In the eyes of many people, it is thought that it is very simple to do the work of a nurse, playing injections, giving out medicines, anyone can go to do. But through several years of professional learning and hard work, I found that it is not easy to be a nurse, especially to be a qualified nurse.
As a nurse, not only do we need to have strong verbal communication and writing skills, but also solid theoretical knowledge and proficient professional nursing skills, and of course the most important thing is to have a sense of responsibility and dedication to work. British nurse Florence Nightingale advocated with: love, patience, care and responsibility of the spirit of the four hearts to treat every patient. She "burns himself, illuminates others". Advocating the noble humanitarian spirit will always guide me forward on the road from the medical!
Through several years of hard work, I think a qualified nurse to do the following aspects:
1, with good medical ethics.
As a nurse to have in the absence of supervision, but still can adhere to the beliefs of medical ethics, consciously fulfill the nursing principles and norms, and make every effort to save the patient. To be conscientious and responsible attitude, strict and orderly nursing operation. If the work of the improper, it should be reported to the doctor in a timely manner to find a remedy, otherwise it may cause a big trouble, pragmatic and courageous to take responsibility, in the work of the embodiment of saving lives, wholeheartedly for the people's service of the spirit of the noble professional ethics.
2, strengthen the team consciousness.
With the medical staff in the department to make good unity, screw together, set up "all for the sake of the patient" *** with the concept of obeying the hospital leadership arrangements, actively support the director, the head nurse's work, and conscientiously complete the nursing work.
3, skillful nursing operation skills.
Nursing operation technology is the basic skills that nurses must have, as a nurse must be skillful in the nursing operation, so that can not only reduce the patient's pain, but also promote the patient to recover as soon as possible.
4, strengthen the basic and business knowledge.
Strengthen the learning of basic nursing knowledge, it is the foundation of nursing, with solid basic theoretical knowledge, skills, in order to improve the ability to deal with problems independently. Medical knowledge is updated very quickly, nurses should study hard and constantly enrich themselves.
5, good service attitude and communication skills.
Nurses, in addition to doing treatment, should regularly go into the wards and patients to communicate, in order to obtain more information about the patient's condition, to understand the patient's needs, to solve the problems in the process of treatment in a timely manner, to explain to the family and the patient the cause of the disease, the principles of treatment, precautions and to carry out the diet, life guidance, health education and guidance. The patient should have a high degree of sympathy, more considerate and loving, speak gently, live more caring to help the patient, only then can make the patient actively cooperate with the treatment, to receive a good therapeutic effect.
In short, to become a qualified nurse, we must start from the above aspects seriously. In the actual work, I also strive to the above aspects of the serious start, strict requirements for their own, at the end of 20xx, SARS epidemic in our country in a large area of the serious occasion, I am duty-bound to take up the responsibility of a nurse, obedience to the leadership of the arrangements, and actively involved in the prevention of SARS work for more than 40 days. Also, at the end of 20xx, I was sent to the provincial people's hospital to participate in a one-week nurse training, I treasure this rare opportunity to learn, in the training, I am modest to ask for advice, study seriously, learned a lot of new knowledge and theory, this training has benefited me a lot, to help me a lot of my work in the future, I would like to thank Mr. Yang, director of the department and Ms. Han's trust and cultivation of me. In the daily management, as a group leader of my department, I always keep in mind my responsibility and mission, strictly demand myself, take the lead, and lead my group to seriously and successfully complete the tasks assigned by the head nurse. Of course, in the long run, I always keep in mind the "love and dedication, pragmatic dedication" of our hospital motto, to meticulous, diligent spirit, for the advancement of the work of the hospital to dedicate their own modest contribution.
