65438+February Oral Nurses' Work Summary (1) 1. Conscientiously implementing 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 physical examination system: (1) BANCHA is required to have a physical examination in the doctor's order class, and the head nurse participates in the total physical examination 1-2 times a week, with 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 bedside shift system and morning care, to prevent the occurrence of 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 head nurses to study abroad, learn from the advanced experience of brother units, and expand their knowledge: at the end of May, head nurses from three wards were selected to participate in 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. Organize all nurses to attend etiquette training in * * Hotel and * * Hotel in June165438+1October respectively.
3. 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.
4, the department held a symposium on a regular basis every month, solicit opinions from patients, to meet the demands of patients to the maximum extent.
5. 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. On March 8th Women's Day, a nursing technical operation competition (aseptic operation) was held, and the first prize, the second prize and the third prize were selected and rewarded respectively.
5.6.5438+early February, the nursing department conducted a nursing technical operation assessment for nurses in the whole hospital: intravenous infusion and oxygen inhalation assessment for nurses in wards; 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, adhere to the bedside shift system 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.
8.165438+1October 9-June, 9 nurses who entered the hospital this year were given pre-job training on basic nursing and specialized nursing knowledge, and each head nurse was organized to have a class to improve their teaching ability.
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, concentrated and inspected regularly. Regularly detect and check the concentration of various disinfectants, and insist on one bed, one middle school, one morning and one wet sweep.
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) in the ward for final disinfection (clean the bedside table 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 teach patients knowledge of disease prevention and rehabilitation, but also go 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, the 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.
65438+February (2) 1 day: summary of oral nurses' work. We will continue to establish and improve various rules and regulations to effectively protect medical care and patient safety.
Patient safety and medical safety are the lifeline of hospital survival and the ultimate goal pursued by patients and doctors. How to ensure the safety of patients is a topic of concern to every medical worker and every hospital administrator. For patient safety management, ensuring patient safety to the greatest extent is also the expected goal of implementing the general hospitalization system. In the final analysis, ensuring patient safety still depends on system construction. The School of Stomatology in our hospital has just been established, and many systems need to be improved. During my tenure as chief resident, I assisted department leaders in formulating various systems, such as:
1, to restore the system of night rounds and bedside shifts for critically ill patients;
2, adhere to the monthly and weekly summary report system:
3, director of the weekly theme rounds system:
4. Establish a follow-up registration system for patients with oral cancer. The establishment of these systems has standardized the responsibilities of doctors at all levels, made everyone have rules to follow, standardized their work, eliminated many medical hidden dangers, and better guaranteed medical safety. There were no medical accidents and mistakes in oral and maxillofacial surgery wards throughout the year.
Two, actively participate in the construction and publicity work of stomatological medical college (Department).
I love stomatology and actively participate in various milestones of stomatology in our hospital, such as: the establishment of stomatology college, the evaluation of master's degree in stomatology, the application for doctoral degree, and the undertaking of skills examination for oral practitioners in Guangzhou. In the master's evaluation, I work overtime all night to write articles, assist in sorting out materials, contact judges and other specific trivial work; In the skill examination for oral practitioners, I served as an examiner, strictly implemented the examination standards, and successfully completed the examination task. Stomatology in our hospital has just been established for one year, and many colleagues still don't understand it. The branches of stomatology are becoming more and more detailed, and the division of labor among clinical departments of stomatology is becoming more and more specialized. The knowledge of stomatology needs to be popularized, and hospitalization is always a bridge to contact all departments and a propagandist of all departments.
Actively write manuscripts at ordinary times, summarize the new technologies and new businesses developed by the department in time, and publish several briefings in Quality Management Briefing and Southern Briefing. Participate in coordinating the production of leaflets in this department. Different departments of stomatology, such as endodontics, oral and maxillofacial surgery, prosthodontics, orthodontics, children's dentistry, oral mucosal diseases, etc. Select the most common diseases in our department 1-2 to make leaflets to popularize oral medicine knowledge. Consciously collect, save and sort out clinical data, and often take photos and leave messages in person when encountering typical cases. Especially before and after surgery, images, pathological and surgical photos of typical cases should be collected. All the patients I manage independently will keep all the information. According to the different classification, name and hospitalization date of diseases, different indexes are established, which is beneficial to retrieval. Typical cases are made into CDs and kept separately. The collection, collation and classification of clinical data is a systematic and complex project. I often sacrifice weekends and holidays to sort out information, hoping to make my own contribution to the construction and accumulation of stomatology in our hospital. On the eve of July 1st this year, he was recommended as "Excellent party member" by the Stomatological Branch of Southern Hospital.
Third, participate in various operations in oral wards and emergency and consultation work in stomatology.
There are currently 26 beds in the stomatological ward. The wards in our department are divided into three groups: tumor group, trauma group and salivary gland group. I participated in almost all the operations in three groups. As an assistant in the tumor group, as any two assistants in the other two groups. Different surgeons have different styles, high intensity and a lot of operation opportunities, which greatly improve my professional ability and surgical skills. With the training and care of three professors in the ward, I have been able to independently complete various conventional small and medium-sized operations, and the operation is becoming more and more standardized and skilled.
Emergency and consultation are the main tasks of every resident. Like the residents in my brother's department, I always arrive in time for emergency consultation, actively deal with patients with doctors in related departments and participate in the first aid of critically ill patients. There are many busy nights, many patients turning the corner, many thrilling memories and many vivid memories. It is this kind of effort that won the honor for the chief resident and saved the lives of patients. At the same time, consulting with relevant departments and cooperating with residents have broadened my knowledge and broadened my horizons.
Four, oral and maxillofacial surgery teaching and teaching work
Our department undertakes the teaching tasks of stomatology and various professional courses of stomatology department of the whole school. At the same time, there are still many interns, rotation doctors and new doctors who need training. I participated in the clinical teaching and teaching of oral and maxillofacial surgery, such as teaching oral and maxillofacial infection for XX preventive medicine department; Explain the medical record writing norms and medical core system for undergraduate interns of Jinan University; Explain the routine and basic theoretical knowledge of oral and maxillofacial surgery to residents and nurses many times;
Participate in the formulation of clinical course plan of oral and maxillofacial surgery in stomatology. As the teaching secretary of oral and maxillofacial surgery in the undergraduate teaching of stomatology, she undertook a lot of theoretical and practical teaching work, coordinated the oral surgery teachers in the affiliated hospital of Southern Medical University, and completed the oral teaching work with high quality. At the end of this year, I won the "first place" in the teaching summary evaluation of stomatology college.
V. Quality control work
Since July, he has served as the third quality controller of stomatology, participated in the pre-job training of quality controllers, participated in various meetings of quality controllers in the quality control department, and undertook the inspection and trial of cases in oral and maxillofacial surgery wards and discharged cases; Assist the director of the competent department to check cases every month; Inform the case quality and assist the ward professor to check the medical record writing; Check 20 medical records of other departments every month. In the evaluation of quality control staff, I was rated as "excellent quality control staff" in Southern Hospital through comprehensive assessment of link medical record examination, final medical record quality, participation in various quality inspections, regular meeting and department evaluation.
I recommend it carefully.