Through the internship in the intervention, so that it understands the nature of the intervention is a department, but also to understand which patients need to be interventional treatment or examination. The following is a self-explanatory summary of the interventional discharge!
Intervention out of the Department of self-summary Part 1Through the month in the intervention of internship, I understand the intervention is how the nature of a department, which patients need to carry out interventional treatment or examination. Understood the percutaneous puncture biopsy, stent placement, esophageal dilatation, chemoembolization, perfusion chemoembolization, radiofrequency ablation, contrast, C. A, C. A. A, C. A. A, C. A. p, pAD and a series of minimally invasive procedures. We have mastered the method of transporting patients, correctly attaching electrode pads, correctly putting on surgical gowns and typing sterile packs, different instrument packs required for different surgeries as well as the contents of the instrument packs and the method and steps of venipuncture with intravenous indwelling needles, etc. We have strengthened our concept of asepsis as well as the concept of asepsis. They strengthened the concept of asepsis and further understood the importance of "three checks and seven checks". In the teachers' patient teaching in the realization of the attitude of prudence.
In this section of the internship period of the teachers are amiable, serious and patient to explain to us the operation can be said that we are lucky because the first department met some of the teachers so good, special thanks to them to us these four weeks of care and cultivation. Thank you: Ms. Fu, Ms. Wu, Ms. Li, Ms. Liu and Ms. Du.
Under the leadership of the hospital and the nursing department, we have been working hard for another year. Over the past year, I have always insisted on the use of Marxist-Leninist position, viewpoint and methodology, adhere to the correct worldview, outlook on life, values, and to guide their own learning, work and life. I responded positively to the hospital "to establish the spirit of Xinhua" call, the department adhere to the monthly organization of medical staff to seriously study the medical laws and regulations, hospital rules and regulations, acceptance of love and dedication to their work and other medical ethics education, organization and discussion records, integrity and self-discipline. Responding to the call of the hospital party committee and the Women's Committee, actively participate in all political and social activities, such as donations to the poor and disaster areas, love and dedication to the community, for the department to add color, mobilize comrades to participate in hospitals organized by the hiking, sports games, photography activities, to improve cohesion.
As my department are large and valuable medical equipment, so I pay special attention to fire safety, actively organize the department staff to participate in consumer knowledge training, prevention is better than cure. Due to the special nature of the interventional surgery, the staff is bound to absorb a lot of radiation, irreversible damage to the human body, I actively supervise the interventional staff to send a new dose monitor, to participate in the physical examination of the radiological personnel, all the personnel engaged in the intervention of the Health Supervision Institute to participate in the "radiological knowledge training courses", to obtain the certificate of the radiological personnel, to improve the awareness of protection, strengthen the self-protection, and to enhance the safety of the staff. The company's goal is to increase awareness of the need for protection, strengthen self-protection, and standardize the scope of practice to ensure the sustainable development of the hospital's interventional business.
In this year, we have always not forgotten the "all patient-centered" purpose, with their love, enthusiasm, sincerity to meet the needs of each surgical patients, and strive to create a "social satisfaction, patient satisfaction, satisfaction," the The work style of saving lives and helping the sick and injured is carried through the whole process of nursing work. Reception of every surgical patient, do a good job, care for every patient, when the patient into the operating room, nurses in the operating room door warmly welcome, do a good job of all kinds of appeasement work, strengthen communication with patients, reduce the patient's fear of unfamiliar environments, and enhance the confidence in surgical treatment. Interventional medical, nursing and technical staff work proactively, unity, harmony, due diligence, hard work, increase the publicity of interventional knowledge, active treatment of interventional patients, enthusiastic treatment of review patients. We comply with the time of the experts to work overtime, on call, rescue a number of critically ill patients, successfully cooperate with experts to complete the difficult surgery, and received their unanimous praise.
I actively participate in the hospital infection prevention and control training, organizing the department staff to learn hospital infection knowledge, regular monthly air, hand and object table culture. Due to the layout of the interventional operating room is not reasonable, the shoe closure shutdown management is more difficult. This year in my active communication with the director of the department will be moved out of the office area of the operating room, to reduce the phenomenon of in and out of the personnel and patients accidentally break into the phenomenon occurs, the operating room is in a state of constant closure, to get a more desirable management effect. We strictly disinfection, sterilization, isolation measures implementation, management and monitoring, strict management of disposable medical supplies, the annual surgical incision infection rate of zero. In addition, we strictly implemented the checking system and nursing operation procedures, and there was not a single case of error or accident. I carried out the standardized management of charges in accordance with the requirements of the hospital. Standardized management of departmental finances and goods, fixed the number of weekly collaterals, regular checks.
