Orthopedic nursing year-end summary

Efforts to learn specialty knowledge, to overcome business shortcomings. Actively participate in the department's rescue work, this year, a **** involved in the size of the rescue of about 5 cases; actively implement quality nursing services, do a good job of all basic care, can take the lead, actively participate in it, such as washing the patient's hair, nail clipping, scrubbing bath, etc., do not rely on students in everything as well as the interns, do not pose a high profile, can play a leading role. Actively learning new technologies and new business. As a senior nurse, in the work of strict implementation of the operating procedures, comply with the rules and regulations of the hospital department, always pay attention to maintain the concept of asepsis, treat the work seriously and responsible, meticulous, overtime, to establish a high degree of collective responsibility and sense of honor, solidarity with the comrades, able to overcome all kinds of difficulties, all things to work first. Dedication to do a good job of teaching, and strive to cultivate new nurses for the department, I think to do a good job as a nurse, first of all, we must have love and dedication to work, can rest assured that the nursing profession, to have a correct outlook on life, values, and good morals, therefore, I teach focus on the cultivation of the quality of the ideology of the new trainees, and then pre-service education in professional ethics, rules and regulations, the code of conduct for nurses, education, and the basics of nursing, specialist knowledge, nursing technical operation training, and this year, we will be able to provide a good nursing training. Knowledge, nursing technical operation training, this year has taught three new students, in the daily nursing work, not only strict requirements for their own nursing work problems can also be actively found in the proposed, and to solve the work of young nurses is a strict requirement to promote their growth; actively participated in the department organized by nurses operation training and assessment: intravenous infusion, cardiopulmonary resuscitation, intravenous infusion, aseptic operation; wrote a nursing paper for the year, and the first time, I was a nurse. The company has also written one nursing paper, which was published in the Journal of Nursing Management.

Three problems:

1, occasional operation is not standardized, the concept of asepsis is not strong.

2, the work is full of the status quo, not active enough.

Fourth, the direction of development:

(1) a solid grasp of theoretical learning.

(2) in the hospital leadership, the director of the care and guidance, the successful completion of medical and nursing tasks, conscientiously fulfill their duties, love and dedication, and actively write papers.

(3) Take the department as home, work actively, treat patients with enthusiasm, patience, to meet the needs of patients.

Nursing work is ordinary work, however, we use sincere love to smooth the trauma of the patient's heart, with fire-like enthusiasm to ignite the courage of patients to overcome the disease.

Orthopedic Nursing Year-end Summary 2

Over the past year, in line with the "all patient-centered, all for the patient," the purpose of the service, under the leadership of the Department of Nursing, in the department of nurses sister *** with the efforts of the busy 20xx year, the successful completion of the beginning of the year's work plan, is now a year of work in the Department of the work is summarized as follows. As follows:

First, quality care

In June 20xx, orthopedic surgery in the hospital at all levels of leadership support and the guidance of the Department of Nursing, the development of "dedication to youth, heavy cast iron bone" quality care theme, passionate application, officially launched quality care services, become a 5-ward hospital in xx hospital. Service, become xx hospital 5 ward trauma orthopaedic chief nurse Peng Lingliang, on-site study of the national key nursing specialties quality care management, and return to the hospital after the actual work to be appropriate reference, benefited greatly! Since the development of quality nursing services, the entire nursing staff to raise awareness and change the concept of service. Flat bed management makes the medical and nursing patient contact closer and more harmonious. Nurses' responsibilities in place, increasing the patient's sense of security; reducing the number of calls, shortening the time to respond to the light; continuous, full, comprehensive nursing services will be the organic combination of basic care and specialized care, promoting patients to recover as soon as possible, and won the trust of the majority of patients. Nursing Department of patient satisfaction rate survey of more than 99%, many times nominated by patients to praise the head nurse, Nie Fengying, Dai Rong.

Second, nursing safety management

Orthopaedic treatment transparency is high, the patient is bedridden for a long time, prone to complications of dysfunction and a variety of comorbidities, and car accidents, work-related injuries, and other easy to relate to the legal issues, so orthopaedics has become the rate of medical disputes in a higher incidence of the department, the nursing safety management is a key focus of the work, the details of management infiltration of each quality standard.

