Time goes by, never stops, and a piece of work is over. Looking back on my past work, I feel very fulfilled and gained a lot. It's time to sum up past achievements in the work summary. So, do you know anything about job summary? The following are four summaries of internal medicine work that I have compiled for you, for reference only. Welcome to reading.
Physician's year-end summary
I graduated from Linyi in * * and was promoted to attending physician in xx. Looking back on my past work, study and life, it is both hard and busy, and it makes people feel full and proud. My work since I took office is summarized as follows: Promoting attending physician is the beginning of my independent work. In order to improve my diagnosis and treatment skills quickly, I have been working in the emergency department for the past two years. The exercise of emergency work has enabled me to quickly improve my understanding of critical illness and rescue level, and I can skillfully handle medical emergencies such as acute left heart failure, acute coronary syndrome, bronchial asthma attack, hypertensive emergency, grand mal's disease, upper gastrointestinal bleeding, massive hemoptysis, etc. At the same time, he can skillfully rescue cardiopulmonary cerebral resuscitation.
In my work, I deeply understand the qualities and conditions that a qualified doctor should have. Strive to improve their professional level, constantly strengthen business theory study, read a lot of medical magazines and books, insist on writing reading experiences and summaries, actively participate in online forums for medical majors, and often participate in various academic conferences, thus broadening their horizons and expanding their knowledge. Timely application of new theories and technologies to guide business work, proficiency in common diseases, frequently-occurring diseases and new diagnosis and treatment technologies in various internal medicine systems, as well as handling common diseases and various critical and difficult diseases in various systems such as cardiac arrest, drug poisoning and coma. , and strictly implement the work system, diagnosis and treatment routine and operating procedures in the work, thus avoiding the occurrence of misdiagnosis accidents to the greatest extent. My belief is to do my best to do my job well and relieve the pain of patients.
Clinical work is inseparable from scientific research. At the same time, I hope I can be innovative, and I have conducted a series of research on the theme of stroke. In view of the sequelae of limb paralysis after stroke, the age of onset is high, and the cure rate of medical education network is low, I applied for the topic "Clinical application of compulsory exercise therapy in the treatment of stroke hemiplegia" and proposed to strengthen limb rehabilitation with compulsory exercise therapy. In rehabilitation treatment, it is found that compulsory exercise therapy has a good effect on the recovery of upper limb motor function, but there is little difference between the recovery of lower limb function and general rehabilitation treatment. Therefore, the related research of "clinical analysis of treadmill exercise therapy for stroke patients with hemiplegia of lower limbs" was put forward, and treadmill exercise was used to treat the affected lower limbs, which achieved good results. After more than a year's efforts, the project was finally completed, which made me deeply understand the hardships of medical research in promoting clinical practice, although my
Since taking office, I have paid great attention to the cultivation of talents, actively carried out the guidance work for junior doctors, trained junior doctors to perform various common internal medicine operations, standardized the three-level medical treatment system, improved the diagnosis and treatment level of common and frequently-occurring diseases of junior doctors, organized lectures in hospitals for many times, and standardized various routine operation skills, which really played a key role in business.
I hope that I can pass this promotion evaluation and make my business in by going up one flight of stairs an excellent doctor.
How time flies! In a blink of an eye, I will soon end my internship in four departments: internal medicine, surgery, gynecology and pediatrics. Looking back on these days, I believe everyone has a taste of their own in their hearts. Practicing in pediatrics for nearly a month, I have benefited a lot, but I am about to leave the department. Teachers in our department attach great importance to our internship, and the weekly internship arrangement is also orderly.
During my internship, I will strictly abide by the rules and regulations of the hospital and all departments, earnestly perform my duties as a nurse, be strict with myself, respect teachers, unite with my classmates, work hard, love children's cause and think of children wholeheartedly. At the same time, it is necessary to understand family members, correctly handle the nurse-patient relationship, do a good job of explanation and comfort, say "I'm sorry" more, let family members understand the work of pediatric nurses, and reduce unnecessary misunderstandings or excessive behaviors. Under the guidance of the teacher, I have basically mastered the nursing of some common diseases in pediatrics and some basic operations. Especially for children's scalp needle puncture technology, I have been learning, and I am also summing up my experience. I can be diligent in observation, be good at observing the condition of children, grasp the changes of the condition in time, and make accurate judgments. In a word, I think I learned a lot in this internship. Although I am only a student, maybe my ability is limited, I use my efforts to enrich my knowledge and skills. I hope to send patients away healthily with my smile, and I am eager to grow up in my study and really be a angels in white who sings silently and flies hard.
