When we have a new view of life after reflection, we often write an article about our experience, so as to develop a good summary method. So what are the characteristics of a good experience? The following is my experience of continuing education for nurses (5 selected articles). Welcome to reading. I hope you will like them.
Experience of nurses' further study. Advanced equipment and technical level and excellent service.
Scientific and effective instrument setting is an obvious feature of women and children in our province. They have 65,438+00 multifunctional ventilators, 65,438+00 CPAP and 40 multifunctional incubators. There are fixed monitoring equipment, central aspirator, central oxygen supply equipment and wall-mounted central monitoring equipment at the bedside of critically ill children, all of which are connected to the central monitoring system of the nurse station. They pay special attention to the care of premature infants, wipe the incubator with disinfectant every day, and pay great attention to the skin care of premature infants whose weight is less than 1500 g, such as sticking the skin without adhesive tape, using veins rationally, and giving picc if necessary. All bedclothes are sterilized, and taking a comfortable posture is conducive to the growth of children. Each critically ill child takes a nasal inhalation position and a high head and shoulders position to keep the respiratory tract unobstructed.
Second, timely and effective rescue of critically ill children
1, the central monitoring system plays a decisive role, and the monitoring equipment alarms.
2. Nurses should be careful, caring and responsible.
3, the doctor's tracheal intubation speed is fast.
4. The rescue equipment is complete and fixed.
Third, rigorous work style.
1, the hospital advocates breastfeeding, and the receipt of breast milk must be certified by the hospital before it can be given to children.
2, every medical staff should strictly wash their hands before and after contact with children, infected children and non-infected children were treated in separate wards.
Through this study, I deeply realized the importance of carefulness, love and responsibility. Continuous learning can not only enrich clinical knowledge, but also help us to learn some new techniques and methods in time, so that our level can be continuously improved. We should encourage more participation. Now the relationship between nurses is relatively close, so we should take more relevant classes to improve the quality and theory and technology of the whole team, so as to improve the quality of life and the quality of the population.
I am very moved and ashamed to see their attitude towards patients every day. My own care for patients is far from enough. I will learn from them and work harder in the future nursing work.
First, the special nursing object of pediatric patients is children aged 0- 14. Most of them are babies. Children are afraid of nurses and it is not easy to communicate or cooperate, which requires us not only to have a sense of responsibility, but also to have love and patience. Another feature is too many companions. At present, most children are only children. Once sick, parents are particularly nervous and anxious, which puts forward higher requirements for the operation of medical staff. Therefore, communication with parents also needs special attention from pediatric nurses.
Second, the particularity of disease observation Pediatric children's diseases are characterized by acute onset and rapid change. In addition, children are too young to describe their illness. Therefore, nurses are required to be extra careful and patrol frequently when observing the condition, and at the same time, they should communicate with their parents patiently and timely, find out the changes of the condition in time and deal with them in time.
Third, the particularity of nursing operation Pediatric children use a small amount of drugs, multi-step infusion, and frequent administration. Nurses are required to calculate and dispense drugs accurately, and to act gently, accurately, quickly and kindly when operating.
Fourth, the particularity of venipuncture pediatrics requires excellent venipuncture technology, especially scalp veins. It is very important to choose the main pulse. The vein of infusion should be thoroughly skinned and the angle of needle insertion should be small. When returning blood, it should be fixed immediately, and no more needles can be inserted.
Verb (abbreviation of verb) Suggestions on developing pediatric work
1, establish a people-oriented service concept:
"Patient-centered" is not a slogan, but a manifestation of medical staff's respect for patients' humanity in medical activities. Without good professional ethics and skilled nursing skills, it is difficult to achieve patient and meticulous nursing work.
2. Excellent venipuncture technology and effective communication;
Venous puncture in children is difficult, and parents have higher requirements. I hope that nurses can hit the nail on the head, strengthen the study of nurses' humanized nursing knowledge, strengthen the exchange of nurse-patient communication methods and skills, call them kindly, move softly, speak softly and thoughtfully, and show concern and love for children from various subtle actions.
3, explain in place when doing nursing treatment, strengthen education:
Give children all kinds of treatments, such as explaining to children and parents how many drugs to use today, and explaining the usage of these drugs when adding drugs; It is necessary to explain the purpose and function of atomization, let children participate in their own disease treatment and actively cooperate with doctors. It is necessary to communicate with children and their parents in time and ask about their illness, so that children and their parents can always feel the concern of medical staff. Strengthen education to let family members know the symptoms, nursing and precautions of common diseases. Most new parents lack parenting knowledge and often love but don't know, especially when their children are ill and in urgent need of help. You can use bad publicity and blackboard newspaper to carry out knowledge education.
