Part 1:
The operating room in the hospital under the correct guidance of the leadership of the Department of Nursing under the guidance of the Department of Nursing, in the close cooperation and support of the departments, for the beginning of the year to formulate the objectives of the plan, and the successful completion of the tasks, the year of 20XX completed the operation*** more than 3,500, is now summarized as follows. As follows:
First, the implementation of the hospital system, establish team spirit
All medical staff in the operating room actively embraced the hospital's rules and regulations, adhering to the patient-centered, quality-centered nursing service concept, wholeheartedly for the patient's service, and firmly establish the team spirit.
Second, improve the service attitude, improve the quality of care
1, nursing work from purely for the service of surgical patients to expand to the patient's family members, medical, logistical equipment personnel. Focus on communication with doctors in the work, collect patient information to better cooperate with the operation.
2, the nature of nursing work from the nursing for surgical treatment extended to the overall care of the patient's body and mind, at any time for the sake of the patient, take the initiative to do a good job of psychological care of patients. Strict implementation of the protective medical system, the patient's condition, surgical effects, surgical complications, such as intraoperative not to discuss. Improve the service attitude, meet all the reasonable requirements of the patient, to create a warm and comfortable surgical environment for the patient.
3, the development of strict departmental rules and regulations and rewards and punishments, the emergence of problems in a timely manner to improve. In response to the work of the problems arising from the rectification of opinions, the year without errors and accidents.
4, strict disinfection and isolation, disinfection and isolation pass rate of 100%. Monthly bacterial culture of air and articles, disinfectant concentration test at any time, supervise the surgical staff to strictly implement aseptic operation techniques to prevent nosocomial infections, to ensure that the infection rate of aseptic incision ≤ 0.5%
5, first aid medicines and instruments in good condition rate of 100%. Designated special management, after use at any time to replenish, handover carefully check, received emergency patients can be in the shortest possible time to quickly start surgery rescue. There is no delay in the rescue and treatment due to the problem of drugs and instruments.
6, reasonable charges, encountered doubts and disputes in a timely manner to check and deal with, regular inventory of the department of instruments and materials to collect, reduce waste and loss.
7, the establishment of a perfect nursing quality monitoring system, through the statistics of the number of surgical tables, verification of nursing record sheets, satisfaction surveys, there are no errors and negligence and complaints, to further improve and promote nursing.
Third, strengthen the nursing technical operation, patient-centered, and constantly improve the level of nursing services.
The work focuses on nursing skills operation and business learning, strengthen the preoperative psychological guidance intraoperative care, postoperative guidance and other nursing measures, the implementation of the nursing staff of the preoperative visit and postoperative return visit system, the patient's comments and suggestions can be given attention to timely solution.
Fourth, strengthen the hospital infection management
Strict implementation of disinfection and isolation system, organized learning about clean operating room knowledge, in order to adapt to the working environment faster. Strict implementation of the management of disposable medical items, all surgical instruments, medical supplies, one use, one sterilization. Strict implementation of surgical hand washing norms, the monthly scheduled to do a good job in the environment, the table, hands, sterilized items and other effects of monitoring, disinfection and isolation work monitoring results in line with health standards, disinfection and isolation of the pass rate of 100%.
V. Performance
The operating room completed the rescue of a number of critical patients throughout the year, in conjunction with the implementation of the bile duct jejunum anastomosis, hepatic lobectomy, radical rectal cancer surgery and other difficult surgery. The operating room actively assisted with a variety of minimally invasive surgery, laparoscopic biliary lithotripsy, radical nephrectomy, uterine fibroid removal, prostate electrocision, nasal endoscopy, etc.
The operating room completed the rescue of a number of critical patients in the year.
Sixth, there are problems
1. Departmental management needs to be further strengthened
2. Quality control needs to be strengthened, the system is not in place phenomenon.
While summarizing, we should also see their own shortcomings, we will be in the new year, in the hospital leadership and nursing support under the continuous hard work, and strive for a higher level.
Part II:
We have been busy and full of a year. In this year we carry forward the spirit of "hard work, dedication, cooperation", and never forget the needs of patients. In the hospital leadership and doctors at all levels of cooperation and support, for the beginning of the year's goals. The operating room of all medical staff, unity, *** with the progress, better to complete the work of the operating room of the various tasks.