1.

1, to ensure the continuous improvement of nursing quality, the establishment of nursing ten long as the head of health education, nursing history writing, disinfection and isolation, basic care of the four departments of quality management team found that the problem of timely records, summarize. Accept the monthly nursing department, sense of control section of the quality inspection team unscheduled inspections, weekly hospital-wide head nurse inspection team in the middle, evening, night check, pay attention to the results of the inspection. Nurse manager deep people wards, follow the inspection, a series of inspections of the problems found in a timely manner to convene the nursing quality and nursing safety analysis, for nursing defects, errors, analyze the causes, develop corrective measures and supervise the implementation of the quality of care to ensure the continuous improvement of nursing.

2, key time, key links, key personnel, the management of special patients

Key time refers to the shift change time, lunch shift, night shift, rest days, holidays. These hours are less staff. Nurses are prone to errors. Patients are prone to dissatisfaction. Key links are preoperative, postoperative, critical, rescue and other busy, more disposal links. Key personnel refers to the critical patients, surgical patients, special changes in the condition of patients, and new nurses, training nurses, often error nurses; special patients refers to the transfer of patients and transfer of patients, medical disputes or patients with opinions, the leadership of the patient care, the hospital staff to recognize the patient and so on. Practice has proved that there are often unsafe factors on these personnel. The head nurse should strengthen the tracking and inspection, and rationalize the deployment of nursing human resources to ensure the quality of work in all aspects.

3, pay attention to emergency first aid and emergency training

For orthopedic patients with car accidents and group injuries, doctors surgery time outpatient emergency patients, the development of emergency reporting system and a variety of contingency plans to improve the emergency response ability of nursing soil. Training to improve the first aid skills of nurses, taking a variety of forms of first aid procedures, cardiopulmonary resuscitation, first aid about the knowledge, first aid instrument use training. The first aid equipment, drugs, emergency equipment, daily inspection, timely maintenance, to ensure that at any time in a state of reserve.

Third, disinfection and isolation, hospital infection control

1, hospital sensory training and assessment

On November 23, 20xx to November 26, the head nurse participated in the disinfection and monitoring technology training course held by the Hunan Provincial Center for Disease Control and Prevention, not only to learn the knowledge of the hospital disinfection, but also understand the international and domestic new trends, broaden the understanding of the hospital. International and domestic new trends, broadened horizons and knowledge growth, and with the province's fourteen cities and towns of the Center for Disease Control and Prevention and hospitals at all levels of trainees to carry out exchanges, and benefited a lot. Throughout the year, the organization of the whole staff for hand hygiene, standard prevention, the Ministry of Health to control hospital infections three technical procedures, hiv-positive patients disinfection and isolation measures and other professional knowledge, with the Hospital Sensory Control Department related knowledge exam once, the pass rate of 100%.

2, the management of medical waste

Many times on the department of doctors, nurses, caregivers for training, medical waste classification, collection, storage, packaging, transportation, handover registration to achieve standardized management, to prevent infection outbreaks due to poor management of medical waste. And from time to time to carry out quality checks.

3, environmental hygiene, disinfection and sterilization effects and hand hygiene monitoring

The year the hospital sensory control department in the department of air sampling 24, glutaraldehyde sampling 12, 12 samples of the table, "84" disinfectant sampling 4, finger sampling 7, 8 samples of countertops, no case of exceeding the standard samples.

4, hospital infection case monitoring 1 to November **** admitted patients 1398 people, 12 cases of hospital infection, of which 11 cases of upper respiratory tract infection, lower respiratory tract infection, 1 case, the department of hospital infection rate 0. 85%.

5, in order to meet the creation of the national people assured that the model hospital inspection, in 20xx June 21-22 hospital disinfection and isolation acceptance of special self-check was 97 points high score.

Fourth, standardize the writing of nursing documents, strengthen the nursing legal awareness

Organization of the whole nursing staff repeatedly and carefully study the Hunan Province, nursing medical record writing standard requirements, combined with the actual situation of the hospital, according to the new provincial standard specific implementation of the three test single, long temporary doctor's orders single, nursing record single, surgical and transfer transfer of single, sick room nursing shift reports Record method. Make nursing staff more clear about the significance of nursing document writing, standardize the behavior of nurses, simplify the nursing writing, the time back to the nurse, the nurse changed to the patient, improve the quality of care.

