Self-assessment of rehabilitation treatment technology Part 1
First of all, I would like to thank the leaders of the hospital for giving me such a good training Opportunity, I know this opportunity is really rare, thank you all leaders for your trust and expectations. During the further study, I always kept in mind the instructions of the leaders of the hospital. I asked more questions, did more hands-on work, and communicated more with the teachers. I worked hard to seize this opportunity for further study and strive to improve myself. After three months of training as a rehabilitation physician, I have mastered the treatment techniques of rehabilitation therapists in the Department of Rehabilitation Medicine of Shandong Provincial Communications Hospital, the diagnosis and treatment techniques of rehabilitation physicians, the department management model, and the management of rehabilitation wards. The specific situation is reported as follows:
1. Learning situation: I strictly abide by the rules and regulations of the hospital and department during my training in the PT room, OT room, ST room and ward of the rehabilitation department, and I have mastered the three skills well. Paralysis means functional assessment of hemiplegia, paraplegia, cerebral palsy and amputation, formulation of training plans and clinical application of rehabilitation treatment techniques. During this training, I mainly focused on learning about the rehabilitation of patients with stroke, brain trauma, and paraplegia, that is, taking all measures to prevent the occurrence of disability and reduce the impact of disability, so that the patient can return to normal social life to the greatest extent possible. The best period for rehabilitation of limb function in patients with stroke or brain trauma is within three months after the onset of the disease. Rehabilitation during this period can speed up the recovery of the patient's limb function. Rehabilitation treatment can begin as soon as the patient is conscious and his vital signs are stable.
In short, the effective recovery period is within 6 months of onset; if the disease lasts for more than 1 year, the recovery effect and the speed of recovery of limb functions will be reduced. Therefore, it is necessary for medical staff in various departments to cooperate with each other to provide early intervention for patients with stroke and brain trauma. In addition, publicity work must be done well so that patients, their families, and medical staff can cooperate and actively participate in rehabilitation training so that they can recover as soon as possible and return to their families and society.
In addition, I actively participated in undergraduate lectures and was lucky enough to participate in a two-week national rehabilitation treatment technology training class held in Jinan. I carefully studied and photographed the work of well-known experts in the rehabilitation field at home and abroad. Advanced rehabilitation treatment technology. Well-known experts include Australian MD ABBIENAJJARINE, Professor Hu Haiying from Fuxing Hospital of Capital Medical University, Professor Wang Xinglin from China Rehabilitation Research Institute, Professor Wang Tong from Jiangsu Provincial People's Hospital, Professor Wang Xiaohua from Shandong Provincial Hospital, Professor Yue Shouwei from Qilu Hospital, and Professor Li Tieshan from the Affiliated Hospital of Qingdao Medical College. , Professor Gu Ying of Shandong Provincial Communications Hospital, etc. Through study, I have broadened my horizons and increased my knowledge, which has raised my understanding of rehabilitation medicine to a new level.
2. The Importance of Rehabilitation Department Social Benefits: Among the patients with "Triplegia and One Leg", although some patients have been saved, they cannot take care of themselves. Not only can the patients not participate in social labor, but they also need someone to accompany them. . If we can apply rehabilitation medicine to treat patients in a timely manner, we can greatly reduce the pain of disabled people, the elderly, and patients with various chronic diseases in the acute phase and early recovery period, allowing them to take care of themselves, return to their families and even society as soon as possible, and relieve the patient's and The family’s worries.
Through study, I have become more clear about the necessity of rehabilitation medicine. It is the need of patients. The more advanced medicine is and the more developed the economy, the greater the demand for rehabilitation. It is a major trend in the development of medicine. Many All tertiary hospitals have established their own rehabilitation branches. For example, Qilu Hospital. There are a lot of patients in our hospital (neurology, neurosurgery, orthopedic surgery, etc.) who need to recover. Without worrying about the source of the disease, we can increase the hospital's economic income and further improve our hospital's popularity.
3. Rehabilitation department setup: This department was established in 20XX. It is the first clinical rehabilitation institution in the province that integrates hemiplegia, paraplegia, and cerebral palsy treatment, rehabilitation, training, consultation, research, and prevention. It is China's first clinical rehabilitation institution. The Rehabilitation Research Center is the only collaborative unit in a provincial capital city across the country and is an A-level key discipline of Jinan Municipal Health Bureau.
