Experience of emergency nurses 1
I still remember that it was a hot evening and the ambulance galloped back to the department. After receiving the notice from the head nurse, he immediately participated in the rescue of the 7.26 nitrite poisoning accident. When I arrived at the scene, I was scared silly by what I saw. A family of six lay in two rescue rooms in batches, all with blue faces, black lips and foaming at the mouth. One of the children was so heavy that the whole person turned purple. The child's mother lay beside her, weakly crying for us to save her child. It was an emergency. There are six people in this family who have no money. At the command of the head nurse, the green life chain was immediately opened and the whole rescue began. Because of deep respiratory poisoning and foreign bodies, the child has been breathing poorly. Miss Wang, who was pregnant for eight months, was lying on the bed to give the child airbag-assisted breathing until the emergency technicians arrived to intubate the child. When she saw the child's oxygen saturation rise to normal, she stroked her stomach and shed tears.
The ocean is wider than the earth, the sky is wider than the ocean and the mind is wider than the sky. As a nurse, we should have a broad mind. Even if we are wronged, we still have a bright smile on our faces. We know that this kind of smile is sunshine, which can alleviate the pain of patients. This smile is rain and dew, which can moisten the patient's heart; This smile is a wing, bearing the hope of health and safety of thousands of families!
I am a nurse. I started my life by taking injections, taking medicine and making rounds. I still remember a lonely old man with a very bad temper who lived in the ward. Because the child is not around, no one is with him all day, so his personality is extremely strange. Give him an infusion and take medicine every day, and he will fly into a rage. For these, I have not complained at all, and I have not ignored them. Instead, I took the initiative to ask for help, went to the ward to chat with him, and listened to him talk about the past with relish. He also gradually tried to approach us from the initial rejection. Whenever I see him immersed in memories for a long time, I feel my heart is closer to him, I understand him better, and he cooperates with my work more actively. When he left the hospital, he held my hand tightly and said, "You are like my family". At this time, all the grievances and unhappiness disappeared at once. Yes! As a nurse, we should use the rain and dew in spring to moisten the patients' minds after a long drought, help them cross the swamp of the mind with strong hands, and actively build a bridge with them, so that patients can actively cooperate with treatment and recover as soon as possible.
Wearing work clothes every day, shuttling between wards and corridors, repeating tedious nursing work such as injection, medicine distribution, temperature measurement and blood pressure measurement, regardless of spring, summer, autumn and winter, day and night.
When I just graduated, many friends around me asked me, big boy, why did you choose such a hard and humble job as a nurse? I have asked myself a thousand times whether I am willing to do such an ordinary job all my life and let my youth pass away in the ordinary. Two years have passed in a blink of an eye, but two years of nursing career have changed my heart. I found that I was moved everywhere in my ordinary work. I once cared for a patient with severe gas burns in the emergency ICU. I was conscious at that time, but I was intubated because of serious airway injury. 90% of his skin was burned with third degree, and there were blisters everywhere. I nursed his skin patiently and carefully extracted pus from the blisters. Because the turn-over bed in the ward is relatively short, I slowly nurse his skin with my head down, for fear of skin adhesion caused by blister rupture, plus external use of sulfadiazine silver dressing change. The dumb patient suddenly raised his hand and drew something in the air with difficulty. I don't understand what he wants. When I handed him the paper and pen, he wrote two words on the paper. Friends, do you know what he wrote? I can see it clearly. The two words are: thank you. I was too moved to speak. A dying patient still remembers to say thank you to the nurse who took care of him. As a nurse, no matter how hard it is, it is worth it. This kind of touch is like the fragrance of flowers penetrating winter, like the sunshine penetrating the night, with the solemn light reflected by neat work clothes, which once again aroused my sense of responsibility and mission. We are doing ordinary things, but we can show our value from them. The poet Tagore once said: "There are no traces of wings in the sky, but I have flown!" "As a nurse, I am convinced that monuments are silent and actions speak louder than words. How heavy the patient is in your heart, how heavy you are in the people's heart!
After two years of nursing work and more than 700 days and nights, I searched carefully in this silent night, but I couldn't find any trace of it. Yes! The job of a nurse is too ordinary. Many ordinary people forget this profession. The work of nurses is too trivial, as if they had done nothing. Nurses work too hard, and many hard-working people are unwilling to engage in this profession. However, it is we ordinary people who silently dedicate our love, sweat and true feelings in exchange for the happiness of thousands of families in Qian Qian and the safety of healthy owners.
