Hemodialysis room nurse work summary Hemodialysis room nurse work summary Hemodialysis is the main treatment method for uremic patients. Dialysis patients actually live a very abnormal life. To a large extent, they are "tied" to the dialysis machine and depend on medical equipment and medical staff for life. The financial burden on patients and their families is very heavy. The influence of long-term pathological factors also makes patients have the characteristics of unstable mood and easy irritation. With the transformation of the medical model, hemodialysis patients must not only be given psychological comfort, but also humanized care, and a people-centered nursing service concept should be promoted to improve the quality of life of dialysis patients. The so-called "small hemodialysis room" actually carries all the hope of survival for dialysis patients, and is also an indispensable treatment method for patients with acute renal failure and various poisonings. Here is a summary of the nursing work experience in the hemodialysis room in 2006:
1. Clarify the job responsibilities, work processes, and operating specifications of the dialysis center, and formulate a dialysis risk plan and emergency response plan Processing plan. Study hard so that all hemodialysis nurses can master it. When problems are encountered at work, they are well documented and can be solved in a timely manner. Rules and regulations are constantly being supplemented and improved at work. Work in strict accordance with the rules, regulations and work processes, and strictly check the system, including the patient's pre-flush line, vascular puncture, dialysis treatment and treatment parameter settings, ensuring that more than 2 nurses must be on duty in each shift to check each other. Including whether there is bleeding at the puncture site, whether the treatment parameters set by the machine are accurate, the dosage of anticoagulants and other drugs, and the patient's vital signs. Actively participate in various business studies and trainings in the hospital, and conduct hemodialysis professional studies once a month. Support and encourage nursing staff to participate in college studies to improve the overall quality of nurses and fully mobilize the enthusiasm of nurses to enrich their knowledge and broaden their horizons. Improving the quality of nurses is not just about professional skills. It is necessary to pay more attention to humanistic cultivation on the basis of professional theory, including language cultivation, interpersonal cultivation, ethics and moral cultivation, rational thinking cultivation, etc. Care about nurses in life and try your best to solve practical difficulties for them. Let nurses feel the warmth and friendship of the collective. Establishing a people-centered nursing service concept requires not only humane care between doctors and patients, but also a working relationship, a colleague relationship, and a friend relationship between nurses. Mutual understanding, trust and Communication can create a good medical and working atmosphere, promote a harmonious nurse-patient relationship, lay a good environmental foundation for further improving the service quality and work efficiency of medical care, and play a multiplier role in the management of hemodialysis rooms. During daily dialysis, the nursing staff cooperate with each other and there is no fight over shifts; during emergency dialysis, they can arrive at the first time. Whether it is an evening emergency or Sunday dialysis, there is never any push-over, and the time is not affected by overtime work. Work normally every day.
2. Establish a people-oriented nursing management model and strengthen service awareness. After patients start dialysis, they often have a lot of pressure, such as the risks, pain, and restrictions of freedom of dialysis, the impact of the disease itself on the body, the cost of dialysis, changes in family relationships, etc. The psychological problems displayed include depression, anxiety, and despair. , some even hate society and medical staff because of this. Friendly and patient verbal communication can make patients feel a sense of security, carefully explain dialysis knowledge, eliminate patients' fear, explain other patients' dialysis effects, and enhance their confidence in treatment. Try to reduce the patient's burden as much as possible, set up a dialysis plan for them, and try to make them not entangled in the pain of the disease and the length of life, but focus on the quality of life and smile at life. Dialysis patients have long-term contact with medical staff and are highly dependent on them. At the same time, he is familiar with the staff, treatment environment, and dialysis procedures and methods. He even regards the hemodialysis room as a second home, and has a clear sense of participation in management. In this regard, we communicate with patients at any time, explain and explain new developments in hemodialysis treatment, and proactively solicit opinions. Take the initiative to contact patients for treatment when other diseases occur, and establish a smooth medical channel. Provide contact information, contact us promptly if you encounter any problems, and strive to solve them as soon as possible.
