Nurse pediatrics training self-assessment model
Part 1: pediatric nurses training experience
First of all, I thank the hospital leadership and the nursing department this time to provide me with the opportunity to go out for training and learning. Through this learning in the department, to a large extent, opened up my horizons, enriched my knowledge, enhanced their business capacity, clear direction for their future learning and development, for future learning and business skills training, laid a solid foundation.
In a month's refresher course, I learned a lot. Some of the work I have not done before, and do not understand the nature of the work of the pediatrics, I as a student internship as a modest to the teacher to ask for advice, learning, and their own practice, in the teacher's patience under the guidance of the education of the head nurse, I basically mastered the care of pediatrics of some common diseases, as well as some of the basic operations, such as, venipuncture, sputum suction, nebulization, drug permeation, etc., in a very short period of time will be more familiar with the work of the pediatrics, clear work procedures, directions, and the direction of the work of the pediatrics. In a short period of time, I became more familiar with the work of pediatrics, clarified the work procedures and directions, and improved my working ability. Each nurse is in charge of eight patients, so nurses have a lot of time and energy to take care of patients, a good realization of the quality of care.
Every day to see their attitude towards patients, I am very touched, but also feel very ashamed of their own treatment of patient care is far from enough, in the future nursing work I want to learn from them, more efforts.
First, the patient's special
In the pediatric nursing object is 0-14 years old children. More infants, children have a sense of fear of nurses, neither easy to communicate nor easy to cooperate, which requires us not only to have a sense of responsibility and more is to have love, patience. Another characteristic is too much company, most of the current children are only children, once the disease, parents are particularly nervous, anxious, the operation of health care personnel to put forward higher requirements. So communication with parents is also required pediatric nurses special attention.
Specialty of condition observation
The condition of children in pediatrics is characterized by rapid onset and rapid change, coupled with the age of the children will not be able to narrate the condition, so the nurses are required to be extra careful in the observation of the condition, diligently patrol, and at the same time, the parents should be patient to educate the parents to communicate in a timely manner in order to timely detect the changes in the child's condition, and timely treatment.
The special nature of nursing operation
Pediatrics children with small doses of medication, infusion step by step, and frequent addition of medication, the nurse is required to be accurate in the calculation of the medication, the precise distribution of medication, the operation of the action should be gentle, accurate, rapid, and kind attitude.
Four, the special characteristics of venous puncture
Pediatrics requires excellent venous puncture technology, especially scalp veins. The initial selection of the vein is very important, the choice of infusion vein preparation should be thorough, the angle of entry should be small, see the return of blood immediately fixed, can not re-enter the needle.
Fifth, to carry out the work of pediatrics recommendations
1, to establish a people-oriented service concept: "Patient-centered" is not a slogan, but the medical staff in the medical activities of respect for the patient's human nature embodiment of the care to be patient, meticulous, thoughtful, and without good professionalism, the patient should be patient, meticulous, thoughtful, and without good professionalism.
2, excellent venipuncture technology and effective communication: pediatric venipuncture is a difficult point, parents have higher requirements, hope that nursing staff can be a shot in the arm, for the children for venipuncture to strengthen the nurses humane nursing knowledge of learning, strengthen the nurse-patient communication methods and skills exchange, address to be affectionate, gentle action, words to be gentle, considerate, from all kinds of subtle actions to reflect the child's care and love. The first step is to make sure that you have a good understanding of what you are doing and how you are doing it.
3, to do nursing treatment to explain in place, strengthen the mission: for the children to do a variety of treatments, such as adding medication to the children and parents to explain how much medicine to use today, as well as the use of these medicines; to do the nebulizer to explain the purpose of the nebulizer and the role of the children to participate in their own treatment of the disease, and actively cooperate with the doctor's treatment. Communicate with the children and their parents in a timely manner and ask about their conditions, so that the children and their parents can always feel the care of the medical staff. Strengthen the mission so that families understand the symptoms of common diseases, care and attention, just do most of the parents lack of knowledge of parenting, often love,
Knowledge is insufficient, especially in the child's sick urgent need to seek help, you can use the publicity rotten, blackboard newspaper, knowledge mission.
4, improve the environment: according to the psychological characteristics of children, the walls in the hospital area to draw some cartoon pictures, children's beds replaced with animal prints brightly colored sheets and covers, the room shelved a TV, play their favorite programs, so that they are in a relaxed, pleasant environment to receive treatment.
I get the gains and feelings:
(1) good working environment and adequate staffing
Since I entered the Changning Women's and Children's Hospital on the first day of my first impression, the hospital's environment is very clean and tidy, the items are placed in order, the sign is conspicuous, the department of the wards in good conditionxz, air-conditioning set up the layout of the reasonable, the hardware in place, the nursing staff equipped with adequate, easy to carry out nursing work, the ward is very good. The hospital has a very clean and tidy environment, with a good layout of air-conditioning, good hardware, and adequate nursing staff to facilitate nursing work.