Fifth, increase revenue and save money, improve economic efficiency

1, increase revenue: follow the "maximize social benefits, economic benefits rationalization" business philosophy, proficient grasp of the various fee standards, with the use of active use of the full charge of policy, the money to be collected not less than a penny! Recovered, more nursing service projects, such as organ section rehabilitation instrument exercise, microwave treatment of orthopedic injuries, etc., with the hospital to improve the environment of the six double-room wards, increase microwave ovens, small refrigerators, convenient for patients, improve the bed fee increased the net income of the department; to strengthen the efforts to call for payment, to avoid the phenomenon of patients in arrears.

2, cost-saving: minimize water and electricity, a variety of disposable supplies and drugs waste, pay special attention to the repair and maintenance of medical equipment, to ensure the normal operation of the department to create the maximum economic benefits.

Sixth, to improve the medical environment.

Increase the department's medical facilities in order to create good medical conditions for patients, in 20xx, the new acquisition of 37 beds, corridor update stainless steel new shaking beds 6, bedside cabinets, bedside stools equipped with a full range of west head of the stairway for the addition of stainless steel drying racks for extra beds for patients, 37-39 beds (the original examination room) placed on the rail! Infusion stand, central oxygen, suction equipment, 6 double rooms added microwave ovens and small refrigerators, update the obsolete cardiac monitor a flat car, a wheelchair, for bedridden patients equipped with a senior bed shampoo car, the majority of patients and the community on the development of the Department of highly evaluated. Patient satisfaction survey for more than 99%.

seven, around the hospital work deployment, actively assist

1, with the hospital for the hospital nursing staff optimization combination, competition.

2, around the "creation of the national people assured that the model hospital", "create people satisfied with the hospital", "Changsha Medical College Teaching College," the center of the work, the department constantly To establish and improve the rules and regulations, the duties of each class and according to the scoring standards to be implemented, and to develop the corresponding implementation of the program of the department.

3, with the hospital to organize the entire department of medical staff for the hospital information technology system to upgrade the electronic medical records of the study, study hard and ask more questions, work overtime to maintain the normal operation of the department, without a case of running costs and disputes and complaints occurred.

4, many times to prepare for, meet the provincial, municipal quality care and disinfection isolation inspection, won the praise of the higher leadership.

5, in line with the transformation of modern nursing model, scheduling model reform, the official launch of quality care, to become a hospital

Since May this year, our hospital Pentacenter Ward was identified as the first batch of "quality service nursing demonstration wards" in our hospital, in the head of the department, the head of the nurses, led by all nurses, bearing in mind the importance of the quality of service, the quality of care and the quality of service. Under the leadership of our department director and head nurse, all the nurses bear in mind the service tenet of "patient-centered", strengthen basic nursing and life care, actively explore from the reduction of liquid call, six heart service, unaccompanied patients with special services, etc., and solidly promote the work of high-quality nursing care services, and move forward towards the goal of "patient satisfaction, social satisfaction, and government satisfaction". The company's goal is to provide the best quality of care for patients, society, and the government.

During this period, as a nursing staff in the department, I feel a lot: our department from the director to the head nurse to all medical workers and nursing staff are very important to the quality service activities, to become the first batch of hospitals to pilot quality service wards we feel very proud and proud, and at the same time, we also feel this pressure on our work to promote and inspire. All staff are actively involved in it, the department director and head nurse organized the whole department staff to carry out "if I am a patient" speech activities, through this activity, my biggest feeling is that we must treat patients as our own relatives or friends, with our true heart to treat them sincerely, which is also the premise of the quality service we provide! This is also the premise of our quality service, will be heart to heart, sincere treatment, in order to build a harmonious doctor-patient relationship!

Our department in the work of continuous exploration and practice, to quality service as the goal, to strengthen the basic nursing and life care, from every small thing to do, from every detail to start, and sincerely hope that our efforts to bring help to the patients, each of our nurses half an hour ahead of time to work, one hour late from work, the initiative to warmly help the patients to open the water to play meals, organize the sheets, combing and cutting nails, oral cavity care, and so on. We also put up eye-catching humanized slogans on the corridor wall to remind patients to pay attention to safety.