First, enthusiastic care for patients
In their daily work, the operating room staff love their jobs, with their love, sincerity, to meet the needs of every surgical patient, to save lives and help the injured work style throughout the whole process of nursing and anesthesia work. Strengthening the concept of aseptic technical operation of medical staff, we have completed 110 surgical patients in the busiest month in a year. Although the staff is small, busy work, but no errors and accidents in the past year.
Second, remodeling the operating room to increase surgical equipment
With the development of the department and business. The leadership of the construction of the department at the same time, but also to improve the environment of the operating room. On the premise of not affecting the operation, all the staff of the operating room actively cooperate with the reconstruction of the operating room. So that the surgery and expansion of the work of both. In this year, an electrosurgical knife and an electrocardiographic monitor were newly added. The maintenance of various instruments has also done a lot of work. To create good conditions for the safety of surgery by the patient's welcome. Strengthen the safety inspection and poison anesthetic management
Regular safety inspection of the surgery (oxygen, water and electricity)对有危险苗头的及时汇报领导，进行有效整改。 Drugs and anesthetics to do special people, special, special cabinet, special registration. Do daily inventory, * have number, proper storage. Ensure safe production in the operating room. Strengthen safety education to prevent accidents from occurring pick up the patient in a timely and accurate check, intraoperative medication can do three checks and three right, blood transfusion can accurately check the patient's medical records, blood bags and blood dispensing orders. Daily inventory of all kinds of disinfection items and timely disinfection supply. Checking and inspecting items before surgery. To create good conditions for surgical safety. All staff in the operating room can conscientiously implement the post system. To do a clear shift handover, mind.
Third, business learning
In the department and the hospital's organization, the operating room personnel in that year to further study and strengthen professional knowledge and skills operation practice. Comrade Liang Nan also won the nursing skills competition in this hospital. We have a solid theoretical foundation in emergency work. And can play an active participation, multi-party coordination spirit. During the year, there were 14 intraoperative and ward resuscitations. There was not a single case of error. Achieved better results. Pain treatment was carried out in response to the program requirements of the department a year ago. Emphasis on postoperative pain treatment. Operating room for each surgical patient. To the best of our ability to let patients receive surgery without pain. The year to carry out epidural postoperative analgesia more than 30 cases. Solve part of the patients on the postoperative patient pain horror problem. By the patient's welcome.
Fourth, the work performance
The operating room **** completed more than 800 cases of large and small surgeries throughout the year. General anesthesia completed more than 44 cases. Hard lumbar anesthesia more than 30 cases. Intravertebral anesthesia nearly 700 cases, nerve block anesthesia and local anesthesia more than 30 cases. Epidural postoperative analgesia more than 30 cases
Department of business construction, the strict implementation of the technical operating procedures, strict aseptic technical operation, anesthesia work on the basis of the original new improvements, anesthesia technology is increasingly skilled, work efficiency continues to improve, a year's anesthesia work with a number of experts in surgery, and get the recognition of the experts and praise. Before the operation, he carefully visited the patients, read the medical records, communicated with the clinical director or bedside doctors in time, and made good preoperative preparations and other work. Patients with underlying diseases are well prepared for preoperative discussions, as well as possible problems, and are ready to deal with them. Insist on good communication with the patient's family to sign the informed consent for anesthesia, so that the operation can be carried out smoothly. The writing of medical documents has improved greatly, the handwriting is neat and clear and visible, and gradually overcome the phenomenon of scribbling and changing.
Nursing work, each nurse can according to the workflow of each shift to do their part, and put a variety of systems into practice, pre-operative and post-operative adherence to the point of singing method, meticulous, to ensure that the patient's medical safety. Strictly implement the hospital infection system, and do a good job of disinfection and sterilization. And did the safety verification risk assessment tripartite signature, to verify that there is no error.
Strengthen business learning, on time to participate in business learning organized by the hospital, the implementation of the department's learning plan and take notes.
The quality control work of the department needs to be strengthened, the implementation of the system is not in place, the individual staff work there is not serious, not rigorous phenomenon, need to guide, need to manage. Need to strengthen their own cultivation, need to constantly improve and strive.
A job a responsibility, we will be in the new year, in the new environment, more efforts, continuous improvement, make greater achievements.
