In today's society, reports are used more and more frequently, including titles, texts, endings and so on. I believe that most people have a headache for writing reports. The following is the surgical nursing work report (selected 5 articles) I compiled for you, hoping to help you.
Surgical nursing work report 1 during the internship in the department, I can strictly abide by the rules and regulations of the department and will not be late or leave early. Able to complete various operations independently. 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. When you have time, you should also educate the patient's family members how to take care of the patient, and observe his vital signs frequently after the operation. Every day, we should constantly shuttle through various wards in order to understand the changes of patients' condition, find problems early and solve them early. During the internship, I will strictly abide by the rules and regulations of the hospital, earnestly perform the duties of the intern nurse, and strictly demand myself to respect teachers, unite classmates, care for patients, not be late, not leave early, work hard, and strive to achieve standardized nursing work, high-quality skill service, flexible basic nursing, regular love activities, combination of theory and practice, planned and focused theoretical study during the internship, and measured and recorded nursing work. Based on care and patience, we strive to be diligent in eyes, hands, feet and mouth, think about patients' thoughts and worries, and provide quality services to patients wholeheartedly, thus establishing a good medical ethics.
Generally speaking, I learned more through the summary of surgical nursing practice. In the future work, I will continue to work hard, keep in mind the responsibilities of nurses, constantly strengthen ideological study and professional study, comprehensively improve my comprehensive level, provide quality services for patients, and constantly enrich myself during my future study.
Surgical nursing business report 2ⅰ. Subject characteristics
As far as its research scope is concerned, the main research object of neurosurgery is the central nervous system. Because the anatomical structure of the central nervous system is complex, the understanding of human brain function is not very clear, and the clinical symptoms and signs of patients vary widely. Diseases in the same species and the same part may have different clinical manifestations, and different clinical manifestations may also be diseases in the same species or the same part. This brings some difficulties to the diagnosis of neurosurgical diseases, especially intracranial neurosurgical diseases. For example, for coma patients, it may be caused by intracranial diseases (such as tumors and bleeding) or extracranial diseases (such as electrolyte disorders and cardiovascular diseases), and its research scope may belong to surgical or medical diseases. Therefore, for neurosurgeons, the first problem is to determine the neurological symptoms of patients. Then consider the treatment plan.
As far as its treatment is concerned, neurosurgery involves the brain and its lesions. Facing the brain which is not very clear, complex in structure and life center, neurosurgeons must decide where and how to operate before operation, which can not only achieve the therapeutic purpose, but also minimize the damage to normal brain tissue. We must be very familiar with the local anatomy of the brain and perform the operation with skillful operation skills in order to achieve the purpose of surgical treatment of minor injuries. What effective methods should be taken to promote patients' recovery after operation, which all put forward higher requirements for neurosurgeons' theoretical level and operational skills.
For patients with craniocerebral injury, time is life, which requires neurosurgeons to keep up with the crisis, analyze and judge the patient's condition quickly and accurately, and take effective rescue and treatment measures in time. Therefore, it is one of the characteristics of neurosurgery to be prepared for emergencies at any time, and the ability to deal with emergencies is also the basic quality that neurosurgeons must have.
Second, the practice method
Because neurosurgery is a specialized subject, interns often feel that the disease is complex and the operation is difficult after entering the department, which leads to fear of difficulties, but the harvest of internship cannot be directly proportional to the time spent. How can we learn knowledge in a limited time? How to do neurosurgery practice well? This requires students to master the practice methods of neurosurgery before and during the practice.
Report on the professional work of surgical nursing. Medical treatment is a sensitive job in all industries. After all, a mistake at work can kill people, accidents and accidents are always easy to happen, and ultimately the hospital, patients and their families will be hurt. Under the guidance of nursing department, strengthen safety management closely around work objectives; In order to improve the quality of nursing service, deepen the connotation construction of high-quality nursing, and further improve and perfect various nursing work, the following measures are formulated:
1) lead the nursing unit to seriously implement the target responsibility system management, and enhance the awareness of dedication, active service and quality and safety, thus promoting the improvement of nursing quality.
2) Grasp the whole process quality management of each nursing work with a rigorous attitude, namely basic quality, link quality and terminal quality, among which link quality is the key. Further optimize APN and flexible scheduling to achieve seamless handover and ensure patient safety.
3) Strictly abide by the disinfection and isolation system, do a good job in monitoring the environmental sanitation of the ward, and the results are up to standard. At the same time, do a good job of disinfection at any time, terminal disinfection and daily disinfection.