Before practice, you should master some basic operations of cardiology, such as electrocardiogram, blood pressure measurement and physical examination of the heart. Don't underestimate these. Take the simplest blood pressure measurement as an example, many people do not have a standardized grasp. Familiar with books and knowledge of common diseases in cardiology, such as hypertension, heart failure, cardiomyopathy, valvular disease, coronary heart disease, etc. Then in clinic, the diagnosis and treatment plan of the superior doctor corresponds to the book to see how to combine with the individual patient. Ask if you don't understand, and your level will improve quickly. Learn some first aid treatment, such as hypertension emergency, acute pulmonary edema, arrhythmia, etc. Urgent things will be dealt with, don't worry about slow things, let you know, "everything is under control", hehe! In addition, doctors should not only master superb medical skills, but also have good communication skills. At ordinary times, they should learn more communication and conversation methods and skills with patients and colleagues from their superiors, so that they can get started quickly when they really work.
The complex taste of this kind of surgical internship experience may only be realized by those who have experienced it personally. Whatever it is, it's worth remembering. Of course, it is more important to know a lot of things that can't be learned in books and meet a few good friends. Maybe this is more valuable than books.
Under the guidance of the teacher's efforts, through continuous efforts, the internship in cardiology department ended quickly and achieved remarkable results. First of all, in terms of basic theory, reviewing the past has strengthened consolidation and improvement; Secondly, I learned new knowledge and treatment methods on Linyi's face. Anyway. After heart practice, I have a new understanding and improvement of the diagnosis and treatment of common diseases and frequently-occurring diseases, and learned the knowledge and skills to deal with sudden diseases. I will definitely apply what I have learned to my future work. I will never forget my teacher's teaching and keep learning and making progress.
It has been half a month since I entered the internship of cardiology, just after the end of the year. I feel that there is not much increase in cardiology now. Stepping into the department, I met many people and touched many things. It also made me see some people's faces clearly. In other words, is it an internship, which means that you have begun to contact half of society?
Departments, whether doctors, nurses, patients, patients' families. Different classes, different ways of doing things. Makes people think a lot. People around you may think they know him well, but they don't. Maybe once people know each other better, they will feel even more terrible. Because everyone always has their own shortcomings, when you can't tolerate each other's shortcomings, or others can't tolerate your shortcomings. The world will become complicated, and life, study and work will be everywhere. I will definitely seize the internship opportunity. No matter what others think of me, I will insist! Because I have family and friends behind me! My dearest person!
With the care of hospital and department leaders and the help of my colleagues, I successfully completed various tasks, quickly became familiar with the new working environment, and made great progress in my work attitude and professional and technical level, mainly in the following aspects:
First, correct working attitude, enthusiastic service for patients
As a doctor, serving patients is both a responsibility and an obligation. Our hospital is still a new thing for mainland residents. In order to be stronger and bigger in the shortest time, I think we should first improve the service quality and satisfy every patient, so as to expand the popularity of our hospital. After joining the work, strive to improve their ideological quality and professional ethics, correct the attitude of the master, worry about the patient's urgency, think about the patient's thoughts, and do their best to serve the patient; Treat every patient patiently, no matter how tired, take pains to explain and communicate, and strive to implement the work of "two good things and one satisfaction".
Two, seriously and responsibly do a good job in medical work, improve the professional and technical level.
