A short summary of the work of the hemodialysis room nurse
Time is an arrow, go quickly, a period of time has come to an end, review the past period of time, the work of the harvest, the development of a summary of the work of it. Then the general work summary is how to write it? The following is my collection of hemodialysis room nurse personal short work summary, welcome to read and collect.
Hemodialysis room nurse personal short work summary 1
Hemodialysis room nurse work summary Hemodialysis is the main treatment for uremic patients. Dialysis patients actually live a very abnormal life, they are largely "tied" to the dialysis machine, life-long dependence on medical equipment, dependent on health care personnel to survive, the patient and his family's economic burden is very heavy, the impact of long-term pathological factors also make the patient is not easy to stabilize the mood, easy to provoke and other characteristics. With the transformation of the medical model, hemodialysis patients should not only be given psychological appeasement, but also humanized care and advocate the concept of people-oriented nursing services to improve the quality of survival of dialysis patients. The so-called "small hemodialysis room" actually carries all the hope for the survival of dialysis patients, and is also an indispensable means of treatment for patients with acute renal failure and various kinds of poisoning. Here on the 20xx year hemodialysis room nursing experience to do a summary:
1, clear dialysis center job responsibilities, workflow, operation norms, and the development of the dialysis risk plan and emergency emergency treatment plan. Study carefully, so that the hemodialysis nurses are skilled. When encountering problems in the work, they have evidence and can solve them in time. The rules and regulations are constantly added and improved in the work. Work in strict accordance with the rules and regulations and workflow, strict checking system, including the patient's pre-flush line, vascular puncture, dialysis treatment and the setting of treatment parameters, to ensure that each shift must have more than two nurses on duty, checking with each other, including whether there is any blood seepage from the puncture site, whether the treatment parameters set by the machine are accurate or not, the dosage of anticoagulants and other drugs, as well as the patient's vital signs and other conditions. Actively participate in all business studies and training in the hospital, and specialize in hemodialysis once a month. Support and encourage nursing staff to participate in tertiary studies, improve the comprehensive quality of nurses, fully mobilize the enthusiasm of nurses to enrich their knowledge and broaden their horizons.
Improve the quality of nurses, not simply business level, to pay more attention to humanistic cultivation on the basis of professional theory, including language and writing cultivation, interpersonal relationship cultivation, ethical and moral cultivation, rational thinking cultivation and so on. Care for nurses in life, try their best to solve practical difficulties for them. Let the nurses feel the collective warmth and friendship. Establish a people-oriented nursing service concept, not only between doctors and patients, nurses and patients to have humane care, nurses and nurses is a working relationship, is a colleague relationship, but also a friend relationship, mutual understanding, trust and communication, can create a good medical and working atmosphere, to promote the relationship between nurses and patients ***, to further improve the quality of medical and nursing care and efficiency of the service to lay a good foundation for the environment. The management of the hemodialysis room has doubled the effect. In the daily dialysis process, nursing staff collaborate with each other, no shift fight; emergency dialysis, are able to rush to the first time, whether it is an evening emergency or Sunday dialysis, from the phenomenon of no shirking, but also not due to overtime and affect the normal work of the next day.
2, the establishment of people-oriented nursing management mode, strengthen the sense of service. After the patient started dialysis, there is often a lot of pressure, such as the risk of dialysis, pain, freedom of restriction, the disease itself on the body's impact, the cost of dialysis, the change of affection, etc., the performance of the psychological problems of depression, anxiety, despair, and some even hate the community to hate health care workers. Kind and patient language communication can make patients have a sense of security, carefully explain the knowledge of dialysis, eliminate the patient's fear, explain the effect of dialysis of other patients, enhance their confidence in treatment. Try to reduce the patient's burden, set up a dialysis program for them, as far as possible, so that they are not entangled in the pain of the disease, the length of life, but focus on the quality of life, smile at life.
Dialysis patients have a strong dependence on healthcare workers as they are in contact with them for a long time. At the same time, they are more familiar with the staff, treatment environment and dialysis procedures and methods, and even regard the hemodialysis room as their second home, and have a clear sense of participation in management. In this regard, we communicate with patients at any time, explain and illustrate the new progress in hemodialysis treatment, and take the initiative to solicit opinions. In the event of other diseases, we take the initiative to contact patients for treatment and establish a smooth channel for consultation. Provide contact information, encounter problems in a timely manner to contact, and strive to solve the problem in the first time. For patients with serious conditions, a family member will accompany them so that they can feel affection, increase their sense of security, reduce psychological pressure and better cooperate with the treatment. In the absence of family members, we also assume the responsibility of family members, handing water, feeding, assisting, ****, in the long-term treatment process to sensitize the patient. There are bad mood, poor attitude of the patient, timely report to the hospital leadership, and multi-departmental joint, to develop practical. Relevant measures, and strive to gradually eliminate the extreme idea of social retaliation.