Part III:
First of all, I would like to thank the leadership of the hospital for their concern for the work of the Department of Pediatrics, and the director of the department and colleagues for their support of my work, so that I can continue to grow and progress in this position. Pediatrics is a department with high workload and pressure. Due to the special nature of pediatric work, long-term pressure to face a variety of difficult illnesses, during the work period, I have gained a lot: the realization of the organic combination of theory and practice; at the same time, I have also grown up a lot: to improve the psychological quality, enhance the sense of responsibility, and gradually grow into a qualified physician with a better business literacy, a high degree of responsibility, love of duty, care for the sick, and abide by the duties. The future of the road from the doctor is still very long, I will be in their positions conscientiously and diligently, and strive to be a qualified pediatrician. Below, I put myself nearly a year's work to report to you:
First, to the center of medical ethics, strengthen learning, improve their own political and theoretical qualities
In order to continue to improve their own political qualities and business level, first of all, is to continue to strengthen the political learning. Seriously study Deng Xiaoping Theory and the "Three Represents" important thought, a profound understanding of the Party's XX Congress and the spirit of the meeting, the full implementation of the Party's line, guidelines, policies, in thought, politics, action and the Party Central Committee and to maintain consistency. Conscientiously fulfill their duties, firmly establish the determination and confidence to do their jobs, enhance their sense of enterprise and responsibility to improve the sense of service and the overall situation; adhere to the principle of impartiality, compliance with the law, honesty and self-discipline. Secondly, it is to strengthen their own business theory learning, enhance the medical ethics. Years of medical experience makes me y realize that: for doctors, medical technology is only the root, medical ethics is the soul, the interests of patients above all. According to the hospital arrangements, I from September last year to October this year, to the provincial people's hospital pediatrics training and learning, I very much cherish the leadership of the hospital to give this opportunity for further training, during the training period, I strictly in accordance with the work of provincial hospitals to demand strict standards for themselves. In order to bring back more and better advanced business technology, I take the initiative to learn from teachers, to colleagues to learn, collaborative diagnosis and treatment of various types of clinical cases more than 600 cases, a year **** write four study notes more than 30,000 words, download access to more than 40 electronic books on pediatrics, and every day to use their spare time to carefully speculate, combined with the usual clinical experience into the existing, to improve their own level of clinical diagnosis and treatment and the ability to serve the patients.
These are the first time I've seen a pediatrician in the world.
Second, patient-centered, improve the level of business, and build a harmonious doctor-patient relationship
First, in the clinical diagnosis of serious treatment. Pediatrics since ancient times called "mute", the internal pediatrics service object is mainly for children, the development of consciousness and behavior is not yet perfect children, can not say their own disease information, the need for doctors to be careful and patient diagnosis. I insist on going to work early and getting off late. I take the patients' trust in me as the motivation for my work. Whether it is the first child, or the last, all the same patience and careful examination, serious treatment, writing medical records. Found difficult and dangerous cases, actively consult the information and relevant medical records, and actively report to the director of the condition, seek the leadership of the department and colleagues to help, put the patient in the first place, and strive to do not make mistakes, do not have accidents, see the good disease.
The second is to strengthen communication in the doctor-patient relationship. In the clinical business, I put the doctor-patient communication as the first step to build a harmonious doctor-patient relationship, in the process of treatment for the patient, learn to think differently, the patient's suffering in the first place, the patient as a loved one, respect for the patient's "right to know, the right to choose, the right to privacy," to establish a good doctor-patient relationship. In recent years, pediatrics inpatient surge, critical patients, parents do not understand the children. It has become a common practice to work overtime and come back home early in the morning and late at night. Under the leadership of the head of the department, I work hard to relieve the pain of patients, improve the quality of service, improve the attitude of service, "urgent patient's urgency, think of the patient's thoughts", to strengthen the exchange between doctors and patients, the families of children to do the three "a little bit more," that is, "a little bit more smile, a little bit more, a little bit more, a little bit more, a little bit more, a little bit more. "A little more smile, a little more love, a little more explanation", to create a considerate care, love, compassion and responsibility of the atmosphere, the majority of patients' trust and support, improve the economic and social benefits of pediatrics.