4. Improve the environment:
According to children's psychological characteristics, draw some cartoon patterns on the walls of wards, replace children's beds with colorful sheets and quilts with animal patterns, and put a TV in the room to play their favorite programs, so that they can receive treatment in a relaxed and happy environment.
In April, I was lucky enough to go to the second intensive care unit of neurosurgery in Handan First Hospital for further study. Because this study opportunity is very rare, I think I must seriously study their advanced nursing concepts and techniques before coming to trip worthwhile. But after coming to the Second Hospital of Neurosurgery, I found that besides studying, the most important thing is to experience the culture and humanistic concept of the First Hospital. In a short period of one month, I deeply felt that the advanced hospital management mode and thoughtful occupational safety protection of the First Hospital were worth learning.
First, a good doctor-patient relationship
Establishing a good doctor-patient relationship mostly lies in the service attitude. In the process of studying in the second intensive care unit of neurosurgery, the biggest influence on me is their service attitude.
The image of nurses is the impression left by the hospital to the public and represents the overall image of the hospital. The smiling service of nurses is not only polite, but also an important way for nurses to win the trust of patients with sincere attitude. A smile is priceless and worth a thousand words. It costs nothing, but it can bring thousands of spring breeze to patients. Everyone from doctors to nurses to health workers can appreciate this good attitude. When the doctor makes rounds, he will call out deeply, "Lao Li! Lao Li! Open your eyes! " "Aunt zhang! Grab my hand! " Perhaps, a simple name can bring the doctor-patient relationship closer! Nurses, on the other hand, communicate and guide their families like relatives and friends in their spare time when making rounds and changing fluids. Tell them to turn over and pat their backs in two hours, exercise the patient's limbs, massage and clean up. That kind and gentle language is like one's own family. Patients are also very enthusiastic and grateful for medical treatment under this cognition.
Every time the nurse changes the liquid or air for the infusion tube and leaves the hospital bed, the family members will say thank you or trouble you every time! I noticed these patients. They are not from the city. It was also transferred from counties and villages. In our hospital, it is rare to hear this kind of speech, acknowledging that our attitude has changed greatly at the request of the leaders; However, during the study of Neurosurgery II, I realized that the service attitude should not be improved because of the requirements of the leaders. It is a heartfelt attitude as a medical staff's love for work and delicate feelings. Personally, I think that if the medical staff in our hospital improve their quality, even if they can't get a "thank you or trouble" from their families! It can also gain the goodwill, trust and reputation of patients! Such a good atmosphere will certainly promote communication and reduce the contradiction between doctors and patients. It has played an important role in winning good social and economic benefits for enterprises.
Second, advanced medical equipment.
There is an injection micropump in the equipment of neurosurgery II. Micro-injection pump (referred to as micro-pump) is a new type of pumping equipment, which pumps a small amount of liquid medicine into the body accurately, minutely, evenly and continuously, with convenient operation and regular quantification. The drug concentration and speed can be adjusted at any time according to the needs of the disease, so that the drug can maintain an effective blood concentration in the body. Using micropump to rescue critically ill patients can reduce the workload of nurses, improve work efficiency and cooperate with doctors accurately, safely and effectively.
Micro-injection pump is clinically used for hypertension before and after operation. Such as sodium nitroprusside and nitroglycerin, are effectively pumped into the body through a micro-pump according to the doctor's advice. According to my observation, the therapeutic effect of this instrument is very remarkable. At the same time, it can be used to supplement potassium and other diseases. It is also used in anesthesia and anticancer agents in operating rooms, as well as nutrition supply and blood transfusion for newborns. So I also suggest that our hospital can introduce this kind of equipment, which can not only effectively treat diseases, but also increase income for departments.
Third, the rescue of shock patients
In the rescue of our department, three hearts refer to atropine, lidocaine and adrenaline. In addition, the cardiac triad of the second nerve refers to adrenaline, norepinephrine and isoproterenol. When I asked the nurses there which one could save the patient's life effectively and quickly, they couldn't prove it. Once the patient has the symptoms of shock, the medical staff will be prepared to rescue the patient, so as to effectively strive for the rescue opportunity. Once the patient's condition or vital signs change, medical staff often show more concern and worry than their families. PICC and femoral vein puncture are almost always used in this department for rapid fluid infusion, anti-shock and blood transfusion.