During the activity, our department launched a major highlight: reduce the phenomenon of liquid call, through the head nurse on the nursing staff work of reasonable arrangements for the adjustment and everyone's active participation, we strengthened the infusion patient's liquid rounds, the initiative to infuse, pick up and refill the liquid, since the work has been carried out, the phenomenon of liquid call has been significantly reduced, we have to maintain and continue to work hard!

"Love, patience, care, responsibility, sincerity and enthusiasm" is another theme introduced since the launch of our department's quality service, we want to apply these six hearts to the work, with our "six hearts service" in every patient, so that they feel in the hospital as if they were in the hospital, so that they feel in the hospital as if they were in the hospital, so that they feel in the hospital as if they were in the hospital. They feel warm and cozy in the hospital as in their own homes, where the staff is their family and friends, we will sincerely communicate with them, a beautiful smile, a simple greeting will make their hearts warm, whether it's for patients or family members, or between the staff can be smiled at and treated with sincerity, to build a harmonious atmosphere of the department is that we provide Building a harmonious atmosphere in the department is the basis for us to provide quality service. On the contrary, the patient's encouragement and recognition of our work has greatly enhanced our confidence to work hard and serve the patient's beliefs, the patient gives us a smiley face on every photo, we will be so pleased, the patient wrote us a few simple words: work great, cheer! Will make us very touched, for us is a kind of affirmation of our work and encouragement, we will feel that their hard work is worthwhile! Meaningful!

In response to the problem of some ophthalmology patients being unaccompanied at night, in order to strengthen the night rounds, provide patients with the necessary life assistance, and avoid safety incidents caused by advanced age, visual impairment, postural hypotension, and other triggers, in August, we launched a new theme, "unaccompanied patients with special needs service". Every afternoon during the ward check, the nurse in charge will ask the patients about the situation of staying with the patients, and the patients who are not accompanied at night will be clearly marked on the nameplate, so that the night nurses can clearly identify the patients who are not accompanied at night according to the marking, and then they will make more rounds at night and provide appropriate life help such as pouring water for medicine and assisting the patients to go to the toilet to avoid falls. Starting from every little thing, we can not only reduce a lot of unsafe hidden dangers, but also promote a good doctor-patient relationship, in order to obtain their trust and affirmation of our work.

We still need to continue to work hard, active participation, sincere treatment, and do our best to bring the best quality service to every patient!

In the year of 20xx, with the `improvement of the hospital environment, the nursing work also put forward higher requirements, especially through the year our hospital three B review preparation and acceptance of the work, so that we understand that we are facing not only the honor of the hospital, but also more importantly, we are as a member of the hospital's responsibilities and obligations, our orthopedic nursing team as an opportunity to. We take this as an opportunity to pay close attention to the quality of nursing services, strictly implement rules and regulations, strengthen business and technical training, and create a cohesive nursing team.

Around the overall goal of the Department of Nursing, in the unified deployment of the Department of Nursing, we first from the ideological unity of understanding: a hospital nursing level of high and low, the quality of service, good and bad, and the merits and demerits of the management system, must be accepted by the higher authorities of the test, confirmed. Hospitals to survive, to develop, we must seize this rare opportunity to pass the audit. Now the nursing work of my department is summarized as follows:

First, conscientiously implement the rules and regulations

1, reaffirmed the duties of nursing staff at all levels, clear all kinds of job responsibility and nursing work system

2, the implementation of the nursing fifteen core systems, a variety of emergency plans, work quality standards and so on such as checking the system.

(1) Requirements for daily medical advice double check, checking once a day, weekly head nurse to participate in the total check 1-2 times, and have a record.

(2) Nursing operation to implement bedside double checking and the use of more than two methods of patient identification.

(3) Surgical patients and operating room nurses to do a good job of handing over patients and so on. Prevent nursing adverse events.

