study, ask a small question of professional knowledge every morning and study together.
2. Learn a medical English word and an English sentence every day, write it down in a notebook, put it in a nurse's station, and ask questions the next morning, but it doesn't persist.
3. Every nurse can consciously study scientific and cultural knowledge in her spare time, update her major and undergraduate course, and constantly improve her cultural quality.
In the past year, there were successes, failures, happiness and bitterness. All the nurses in xx Surgery, led by the head nurse, came together. In the new year, there are still many things that need to be worked together: establishing a quantitative and effective performance evaluation table for nursing staff with departmental characteristics, and objectively evaluating the work quality of nursing staff based on this; Cultivate comrades' scientific research ability and strive to publish more meaningful papers; Insist on learning English every day and so on.