Fourth, the cooperative relationship between doctors and nurses
No matter what questions and concerns patients have about the doctor who makes the bed, as a nurse, they can communicate and appease perfectly. For example, when the patient's family members are worried about the patient's illness or slow recovery, the nurse will say: brain trauma itself is slow recovery, which is a very expensive disease. But don't worry, your doctor is excellent and responsible. He is a cautious man. Really, you are lucky to be his patient. A simple sentence dispelled the doubts of family members. That kind of talk is like an acquaintance's entrustment, not a show of "Wang Po selling melons and boasting". If we can put the words in place for doctors in front of patients, we can eliminate patients' distrust of county hospitals and reduce the transfer rate.
Five, rigorous medical style
After blood transfusion, the nurse wheeled the treatment cart to change the fluid for each patient. The nurses didn't get together to chat and talk loudly. Treat everyone courteously, and that accomplishment is worth learning. Nurses have a morning meeting at eight o'clock every day to change shifts and then study business. A nurse reads textbooks every morning 15 minutes. The night nurse will take shifts at each patient's bedside. Never leave even if you don't hand it in at nine o'clock. When each patient leaves ECG monitoring, sputum aspiration, air cushion bed and other equipment, the nurse on duty will take the initiative to clean up. Without supervision and fines, especially ECG monitoring, once the nurse is removed, she will consciously scrub the instruments and wires with a rag. Tie all the wires together with a cuff for measuring blood pressure, which is clean and convenient for next use. Every detail of the work reflects the attitude of being conscious, responsible, positive, not lazy and not complaining. If we all have this quality, I believe that both work efficiency and work atmosphere will be greatly improved!
Six, nursing safety management in place.
First of all, from the perspective of nursing safety, all kinds of safety signs in this department are complete, so pay attention to safety and careful sliding, and press along the direction of blood vessels for 5 minutes after needle extraction to prevent pressure ulcers. Secondly, nurses will always remind patients and their families of relevant precautions to avoid disputes. Posters on the wall tell patients what to pay attention to when they go out. There is a booklet "Information for Patients" behind the door of each ward. In order to avoid loopholes in education. Although I often communicate with patients, I have a strong sense of self-protection. Improve service quality and avoid medical disputes.
As the saying goes: three points of treatment, seven points of care. In the one-month study of neurosurgery in the First Hospital of the City, although I was in a hurry, I also realized some personal shortcomings. I will abandon laziness and bad attitude in surgical work! Only by applying what you have learned can you live up to the good intentions of the head nurse and director! To give a person a glass of water, you have to have a bucket of water. Although my glass of water is half a cup, I want to use this article to express my experience of further study. May our departments unite, cooperate with each other and make great achievements!
Nurses' learning experience 4 It has been half a year since they studied in a blink of an eye. Looking back on the past six months, there are gains and losses. When I first came, everything was so strange, I was not familiar with the hospital environment, the surrounding routes, the food here and the weather here. Every day of study feels very long. The two people we came to study together this time are both mothers. When we first came, we all missed home and children. But the director, the head nurse and everyone in the department here made us feel the same enthusiasm as here in summer, which made us familiar with the ward environment and workflow, adapted to the life and work here, and established a harmonious relationship with them. Therefore, the later days passed quickly, with different gains and enrichment every day. Because this learning opportunity is very rare, I learned advanced nursing concepts and techniques here, and felt their team spirit, rigorous work style and enthusiasm. glad you came.
First, scientific management.
First of all, there is good teamwork and a diversified echelon of nursing staff. The department implements hierarchical management. There are three head nurses and more than 80 nurses. Wards are divided into 1 1 nursing group. Each group consists of five to six nurses with different seniority, and a team leader is in charge. If it is not hierarchical scientific management, how to manage it? Although the division of labor is clear, everyone cooperates with each other while completing their respective work. The team leader is responsible for knowing the situation of the children in the ward like the back of his hand, and assigning nurses with different seniority and working ability to take charge of different wards according to the different situations of the patients in the ward, so that the children can get comprehensive and meticulous care. If there is a problem, the team leader can handle it in time.
Secondly, hospital infection control is also very good. The ward is divided into different areas. Infected people and non-infected people are strictly treated in separate wards, and those who are identified as infectious diseases are isolated. What impressed me most was that the medical staff washed their hands. The doctor makes rounds every day. The first thing to do is to wash hands. When a patient touches another patient, he will definitely wash his hands first. Every ward has a sink and hand sanitizer, and every child has hand sanitizer beside his bed. Needless to say, nurses wash their hands before each operation. Although they are busy with their work, they will not omit this link. Hand washing has become everyone's habit, because everyone has deeply realized that hand washing is the cheapest measure to prevent hospital feeling, but it is the most effective.