Third, never stop in the business work. Without exquisite medical skills, good service attitude is just an empty shell, in order to improve their own medical level, I often against the clinical cases online access to relevant information, to master the latest developments in pediatric medical. For the critical and difficult children personally diagnosis and treatment, comprehensive responsibility, continuous innovation to crack the problem. The incidence of neonatal pneumonia is high, easy to cause respiratory failure, high mortality rate, after years of exploration, on the basis of comprehensive treatment, bold application of c-globulin successful treatment of more than 100 cases of neonatal pneumonia and respiratory failure patients, greatly reducing the neonatal mortality rate. In order to improve the cure rate of neonatal hypoxic-ischemic encephalopathy and reduce complications, we scientifically applied ganglionic stem branch and nalox* for treatment. He has assisted the director of the department to publish 3 academic papers in provincial core journals, and has participated in the pediatric academic annual meeting in and out of the province for many times. Utilizing Pulmicort and Budesonide combined nebulized inhalation treatment of capillary bronchiolitis, the efficacy is remarkable, reaching the advanced level in the province. To assist the director of the department to write the "intravenous gammaglobulin shock treatment of infants and young children with hand, foot and mouth disease efficacy observation", published in the "China Contemporary Medicine" magazine, by the peers of the unanimous praise.
Fourth, strict requirements in quality control. Since working in pediatrics, I attach great importance to the quality of medical care, which is the guarantee of all our work. I strictly implement the three-stage checkup system, truthfully record the opinions of the superior physician, do not privately change the doctor's orders, encountered difficult cases in a timely manner to consult with the superior physician, encountered a special situation in a timely manner to report to the director and the medical office, to do the forbidden. We carefully study the clinical quality control standards, strengthen supervision in clinical operation and medical record writing, communicate with each other in time, and put an end to the phenomenon of delinquent medical records. Strictly implement the "New Rural Cooperative" and urban medical insurance system, grasp the indications for examination and medication, avoid the waste of medical resources and unnecessary expenditure of patients, and reduce the average cost of pediatric inpatients. Strictly implement the principle of patient notification, fully respect the patient's right to information, strengthen communication between doctors and patients, and reduce doctor-patient disputes. Strict implementation of diagnostic and treatment routines, the principle of medication, not only by impression, experience in treating patients, not unauthorized "innovation", in the increasingly complex medical environment to ensure that "rigorous and pragmatic" style of work, to avoid the medical risk of both doctors and patients.
Third, work as the center, to overcome the difficulties, to ensure the successful completion of the center.
First of all, it is to seriously do a good job of intensive care unit nursing. In order to further improve pediatric nursing, pediatrics set up an intensive care unit, I work with colleagues to actively do a good job of ICU ward treatment, ICU workload, fewer staff, from here on out this has become the busiest place in pediatrics, perennial overcrowding, up to the department admitted more than 40 children, the rate of beds up to 100%, which is occupied by the critically ill newborns, can not speak, can only rely on the feeling and I can only rely on my feelings and rich experience to care for them. As a pediatrician, I work overload with my colleagues. Overtime, in order to work, often give up holidays to rest, as long as the patient needs to be in the shortest possible time to appear in the patient's body, often neonatal pneumonia, neonatal hypoxic-ischemic encephalopathy, preterm low-birth-weight babies and other diseases of the cure rate of the patient's family won the praise of the patient, the patient for the Department of all the comrades to write more than 10 letters of commendation, to send the silk banner more than one.
Secondly, seriously do a good job in the prevention and treatment of hand, foot and mouth disease. Pediatrics as the front line of the pediatric hand, foot and mouth disease epidemic. October since the admission of such children more than 100 cases, in the face of the epidemic, I and my colleagues in the Department of Pediatrics, at the risk of their own children were infected, actively participate in overtime, without delay in the work carried out. In addition to this, the work of organizing medical records and work is trivial and heavy as required. In the fight against hand, foot and mouth disease epidemic, my colleagues together to overcome the difficulties, and achieved no case of error occurred, no case of intra-hospital hand, foot and mouth disease cross-infection occurred in the good results, has been the leadership at all levels of praise and affirmation for many times.
In short, I did some work, but with everyone's **** with efforts are inseparable. With the care of the leadership is inseparable, in the future, but also more efforts to face the difficulties, try to overcome. Treat comrades enthusiastically, treat work positively, and learn with an open mind, listen to opinions, and successfully complete the task, in the care and support of the higher leadership, and the whole department of medical and nursing staff together, united to meet the new challenges.