How to do qualified nurses speech 2
Today I want to discuss with you *** with how to do a good job as a qualified nurse? This is indeed worthy of all our nursing staff *** with deep thought, here, I would also like to ask the doctor to think about a problem, you want a what kind of nurse to work with you? In most people's eyes and even doctors' eyes, it is thought that it is very simple to be a nurse, anyone can do it, it depends on what standard to measure? Secondary school graduates can do nurses, college graduates also do nurses, undergraduate graduates are still doing nurses, but only do nurses know, do a nurse is not we want to so easy, if we want to do a good patient trust nurses that will be even more difficult, some people do their whole life, and finally did not do a good job. Nurses have to contact all kinds of different people, nurses have to know dozens of different operations, nurses have to have solid basic theoretical knowledge, but also have skillful operating techniques, strong communication skills, writing skills, but also with the doctor's ability to resuscitate critically ill patients, they need to master the application of high-tech medical instruments, but also have skilled specialized operating skills. Puncture is one of the basic operations necessary for nurses, and it is the most common, the simplest and the most frequently used one. But just such an operation still contains a lot of knowledge. People say: nurses are the guardian of human health, is the messenger sent by God to save lives and relieve pain, but also a concentrated manifestation of human love and dedication, how can we do a good job of this messenger, to continue to carry forward the spirit of Florence Nightingale? I think: we should work from the following aspects.
First of all, the spirit of love and dedication:
Many of you may have read the book "A Letter to Garcia", the main content of the book is to talk about: the U.S.-Spanish War years (1898, the United States and Spain between the war for the colonies), the U.S. President McKinley urgently need to immediately with the Spanish Resistance Chiefs Garcia, and at that time, the exact location of General Garcia was not known, thus making it impossible to send a letter to him. Under these circumstances, a lieutenant named Andrew, Rowan, was recommended to the President, whereupon they fetched Rowan and handed him a letter-a letter addressed to Garcia-about how the man named Rowan had taken the letter, put it into a grease-paper bag, sealed it, and slung it across his chest to hide it, and how, after three weeks, he had traveled on foot through A crisis-ridden country, handed the letter to Garcia, these are not detailed here, I want to focus on the following: when the U.S. President of this letter to Garcia to Rowan, Rowan took the letter, and did not ask; "Where is he"? We are not only learning from books, but we need to learn this spirit of dedication to the entrustment of our superiors to take immediate action and complete the task wholeheartedly. However, in our work, but often hear: I'm too busy, that's not my patients, this thing I can not do and so on and so on. Only with this kind of love and dedication to the spirit, only to become a qualified health care laid the foundation.
Secondly, compassion, responsibility, love:
We only have these three hearts, will consciously and voluntarily, and do our best to relieve the pain of the patient, such as washing the patient's hair, nail clippings, scrub baths, massages, etc., and only have these three hearts, only in the critical moment of the patient's rescue not afraid of dirty, not afraid of fatigue, for the patient's mouth-to-mouth breathing, with the mouth for the choking, the patient's mouth to mouth breathing, with the mouth for the patient's mouth to mouth breathing, with the mouth for the choking. The only way to save the patient in the critical situation is to be not afraid of dirty, not afraid of tired, for the patient mouth to mouth breathing, mouth for the asphyxiated newborn suck amniotic fluid. I remember my director has told us about a thing that happened in their hospital: there is a 12-year-old boy, because of acute appendicitis surgery, the operation was very successful, in sending the child out of the operating room, the child's fluids are finished, the nurse took a bottle of saline for the child to change on the treatment table, and then send the patient out of the operating room back to the ward, when the patient was sent to the elevator entrance, the nurse found that the patient's face is not right, did not pay attention to it, holding the patient in his arms, and the patient's face is not good, and the patient's face is not good. When the child to the elevator, the nurse found that the child's face is not attention, holding a cunning mentality to continue to send the child back to the ward, when the child arrived at the ward, out of the elevator, the child's face is pale, breathing weak, then the nurses and family members of the child are panicked, and immediately sent to the ward emergency resuscitation, the child came back to life, but has become a vegetable. Do you know why? Because the bottle of liquid replaced by the nurse was the anesthesiologist's used muscle relaxant, and the bottle label indicated the three words muscle relaxant, only the word is relatively small, and our nurses in the absence of careful checking . . replaced it without double checking. Because of our negligence, we lost a life. This was a painful lesson, and the hospital designated this day as a "day of shame" for the hospital. Imagine, if the nurses paid attention to check when changing medication, or in the elevator when the child's face was found to be wrong and attracted a high degree of attention, and found that the immediate resuscitation, the result will not be the same? It can be seen in our work "three check eight is how important, it is our nursing work of the talisman".