I assisted the director of the department to do a good job in the management of the department, seriously implement the hospital's thirteen core systems and surgical grading management system, with the hospital's inspection of the clinical department supervision, the inspection team put forward the proposal immediately rectification, in order to promote the healthy development of the department. The hospital comprehensively launched the creation of three-level hospital activities, which is a major event related to the interests of every employee, our department closely around the deployment of the activities have begun the self-examination of medical records, standardization and supplementation of relevant information, the compilation of clinical pathways and diagnostic and therapeutic routines, summarize the key points of medical record writing and other work. With the implementation of peripheral intervention access system in the country, we are also actively working in accordance with the norms of the requirements of the preparatory work to meet the review.
We will continue to summarize our experience, study hard, and make unremitting efforts to reach a new level for the overall level of the hospital!
Intervention out of the Department of self-summary Part 2
20xx emergency department in the hospital department of the correct leadership and specific guidance, establish and implement the "people-oriented" concept of scientific development, to further deepen the "patient-centered, improve the quality of medical services", adhere to the pursuit of social benefits, maintain the masses of people, and improve the quality of medical services, to improve the quality of medical services, to improve the quality of medical services. Adhere to the pursuit of social benefits, safeguard the interests of the masses, and build a harmonious doctor-patient relationship in the first place. Innovation, hard work, pay close attention to the implementation of the close cooperation of the brother departments and emergency department of all staff *** with the efforts of the Department of social and economic benefits of the steady rise, has achieved a variety of praise.
A basic overview of the Department:
The Department of medical personnel **** 22 people: 2 physicians, 2 assistants, 3 people without titles; 1 nurse, 10 nurses, 4 people without titles; "120" driver 2 people; cleaner 2 people: recruitment 1 person, temporary workers 1 person. 1 person, temporary workers 1 person. This year, 1 person obtained a licensed physician, 1 nurse; 1 person obtained a nurse practitioner's license. The second floor of the second ward *** have 28 beds, the first floor of the Emergency Department *** with 4 rescue beds, 6 beds, now I have a trauma room, trauma suturing, dressing, removal of wires, small lump excision can be carried out in my department, reduce the pressure on the surgical ward, to ensure the basic needs of emergency patients, convenient for the public to visit.
Two, the main work carried out:
(a) business work carried out:
1, now my daily duty physician divided into day shift and night shift, the implementation of 24-hour duty, the main shift is mainly responsible for daytime inpatient consultations, the night shift is mainly responsible for the night of the emergency patients, to ensure that at any time there is a physician to see the patient. The deputy shift physician is mainly responsible for the "120" outpatient, but also responsible for trauma suturing (the deputy shift is not in, the main shift is responsible for)
2, the nurse day shift at least 4, the night shift has 2, to ensure that the observation of infusion patients, so that the patient can get the infusion in a timely manner, the nurses require a light make-up on the duty, clean clothing, the "seven voices, six hearts", the "six hearts", the "seven voices, six hearts". "Seven voices, six hearts" service, 24 hours a day, there are nurses on duty, to remove the previous night to see a doctor, shouting everywhere, the phenomenon of doctors and nurses.
3, the relocation of the emergency building, every day there are fixed physicians, nurses and drivers responsible for clinic, two ambulances 24 hours a day in the hospital standby to ensure that the ambulance phone rings three someone to answer the phone at any time out of the clinic. Eliminate the phenomenon of not being able to find a driver or waiting too long when a patient seeks help in the past. Since May this year, to strengthen the management of ambulance vehicles, ambulances are now required to park in the hospital, the driver checks the condition of the vehicle every day, cleaning inside and outside the car hygiene, so that the ambulance is in a state of good standby. Re-establish the "120" emergency new image, changed the people's view of "120", social benefits continue to improve.
Comprehensive the above factors, in all medical staff *** with the efforts of the Emergency Department has been recognized by the community, the increase in the number of patients day by day, so that the Department of the year *** receive inpatient hospitalization of 856, 806 discharged; 1264 emergency, gastric lavage of 20 cases, the rescue of extremely critical patients 51 times, "120" out of the hospital ***, "120" out of the hospital, "120" out of the hospital, "120" out of the hospital, "120" out of the hospital, "120" out of the hospital, "120" out of the hospital, "120" out of the hospital. " outpatient *** 242 times. The economic and social benefits of our department are steadily increasing.