Experience of outpatient and emergency nurses II
It is the fifth year that I worked in the emergency department, and it is also the last year that we struggled in the emergency building. Next year, we will move to the outpatient building specially set aside for emergency treatment. By then, our working environment and conditions will be greatly improved, and the business work of the department will develop faster.
As emergency nurses, we shoulder the task of "120" pre-hospital first aid, transportation and in-hospital first aid, and make every effort to ensure the smooth development of "120" pre-hospital first aid and in-hospital first aid in our hospital with fast, efficient and high-quality first aid medical services, and ensure the "green" first aid station in our hospital. Thanks to our joint efforts, the emergency department's outpatient and emergency treatment volume, cumulative hospitalization times and emergency rescue volume have all increased significantly compared with the same period of last year, which has delivered a large number of pathogens to various wards and auxiliary examination departments of the hospital, effectively promoted the growth of "two benefits" in various departments of the hospital and improved the work enthusiasm of hospital medical staff.
First, strengthen ideological and political education and create an atmosphere of unity and harmony.
In the past 20 _ _ _ years, all nursing staff in the emergency department have carefully studied various medical laws and regulations, consciously observed various rules and regulations of hospitals and departments, firmly established the service concept of "patient-centered", constantly improved ideological and moral education, strived for civilized medical practice and quality service, and achieved the principle of small things and big things. In the work, they supported and understood each other, had a clear division of labor, carried out their duties, United and pragmatic, and lived in harmony, and successfully completed various tasks of the hospital.
Two, strengthen business technical training, improve the ability of emergency rescue.
Emergency nurses take "annual quality management standard" and "national medical miles" inspection standard as the criterion, strengthen the construction of medical quality in emergency department, conscientiously implement various operating procedures and rescue workflow around the medical core system, and prevent errors, doctor-patient disputes and other medical adverse events. According to the training and assessment plan of the hospital and department system, the first-aid team members are regularly trained in business study and first-aid technology, which forms a good learning atmosphere in the department, seriously studies business, communicates with each other and promotes each other, so that the department staff can master all kinds of rescue equipment and rescue technologies, such as cardiopulmonary resuscitation, mechanical ventilation, tracheal intubation, defibrillation, gastric lavage and ECG monitoring, and further improve the first-aid ability of first-aid team members. Check, control, train, assess and supervise the quality of medical care in departments, strictly regulate the writing of medical care documents, and carry out emergency rescue work in strict accordance with relevant laws and regulations formulated by the Ministry of Health and medical behavior norms, so as to prevent medical errors and medical accidents before they happen, and put an end to carelessness in the process of medical behavior.
In the "120" first aid work, resolutely obey the dispatch of the "120" command center, make house calls at any time, get out of the car quickly, and be prepared to arrive at the first aid in time. At present, the first-aid medicines are available at any time, the intact rate of articles is 100%, the rescue equipment is in the emergency standby function state, and the hospital in front is 120. Every link can be seamlessly connected, effectively ensuring the safety of residents in the jurisdiction.
Third, strengthen the nursing management of departments and do a good job in hospital infection management in emergency work.
In emergency rescue work, strengthen hospital infection management, effectively prevent and control hospital infection, improve medical quality and ensure nursing safety. Implement hospital infection management rules and regulations and work norms, strictly implement operating procedures and work standards, prevent the spread of infectious diseases, do a good job in self-protection, disinfection and isolation, medical waste management, and prevent cross-infection in hospitals.
Experience of outpatient and emergency nurses 3
1, strengthen the service consciousness of nurses.
With the smooth development of quality service, I really realize the importance of quality service from the heart, regard quality service as the duty and duty of nurses, and treat every patient with gratitude and gratitude. It is necessary to "please" the system commitment from the wall, let the quality service "walk" out of the document, change passive service into active service, go deep into the ward, adopt various propaganda methods, take the initiative to say hello to patients when entering the ward, and adopt kinship terms to improve the relationship between nurses and patients. Through the development of high-quality nursing service, nurses' sense of responsibility to patients has been enhanced. They just need to go deep into the ward and find out what problems need to be solved in the patient's life or nursing. In the case of more patients and fewer nurses, everyone still strengthened morning and evening nursing, improved the quality of service and greatly improved patient satisfaction.
2. Strengthen the service concept
General nurses actively participate in various learning activities organized by the nursing department, constantly carry out etiquette and behavior training, standardize common polite expressions and communication expressions in operation, and apply them.