Subsidiary institutions: neurological rehabilitation ward, rehabilitation training hall, rehabilitation assessment room, exercise therapy room (PT), occupational therapy room (OT), speech therapy room (ST), cognitive therapy room, swallowing disorder treatment room, rehabilitation clinic, Acupuncture and massage therapy room, hyperbaric oxygen department, fumigation treatment room. This department is the key subject of the hospital, and the hospital is building a rehabilitation building. Finally, I would like to thank the leaders of the hospital again for giving me this learning opportunity. I hope that through my efforts and the help and support of leaders and colleagues, I will be able to apply what I have learned and make due contributions to the rehabilitation cause of our hospital.
Self-appraisal of Rehabilitation Treatment Technology Part 2
In 20xx, 9 modern rehabilitation treatment projects were included in the basic medical insurance, which is an excellent opportunity for the development of rehabilitation medicine. In addition, leaders at all levels of our hospital have The Department of Rehabilitation Medicine has strong support and the department director’s management is decisive and orderly. It also coincides with the second-level review of our hospital, which puts forward higher requirements for the hardware equipment, staffing, management, teaching and medical quality and safety of the Department of Rehabilitation Medicine. . To this end, we are encouraged to continue to develop in department construction, diagnosis and treatment level, medical ethics, scientific research innovation, staffing, and hardware facilities. The 2011 annual work plan is now formulated as follows:
1. Department construction and personnel Echelon
In terms of department management, we will continue to use a new management model to operate the rehabilitation department with the goal of mutual benefit and win-win, high-quality service as the purpose, clear rewards and punishments as the criterion, and unity and harmony as the goal. Continuously expand the source of the disease and improve the efficacy and satisfaction rate. In order to meet the hospital's expansion requirements, the department's development plan in two years is to enrich five outpatient departments (physical therapy department, occupational therapy department, speech therapy department, traditional rehabilitation department, prosthetics and orthotics department); and establish a rehabilitation medicine ward. In order to gradually realize the expansion plan, active and effective measures need to be taken to focus on cultivating the political ideology, business capabilities and academic level of academic and technical leaders and reserve talents. According to the actual situation of the rehabilitation profession, it is necessary to introduce 1 to 2 professional rehabilitation therapists with a bachelor's degree or above, and those who can make prostheses and orthotics will be given priority. The overall quality still needs to be improved. Rehabilitation doctors have switched careers from other majors and need to further study in high-level domestic rehabilitation centers. Young doctors and therapists are encouraged and supported to apply for postgraduate studies. The scientific research awareness and ability of nursing staff still need to be strengthened and improved. Maintain a talent echelon with reasonable knowledge, academic qualifications, professional titles and age structure.
2. Medical ethics and medical style education, improve the quality of medical work, and ensure medical safety
Actively participate in free clinics and various spiritual civilization construction activities, and use the scientific meeting time on the first Saturday of every month Seriously study and implement relevant laws and regulations. Improve the professional ethics of medical staff and reflect the level of teaching hospitals. There is a sound quality management team, which conducts spot checks from time to time and holds a quality management control meeting once a month. Quality control points are set up, and invasive procedures such as acupuncture and partial sealing are strictly disinfected to avoid infection; pads and other items in direct contact with the patient's skin are cleaned and disinfected in a timely manner; manual treatment movements are standardized and regular training is provided; our department consults many patients. It is strictly implemented and the triage nurse will promptly notify the doctor in charge. Normal consultations will be completed within 24 hours, and emergency consultations will arrive within 10 minutes. Our department has a lot of equipment. If there is a malfunction, please report it for repair in time. A dedicated person will be responsible for inspection every week to eliminate hidden dangers. Valuable equipment will be kept and kept by a dedicated person. A maintenance registration book is provided; in order to ensure continuous treatment of patients during holidays, rotating duty arrangements should be arranged, and the sense of responsibility should be improved; the construction of a harmonious doctor-patient relationship should continue to be maintained, and the physical therapy, occupational therapy, traditional rehabilitation, etc. of the Department of Rehabilitation Medicine are mostly one One-on-one treatment requires frequent and long contact with patients, which especially requires continued strengthening of service awareness and quality.