3, strive to work seriously and carefully. Hemodialysis has a high risk, as a nursing operator, not only to establish a correct and positive awareness of nursing risks, enhance the concept of the rule of law, but also to play the subjective initiative, to do the maximum control and avoid risk, so as to improve the quality of care, better service for patients. During the dialysis process, it is necessary to routinely measure and record blood pressure every hour, and measure and monitor vital signs at any time when the condition changes. Some patients, especially those prone to hypotension during dialysis, need to be closely observed and their blood pressure measured every 5 minutes. Parameters of dialysis equipment should be adjusted in time, such as temperature, conductivity, ultrafiltration rate, blood flow rate and so on. Concentration and energy at work, the slightest negligence, can cause the loss of patients and accidents.
Diabetic patients are prone to hypoglycemia because of glucose-free dialysis, and it is important to pay attention to changes in mental state, especially when the patient is sleeping, and need to call often. Due to the dialysis drainage after the edema is reduced, the puncture site skin relaxation, easy to occur in the eye of the needle oozing blood or off the needle phenomenon, especially in winter, the patient's arm inside the quilt, and bleeding often occurs in a flash, and the amount is very large. In addition to diligent observation, it is also necessary to hand over to the patient, if there is any abnormality call in time. 20xx annual dialysis more than 600 times, there has never been a medical error accident. And in the diabetic hemodialysis how to observe blood glucose, prevent hypoglycemic shock in, made a certain experience; dialysis of low blood pressure to analyze, take precautions to ensure that the dialysis is adequate.
4, in line with the hospital's "patient first" values, we continue to advocate the concept of people-oriented nursing services, to be humane care of patients, has several poor self-funded dialysis patients to give more than a thousand dollars of financial assistance (due to the funding of most of the individual behavior, can not be counted in detail), and in the clothing and food to give care and help. and assistance in clothing and food. These are undoubtedly a drop in the bucket for dialysis patients, and cannot improve their lives and dialysis status at all, but to a certain extent, it expresses our concern and encouragement for the patients.
In addition to the efforts and achievements, this year, we also have some slack in the performance of the level of business skills, medical equipment and environmental management, service attitude and poor communication, inadequate systems, etc., in this time of introspection, but also put forward the views and suggestions, and I implore the leadership of the hospital and the Department of Nursing to pay attention to:
1, the level of business skills: first of all, the problem of arterial puncture, especially for the first time dialysis, emergency dialysis, the patient's life and dialysis status, but to some extent to express our concern and encouragement. Especially the first dialysis, emergency dialysis patients, the general situation is poor, high toxin, more arterial puncture difficulties, difficult to ensure the dialysis blood flow. Firstly, the experience of arterial puncture is still lacking, and in the case of insufficient blood flow, we choose to puncture again; secondly, the overall level of the hospital is not enough to do deep vein cannulation, which increases the pain of the patients and easily causes dissatisfaction of the patients. Secondly, this year, hemodialysis room medical staff did not go out to study, further training opportunities, dialysis work basically maintained in the status quo ante, no new business and new technology development, no paper published. Because the work of hemodialysis room is closely related to doctors, such as deep vein cannulation, peritoneal fluid reflux, blood perfusion, etc. all need the guidance of the doctor's medical and nursing cooperation, but also need to learn from actual experience, and can't be made behind closed doors. We hope that the hospital leadership can give us a certain visit and learning opportunities, in order to improve the level of business, strengthen the disinfection and isolation measures, to carry out dialysis on a new project to a new level.
2, medical equipment: dialysis patients are dependent on dialysis equipment to survive, including dialysis equipment, water treatment equipment, perfect water, electricity supply, high-quality dialysis supplies and so on. This year completed the dialyzer and dialysis tubing from reuse, disinfection, to the conversion of single-use, this conversion is the situation.