In practical work. Constantly study and discuss communication skills, cultivate nurses' foresight of the signs of disputes, effectively handle various contradictions and differences in work, establish mutual trust between nurses and patients, unblock the green channel of first aid and improve the success rate of rescue. For all kinds of acute, dangerous and severe patients, the measures of rational use of green channel won precious time for rescue, and zero complaints were realized throughout the year, and the comprehensive satisfaction reached 100.
3, people-oriented, fully meet the needs of patients.
Continuously improve the ward environment and increase the content of patient education. Constantly optimize the medical treatment process, timely triage, take measures such as using emergency priority service to treat first and then pay, and reduce the waiting time for taking medicine. Improve service quality through environmental health supervision, nursing inspection and health education. Paying attention to treatment, basic care and diet, keeping abreast of their situation and helping to contact family members or friends have been praised by family members and other patients. Discuss and correct patients' opinions and problems at work, and constantly improve the service image; Constantly improve the emergency plan for nursing work, including emergency plan for emergencies.
Third, department nursing management, do a good job in hospital infection management in emergency work, increase the study and assessment of department nursing management and hospital awareness knowledge, increase hospital infection management in emergency rescue work, effectively prevent and control hospital infection, improve medical quality and ensure nursing safety. Implement hospital infection management rules and regulations and work norms, strictly implement operating procedures and work standards, prevent the spread of infectious diseases, do a good job in self-protection, disinfection and isolation, medical waste management, prevent cross-infection in hospitals, and cooperate with hospitals to do public relations and health projects such as epidemic report and vaccination registration.
Although some achievements have been made in nursing work in the past 20 years, there are still some shortcomings, such as the failure to successfully complete nursing research projects, and the passive attitude of individual personnel in their work. In the process of serving patients, the cold and blunt tone of individual personnel is easy to cause patients' dissatisfaction.
Four, emergency professional nurses on-the-job training and continuing education
1. In the whole year, the department organized 12 business study, 12 medical record discussion, 12 operation training, 12 nursing adverse events research, 12 nursing rounds, 12.
2. Regularly organize general practitioners to complete job skills training as required, so that everyone can pass the operation assessment and the professional skills of general nurses are further improved.
3. According to the work arrangement of the hospital, five nurses were sent to the superior hospital for further study, which improved the nursing level and further promoted the nursing work in the general department. The nursing department arranged 8 interns from health colleges all over the country, arranged special personnel to guide the training and teaching of interns, and regularly assessed and tested them.
4. Cooperate with the study, business assessment and technical operation training arranged by the nursing department; The comprehensive theoretical examination and operational skills examination of nursing staff are directly linked to performance appraisal.
5. Around the core system of medical care, the operating procedures and rescue work flow are carefully implemented, so that the department staff can master all kinds of rescue instruments and rescue technologies, such as the use of ventilator, cardiopulmonary resuscitation, electric gastric lavage, ECG monitoring and other operating technologies, which further improves the emergency ability of first-aid team members and strictly implements medical care documents.
Writing norms, in strict accordance with the relevant laws and regulations formulated by the Ministry of Health and medical code of conduct to carry out emergency rescue work, so as to prevent medical errors and medical accidents before they happen and put an end to carelessness in the process of medical behavior. In the first-aid work, the first-aid drugs are always in good condition, the goods are in good condition 100%, and the rescue equipment is in emergency standby state. In the process of first aid in the hospital, from condition evaluation, pre-examination, triage and triage to safe and correct transportation to departments. Each link can be seamlessly connected, effectively ensuring the safety of residents.
The summary is as follows: 1. There are many young nurses in the emergency department, and their first-aid skills need to be improved. It is necessary to strengthen specialist training, further study and improve the overall rescue level. 2. Emergency work lacks flexibility, and communication skills training should be strengthened in the future. 3. Master the emergency care and rescue process, grasp the key points, and avoid being in a hurry. 4. Master the usage and dosage of commonly used first-aid drugs, strictly implement the oral medical advice system in the rescue process, and pay attention to drug safety. 5. In case of emergency or more patients receiving medical treatment, report to the superior in time, organize rescue, decompose the crisis, do a good job in emergency consultation, and ensure medical safety. .
In the new year, we will face greater difficulties and challenges and fierce competition in the medical market. We will constantly strive to improve the comprehensive quality of nursing staff, train professional nurses, improve service quality and better provide satisfactory services for patients.
Experience of emergency nurses 4
_ _ is the fifth year of my work. Over the years, I have grown from a vague intern to a nurse with rich work experience.