4) Develop departmental training and assessment plans. Strengthen the work consciousness of senior nurses to check and help new nurses, strengthen the professional training of young nurses, adhere to the study and accumulation of problems in morning meetings every day, organize professional study once a week in each department, and adhere to the general rounds of nursing in each department every month, so as to facilitate the systematic grasp of theoretical knowledge and flexible application in practice and improve nurses' practical ability. Constantly collect theoretical knowledge of specialties, use the network to broaden and master knowledge, and constantly encourage young nurses to operate and master new knowledge and skills, so as to achieve solid theoretical knowledge, bold and cautious operation, continuous innovation, continuous improvement and self-improvement.
5) Do a good job in nursing safety management and implement various patient safety systems and norms; Such as patient identification system, fall prevention system, bedridden prevention system, special drug management system, adverse reaction observation system and procedures after drug use. To ensure the safety of patient care.
6) Regularly check the storage, use, limited amount and external use of drugs in the medicine cabinet of the ward, strictly distinguish injection drugs, oral drugs and external use drugs, strictly check the procedures and sign when copying and executing the doctor's advice, and control the flow rate of intravenous infusion. Advocate the accountability management of "whoever implements it is responsible" and "who signs it is responsible".
7) Strengthen the accuracy of executing the doctor's orders, check with the doctor in time when in doubt, and timely feedback the special circumstances encountered during the operation to the doctor to further improve the medical plan and ensure the safety of patients; Intravenous infusion requires the implementation of dual-core pairing, and actively explain to patients or their families during various operations to strive for understanding and cooperation. During catheterization and venous indwelling needle operation, the matters needing attention should be clearly explained to prevent catheter slippage, especially whether the switch of drainage tube is turned on and whether there is blood clot blockage at the outlet of catheter. All pipelines maintain the life safety of patients and must not be taken lightly.
8) Strengthen the management of nurses who are newly transferred, newly graduated, thoughtful and emotional, and focus on hand over to treat, shift leading and ward round. Focus on supervision, inspection and monitoring of critically ill patients newly admitted to hospital, newly transferred to hospital, after major surgery, and patients with potential risks of medical disputes. Supervision and management should be strengthened during holidays, weekends, busy work, fatigue time and night shift. Constantly care about the work, life and psychological dynamics of every nurse, solve all kinds of entanglements and doubts in time, and continue to strengthen the creation and rendering of nursing medical culture in departments, so that sisters can work, live and grow healthily and happily in a positive and warm atmosphere.
9) Adhere to the handover of toxic drugs, rescue drugs and materials, keep the rescue instruments in a functional state, and the intact rate of rescue materials reaches 100%.
10) further promote the overall nursing responsibility system and implement the three-level responsibility system for nursing service, namely, "the nurse receives the person in charge first", "the responsible nurse is responsible for the whole process" and "the head nurse is responsible for the whole process". Strengthen the control of key points: namely, key systems; Key personnel; Key patients; Key links; Critical moment. Implement the head nurse's daily five-shift system: that is, early shift rounds; Patients after treatment and nursing, check; Check the patient before lunch; Check the patient after lunch break; Check before nursing shift at night. Constantly strengthen the empathy between nurses and patients in the work of responsibility, and often ask yourself "Suppose I were him". Am I satisfied with this kind of care? Regardless of the quality and source of patients, they can constantly adjust themselves to regard each other as God and parents' responsibility, and strive to satisfy patients.
1 1) nursing indicators are completed.
1, the qualified rate of basic nursing 100% (the qualified standard is 95 points).
2. The qualified rate of specialist and first-class nursing is ≥ 90% (the qualified standard is 90 points).
3. The qualified rate of specialized nursing is ≥ 90% (the qualified standard is 95 points).
4, technical grade pass rate of 90% or higher (90 points).
5. The qualified rate of nursing document writing is ≥ 90% (the qualified standard is 95 points).
6. The intact rate of first aid articles 100%.
7. The qualified rate of disinfection and sterilization is 100%, and the qualified rate of disinfection and isolation is 100%.
8. The qualified rate of ward management is ≥ 95% (the qualified standard is 95 points).
9. The number of pressure sores per year is 0.
10, the coverage rate of health education patients 100%, and the awareness rate of patients ≥ 80%.
1 1, the qualified rate of medical safety management 100% (the qualified standard is 95 points).