(2) meticulous and thoughtful health education
Pregnant women are admitted to the hospital, the nurse in charge of the first polite greetings, a simple self-introduction, and then the first after the admission to the hospital, the content of the first mission, mainly in the hospital environment, hospital rules and regulations, cafeteria food ordering, the nurse in charge of the hospital bed doctor, especially in the obstetrics before the checkups, post-partum and post-operative will be to the patient to explain in detail the relevant notes, and hand in hand, the patient will also be able to get a better picture of the patient, and the patient will also be able to get a better picture of the patient. They will explain in detail the relevant precautions to the patients before the obstetric examination, after the delivery and after the operation, and teach them the correct breastfeeding posture and other related knowledge. The nurses will teach the patients the correct breastfeeding posture and other related knowledge. Before discharge, the nurses will also organize a collective education for the patients, so that every woman can really master the knowledge of postpartum recovery and newborn care.
(3) humanized quality service
The day before the patient's surgery, they will have the operating room nurses and anesthesiologists to carry out a preoperative visit, so that it eliminates the nervousness and fear. In order to reduce the patient's pain, the patient enters the operating room for anesthesia before inserting a catheter. On the first day after the operation, the nurse in charge will change a set of neat bed sheet and quilt cover for the mother. At lunch time, all the nurses cooperate with the delivery aunts to distribute lunch, to know whether each patient can eat in time, and care whether they need help, the patients are very grateful to our nurses.
(4) advanced computer system to reduce the burden of medical staff
Part II: Neonatology nursing training experience
First of all, I would like to thank the leadership of the hospital and the Department of Nursing this time to provide me with the opportunity to go out for training and learning. Through this study in the neonatal department of Chongqing Children's Hospital, not only opened up my horizons, but also greatly enhanced my ability to care for critically ill newborns, enriched my knowledge, and strengthened their own business capacity and technical operation level, I learned a lot during the six-month refresher course. I have learned a lot in six months of further study. In the work practice, I continue to summarize the experience, here I will half a year of further study to share with all teachers, for this rare training experience to draw a successful conclusion.
I. Humanized management
1. First of all, good teamwork, diversified nursing staff echelon. Heavy Medical Children's Hospital Neonatology Department to implement responsibility management scheduling mode, the implementation of group management, improve work efficiency, the ward is divided into four nursing groups, each group has three nurses of different seniority, there is a division of the team leader, the midday rest in the form of rotating rest (11:00-13:00, 12:00-14:00, 13:00-15:00), so that the nurse responsible for effectively ensuring that The nurses are responsible for ensuring the seamless care of the children, and the excellent care is effectively guaranteed, so that they can fulfill their duties and collaborate with each other to ensure the quality of nursing care in the ward. In addition, in order to improve the work efficiency, there is a special dispensing class, 7:30 in the morning is responsible for the configuration of drugs, to ensure that the children's timely medication, dispensing work is completed in the afternoon is responsible for the children's touch, to promote the recovery of the children's brain. There is also a finishing class, responsible for the routine management of the instrument, debugging, cleaning and maintenance to ensure the normal use of the instrument.
2. The neonatal ward of the various divisions are very clear, all types of use of goods in the ward are using the five-constant method (often organized, often clean, often tidy, often standardized, often self-discipline), fixed-point, fixed-label, each child's bedside are prepared with first aid box, injection pumps and electrocardiographic monitoring of the fixed use, shall not be moved arbitrarily, the end of the disinfection after discharge, in all the instruments are labeled with the upper limit, the lower limit, the sign of the hanging sign, the switch sign, the operation flow chart, the operation flow chart, the operation flow chart, the operation flow chart, the operation flow chart, the operation flow chart. Switch sign, operation flow chart, intubation car hanging on the wall next to the intubation model selection labeling chart, rescue car can also be seen next to the rescue flow chart and the use of rescue drugs and side effects, to avoid making unnecessary mistakes.
3. Advanced equipment and scientific and effective instrument settings, centered on the bed, next to the bed is the tower, the tower is equipped with negative pressure suction, oxygen, compressed air and power and other embedded devices. Resuscitation tubes are standardized and placed in fixed positions on the instrument racks, making them easy to use at a glance. In addition to this, the NICU is staffed by experienced doctors and nurses who are well versed with advanced medical practices such as the use of gulsum, arterial blood pressure monitoring, umbilical arteriovenous cannulation, picc and many more.