3, seriously implement orthopedics, hand surgery nursing routine and the ten safety goals, specialty care safety guidelines, do a good job of continuous improvement and improvement of nursing quality, strengthen nursing risk management, the whole nursing staff to unify the idea of raising awareness, comprehensive and effective to improve the quality of nursing services, to provide patients with innovative and humanized services, and get the praise of the patients.

4, to carry out quality nursing service activities, the implementation of the Department of Nursing developed to create a high-quality demonstration of the methods and measures of the hospital district, the implementation of a humanized flexible scheduling, simplify the workflow of nursing, to do the nurse back to the patient.

Second, improve the quality of nursing staff

1, in order to create a three-level hospital as a wedge opportunity for the department of nursing staff in all aspects of knowledge, specialist theory, specialist skills, and the organization of theoretical and operational examinations.

2, to participate in the hospital organization business learning, in order to improve professional knowledge.

3, the implementation of the nursing room system, the department weekly implementation of the three-level nursing room 1-2 times, on the nursing diagnosis, nursing measures to discuss, and by asking questions, the content of the basic theoretical knowledge and orthopedic knowledge, in order to achieve the purpose of improving the quality of nurses' business.

4, strengthened the care of critically ill patients, adhere to the bedside handover system and morning care.

5, the implementation of graded training, the implementation of different training programs for nurses of different seniority.

Three, grasp the quality management

1, for the nursing work of the existence of difficult, focus on the problem, set the focus of the work, adhere to the patient-centered humanistic nursing concept into more practical and specific details of the work.

2, so that the standardization of nursing quality standards in practice, penetration, penetration, implementation to each nurse throughout the work, so that the nursing quality management to follow the rules, the formation of a virtuous cycle. Evaluate the quality of care from the patient's point of view, the patient's satisfaction as an important indicator of the evaluation of the quality of care, so that patients really benefit from quality management.

3, responsible for the implementation of the duties of the nurse, the patient from the admission to the discharge of the entire process by the responsible nurse is responsible for, into the quality management. The development of a feasible should know should be assessed plan, weekly strictly according to the plan for the assessment, so that everyone passes, and fully mobilize every nurse's initiative, initiative.

Over the past year, through the comrades of the whole section of the *** with the efforts, better completed the work of the department's various tasks, but the standard of work and the quality of work and the leadership of the requirements of the gap, the idea also need to be more broad. In the new year, to increase political learning, improve the quality of work, unity, solid work, high standards to complete the work of this section of the task and the leadership of the temporary directive tasks.

With the arrival of the end of the year, we again peacefully and conscientiously through the year. 20xx is a year of harvest, in the hospital leadership and the nursing department of the correct leadership, in the Department of health care personnel in close cooperation with the support of the beginning of the year for the development of the objectives of the planning, all health care personnel pay close attention to the implementation of the implementation of the implementation of the implementation of the implementation of the implementation of the tireless efforts in order to create the third level of the hospital accumulated The material. Now the work of all aspects of 20xx is summarized as follows:

First, nursing safety:

The Department to establish nursing link book, the establishment of nursing risk assessment sheet and dynamic assessment, a variety of marking standardized application; strengthen the management of all aspects of transfusion transfusion to strengthen the management of nursing safety, improve the nursing risk precautions, and continue to strengthen the awareness of security Education, timely reminder of unsafe factors in the work when found, and put forward corrective measures, with nursing errors in and out of hospitals as an example of organizing discussions and learning to learn, so that nursing staff fully understand the new situation of nursing error factors, new features, from which lessons are learned, so that the safety alarm bells are always ringing. Improve the nursing emergency risk plan, and pay attention to cultivate the emergency response ability of nurses in normal work. To provide patients with high-quality, safe and orderly nursing services.

Second, nursing instruments:

Improve the writing of nursing documents to reduce safety hazards. Attention to the current stage of the nursing paperwork problems, standardize the nursing documentation, seriously implement the nursing record in the "cross principles, that is, objective, true, accurate, timely and complete", to avoid irregularities in writing, such as omissions, alterations, inconsistencies, and the doctor's record is not uniform, etc., not only to reflect the comprehensive nursing problem record, but also to reflect the special characteristics of the specialized symptoms. Specialized symptoms of the specificity, so that the standardization of nursing documents and standardization.

