1 20xx 2065438+Summary of work in hemodialysis room in 2007 With the care and support of hospital leaders and nursing department, with the efforts of all nursing staff in the department to work overtime, with the pace of second-level evaluation in the hospital, the work in hemodialysis room has been well completed. The work is summarized as follows:
1. Actively organize department personnel to visit and study in the outer court, revise the post responsibilities, rules and regulations of the hemodialysis room, improve the information of the hemodialysis room, and work in strict accordance with the rules and regulations and workflow. Revise the emergency plan and conduct drills regularly. Actively participate in hospital business study and training, formulate departmental training plans, and organize departmental employees to study hard and assess regularly.
2. Do a good job in nursing quality and safety management, and strictly check the system, including patient pre-flushing management, blood vessel puncture, dialysis treatment and treatment parameter setting, especially to ensure the continuous patrol and vital signs monitoring of patients during dialysis, timely discover dialysis adverse reactions, machine abnormal alarm, puncture site bleeding, etc. and deal with them in time to ensure patient safety.
3. Do a good job in the daily cleaning and maintenance of the water machine and dialysis machine, keep the machine running normally and safely, and ensure the safety of patients and high-quality dialysis.
4. Ensure the sterility, concentration and quality of dialysate configuration, and formulate relevant configuration systems and processes.
5. Do patient satisfaction survey regularly every month, solicit opinions from patients and their families, and constantly improve and improve. Cooperate with the hospital infection department to do all kinds of disinfection and isolation work: strengthen the aseptic consciousness of nursing staff, let the aseptic consciousness penetrate into any link of the work, strictly implement disinfection inside and outside the machine, all kinds of articles, air ground, etc., so as to make the culture results meet the standards, and record them carefully and in time.
In 20xx, 5 100 person-times of dialysis and 240 person-times of hemoperfusion were treated. The total income was 4.63 million yuan, an increase of more than 600,000 yuan over last year.
Apart from our efforts and achievements, we also have some shortcomings this year. In the new year, our general nurses should strive to keep up with the new pace of the second-level hospital evaluation, take quality management as the main line, strive to improve in an all-round way, strive for a new look, and add strength to the hospital evaluation.
Summary of the work of hemodialysis room in 20 17 2 this year, with the care and support of hospital leaders and nursing department and the joint efforts of all nursing sisters in the department, the hemodialysis room has successfully completed all the tasks undertaken. The work is summarized as follows:
1. Make clear the post responsibilities, workflow and operation specifications of hemodialysis room, formulate emergency treatment plan for dialysis, study hard, make nurses in hemodialysis room master it skillfully, and solve the problems encountered in work in a timely manner. Strict physical examination system, including patient pre-irrigation management, blood vessel puncture, dialysis treatment and treatment parameter setting. Actively participate in business study and training in the hospital, support and encourage nursing staff to participate in specialist study, improve the comprehensive quality of nurses, fully mobilize the enthusiasm of nurses, enrich their knowledge, broaden their horizons, and cooperate with each other in the daily dialysis process. Because there are many patients and few machines in the department, there is no shirking whether it is emergency or overtime on Sunday, and overtime will not affect the normal work of the next day.
2. Do a good job in nursing quality and safety management. During dialysis, the patient's blood is in extracorporeal circulation, and nursing safety is the most important. Therefore, every nurse is required to strictly stick to her post, conscientiously implement the doctor's advice, implement the check system, set the parameters in strict accordance with the dialysis prescription, and check by one person at a time. There are two fixed nurses in each class, and the nurses work together and cooperate closely to complete the pre-,middle-and post-nursing work of patients. In particular, it is necessary to ensure the patient's constant patrol and vital signs monitoring during dialysis, and timely discover the adverse reaction of the dialyzer, abnormal alarm of the machine, blood leakage at the puncture site, etc. And handle it in time to ensure the safety of patients.
3, do a good job in the daily cleaning and maintenance of drinking fountains and dialysis machines, and do a good job in medical care to ensure the safety of patients and high-quality dialysis.
4. Ensure the sterility, concentration and quality of dialysate configuration.
5, solicit the opinions of patients and their families at any time, and constantly improve and perfect.