Our work will often appear on the patient's bottle no name, drug name phenomenon, and even from the operating room out of the surgical patient's bottle did not indicate the name. This is all a security risk, if the patient has any accident, the patient will first suspect that we needle wrong, do you think so? I hope you can start today, work strictly "three checks and eight pairs" attention to detail, prevention is better than cure. Because the details are the key to determine the success or failure of things. Another example: I not long ago in the "Long Xiang Xin" magazine to see a piece of humor, "must be above" a farmer, the first time into the city to see a doctor. Go early, hung up a number one. The nurse shouted: the youngest! Missy! The youngest number! Farmers do not know is called him, did not agree, the nurse saw no one agreed to collect the second went in. This farmer waited for a long time and a half days to see no call him, it is anxious, go to the nurse. The nurse said, "What number are you?" The farmer said, "I'm number one! Why didn't you say yes when I called you? When did you call me? The youngest is number one. The youngest is one, one is the youngest, the farmer understood, went in to see a doctor. The doctor asked, where are you uncomfortable? The farmer replied: I have a pain. The doctor did not understand, "a pain"? Farmer said, is a back pain. The doctor said, "I have a backache." The farmer said, "It's just a backache. The farmer said: your nurse said, one is waist, waist is one. The doctor pursed his lips and gave him a strip, said: go, test stool, test urine. After ten minutes, the farmer came back with shit hanging from the corner of his mouth. Doctor, urine barely swallowed, stool really can not swallow. The doctor laughed and cried, and explained to the farmer that it was the test, not the swallowing. The farmer understood and went out with the bottle of urine. Just finished swallowing the urine, this time it was hard to squeeze out a small half bottle. Just out the door, accidentally bumped into a pregnant woman, urine spilled, the farmer was anxious, said: what to do? The pregnant woman said: don't panic, I have here! Go to the toilet since the urine of a bottle to the farmer, the farmer to take to the laboratory, finished with the laboratory bill to find a doctor, the doctor is a big man, looked at the laboratory bill to the farmer said: all right, you're pregnant. The farmer heard, took the test and went home. After arriving home, to his wife slapped two slaps, said angrily: I said I'm on top, you have to be on top, see, get me pregnant is not? This humor we heard may not think, perhaps pursed lips a smile, but we think about it, it is not exactly reflecting our work today's health care workers in the sense of responsibility and care? It's not an irony for our healthcare professionals.
Third, keen observation and the ability to think independently:
We nurses are through careful observation from the patient to obtain information directly. From the patient's vital signs, skin color, limb temperature, dry or wet lips to obtain information, experienced nurses from the patient's facial expression, demeanor, crying, sighing, groaning, coughing can foresee the patient's pain and needs, to foresee the problems that may occur. With this information, we must not only help doctors diagnose the condition, but also have the ability to think independently about the problem. In the past, nurses simply carried out medical orders, nailed needles and delivered medicines. Modern foreign nursing experts believe that the independent function of modern nursing accounts for 70%, while the dependent function is only about 30%. Generally speaking, the object of nursing work is different patients, each patient's disease will not be exactly the same, the disease is always in dynamic change, some gradually get better, some deteriorate. Although the medical advice should be firmly implemented, but the understanding is always behind the existence, this is often an objective fact, if we take the doctor's medical advice as the golden rule, like a robot to implement the medical advice, the lack of their own independent thinking, but also in the blind implementation of the same will be in the errors and accidents, so we also have to be for the doctor to keep watch for the health care safety to plug the loopholes. Judas in the absence of doctors, nurses should be based on changes in the condition, independent analysis, in the shortest possible time to make accurate nursing diagnosis. Such as static drip penicillin process, the patient appeared irritable, skin skin itching, wet and cold limbs, breathing difficulties and other symptoms, the nurse first thought of penicillin allergy. Immediately ready to rescue, take effective measures to rescue the patient to win valuable time. Another example: the emergency room pushed a coma patient, in the first time the doctor did not come, we should open the intravenous channel for the patient, oxygen, blood sampling and monitoring vital signs and a series of work. The patient's condition is well understood, calm and collected, and the patient's body is busy, but not chaotic.