The hemodialysis room nurse individual short work summary 220xx hemodialysis room follow the hospital's overall development plan and requirements, to further deepen the "patient-centered" service concept, continue to improve the quality of care, deepen the nursing reform, the full implementation of nursing duties, strengthen the connotation of nursing construction, improve the level of specialty care, and strive to expand the service. We will continue to improve quality care, deepen nursing reform, fully fulfill nursing duties, strengthen the nursing connotation construction, improve the level of specialty care, and strive to expand extended services. At the same time, according to the spirit of the Department of Nursing, with "patient safety" as the goal, carry out risk management, to protect the safety of medical care, improve the patient's experience, and promote the harmony between doctors and patients. Over the past year, in the hospital leadership, department director, nursing department and the leadership of the head nurse, care and support, in the department of medical staff *** with the efforts, a better completion of the various clinical tasks undertaken, the year without error accidents and adverse events.
Now the annual nursing work is summarized as follows:
First, the clinical work of the business volume gradually increased
20xx year hemodialysis room of the treatment of the business volume has continued to increase, the number of patients on dialysis, dialysis cases and various types of blood purification treatment workload than the same period in 20xx have been substantially increased, the growth rate of 7.7% (Figure). 7.7% (Figure 1). In particular, the number of patients treated with hemodialysis filtration (HDF), hemoperfusion (HP) and continuous blood purification (CRRT) have increased significantly, which has brought great pressure to the daily work of the department and the manpower of the nurses, but at the same time, it has also fulfilled the need of the patients' treatment and improved the effect of the patients' treatment. Through the concerted efforts and collaboration of the entire staff, the department has successfully completed countless rescue missions for patients with acute and critical illnesses, and successfully implemented the monthly nursing work. At present, 28 dialysis machines are open, more than 120 cases of outpatient maintenance hemodialysis patients are admitted, and 3 shifts are operated every day. With the increasing number of dialysis patients in the third shift at night, more beds will be opened in the future in order to satisfy the patients' treatment demand. In the meantime, we need to do a better job of equipping medical and nursing manpower and training to ensure that the nurse-patient ratio meets the clinical needs and avoids adverse events.
Second, the implementation of the core system of nursing and quality indicators, to promote the continuous improvement of quality
In accordance with the requirements of the Department of Nursing to determine the unit's specialty care sensitive quality indicators, including dialysis patients dialysis catheter infection incidence and the incidence of penetration of blood seepage rate, continuous data monitoring, and actively implement the summary of the data, analysis and implementation of appropriate corrective measures, and achieved good results. We actively implement data summarization, analysis and the implementation of corresponding corrective measures, and have achieved good results (Figures 2 and 3). We have actively carried out quality control circle (QCC) activities, completed a quality improvement project with the theme of "Reducing the incidence of acute complications in dialysis", implemented the implementation and evaluation of the project, and formulated and perfected three standardized operation manuals, including the pathway table of health education for hemodialysis patients, the flow chart of hemodialysis monitoring and care, and the procedure of emergency treatment of common complications in hemodialysis. Emergency Treatment Process for Common Complications. The project has achieved satisfactory results, met the expected goals, significantly improved patient outcomes and the overall quality of nursing staff, and the research results have been exchanged at academic conferences.
According to the requirements of the Department of Nursing in 20xx completed the revision of the nursing quality control standards of the department, actively participate in and carry out the training of the new system of the Department of Nursing, and the focus of the department's work is decomposed, refined and implemented, the department of nursing quality control team to regularly monitor the various indicators of nursing quality, continuous quality improvement, so that the weekly monitoring, monthly analysis, and everyone is responsible. In the first half of the year, we successfully passed the quality counterpart inspection of the North and South hospitals, the special inspection of the District Health Supervision Office and the inspection of the Hospital Sensory Control Department of the hospital, and in the second half of the year, we passed the research of the grade review of the third-class hospitals and the supervision of the city's quality control of hemodialysis. According to the evaluation rules, inspection standards and the results of the inspection, actively listen to the views and suggestions of experts, to further improve the rules and regulations and workflow, access and organize the study of the latest industry standards, laws and regulations and clinical practice guidelines, standardize the specialist nursing operating procedures, and actively implement the inspection after the various improvement measures, and continuously improve the quality of nursing services and patient satisfaction.
