Self-appraisal essay on the supply room
The supply room is the first section I came to your hospital for internship, which is not as busy as the wards and does not deal with patients, but is the sterilization center of the whole hospital. At first, I thought that the supply room can not learn to inject, dispensing, suction and other operations, learning is aseptic operation, how to disinfect and sterilize, understand the principle of mechanical disinfection and sterilization, internship three weeks so long, what can I learn, will not feel nothing to do?
With questions in mind, on the first day I reported to the supply room with light makeup, and it was the head nurse, Ms. Liu, who greeted the two interns, Dan Ying and me. The head nurse, while busy, introduced us to the general environment of the supply room and corrected my misconception that supply room work is almost aseptic. Nurse Liu's answers helped me understand that sterile items in the supply room are sterilized, then packaged, and then sterilized for storage. Before sterilization, the items that have been sterilized, we can not wear gloves at all, hand washing and drying, hand hygiene and disinfection, and then packaging, after sterilization, with the packaging of the items, we likewise do not need to wear gloves to load down the delivery. Later, the head nurse told us, "As our scheduling is the same as Mr. Zhang's, these two days the teacher rests, you also rest, the day after tomorrow at eight o'clock officially work."
After the three-week internship, I got to know everyone in the supply room, and I'm so thankful for all the guidance you gave me, especially Mr. Zinzin who taught me so patiently and made me realize how important the work in the supply room is, and that I can learn a lot if I pay attention. First of all, during the pre-service training, Ms. Liu, the head nurse, explained to us the functional role and tasks of the supply room. On the first day of work in the supply room, Ms. Zhang first told us, "The supply room is divided into a working area, a living area, and an auxiliary area; the working area includes a decontamination area, an inspection and packaging area, and a sterile goods storage area; the auxiliary area is the duty room; and the living area is the ? You get these three areas clear, the workflow is clear." Liu nurse
long lecture also told us: four separate - work room and living room separate, contaminated items and clean items separate, dressing check packing and instrument check packing separate, unsterilized items and sterilized items separate. Process layout from dirty to clean: four areas strictly delineate three barriers - between the decontamination area and the packaging sterilization area - double-case automatic sterilizer, transfer window, between the packaging sterilization area and the sterile goods storage area - double-case pulsation vacuum sterilizer, inter-area transfer of goods set items transfer window (double interlocking doors), the personnel to enter the entrance and exit of each area to set up buffer rooms. Four points - the flow of people from clean to dirty (changing clothes, shoes, buffer room), logistics from dirty to clean, clean and dirty diversion, air flow - clean air, from clean to dirty.
Then, Mr. Zhang in his spare time, gave us an introduction to the supply room workflow use - recycling, classification, cleaning, packaging, sterilization, storage, distribution of such a cycle. 1, decontamination of the room has a dirt sorting table, immersion pool, manual cleaning pool, various types of enzyme detergent, four troughs of CNC ultrasonic cleaning tank (including enzyme washing, rinsing, rinsing, boiling on the oil), drying cabinets, sealing recycling trucks, automatic < /p>
Spraying shower, washing tanks, washing tanks, washing tanks and other equipment, and the use of the supply room. /p>
Spray cleaning and disinfection machine, high-pressure water gun, air gun, water treatment equipment. Instrument cleaning and disinfection standardized process: scrubbing - preliminary rinsing - rinsing - four-slot CNC ultrasonic cleaning. Function: Responsible for the recovery, classification, cleaning, disinfection and drying of contaminated reusable medical devices and supplies in the whole hospital.2. Checking and packing sterilization area is set up in the instrument packing room, dressing packing room and low-temperature sterilizing room, and there are instrument packing table (with light source and magnifying glass), dressing packing table, 3M Ethylene Oxide Sterilizing Cabinet, 3M290, 290G Rapid Bio-monitoring Readers, pulsating vacuum sterilizer, 2 sets, electric steam generator, 2 sets, and 2 sets of sterilizer. 2 sets, 2 sets of electric steam generator. Functions: instrument cleaning quality check, instrument function check, instrument combination packaging, dressing check and packaging, according to the temperature and other characteristics of the items can withstand, choose a different sterilization method. 3, sterile goods storage area functions: storage - for the storage of sterile goods and no external packaging of disposable sterile goods. Issue - issue all kinds of sterile goods according to the needs of the department
. Our storage room holds the usual items that are purchased in advance.