Fourth, the attitude and habit of doing things:
As the saying goes: attitude determines everything, this is very reasonable. This is a small story, once upon a time there are two Xiu Cai, together with the Beijing to catch the examination, on the way, they came across a funeral, a large coffin presented in front of their eyes. Xiu Cai A thought: Today is really a living hell, how could they encounter such bad luck on the road? This is a bad omen, the mood is very depressed, and sure enough, Xiu Cai A in the examination room in the literature dried up, the name fell. Xiu Cai B was also thinking: today I met a coffin on the way to catch the examination, isn't it a hint that I am going to be both promoted and rich? What a good omen. As a result, he was able to write as well as he did in the examination room, and he was awarded with the gold medal. Visible, the same thing, if we treat it with a different mentality, the results will be very different. In our work, laziness, indifference, sloppy work attitude of a large number of people, one does not go well, the boss will be scolded to the skin, but we can appreciate the boss's sweet and sour? Boss is not born is the boss, they are also in the work of hard work, struggle, they provide us with an opportunity to employment, a platform to display their talents, should we not have a grateful heart? Maybe we think that I do not play this family to play that family, the East does not shine, the West is bright! Imagine, if the world without these bosses, what will we be doing? If we do not think of themselves as wage earners, but the boss of the partner, the boss out of money, we out of technology, mutual cooperation, each get what they need, that our work mood and how it will be? When we here have become the boss, then our thinking is not the same again? I remember my teacher once told me: sow thoughts, reap behavior; sow behavior, reap habits; sow habits, reap character; sow character, reap destiny. Why do some people always think that other people's destiny is good and their own destiny is not as good as they would like it to be? Have you ever considered that fate is determined by your own character? Because the mind is a garden, sowing flowers will be full of fragrance, flowers bloom; and sowing weeds will be everywhere obscure, weeds reborn.
Fifth, skillful technology:
Nurses should not only have a solid theoretical foundation, but also skillful technology, so as to meet the different needs of patients. Nursing work should be steady, accurate, light and fast. Such as giving the patient a bottle, some a needle, some a few needles, some very painful, some will always have some failure. To make the injection successful and to make the patient satisfied, we should: pay attention to the patient's wholeness when puncturing the patient, use artistic methods, seize the patient's psychology, understand their needs, and make the patient happily cooperate with this operation. For example, when giving injections to children, parents will always be very nervous, and from time to time to remind: doctor, you look at the ah, only one needle ah. At this time, we have to kindly remind the parents: it does not matter if you are nervous, do not give us additional ideological pressure, so that we are also nervous, so that a needle can not be stuck on the child will suffer. In this way, parents will generally be quiet and cooperate with our work. When choosing the blood vessels for the patient, we should not only consider the convenience of the patient, but also avoid the end of the nerve more places, but also in the easy to fix the site. When entering the needle, if the tissue is flaccid, the blood vessel will roll easily, and if it is not firmly lodged, the bag will rise after a while. If the skin is thick, the patient is in great pain when the needle is lodged. If the blood vessels are brittle, there will be rupture of the blood vessels during the lancing process. Even if the puncture is successful but not properly secured with a dressing, there is still a danger of slipping. Although the patient's injection, but forget to give the patient a careful explanation, in the patient out of bed or go to the toilet when there is still get off, is the patient lying still, in hanging the bottle, we still have to go to see if there is a leakage of the phenomenon of the needle, especially to play the stimulating drugs, a little inattention to the drug leakage to the outside of the blood vessels will have the risk of tissue necrosis. There are patients who are particularly picky, the hand of the blood vessels do not hit, have to hit the foot, the child's head of the blood vessels are not allowed to hit, non-demanding to hit the hand; yesterday's needle in the place is not allowed to re-zip, but to change the blood vessels in a place that can not see clearly. And so on. Only when we have skillful techniques can we meet the needs of different patients.