Second, warm and meticulous nursing service
What impressed me the most was that they didn't pay lip service to the humanized service, but actually did it, and truly cared for the children. If CPAP is used, a protective film will be placed between the nose and the stuffy nose to prevent squeezing. When tearing the tape on your face, you should lubricate it with paraffin oil before tearing it. The action is very gentle. The children here will insert the stomach tube from the mouth, not the nasal cavity, because they don't want to lose a nasal cavity because of the stomach tube, which will aggravate the difficulty in breathing. For premature babies, they have a special area for premature babies. The environment is quiet, and the sound and operation are as light as possible to reduce the stimulation of sound.
Moreover, there is a cover on the incubator, and all treatments are focused on reducing light and external stimuli. Every premature baby has made a bird's nest out of clothes, which makes every child feel very comfortable. If there are special circumstances, they will hang labels and write warm words. If there are some children who need to be isolated, such as children with syphilis, draw some plum blossoms beside their beds and call them "Mei Mei". There is no discrimination at all, but more care. Children with hepatitis B will draw three suns and call them "beautiful sheep" or "pleasant sheep". There are also examples such as "My skin is tender, please take good care of it" and "My hairstyle is handsome, please take good care of my hairstyle", which reflect their love and care everywhere and treat every Mao Mao as his own child.
First of all, I would like to thank the hospital departments, and the leaders of the nursing department provided me with the learning opportunity to participate in the "New Progress in the Theory and Skills of Intensive Care in Fujian Province" sponsored by the Provincial Nursing Society. Through a week's study, I benefited a lot from your wonderful courseware, vivid examples and vivid lectures. Starting from the particularity of patients in critical care medicine, the lecture expounds the importance of various operational skills and theoretical basis that nurses should have.
Through this study, I learned the following points:
1. For example, the head nurse Lin Yanjuan of the Union Medical College Hospital affiliated to Fujian Medical University told us about the communication between nurses and ICU patients. First of all, ICU patients are not accompanied by their families. When they enter the ICU, they will have fear and feel that they must be seriously ill. If their families are not around to take care of them, it will have a negative impact. If they feel uncomfortable, they are afraid to tell the medical staff. They feel very heavy and feel that they can only wait for death. In the face of this kind of patient, we nurses should do a good job of explanation, and the patient's family is outside, so don't be nervous. Tell us directly if you have any questions, chat with patients more and ask them if they are uncomfortable. Every time you talk to a patient, you should speak softly, smile and take off your mask, so that the patient will feel that you are like his relatives and are no longer afraid.
Another patient was awake, but had endotracheal intubation or tracheotomy. This kind of patients can't speak and express their needs, so they are more likely to have fear and negative psychology. In the face of such patients, we nurses should do a good job of explanation. Any care or medical operation for the patient should be explained clearly, so that the patient knows what you want to do for him. In addition, nurses can make some regular cards with information needed by patients, and patients can express their needs through cards, such as defecation and eating. Also, nurses should pay more attention to such patients and occasionally touch the patient's denomination department, which can also reduce the patient's fear, make the patient feel that you care about him and give him confidence.
2. Wang Mei, head nurse of the First Affiliated Hospital of Fujian Medical University, told us about the prevention and control of nosocomial infection in ICU. ICU patients are seriously ill, there are many elderly patients, there are many invasive medical procedures, the nursing workload is heavy, and the chances of endogenous or exogenous hospital infection increase. Therefore, nosocomial infection in ICU is very important. First of all, work clothes should be kept clean. Anyone who enters ICU should change shoes and clothes. In addition, hand hygiene of medical staff should be strengthened and hand washing should be effective. Two beds should have a sink. Then infected patients and non-infected patients are placed separately. Special infections need a single room, and each nursing unit needs a single room. Strictly restrict visitors. You must also comply with aseptic technical operation procedures and so on.
3. Lin, director of the nursing department of Fujian Provincial Hospital, told us about the application of chest physical therapy in preventing pulmonary complications, emphasizing the importance of lung physical therapy including turning over, patting the back, sucking sputum, breathing training, tremor and postural drainage. Teach us cricoid cartilage extrusion. Learned a lot of skills of pulmonary physiotherapy.
As a clinical nurse, we are in close contact with patients. We should care for patients like relatives, always understand their needs, try our best to meet their needs, and help every patient with our sincere heart. At the same time, let patients get equal attitude and respect, reduce the sense of loss caused by diseases, and increase confidence in overcoming diseases. Nursing knowledge and experience need constant communication, and knowledge needs constant updating to keep pace with the times.
Constructive opinions:
1, the head nurse can make some cards needed by patients regularly, such as defecation, urination, eating, etc. It is convenient for nurses to communicate with intubated patients.
2. Strengthen the professional training of nurses and master the rescue measures for critically ill patients.
3. Strengthen the hand hygiene of medical staff. Strictly restrict ICU visits.