Second, warm and meticulous nursing services
In the use of CPAP, an artificial protective film will be padded between the nose and nose plugs to prevent pressure injuries, the head is wrapped with cotton wool and then use elastic bandage to fix the tube, to avoid indentation, tearing the face of the adhesive tape, lubricated with paraffin oil before tearing, and every day to take a bath, will be cleaned with paraffin oil. All skin folds on the whole body were cleaned with paraffin oil every day in the bath, with very gentle movements. Film gloves are placed on each warming box, so you wear gloves to check on the child before touching him or her to avoid cross-infection, and the "developmental care" model is applied to each child to promote the child's physical and mental development. We use the "developmental care" model to promote the physical and mental development of each child. 1) Simulate the environment of the uterus by laying a bird's nest. 2) Keep the environment of the ward quiet and reduce the noise. 3) All the warming boxes will have a cartoon cover cloth, which is mainly to reduce the light and external stimulation. 4) Minimize the unnecessary operations, and focus on the necessary operations. Make every child feel comfortable.
Under the leadership of so many excellent teachers let me y appreciate the nurse is not only to inject drugs, more importantly, we also have to have the concept of love and injury and the ability to think, we have to use a mother's heart, scientific brain, dexterous hand to bring children safe and comfortable, good temporary good mother. In addition, the reception room of the department is equipped with videos showing the knowledge and care of various neonatal diseases, and pamphlets on the medical knowledge of each disease are available for people to take freely. Also set up a hotline for discharged patients, 24 h is responsible for providing all kinds of consulting services, so that patients and hospitals to keep in touch with the hotline, at any time to obtain professional guidance on medical services.
Three, the integrity of the service system and unlimited extension
In the Children's Hospital, in the outpatient clinic to see a lot of newborn patients are booked, discharged newborns in the pre-discharge department and the outpatient clinic directly by appointment. If a premature baby is discharged, the parents of the child ready to be discharged will be contacted to the reception room of the department to learn about nursing care, such as bathing, feeding, diaper changing, and other daily tasks, the nurse will be demonstrated on the spot until their parents fully mastered before the baby is handed over to them with confidence. This naturally extends the care into the home.
Fourth, standardize the training
During the period of further training teacher requirements are very strict, the concept of asepsis is particularly strong, it must be done to wash their hands before starting work, wear gloves to check the child before contacting the child, take off the gloves to wash their hands and close the door. For the newly assigned students and advanced training nurses by specialist nurses to teach, first understand the environment of the ward and all kinds of items in the storage location, learn the use of various equipment and precautions, clinical work in the application of the nursing technology, after the assessment of the qualified only after the designated teacher to teach. Monthly arrangements for nursing room and nursing lectures, with the form of slides everyone *** with the study, every Monday morning morning shift will have nursing questions, a nursing operation once a month to take a random test.
Through this study, I feel the rapid development of the current nursing field, I am so small, it is worthwhile for me to learn the content of the heavy, in the future work I will combine the knowledge learned from further training to apply to our clinic, for the hospital to contribute to their own strengths, for the cause of nursing in our hospitals to add bricks and mortar, and for the patient's well-being and spared no effort. Finally, I would like to thank the leadership of the hospital again for giving me this valuable learning opportunity, so that I have more thoughts about life and work, and hope that it can penetrate into my thoughts and give new meaning to my life.
Neonatology: Wang Ping
Part 3: Pediatric Nurse Self-identification Sample
As a general pediatric in-service nurses in my work, I gradually appreciate the need to continue to accumulate their own nursing experience so that in the day-to-day nursing work, so that they can be in a position to do. In fact, the nurse, as a helper, has the responsibility to make his nursing work to achieve positive, constructive results, and play a therapeutic role, the nurse-patient relationship also becomes a therapeutic relationship.
It is often said that nursing is hard and tiring, which is true, but it can also bring a lot of joy, and you only have to be personally involved in it to have a deep understanding of it. In the pediatric care, each child has touched our hearts, encountering older children, heart care is very important, the children just admitted to the hospital, as soon as we enter the ward they began to cry. We're trying to find a way to be good friends with them and get their trust, so we can get them to cooperate with the treatment.
When faced with a pediatric patient, everything from punctures and injections to various medications is very different from adults! There are also changes in the nurse-patient relationship, children are the hearts and minds of parents, so in every treatment, we will communicate with the parents! Let them rest assured that they can rest assured!
In pediatrics, there is no good puncture technique is not possible, "a needle to see blood" in pediatrics is more prominent, especially important, because the children are the heart of the parents, playing in the child body, pain in the body of the parents it! Therefore, we study hard, summarize and explore more, and the principle of "practice makes perfect" is also reflected here. We work hard, learn more, see more practice, scalp puncture is also easy to a successful, and can do "a needle in the blood" in the pediatrics nursing work is also much easier, more relaxed.
In the process of work, I strictly abide by the rules and regulations of the hospital and departments, conscientiously fulfill the duties of nurses, strict requirements for themselves, respect for teachers, unity with colleagues, down-to-earth work, love of children's cause, wholeheartedly for the sake of the children. At the same time, she understands the families, handles the relationship between nurses and patients correctly, and can do a good job in explaining and comforting. Everything is centered on the child, always thinking of the child, not to do things that will harm the child. From the heart love children's nursing career, will not be bored because of the tedious work, wholeheartedly for the children's services.
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