Sixth, good interpersonal relations:
Some people believe that the most important factor in the success of the nurse's career is the nurse's ability to get along with the people around him. This statement is not unreasonable. For the nurse, he is in the whole medical work in the center of human interaction, plays a pivotal special role. Because nurses have the most contact time with patients, nurses also have more contact with patients' families than doctors, and nurses and doctors must work closely together. These complex and multi-faceted connections show the importance of nurses' interpersonal relationships. Good interpersonal relationships between nurses and patients are conducive to the physical and mental health of the patient and contribute to the smooth implementation of the medical care plan; a good relationship between nurses and patients' families provides a deeper understanding of the patient's situation and allows the family to play a positive role. Hospitals and families combine to create favorable conditions for patients to recover health as soon as possible. Nurses and doctors have a good relationship, will be in the process of medical care with the tacit understanding, comfortable.
Nurses not only have to do this well, but they also have to go in a very short time to answer different questions from different patients, especially if there are some very sharp questions. Sometimes the price of medicine is too expensive, sometimes they do not have the money, sometimes the condition does not get better and so on a series of problems, they do not give the doctor to say, but a head of dissatisfaction to the nurse, the face of these nurses are only like the sister-in-law to deal with all this. Sometimes busy busy patients have no money still have to go to call the arrears, reasonable patients okay, not reasonable patients you call the money when he will be unhappy, but what can we nurses? We are in contact with all kinds of people every day, patients ask the same question, some can be answered in one sentence, some ten sentences may not be able to explain clearly. So we also have to master the skills of communication, listening: the basis of communication, the source of understanding, there are many people are not willing to be a good listener, because people are self-centered, premature judgment. Respect: for example, address, to the highest position to address.
Seventh, no excuses at work:
"No excuses" is the most important code of conduct practiced at the United States Military Academy at West Point, and it is the first idea that West Point teaches to every cadet. It reinforces that every cadet wants to do everything possible to accomplish any task, rather than looking for excuses for not completing the task, even if it seems reasonable, there are no excuses in the work, there are no excuses for failure, and there are no excuses in life. We only find reasons for success, not for failure to find excuses. "No excuses" may seem absolute and unfair, but life is not always fair. Unfortunately, in life and work, we often hear excuses of one kind or another. Excuses whisper in our ears, telling us the reasons why we can't do something or do something well, they seem to be the "voice of reason", "reasonable explanations", crown and grandeur. Late for work, there will be "traffic jam", "the watch stopped", "too many things at home today" and other excuses; business development is not open, no performance, there will be "The system does not work", "policy is not good" or "I have tried my best" and so on; things do not do a good job there are excuses, the task is not completed there are excuses. As long as you have the heart to find, excuses are everywhere. Do not do a bad thing, can not complete a task, there are thousands of excuses there to respond to you, solidarity with you, support you, complaining, shirking, anger, cynicism has become the best relief. Excuses is a perfunctory others, forgive yourself for the "shield", is a cover up weaknesses, shirk responsibility "omnipotent". In medical work, excuses are the hotbed of risk, because we are facing a life, and life is only once for everyone. Let's change our attitude towards excuses, and use our time and energy to improve our work!
Finally:
Tell you what I have in mind for qualified nurses: people who give their all and send letters to Garcia.
How to be a qualified nurse speech 3Dear leaders, friends:
Good afternoon!
Nurse, is a familiar profession. When you hear the word nurse, the first thing that comes to mind is the white angel. It is true, as Nightingale, the originator of nursing, said, "Nurses are in fact angels without wings, the embodiment of truth, goodness and beauty." If we want to be worthy and deserving of this title, then we have to do some hard work and always be ready to become a qualified nurse.
To become a qualified nurse is not a simple task. You need to have quite a lot of skills, qualities, and conditions.
Nurses do the work, the most common is a variety of transactional operations, which requires us to first must master the operation of the skills, such as dispensing, intravenous infusion, catheterization and so on. To achieve "proficiency", it is necessary to practice the basic skills of each operation N +1 repetition, to achieve the realm of practice makes perfect. To do so, on the one hand, can improve the nurse's work skills, get the patient's recognition and trust, and establish a good nurse-patient relationship; on the other hand, can also reduce the harm caused by the nurse's low level of operation to the patient, such as: puncture failure brought about by the pain of the second puncture and psychological pressure, catheterization of contamination caused by the related infection and additional medical costs, and so on.