Patients have changed round after round, and Cory has left many old colleagues and come to many new colleagues in recent years! However, in the past few years, the coordination of work is still so orderly. The Spring Festival is coming soon, and I can't help feeling from the bottom of my heart like a screen movie, showing one thing after another that happened this year!
The most meaningful thing: this year's grouping may be the most important thing. Our department as a whole is divided into two groups, and I am in the former group. Although there are many differences from the old unchanging work mode, each of us bravely tries new work priorities. This is a good thing, maybe another way will make our department stronger and more powerful! Under the leadership of group leader Sun Ying, every member of our group is closely United! Maybe unity is strength; Some things were put off before, and some things were unwilling to do! However, since we were grouped, everyone was willing to rush to do it, which fully mobilized everyone's enthusiasm, and the patients and their families responded well, which increased our time to patrol the ward and communicate with patients. Results Our efforts were finally satisfied by patients and affirmed by leaders. Therefore, under the guidance of the head nurse, through the concerted efforts of Qi Xin in our hospital, we won the first place in the third quarter nursing quality appraisal in our hospital as an honor (this is also the happiest thing this year! )
The most disturbing thing: "The rehabilitation department is moving and the nurses are merging." This matter has been involved in our hearts for a long time. With the merger of the digestive department of a ward into a new building and the relocation of hematology and brain surgery, each of us will have ideas in our hearts more or less. "What will happen to our family? Will I be kicked out? " I think this matter has affected everyone more or less! During my 20 days in a ward, I deeply felt a sentence: If you are a good nurse, no one is willing to give up on you! Sticking to your post is more important than anything else! So I will work harder and harder!
The new year is coming. I sincerely wish you good health and smooth work in the new year. I also wish our department work to a new level and create a new situation! The above is a summary of the work of nurses in the emergency department for everyone. If you find it useful, please continue to pay attention.
Experience of emergency nurses 5
The first week (5.29-6.3)
It has been several days since I ended my school life and came to Hengyang for internship, and I gradually began to get familiar with the strange environment. When I went to the hospital for an internship, the first department I was assigned was the emergency department. I began to worry before I started working. I thought that the emergency department usually treats those very dangerous patients, and time should be very tight, but I can't do anything. Will a teacher scold me? I was restrained on the first day of work, but at the end of the day, I found that the teachers were actually very easy to get along with. The teacher will teach me how to do it while nursing the patient, and at the same time, she will tell me some nursing precautions, all of which are very detailed and clear.
I am glad to see the teacher so amiable, and my fear is slowly disappearing. I think I will learn a lot under the guidance of such a good teacher.
The second week (6.4-6. 10)
I have been practicing in the emergency department for two weeks. During these two weeks, I have learned something about this department. I saw something in the department. Once at work, I saw a fierce family member scolding the nurse. I don't mean anything. I also broke the telephone in our department, but most of the family members in the ward are fine. As long as you are polite to them and have a good tone, they will say thank you. I think it's human nature. Some people will inevitably have some impulses to treat different things, and as medical staff, what we have to do is not to argue with patients' families, but to explain clearly to them first, convince patients and avoid unnecessary disputes. Of course, if you are kind to others, others will be kind to you. At school, teachers often teach us to be patient with patients and their families. Since we have started clinical practice, we should really understand patients and serve them warmly. This is not only our responsibility, but also the performance of being responsible for patients.
The third week (6.11-6.17)
Clinically, we will meet all kinds of people. Some people are very reasonable and polite, but some people have a bad temper. If they are a little bad, they will say something unpleasant. Most people who come to the emergency department are in a hurry. If they are too slow, the patients' families will have opinions, so the nurses in the emergency department are generally quick and quick. In the emergency clinic, some patients will not let you give them an injection or draw blood when they see that you are new here. I have met many such patients. When they see that I'm new here, they'll say, give me another skilled nurse to tie it. Patients can see your technical level from what they do, so the most important thing for patients to trust you is to learn skills at home. Only when you are skilled, you will not be nervous when facing patients, and patients will not dislike your poor skills. So it is very important to learn nursing skills well.
The fourth week (6. 18-6.24)
How time flies! The one-month internship ended like this. I learned a lot in the emergency department. I am very grateful to my teaching teacher for teaching me a lot. Looking back on what happened in the emergency department, I not only made many friends, but also felt that it was an exercise for me, especially for my mind. I gradually became proficient from fear. Although I know I haven't learned enough, I will continue to learn.
There is no end to learning. Only by continuous learning can we improve our ability.