Third, basic care, quality care:

Patient-centered, advocate humane service, strengthen nurse-patient communication, improve patient satisfaction, avoid nursing disputes.

1, sincere reception of the new hospital patients, the patient to the bed, take the initiative to the patient's family to do hospitalization and health education.

3, require responsible nurses to communicate with their families and family members every day, including health education, to understand the patient's condition regression, life needs, the effect of medication and response, etc., nurse-patient communication can shorten the distance between nurses and patients, and is a prerequisite and necessary condition for all nursing work.

4, the implementation of clinical examination and the operation of the notification program, respect for the patient's family right to know, relieve the patient's family concerns.

5, to the patient on the nursing work satisfaction survey, the quality of service to the good nurse to give praise and encouragement, the quality of service to the poor nurse to give criticism and education.

6, to strengthen nurse-patient communication, regularly organize and convene work-rest symposiums to listen to patients and their families to carry out and improve the nursing work, truly think of the patient anxious patient anxious;

Fourth, rescue medicines and equipment:

The rescue medicines and equipment and sterile items were supplemented to standardize the management. The first step is to ask each nurse to strictly master the rescue medicines and equipment and sterile goods. First of all, each nurse is required to strictly grasp the items and medicines of the rescue car "five", followed by the requirement to master the use of rescue medicines, dosage, and usage; also requires each nurse to master the application of rescue equipment and monitors. This is to avoid panic during the rescue, and to improve the efficiency of the rescue.

V. Ward management:

First of all, we should carry forward the traditional virtues of diligence and thrift, to eliminate waste; I ask all medical staff, from saving every electricity, every drop of water, every piece of paper, starting from me, strict control of departmental expenditures, the phenomenon of all the wastage, and timely criticism, supplemented by financial penalties, if necessary; secondly, the nursing staff to strengthen the environmental hygiene of the ward. Nursing staff to strengthen the management of environmental health in the ward, diligently down ward standardized ward items placed, urge the cleaner to clean in a timely manner, to ensure that the ward no odor, quiet, clean.

Six, disinfection and isolation:

1, the strict implementation of the hospital management leading group developed disinfection and isolation system, and weekly self-check of the department, found that the problem is corrected in a timely manner. Strengthen the management of the hygienist.

3, the department adhered to the daily plasma disinfection of the treatment room, dressing room, and records, weekly dusting of ultraviolet lamps with anhydrous alcohol, and records, every six months to monitor the intensity of ultraviolet light.

4, disposable supplies can be used in a timely manner after the disfigurement, soaking, centralized treatment, and regular inspection and supervision, the concentration of various disinfectants regularly tested and inspected to adhere to the morning care of a bed, a towel and a wet sweep.

5, ward treatment room, dressing room can adhere to disinfectant mopping, wards regularly with disinfectant mopping, discharged patients bed linen for final disinfection (clean up the bedside table, and wipe with disinfectant).

Seven, courtesy and etiquette:

Most of the nurses do better, strictly according to the hospital requirements in a timely manner rounds of wards, see the leadership and the hospital staff warm initiative to greet the patient to be able to be patient and meticulous, reasonable explanation of any problems raised by the patient and his family, when the work of the neatly dressed, full of energy, when answering the phone using the standard language. The hospital has a very good reputation for being a good place for people to work, and it is a good place to work.

Eight, to strengthen the key time key patients key staff management

Such as night shift, mid-shift, holidays, etc., the implementation of flexible scheduling system, a reasonable mix of duty personnel, while organizing nurses to study seriously, in order to strengthen the nurses a good sense of professional identity, sense of responsibility and independence of the spirit of prudence on duty. In order to strengthen the nurses' professional identity, sense of responsibility and the spirit of prudence when they are on duty independently, such as critical patients, we make critical patients the focus of discussion in the morning meeting and shift handover to assess the existing and potential risks of the patients and to reach a *** knowledge, so as to draw the attention of each shift. The new nurses, for example, are educated on legal awareness, to improve their risk awareness and ability to designate the old nurses with clinical experience and a strong sense of responsibility to be the teacher of the new nurses, to cultivate communication skills with the patients, clinical skills, etc.

The new nurses have a good sense of responsibility, and they have a strong sense of responsibility.