Nursing as a profession, a first-class discipline, there must be a matching theoretical knowledge. As a "professional" engaged in the nursing profession, we must reflect our "specialty", our difference. This requires us to strengthen the basic knowledge of nursing and professional knowledge, solid foundation, good basic skills, in the encounter of actual clinical problems, do not panic, with the appropriate knowledge reserves to deal with it. For example: a shock patient, for its head of the bed elevated 15-20cm, the end of the bed elevated 20-30cm, this is conducive to improve the patient's respiratory status, increase the volume of venous blood return to the lower extremities, to a certain extent, to alleviate the symptoms of shock. Understand that the pathological basis of shock is a sharp reduction in the body's effective circulating blood volume, making the blood supply to the tissues and organs insufficient, resulting in severe ischemia and hypoxia and metabolic disorders. Because we know enough about this pathology, we can take targeted therapeutic measures such as blood volume supplementation and oxygenation. All these are attributed to our knowledge of the theory.
The nature of nursing work requires nurses to face a wide variety of patients every day. We often hear the saying, "The hardest job in the world is the job of dealing with people." As you can imagine, our job is not that easy. Then, to do this job well, we are required to have certain ability to deal with emergencies, good service attitude and strong communication skills. As the saying goes, there are unpredictable winds and clouds in the sky, and people may be in trouble at any time of the day or night. No one knows what will happen in the next second, and perhaps the night shift which was calm in the previous second will be broken by the patients who are sent to the hospital due to earthquake, car accident and other accidents in the next second. Nurses need to be able to quickly change their state, start the first aid mode, and deal with the patients nervously without panicking. You may encounter a variety of cases, multiple injuries, compound injuries, but don't be surprised, don't be afraid, don't gossip, quickly contact the doctor, give the patient to build the liquid path, oxygen, measuring vital signs, etc., and race against the clock with the Grim Reaper, and do our best to save lives. If the patient died of failure to rescue, the family can not accept the fact. Nurses should also be calm and patient explanation. As the saying goes, "A slap in the face does not hit a smiling person." Modest service attitude, gentle tone, appropriate expression, not only can draw the distance between the two sides, remove the sense of strangeness, reduce confrontation, but also conducive to mutual respect, mutual understanding, so as to establish a good nurse-patient relationship. Nurses use certain communication skills, so that the patient can understand the patient because the condition is sudden and serious, the emergency treatment of medical care is appropriate, the best efforts, but still can not change the end and death. The nurse should also understand that the patient because of the sudden death of loved ones, emotionally excited, the mood of abnormal sadness and have some abnormal behavior.
Nurses rely on teamwork to accomplish their work, and good teamwork skills are essential. They often have to work with other medical staff, such as physicians, dietitians, pharmacists, technicians, logistics staff and so on. This requires nurses to focus on the overall situation, patient-centered, unity and friendship with colleagues, to avoid personal centricity, if necessary, to give up their own gains and losses, to the collective priority, to coordinate the relationship with other staff members, *** with the promotion of team harmony.
The nursing profession is advancing with the times, constantly developing, nurses should also keep pace with the times, to establish a lifelong self-education, self-improvement, continuous learning, updating knowledge consciousness. Otherwise, it is possible to guide practice with obsolete knowledge. For example, the previous CPR step "ABC" is now changed to "CAB", and the depth of adult sternal compression has been changed from 4-5cm to >5cm, in addition to the habit of reading literature. Learn new methods and knowledge, but be critical. In this way, we can have a more accurate understanding of the research method, and the knowledge gained is more reliable, in order to improve the level of scientific research.
Nurses as a profession, we need to invest one hundred and twenty percent of the enthusiasm to work. Do one thing, love one thing. To be as Krupskaya said, "Once a person falls in love with the cause he is engaged in, he will be able to get the greatest joy and satisfaction from the struggle and success of the cause." Incorporate the passion for work, maintain a positive and optimistic mindset, do a good job, make achievements, and make value. At the same time, in line with the principle that in order to establish the world, we must first be a man, abide by professional ethics, and strictly practice the requirements of prudence. Do not seek to reach the world, but can be alone.
If you do these, I believe you are not far from becoming a qualified nurse!