3. Adhere to the three basic trainings and constantly update knowledge
In order to improve the medical technology level of the general department and carefully organize the professional learning of the department staff, the department organizes lectures and discussions once a week , understand the new treatment progress in the field of rehabilitation, repeatedly study the "Rehabilitation Medicine and Physical Diagnosis and Treatment Standards", or improve the level of medical services through various forms such as case analysis; new teachers conduct trial lectures before teaching to discuss courseware production and teaching language and content; Regularly give lectures to lower-level doctors and interns, strengthen management, and the language of explanations must be standard and the movements must be skillful; while teaching and treating, it is necessary to observe the patient's reaction and evaluate at any time to prevent shock caused by postural hypotension in special patients such as paraplegia and long-term bedridden patients. During training for patients with craniocerebral trauma and other injuries, avoid epilepsy induced by emotional excitement and fatigue, formulate emergency plans and be familiar with first aid treatment procedures.
IV. Encourage the establishment of new technologies and new project scientific research and the publication of papers
Encourage the development of new projects suitable for clinical promotion; expand the scope of rehabilitation treatment and carry out special rehabilitation projects, such as : Rehabilitation treatment for patients with intellectual disabilities, bedside rehabilitation projects in intensive care units, imaginative movement therapy, etc. It is required to have a secondary vocational school or above and publish one paper in a core journal every year. Each junior employee publishes one review or paper per year. A lot of work needs to be done in research, striving to publish more high-level papers, and actively applying for scientific research awards.
5. Problems that need to be solved by the hospital:
In order to cooperate with the development plan of key disciplines and increase the competitiveness of our hospital’s medical market, the problems that our department plans to apply to solve in 2011 are:
1. The Department of Rehabilitation Medicine urgently needs to set up wards: firstly, it can meet the requirements for the construction of rehabilitation medicine disciplines; secondly, it will help reduce the need for hospitalization of neurological patients, speed up the turnover of other departments, enrich treatment methods, and attract The source of the disease and improve economic benefits; thirdly, because the quality of life of patients discharged through neurological rehabilitation has been greatly improved, while they are satisfied with the quality of the hospital's medical services, they will increase the publicity of the hospital and win good social effects for the hospital. , enhance the hospital’s influence and competitiveness.
2 Power bicycle: mainly used for functional rehabilitation of lower limbs in patients with hemiplegia. It has a good inhibitory effect on the symptoms of lower limb extensor muscle spasm in patients with hemiplegia, allowing them to exercise in a flexed posture and avoid knee hyperextension. The application of this instrument has good prospects, and the economic and social benefits are considerable.
3. What is still lacking according to Class II standards: magnetic therapy device, swallowing therapy device, Bobath ball, roller, etc.
Self-Assessment of Rehabilitation Treatment Technology Part 3
20xx is about to pass, and 2013 is about to come. All the staff of our department will welcome the new 20xx with full enthusiasm. In the new year In order to make the department work better and have new development characteristics, so that the hospital work can proceed smoothly and the medical quality is gradually improved, the following plan has been formulated:
1. Political and ideological aspects
1. Under the correct leadership of the hospital’s party and government leaders and the internal medicine branch, general department staff continue to earnestly study the party’s various principles and policies, conscientiously implement the spirit of implementation, actively participate in all political activities inside and outside the hospital, and persist in political study.
2. Mobilize the enthusiasm of general practitioners, take the opening of Hedong New District as an opportunity, and use the spirit as a guide to continue to carry forward the patient-centered service purpose, further improve medical quality, reduce medical disputes, and prevent Errors and accidents occur.
3. Strengthen the construction of spiritual civilization to improve service attitude, do everything for the patients, do everything possible to relieve the patients' suffering, and achieve both social and economic benefits.
2. Business and talent training
1. It is planned to create a municipal key junior college.
2. Continue to carry out treatment for swallowing and speech disorders.
3. Strengthen talent training and plan to recruit 6 therapists. 2 to 3 graduate students.
4. Establish a major orthopedics early rehabilitation treatment group.
4. Strive to convene an academic conference on new advances in pain diagnosis and treatment in Suining City.
5. Strengthen scientific research work and paper writing. Strive to establish 1 provincial scientific research project. 2 municipal scientific research projects were approved.
6. Establish an additional outpatient clinic.
7. Acupoint catgut embedding to treat chronic diseases.
8. Carry out small acupotomy to treat chronic diseases.
3. In terms of comprehensive management
Strengthen comprehensive public security management, implement various policies in accordance with regulations and standards, prohibit pornography, gambling, and drugs within the department, and strictly implement the reward and punishment system, Adhere to the three guarantees in front of the door, do a good job in indoor and outdoor hygiene, do a good job in fire prevention and anti-theft work in the department, and create a good medical environment so that the central work of the hospital can proceed smoothly.
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