6. Do a good job of disinfection and isolation: disinfect all kinds of articles and ground in strict accordance with the requirements, so that all the culture results meet the standards, and record them carefully and in time.
This year, there were "2332" dialysis sessions, including 40 dialysis sessions and 23 perfusion sessions. There has never been a medical error accident, and some experience has been accumulated in how to monitor blood sugar and prevent hypoglycemia shock during hemodialysis for diabetic patients. At the same time, the hypotension during dialysis is analyzed and preventive measures are taken to ensure the adequacy of dialysis. Besides our efforts and achievements, we also have many shortcomings.
Next year, our general nurses should strive to keep up with the new pace of hospital development and reform, take the service tenet of "all for patients, all for patients" and take quality management as the main line, increase the number of machines as soon as possible, serve more hemodialysis patients and add strength to the first-class standards of hospitals.
Summary of the work of hemodialysis room in 20 17 years 3. Since the hemodialysis department was formally established in the hospital in the middle of 20xx 1 1 year, with the care and support of hospital leaders and nursing department, and the joint efforts of medical staff in the department, all the tasks undertaken have been well completed, and no medical errors and adverse reactions have occurred. The work is summarized as follows:
(1) Medical services: We adhere to the principle of "patient-centered" and improve medical services.
Quality of service "as the theme of medical management concept, strengthen the communication between doctors and patients, combined with the actual work of the hospital, strictly follow the management norms of the core system, clarify the post responsibilities, workflow and operation norms of dialysis centers, and formulate dialysis risk plans. Medical staff are required to consciously implement the responsibility system for first-time doctors, the preoperative discussion and discussion system for difficult and critical cases, and the three-check and seven-level medical care system; Discuss the difficult and critical patients in time, strictly follow the principle of rational drug use, and formulate a reasonable treatment plan; All departments adhere to the weekly morning meeting system, summarize and analyze last week's work, arrange and deploy a new week's work, and study and rectify specific problems; Actively encourage medical staff in departments to participate in short-term business training organized by medical departments and nursing departments, participate in medical academic seminars, and require everyone to meet the standards in medical technology operation; Strictly implement the medical record writing norms and prescription writing norms, so that outpatient medical records, prescriptions and application forms can be filled in qualified, and outpatient logs and supporting materials can be reported in a timely and standardized manner; Hospital infection management system has been further improved, and adverse medical service events have been effectively controlled. Since the blood purification room started operation this year, there have been no major medical disputes and medical accidents, ensuring the diagnosis and treatment effect of patients. As of June 20xx, there were 5 patients with long-term maintenance hemodialysis in this hospital, including hemodialysis? For example, hemodialysis filtration? Like, hemoperfusion? For example. Outpatient medical records, prescriptions and application forms are qualified, medical records are standardized, drugs are used rationally, first-aid skills, first-aid procedures and first-aid equipment are mastered, and medical business training and learning are organized? Second, doctors passed the training, theory and skill examination, mastered the work rules and regulations, post responsibilities and emergency plans, implemented the core medical system, and had no nosocomial infection. The patient satisfaction rate was 100%.
(2) Nursing work:
Nurses are familiar with the core nursing system, work in strict accordance with the rules and regulations and workflow, and strictly check the system, including patients' pre-flushing pipes, blood vessel puncture, dialysis treatment and treatment parameter setting. Ensure that each class must have more than 2 nurses on duty. Check each other, including whether there is blood leakage at the puncture site, whether the parameters set by the machine are accurate, the dosage of anticoagulant and other drugs, and the patient's vital signs. , to ensure the patrol and monitoring of patients' vital signs during dialysis, and to find out the adverse reaction of dialysis, abnormal alarm of machine and blood leakage at puncture point in time. And timely treatment, to ensure the safety of patients.