1, insist on business study. After taking part in the work, I still insist on studying every day and mastering a disease every day; At the same time, do not forget to learn the new achievements of this major, constantly absorb new nutrition and exercise scientific research thinking;
2. Adhere to the principle of "Excellence and meticulousness" and carry out work in strict accordance with routine medical operations to avoid mistakes; Constantly enrich my clinical experience in my work, always be modest and prudent, dare to ask the superior doctor for advice when I encounter problems I don't understand, and strive to improve my comprehensive analysis and problem-solving ability; Closely observe the condition, timely and accurately record the condition, and properly handle patients; As a new doctor, I should guard against arrogance and rashness, be full of energy and keep learning.
Third, be strict with yourself and actively contribute to the development of the hospital.
As a member of the hospital, it is my unshirkable responsibility to make suggestions and contribute to the greater development of the hospital. On the basis of doing a good job, we will actively make suggestions for the development of the department and hope that the workload will reach a new high next year.
Summing up 20xx years, with the help of hospital leaders and colleagues, all my work has been successfully completed, but I can't relax at all, because my future work will face greater challenges and opportunities. At the same time, there is still a gap compared with other advanced colleagues. In my future work, I will continue to work hard to overcome my own shortcomings and create more excellent work results.
First, seriously implement the rules and regulations. Strict implementation of various rules and regulations is the fundamental guarantee to improve nursing quality and ensure medical safety.
1, the nursing department reiterated the responsibilities of nursing staff at all levels, clarified the post responsibility system and nursing work system for nurses on duty and visiting nurses, and put an end to the bad phenomenon of patients changing infusion bottles and pulling needles by themselves.
2, adhere to the inspection system:
(1) Please ask the doctor's advice to give BANCHA a check, and the head nurse will take part in the general check 1-2 times a week, and make records.
(2) Nursing operation requires three checks and seven pairs.
(3) Insist on filling in the infusion card, and no major nursing mistakes have occurred in the past year.
3, conscientiously implement the orthopedic nursing routine and microsurgical nursing routine, adhere to fill in all kinds of information and data register, equipped with five types of surgical disposal tray.
4. Adhere to the system of succession and morning care to prevent complications.
Second, improve the management level of head nurses.
1. Adhere to the record and assessment of the head nurse's handbook: require the head nurse's handbook to be submitted to the nursing department for assessment before the 5th day of each month, and supervise the implementation according to the annual plan, seasonal arrangement and monthly plan formulated by the head nurse, and monitor the implementation effect, and require the head nurse to summarize the monthly work so as to sum up experience and carry out the work.
2. Adhere to the regular meeting system of head nurses: according to the requirements of grade hospitals, hold a regular meeting of head nurses once a week, with the contents as follows: arrange the focus of this week's work, summarize the advantages and disadvantages of last week's work, put forward corresponding rectification measures, feed back the nursing quality control inspection to the head nurses, and learn the relevant materials of head nurses' management.
3, check the quality of nursing every month, and timely feedback, and constantly improve the management level of the head nurse.
4, organize the head nurse to go out to study and visit, learn the advanced experience of brother units, and expand the knowledge.
5. At the end of the month, the head nurse of the third ward was sent to attend the new international nursing progress class, and reported to all nurses after the study.
Third, strengthen the construction of medical ethics of nursing staff.
1, continue to carry out the code of conduct for nurses, and carry out 50 civilized expressions for nurses in daily work.
2. Continue to carry out health education and issue satisfaction questionnaires to inpatients. The results of satisfaction surveys (regular or irregular evaluations) are all above 95%. In addition, corrective measures were put forward for the problems existing in the satisfaction survey, and the best nurses were selected.
3, monthly department held a symposium on a regular basis, solicit opinions from patients, to meet the requirements of patients to the maximum extent. 4. Carry out pre-job professional ethics education, rules and regulations, nurse code of conduct education and basic nursing knowledge, specialist knowledge and nursing technology operation assessment for newly assigned nurses, and those who pass the examination will be given posts.
Fourth, improve the professional quality of nursing staff.
1. Conduct "three basics" training for on-the-job personnel and organize theoretical examinations.
2, cooperate with the medical department, hire experts to teach, teach orthopedics, internal medicine, surgery knowledge, in order to improve professional knowledge.