However, in addition to mastering the workflow, I would like to say a few words about my experience during my three weeks of internship. I think I have mastered a lot of the work of the supply room, under the careful teaching of Mr. Zhang, I also learned how to recover and clean all kinds of instruments; I learned to sort and fold the package cloth, packaged dressing change kit, sputum kit, unthreading kit, suture kit, towel, holding cylinder, nebulizer bottle, nebulizer telescopic tubes, nebulizer device, for the pneumonectomy kit, craniotomy kit, the U.S. head frame, the gas lead kit and other surgical instrument packages. Packaging also have some familiarity; learned how to send down the items; understood the principle and effect monitoring of autoclave sterilization and ethylene oxide low-temperature sterilization, familiar with the correct way to hold the fibrilloscope, mastered the seven-step hand washing, various types of chemical and biological indicator cards, the use of disinfectants, the method of classification and storage of sterile items, and the method of ultrasonic cleaning. Although in the process of learning and knowing these jobs, I often made mistakes, pressing the elevator with a gloved hand, forgetting to wear a mask when entering the dirt room, forgetting to take off my gown when entering the cleaning area, omitting to put the treatment bowl in the package or wrapping it not tightly enough, putting the autoclave indication card in the low-temperature sterilized items by mistake, and putting the outdoor shoes in the indoor shoe storage cabinet? But each time the teacher found, and then promptly told me to correct, did not cause adverse consequences. Self-summary is as follows: I'm on time to and from work these three weeks, the work is serious is not careful, learning slower, but at least when I can't do the operation, I will be impatient to practice until I learn it, forget the knowledge, I will also record, after work to organize the notes, and re-revision of the book to check for gaps.
In addition, as a health care worker in the hospital how to find ways to do for the sake of the patient, I have experienced from the teacher's words and deeds. I remember, once in the waiting elevator recovery or down to send, the teacher noticed that next to a family member holding the patient's hands and feet in the tremor
, the teacher went up and said, "Hello! Do you want to find a chair for the patient, let her sit", the family replied, "No, the elevator is almost there", the elevator arrived, the teacher first helped help the patient into the elevator, because of the overweight, but also called the inside of the people who can go first to let a seat out of the next trip, we can only wait. Standing in the elevator with a couple inside, the male to consciously come out to make room for the female said loudly, "out why, come in" this behavior compared to the instant feeling that the teacher is particularly careful and thoughtful, for the sake of the patient. This is our duty as a healthcare worker. Sometimes and the head nurse to work together, I also noticed that the head nurse to do things is also particularly careful and patient, I do not understand, she will be very detailed explanation to me; found that we put shoes, forget to close the door of the cleaning area will be criticized to remind.
In addition to the work of the learned, I also feel that we care about us, the supply room everyone more seriously to complete the work, will help each other not complete the work of colleagues, get along harmoniously, unity and love. The head nurse, Ms. Liu, Ms. Jinjin, Ms. Chen Jing, Ms. Shuzhen, Auntie Hu Yan, Auntie Bo Rong, Auntie Pei Rong, Big Brother Runlong, Big Brother Geng Hong, Big Brother Huang Jing, Big Brother Fojun, Big Brother Yantao treated us very gently.
Finally, I have some suggestions for the supply room: 1, the supply room's work system is not rigorous, we need to strengthen the quality of the daily work to check, such as whether the aunt on duty that day has completed the workload according to the requirements of the packages of dressings, clothes, make a good record, so as to avoid adding workload to the next day's on-duty . Auntie to increase the workload; the day's items sterilized to meet the needs of the departments; the day's work to complete the efficiency of how? 2, to the interns to introduce the name of the packaged surgical instruments, because during the internship period, the teacher seldom take the initiative to introduce us to the name of the instruments. 3, strictly do a good job of self-protection, to enter the remittance room, be sure to wear a good mask, hat, mask, wear isolation gowns, sorting the process of scrubbing must pay attention to do not be I saw some staff did not press the
requirements for good protection.
The above is my experience in the supply room internship, in a relaxed and pleasant working environment, mastered the function of the supply room and the task, know how to implement as a health care personnel in the words and deeds of the ten initiatives to find ways to think about the patient. As Liu nurse said, "When you do each small link with all your heart, you will experience in the disinfection supply room position, your hands of a variety of instruments is a heavy responsibility, in front of you is the broad world of professional development, the value of life is in your hands!" Therefore, small things are as big things to do, make concerted efforts to protect the safety of medical equipment, to provide high-quality, efficient, low-consumption services for the clinical, service initiative, enthusiasm, timely, thoughtful, which is the value of the work of the supply room!
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