For patients with serious illness, let a family member accompany them so that the patient can feel family affection, increase their sense of security, reduce psychological pressure, and better cooperate with treatment. When there are no family members accompanying us, we also assume the responsibilities of the family members, delivering water, feeding, supporting, and treating patients, and influencing the patients during the long-term treatment process. Patients with bad moods and bad attitudes should report to hospital leaders in a timely manner, and work with multiple departments to formulate practical and relevant measures, striving to gradually dispel their extreme thoughts of retaliating against society.
3. Strive to work seriously and meticulously. Hemodialysis has high risks. As a nursing operator, you must not only establish a correct and positive awareness of nursing risks, strengthen the legal concept, but also exert your subjective initiative to control and avoid risks to the maximum extent, thereby improving the quality of nursing and more Serve patients well. During dialysis, blood pressure needs to be measured and recorded regularly every hour, and vital signs should be measured and monitored at any time when the condition changes. Some patients, especially those who are prone to hypotension during dialysis, need to be closely observed and have their blood pressure measured every 5 minutes. Dialysis instrument parameters should be adjusted in time, such as temperature, conductivity, ultrafiltration rate, blood flow, etc. Concentrate your attention and energy when working. A slight negligence can cause losses and accidents to patients. Diabetic patients are prone to hypoglycemia due to sugar-free dialysis, so they should pay attention to changes in consciousness, especially when the patient is sleeping, he needs to be called frequently. Since the edema is reduced after dialysis and drainage, the skin at the puncture site is loose, and bleeding from the needle hole or needle removal is prone to occur. Especially in winter, when the patient's arm is under the quilt, bleeding often occurs in an instant, and the amount is very large. In addition to diligent observation, you also need to explain to the patient and call if there are any abnormalities. In 2006, more than 600 dialysis sessions were performed, and no medical errors occurred. We have also gained some experience in how to observe blood sugar and prevent hypoglycemic shock in diabetic patients during hemodialysis; analyze hypotension during dialysis and take preventive measures to ensure adequate dialysis.
4. In line with our hospital’s value of “patient first”, we continue to advocate the people-centered nursing service concept and provide humane care to patients. We have successively provided more than a thousand yuan to several self-financed dialysis patients from poor families. (because most of the funding is personal behavior, detailed statistics cannot be calculated), and provide care and help in food and clothing. These are undoubtedly a drop in the bucket for dialysis patients and cannot improve their lives and dialysis conditions at all, but to a certain extent, they express our care and encouragement for the patients.
In addition to our efforts and achievements, we also have certain slacks this year, which are reflected in: poor business technical level, poor management of medical equipment and environment, poor service attitude and communication, imperfect systems, etc. During this period of reflection, I also put forward my opinions and suggestions, and implored the hospital leaders and nursing department to pay attention to them:
1. Professional technical level: First of all, it is the issue of arterial puncture, especially for patients undergoing dialysis for the first time or emergency dialysis. The general condition is poor and the toxins are high, which makes it difficult to puncture the arteries and ensure the blood flow for dialysis. First, there is still a lack of experience in arterial puncture, and they blindly choose to re-puncture when the blood flow is insufficient; second, the overall level of the hospital is not enough and cannot perform deep vein catheterization, which increases the patient's pain and easily causes patient dissatisfaction. Secondly, this year, the medical staff in the hemodialysis room did not have the opportunity to go out for study or further training. The dialysis work basically remained as it was, with no new business or new technology being developed, and no papers published. Because the work in the hemodialysis room is closely related to doctors, such as deep venous catheterization, ascites reinfusion, hemoperfusion, etc., all require the guidance of doctors and the cooperation of medical care, as well as the learning of practical experience, and cannot be done behind closed doors. We hope that the leaders of the hospital can give us certain opportunities to visit and learn, so as to improve our business level, strengthen disinfection and isolation measures, and launch new dialysis projects.
2. Medical equipment: Dialysis patients rely on dialysis equipment for survival, including dialysis equipment, water treatment equipment, complete water and electricity supplies, high-quality dialysis supplies, etc. This year, the conversion from reuse and disinfection of dialyzers and dialysis tubing to disposable use was completed. This conversion is a new trend.
. Don’t forget to adopt it