3. Each department asks questions 1-2 times a week in the morning, and the content is basic theoretical knowledge and orthopedic knowledge.
4. A nursing skill operation competition (aseptic operation) was held on March 8th Women's Day, and the first prize (,second prize (Li Mindan, Tang) and third prize were awarded respectively.
In May, June, 5438+the beginning of February, the nursing department conducted a nursing technical operation assessment for the nurses in the whole hospital: intravenous infusion and oxygen inhalation assessment for the nurses in the ward; Examination of nurses in emergency room: cardiopulmonary resuscitation, oxygen inhalation and gastric lavage; Examination of nurses in operating room: intravenous infusion and aseptic operation. 6. Strengthen the care of critically ill patients, and adhere to the system of succession and morning care.
7. Insist on nursing rounds: conduct nursing rounds in three wards in turn every month to discuss nursing diagnosis and nursing measures to improve professional quality.
From August 9 to June 165438+ 10, 9 nurses who entered the hospital this year were given pre-job training, and each head nurse was organized to give a lecture on basic nursing and specialized nursing knowledge, which improved the teaching ability of head nurses.
9. There are 5 nurses in the whole hospital who take the self-taught examination for nursing specialty and 3 nurses who take the correspondence course for nursing specialty.
Five, strengthen the management of hospital infection.
1, strictly implement the disinfection and isolation system formulated by the hospital management leading group.
2. Each department insists on monthly air culture in the ward treatment room and dressing room, and secondary air culture in summer in high-risk departments such as operating room and outpatient operating room, which ensures the good effect of aseptic incision without infection.
3. The department insists on ultraviolet disinfection of the treatment room and locker room every month, and make records. The ultraviolet lamp tube is dusted with anhydrous alcohol every week, and recorded, and the ultraviolet intensity is monitored every two months.
4. After the disposable articles are used, all wards, operating rooms and emergency rooms can be damaged, soaked and concentrated in time, and regularly inspected and urged, and the concentration of various disinfectant is regularly detected and checked, and morning care is adhered to.
5. The treatment room and dressing room in each ward can insist on mopping the floor with disinfectant (1: 400 disinfectant) twice a day, and regularly mop the floor with disinfectant (1: 400 disinfectant) for final disinfection (clean the head cabinet and wipe it with disinfectant).
6, operating room, strict implementation of hospital dyeing management requirements, aseptic package with chemical indicators.
7. The supply room has established a disinfection project monitoring record book, and regularly monitors each disinfection project.
Six, nursing staff to better complete the nursing work.
1, adhere to the patient-centered, quality-centered, and provide quality services for patients, and carry out patient-centered health education in depth. Through the distribution of health education manuals and the words and deeds of nurses, patients are familiar with the knowledge of disease prevention, rehabilitation and related medical care, nursing and self-care.
In February and August, the holistic nursing mode was carried out in the third ward. Nurses in the third ward not only taught patients the knowledge of disease prevention and rehabilitation, but also went deep into the ward to talk with patients.
3. 2357 cases were hospitalized, 25 cases were observed/kloc-0, and 2380 cases were operated in operating room. Emergency nurses provide full service for emergency patients, including escorting patients to take photos, doing B-ultrasound, doing electrocardiogram, accompanying patients to the hospital and sending them to the operating room. There are fixed nurses on duty and visiting nurses in all three wards, so that patients get thoughtful service.
4. Nurses in the whole hospital wrote 30 nursing papers, including the 3rd National Orthopedic Nursing Academic Exchange 1 article, 3 academic exchanges in Taizhou, and 2 academic exchanges in the 2nd National Contemporary Nurses1article.
Seven. existing problems
1, the quality of individual nurses is not high, and the concept of sterility is not strong.
2. Holistic nursing is still in the exploratory stage, and nursing writing is not standardized.
3, due to the shortage of nursing staff, basic nursing is not in place, such as first-class nursing patients can not get the service of first-class nurses, second only to daily work.
4. Ward management is not satisfactory. Over the past year, due to the dean's attention, support and help, nursing work has made some achievements in nursing quality and professional ethics construction, but there are also some shortcomings that need to be further improved.