Nurses are required to have a strict sense of sterility. From the preparation of dialysate, to the preparation of therapeutic articles and instruments, to the puncture of internal fistula and the operation of getting on and off the machine, the principle of aseptic operation must be strictly observed. The preparation of various disinfectants should be fixed in shifts, according to the demand and quantity, according to the concentration, and the concentration should be detected with special test paper. Disinfection inside and outside the machine, all kinds of articles, air and ground should be carried out in strict accordance with the disinfection time and method, so that the culture results meet the standards and be carried out seriously. Establish a people-oriented management model. Strengthen service awareness. Explain dialysis knowledge to patients seriously, eliminate their fears and increase their confidence in treatment. Head nurses pay attention to nursing quality management and strengthen quality education and professional skills training of nursing staff. Familiar with first aid skills and procedures, correct use of first aid medical equipment, first aid articles in good condition, qualified in nurse training, theory and skills examination, and the education rate in the park reached 100%. Organize nursing business training and learning? Second, the nursing business examination? Second, nurses have mastered the rules and regulations of nursing work, job responsibilities and emergency plans, and the core system of nursing has been implemented.
(3) Hospital infection work:
Blood purification room is the key department of hospital infection. General medical staff wear clean clothes, no rings, no earrings and no long nails during working hours. The report time of hospital infection medical records is strictly in accordance with the standard requirements. Sterile articles and contaminated articles in dialysis room shall be placed separately, and sterile containers, instruments, dressings and instrument disinfectants shall be replaced every week 1 time. The treatment room and dialysis room are mopped with disinfectant 2-3 times a day, the surfaces of desktop and other objects are scrubbed twice, and the ultraviolet rays are disinfected twice. The cuff of sphygmomanometer, stethoscope and oxygen tube are cleaned and disinfected/kloc-0 times a week, and the tourniquet is soaked and disinfected after use. According to the national regulations of relevant departments in China, dialyzers, pipes and puncture needles should be used once. The dialysis room should be cleaned once a week and thoroughly once a month. After cleaning, seal and disinfect, and carry out air bacteria culture. Hemodialysis room carries out bacterial culture on air, object surface, hands of medical staff, iodophor, alcohol medical document paper and medical record folder every month. The dialysate and dialysate were cultured with bacteria every month, and the endotoxin in the dialysate and dialysate was determined at least once every three months. All the above qualified rates reached 1 00%. The disfigurement rate of disposable syringes and infusion sets after use is 100%, the centralized disposal rate is 100%, and the implementation rate of one needle and one tube per person is 100%. The implementation rate of one person, one bed, one desk and one department in the morning and evening 100%. According to the time of infection in the hospital, the unqualified medical materials, medical waste and domestic waste within the validity period of aseptic materials are collected separately. As for the sealed bag, there is no leakage.
(four) the basic work of the department:
At present, there are 4 medical staff in the blood purification room, and there are 1 doctor in charge of the diagnosis and treatment of dialysis patients; There are 3 nursing staff, and the pass rate of "three basics" examination for medical staff is 100%, and the pass rate of department employment certificate examination is 100%.
Department staff strictly abide by the rules and regulations of the hospital, without any violation of discipline, stick to their posts, carry out medical ethics construction and quality education according to the regulations of the hospital, and timely and accurately report all kinds of attendance reports of the department. The survey satisfaction rate of all departments reached 95%, and there was no complaint about work style and morality. Department heads can attend middle-level meetings in time, not be late and leave early, and convey the spirit of the meeting in time.
The charges for medical services and medical equipment in the department are accurate and reasonable, and there is no overcharge, underpayment, arbitrary charges or omission, no price complaint, strict implementation of the hospital's management regulations on the refund system, and no illegal refund.
The use of large-scale medical equipment in the department is complete and correctly hung, with equipment use, maintenance and maintenance register, equipped with special personnel to manage the equipment and truthfully register the use of the equipment. This department has no accidents of production safety responsibility, and can timely and accurately report the production safety report.
(5) The work still exists:
1, with the continuous development of departments, the management of dialysis room needs to be strengthened and the rules and regulations need to be improved;
2. Hemodialysis is a high risk technology. We should put safety and curative effect in the first place, strengthen the safety awareness of medical staff, and improve the professional level of medical staff at the same time;
3. The economic benefits of departments need to be straightened out, and expenditure reduction and expenditure management should be strengthened.