Three, strengthen the core competence training of nurses, improve the overall quality of the team
The establishment and improvement of the existing specialist nurses' training programs, training objectives and performance assessment system, through various forms to strengthen the training of young and junior nurses, and completed the standardized training of two new entrants to the department. We have implemented hierarchical training and assessment, and given full play to the strengths of nurses at all levels, tapped their potentials, actively mobilized nurses in the department to participate in a series of activities such as the Outstanding Young Talent Training Program, the Nursing Management Position Appointment Competition, the Quality Nursing Service Achievers, and the Nursing Scientific Research and Innovation Group Selection, etc. After the selection process, one was selected in the Outstanding Young Nurses Program, and one was selected in the Clinical Nursing Specialist Program. We organized the study of new knowledge and theories, and carried out 32 times of specialized training throughout the year, all of which were taught by nurses of our department, in order to improve the motivation of nurses to learn and promote the growth of nurses. Selected nursing backbone to go out for further training, to participate in all levels, all over the blood purification academic conference, learning new ideas and knowledge, and bring back to the department to share and exchange, promote the whole staff *** with the progress, improve the professional ability of the nurses and comprehensive quality.
Four, strengthen the management of the ward, the implementation of departmental safety supervision
The implementation of the pre-holiday safety inspection, strengthened the fire safety and patient health education during each festival. At the same time, to ensure that all first aid items and instruments are in a state of reserve, to ensure the safety of patient medical care. We actively cooperated with and participated in the "Nursing Safety Month" activities organized by the Nursing Department, implemented departmental safety inspections, eliminated potential safety hazards in the department, and effectively avoided the occurrence of adverse events. In addition, according to the Nursing Department's 6S standardized management requirements, standardize the management of various items, medicines and consumables in the offices, treatment rooms and warehouses in the ward, revise the relevant systems, implement the responsible person, standardize the effective management.
Fifth, to improve scientific research capacity, carry out innovative practice
Organization of the department staff to learn and exchange new knowledge and new technologies of specialized nursing, to understand the progress of the discipline, pay attention to the latest developments. Actively participate in the nursing research training organized by the Department of Nursing, and at the same time in the department of business learning to increase the content of scientific research, popularization of scientific research knowledge, for the future clinical nursing research projects to lay the foundation. Actively participate in the declaration of new nursing technology, this year declared the project for ECMO and CRRT on-line treatment and care, to determine the implementation of the project and the technical operation process, etc., for the later stage of the development of good preparation. In the first half of the year, we completed the nursing innovation project of online pre-filling for HDF treatment, carried out general training and promotion, and achieved good clinical results. In addition, actively participate in the activities of the Nursing Department's research and innovation group, mobilize the department to focus on the cultivation of scientific research consciousness, good at discovering clinical nursing problems, and enthusiastically participate in the declaration of projects at all levels, this year completed a maintenance of hemodialysis patients with extended care of the Bureau of the project, and in the future will gradually promote the implementation of the project, the evaluation and finalization of the work.
Sixth, shortcomings and deficiencies
Over the past year, the nursing work of the department at all levels of support and efforts, has made certain achievements, but at the same time there are some shortcomings, to be further improved:
Extended care services are still in the primary stage, the future will be in line with the development and implementation of the project, through a variety of channels and forms to provide patients with a comprehensive, comprehensive and comprehensive care.
The extended nursing service is still in its infancy, and will be carried out and implemented in conjunction with the topic, providing patients with comprehensive, comprehensive, professional, humanized and continuous quality nursing services through various channels and forms.
The professional quality of nurses is still to be improved, the active service consciousness is not strong, and the communication between doctors, nurses and patients is not in place. In the future, it is necessary to further strengthen the multi-dimensional ability training of specialized nurses, improve the nurses' sense of responsibility and professional beliefs, increase the content of humanities, psychology, law and other related learning, and carry out medical, nursing and patient collective activities to further enhance team cohesion and trust.
Management ability needs to be further improved and lack of innovation. In the future, we need to continue to learn the theory and methods of nursing management, improve the managers' own level and ability, master the application of quality management tools (such as QCC, RCA, FMEA), and innovatively carry out quality improvement projects, so as to promote the enhancement of the quality of clinical care and the development of specialized care.
Finally, looking back at the work of the year, we have always adhered to the "patient-centered" service concept, actively promote quality nursing services, fully implement the spirit of the hospital and the Department of Nursing, and continue to strengthen the basic theory and operation of the training, revision and improvement of the specialty management process and the relevant standards of supervision, to ensure the safety of nursing care and improve the quality of care. Nursing quality. Through summarizing, we constantly find deficiencies in our work, make timely improvements and refinements, and formulate new goals and plans, so as to continuously improve our work efficiency and service quality, and make the nursing culture of the department, the quality of nursing care, and the satisfaction of nurses and patients go up to a new height.
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