(2) developed a variety of systems and wall, as follows:
1, the first consultation responsibility system, the duties of physicians at all levels, infectious disease reporting system, medical safety system, rescue room system, gastric lavage room system, clearing room system, etc.;
2, improve the resuscitation procedure chart of several acute and critical diseases: such as upper gastrointestinal hemorrhage, left heart failure, shock, cardiac arrhythmia, Organophosphorus poisoning, etc.;
3, the development of emergency and critical illness in-hospital rescue green channel system and rescue flow chart;
4, the development of the "120" pre-hospital hospital rescue flow chart and system of emergency and critical illnesses;
5, the production of the Department of Emergency Department of the health education bulletin boards and the Department of Emergency Department of basic information and medical staff profile;
5, the production of the emergency department of health education bulletin boards and emergency department of the basic information and medical staff profile. Situation and medical staff profile;
(C) grasp the ideological and political education, to create a good medical safety atmosphere;
The Department of personnel in the theoretical study of the Eighth Plenary Session of the Party Committee of the Autonomous Region and the Kexu Ninth Congress report and write a reading notes and experience, a deep understanding of Secretary Zeng Cun's speech: "Carrying forward the spirit of Kexu, Kexu efficiency to achieve leapfrog development and long lasting peace and security efforts". Development and Long-Term Peace", and study various medical laws and regulations (e.g. Practicing Physicians Law, Nurses Law, Infectious Diseases Law, Blood Transfusion Law, etc.). At the same time, the members of the whole department to participate in various cultural and sports activities organized by the hospital and voluntary blood donation activities, so that the whole department to establish a correct world view, outlook on life, values, and constantly improve the ideological and moral cultivation, can consciously abide by the hospital hospitals and hospitals and all kinds of laws, regulations and various rules and regulations, in the diagnostic and treatment process in accordance with the rules of medical practice, to avoid the occurrence of medical disputes.
(D) to strengthen the business technology training, improve the ability to rescue.
Emergency department is the diagnosis and treatment and rescue patients place, so only have a good service attitude is not enough, more important ` is to have skilled rescue technology and emergency response ability, emergency patients to quickly and accurately diagnosis and treatment, as soon as possible to alleviate the patient's pain, which requires each medical staff to study the business seriously, proficient in a variety of rescue equipment and rescue technology, so the department organization Therefore, the department organizes regular business study and strengthens the training of various first-aid techniques, forms a good learning atmosphere in the department, exchanges with each other, and understands the advanced first-aid techniques in a timely manner, so as to improve the first-aid ability.
(E) to strengthen the management, do a good job in the prevention and control of infectious diseases and emergencies.
In recent years, new infectious diseases occur from time to time, the old infectious diseases have resurgence, strengthen the prevention and control of infectious diseases, is every medical worker should pay attention to, the emergency department is the first to bear the brunt, so to strengthen the prevention and control of infectious diseases knowledge of the training, careful diagnosis and treatment of each patient, especially the fever patients, in order to achieve the timely detection, timely reporting, timely isolation, timely treatment, and detailed records. Detailed records. Therefore, the department has studied the Law on Prevention and Control of Infectious Diseases many times. In addition, according to the higher health administrative departments and the county party committee, the county government's unified department and requirements, for a variety of vaccine adverse reactions and do a detailed registration and related treatment work.
(F) improve service attitude, improve service quality, enhance social benefits:
I set up the Department of health care personnel "patient-centered" thinking, whether the patient's satisfaction as a guideline for medical services, and effectively do a good job of "service" this big article. Always take the patient's wishes as the first signal, the patient's satisfaction as the first pursuit, the patient's interests as the first goal, always think of the patient's thoughts, anxious patients anxious, and constantly strengthen the sense of service, full respect for the patient's convenience of service, humanized communication and other aspects of the requirements to carry out the " affectionate ", "Humanization" service, to achieve "six hearts, seven voices" smile service. Before giving infusion to patients, nurses first give patients and their families health education, introduce the hospital environment (such as toilets, safe passage, the location of drinking fountains, etc.), and press the bell if there is anything in the infusion process. After the improvement of the environment and the change of service concept, patients are more satisfied with the services of the emergency department, now our department every day to the hospitalization of patients continue to increase, indicating that our services have been recognized by the people of the county, so that the social benefits of the emergency department continue to improve.
Third, there are shortcomings and corrective measures:
1, wards and rescue room, observation room environmental health is not clean and tidy, especially in the patient infusion finished pulling out the needle after leaving, bedding and ground waste is not timely cleaned up and organized, appears to be very messy room, urge the responsible nurses and cleaners every day to less than 3 to 4 times a day to patrol the wards, to ensure that the ward is always in a clean and tidy state, and to ensure that the patient is always in a clean and tidy state. Ensure that the ward is always in a clean and tidy state;
2, sometimes the physician's prescription writing is not standardized and shift book omission;
3, resuscitation room is not fully utilized;
4, the emergency room nurses are too young, emergency first aid experience is not enough, it is difficult to complete the emergency ambulance task, the quality of individual nurses is not high, the concept of asepsis is not strong.
5, due to fewer nursing staff, basic care is not in place, such as first-degree care patients failed to get first-degree nurses, only secondary to the daily work.
6, ward management is not yet satisfactory.
A year of nursing work due to the dean's attention, support and help, internal strong management, external image, in the quality of care, professional ethics construction has made certain achievements, but there are certain shortcomings, to be further improved.