13, the number of serious nursing errors and nursing accidents is 0.
14, the satisfaction rate of patients with nursing service was ≥ 98%.
15, the training rate of nursing staff in the department reached 100%, and the credits or hours of continuing education of nursing staff reached the specified requirements.
The report of surgical nursing business has passed in a blink of an eye, and one year is about to pass, and the surgical work is basically on the right track. Summarized as follows. Mentally. This year, there are at least eight nurses and at most twelve nurses in surgery. 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.
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;
Keep up with the reform of hospitals and nursing departments in management;
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. With the cancellation of quarterly physical examination by the nursing department and the change to random daily physical examination, each nurse has his own duties, and strives to manage his patients and do his own work 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.
6。 In order to improve the quality of nursing staff, while encouraging self-study, we should ask a small question of professional knowledge every morning.
7。 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 check it in the morning, but don't insist.
8。 Every nurse can use her spare time to consciously learn scientific and cultural knowledge, update her major and undergraduate course, and constantly improve her cultural literacy.
In this past year, there were successes, failures, joys and sorrows. All surgical nurses came together under the leadership of the head nurse.
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. Let's all contribute to the construction of young surgery.
Surgical nursing business report 5 Looking back on the nursing work of neurosurgery in the past year, I learned a lot, grew a lot, and my colleagues' work enthusiasm was greatly improved. Under the guidance of the director and head nurse, it is common to work at full capacity and work overtime every day. We are sweating for the patient, not tired. In order to save more critically ill patients from death, we are busy, tired and do every job without complaint.
Neurosurgery is a department with more acute, dangerous and severe diseases in surgery, especially on holidays, and there are more coma patients. For such patients, we should closely observe the changes of the condition in time and make nursing records. Timely treatment, oral care, perineal care, q2h turning over and patting the back, timely sputum aspiration for patients with excessive phlegm, atomized inhalation of diluted sputum, etc. In addition, I have to accept emergency patients, so my work is very busy. Let me realize the importance of nursing safety. Under the leadership of the hospital and nursing department, we should actively and conscientiously implement the nursing concept of "patient-centered", proceed from the patient and think for the patient, and strive to ensure nursing safety and prevent nursing errors. The problems in the past year are briefly summarized as follows:
1, the implementation of various rules and regulations is not strict, the implementation is not in place, and the principle of three inspections and seven pairs is not strictly implemented.
2. The doctor's advice was not carefully checked, only the doctor's advice was reviewed, and the doctor's advice execution form was not copied or changed in time, which resulted in copying errors and omission.
3, the sense of responsibility is not strong, can't patrol patients in time, observe the condition is not careful.
4, ward management needs to be improved, patients carry more items, items placed in confusion.
5. Active learning atmosphere is not strong enough.
6. Health education is not deep enough and lacks dynamic continuity.
I will do the following in my future work:
1, strictly implement the system of three checks and seven pairs, strengthen the monitoring of key links, and adhere to the "three cleanups", that is, the written, oral and bedside handover is clear.
2, when the doctor's advice special medication or special treatment, should be written in the nurse dynamic succession, must copy or change the doctor's advice before reviewing the doctor's advice.
3. The intact rate of first-aid articles reaches 100%. First-aid articles shall be managed in succession, and the person in charge shall conduct a comprehensive inspection once a day, and the head nurse shall conduct a weekly inspection and spot check at any time to ensure that first-aid articles are always in an emergency state.
4. Taking patients as the center, strengthening the communication between nurses and patients, improving the service process, and obviously improving the service quality.
5. For patients with mild symptoms and elective surgery, the responsible nurse can warmly receive the patients and send them to the bedside, and actively introduce the ward environment, work and rest time, rules and regulations and attending doctors to the patients or their families to understand the psychological state and needs of the patients after admission.
6. Provide patients with various conveniences in life, and listen to the opinions of patients and caregivers on nursing services extensively, find out the reasons for existing problems, put forward rectification measures, and make timely rectification.
In the ordinary and subtle work of neurosurgical medical staff, the weak patient becomes healthy and leaves with a painful expression. Although busy; Although I lost the opportunity to reunite with my family again and again; Although misunderstood again and again, tears can only be swallowed secretly, but we think of responsibility, we will cheer up and treat every patient with full enthusiasm. This is how we work hard day after day in our ordinary posts, working hard and contributing in obscurity, and I will work harder in the future nursing work!
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