4. Scientific research needs to apply for projects and publish papers. Chapter 3: Summary of the work of blood purification room for 20xx years.
Summary of work in hemodialysis room in 20 17. General practitioners adhere to Scientific Outlook on Development, closely focus on the work plan of nursing department, adhere to the working idea of "people-oriented, scientific development", take "secondary hospital evaluation" as the goal, closely follow the national health situation, actively carry out high-quality nursing services, expand the scale of departments, and make unremitting efforts. The nursing work in departments has achieved good results, business income has increased steadily, and social benefits have improved significantly.
1. According to the Standard Operating Procedures for Hemodialysis issued by the Ministry of Health on 20 10, the post qualification, responsibilities of each shift, workflow and operating specifications of dialysis room were revised, and the dialysis risk plan and emergency response plan were improved. And organize all nursing staff to study hard so that everyone can master it skillfully.
2. A hierarchical training plan has been made for each department. According to the plan, a new nursing staff will be given a three-month standardized training to learn the theoretical knowledge and operation of hemodialysis, so as to be competent for hemodialysis alone for three months. At the same time, the dialysis professional knowledge and infection knowledge of the department are trained once a month to improve the comprehensive quality of nurses.
3, actively carry out quality service, through learning, let nurses truly realize the importance of quality service from the heart, take quality service as the duty and obligation of nurses, and ask nurses to actively understand the patient's psychology, understand the patient's needs, solve problems for patients, and carry out love activities at the same time. Through the development of high-quality nursing service, the distance between nurses and patients has been shortened and the sense of responsibility of nurses has been enhanced. 4. Organize general practitioners to seriously study hemodialysis standard operating procedures and strictly implement them. According to the specifications, the hardness and residual chlorine of dialysis water are monitored every week, and the dialysis water, dialysate bacterial culture, dialysate solute concentration monitoring and disinfectant concentration monitoring are carried out every month, and the air bacterial culture, staff hand hygiene monitoring and endotoxin monitoring are all qualified. The dialyzer is strictly disinfected by one person, and the dialyzer pipe is used once, so that infected patients are dialyzed by special plane, which eliminates cross infection and ensures the treatment safety of patients.
5. Strengthen health education, carefully explain dialysis knowledge, eliminate patients' fear, explain the dialysis effect of other patients, and enhance treatment confidence. Strive to improve the quality of life of each patient and help them return to society.
6. Humanized management of nurses: In today's people-oriented and harmonious society, encouraging nurses to care more and criticize less has reduced the work pressure of nurses, mobilized their work enthusiasm, created a United, harmonious, warm and friendly working atmosphere for nurses, paid attention to the construction of professional ethics, cultivated nurses' love and dedication, and well promoted quality nursing service activities.
7. Strengthen communication with patients, pay attention to psychological nursing and health education, and sincerely care for patients, which greatly improves the quality of nursing and work efficiency.
8, pioneering and innovative, pay attention to cultivate everyone's innovative consciousness, develop potential, encourage service, technology and management innovation, actively adopt reasonable suggestions, and promote the continuous development and progress of the department.
9. Pay close attention to the "three basics" and "three strictness", strengthen professional knowledge training, create a strong learning atmosphere, encourage nurses to develop the good habit of taking reading notes, make use of intra-discipline learning and personal learning, constantly update their knowledge, expand their marginal knowledge, understand the frontier trends of discipline development, improve nursing theory and professional technical level, support the development of new technologies and projects, and accelerate the development of departments. Through the cooperation of general practitioner Qi Xin's Qi Xin, this year's work was successfully completed, including hemodialysis 1807 cases, hemoperfusion in 92 cases and hemodialysis filtration 187 cases, without any mistakes. The qualified rate of basic nursing 100%, ward management 100%, disinfection quality 100%, health education 100%, nursing documents 100%, and emergency medicine and articles management/65438+. The pass rate of operation technology examination is 100%. We will be full of confidence, continue to focus on the work plan of the hospital and nursing department, consolidate the results, strive for innovation, and realize the continuous improvement of nursing quality. At the same time, I hope to continue to get strong support from hospital leaders.