Self-assessment model on the supply room training
Part 1: Training and learning personal experience
Thank you very much to the hospital and the department gave me such a good opportunity to go to the second people's hospital in Shizuishan to learn, although two months is very short, work is very busy, very tired, the night shift on the But this short two months, let me broaden the horizons, growth of insight, harvest a lot.
The emergency department of the second city hospital is mainly divided into four areas, including the emergency room, rescue room, infusion room, and blood transfusion room, I mainly work in the emergency room and rescue room. I work mainly in the emergency room and the resuscitation room.
First, the emergency room and rescue room work
1, the first pre-screening and diagnosis to give the registration plate after the registration, the admission of patients to do a serious, detailed diagnosis, the emergency, critical, serious patients can be dealt with quickly and in a timely manner.
2, into the rescue room patients, according to the situation are generally cardiac monitoring, oxygen, blood glucose, open intravenous access and other measures.
3, rescue patients to fill out the emergency critical care patient care record sheet, to ensure that the rescue record is complete, timely and accurate.
4, escorting critically ill patients, carrying emergency resuscitation box (with epinephrine, atropine, dobutamine, injection kit and other resuscitation supplies), cardiac monitors.
5, the Department of health care personnel experienced in rescue, skilled, meticulous observation of the condition, the emergence of abnormalities can be dealt with in a timely manner, the treatment of seriously ill patients stabilized condition, please consult the relevant departments, and then sent to the ward for further treatment.
6, the establishment of inpatient return visit system, in order to understand the patient's satisfaction with the work of the emergency room, listen to the comments, suggestions, so that the emergency room to do a better job.
7, in the case of critical patients rescue, doctors in various departments to help each other, assist each other, *** with the rescue of patients.
8, the old and new medical staff on the shift, pass the spirit of better.
Second, the infusion room
1, the workload is very large, every day there are one or two hundred patients, but the nurses are only three, so it is very busy, no free time.
2, although the manpower is relatively small, but the checking system is very strict, medical advice by two people to check the correctness before execution. Each step of the operation (dispensing, injection, rounds, etc.) must be scanned and confirmed with a palmtop computer before execution, in order to prevent errors.
3, sterilization sterility is very strict, the injection is one person, one towel and one bandage, tourniquet after use to soak and disinfect, sent to the supply room plastic packaging.
4, the drug is now used to avoid failure.
5, infusion of the last bag of liquid labeled with a red label to prevent leakage of hanging liquid.
Third, other aspects
1, the strict implementation of the first responsibility system, one by one outpatient logbook registration, carefully write the emergency medical records, there are special circumstances strictly to do the signature confirmation. In order to avoid the occurrence of medical disputes, but also to better protect themselves.
2, living garbage and medical waste is strictly classified, timely disinfection, collection and transfer.
3, charges: all patients into the rescue room are charged bed fee, level of care fee, critical care patients rescue fee, etc., the cost of collection of a more detailed, do not recharge, do not miss the collection.
4, the learning and working atmosphere of the department is very good, the department organizes a weekly operation training and other business learning, the teacher is serious and serious, can be responsible for each trainee.
Fourth, the new technology
1, the application of oropharyngeal ventilation tube.
Indications:
(1) Airway obstruction in unconscious patients due to weakened gag reflex or jaw muscle relaxation.
(2) When it is not effective to open the airway in an unconscious patient by other means, such as head tilt-back-supporting the jaw or chin forward extension.
(3) When the patient is given oxygen through a simple respiratory skin bag, the oropharyngeal ventilation tube can hold up the soft tissues of the posterior pharynx, which is conducive to pulmonary ventilation and prevents gastric distension.
(4) Prevents bite of the tracheal tube in patients who are intubated orally.
(5) Need to suction the patient's pharyngeal secretions.
2, blood gas extraction (2ml syringe to extract 1ml of sodium heparin - playing in the needle sleeve - after drawing arterial blood - the needle on the needle sleeve - sent for inspection).
3. Oxygen storage mask is given to patients with hypoxia and low oxygen saturation to administer oxygen.
Through these two months of learning, so that I recognize their own shortcomings, in the future work, to continue to learn medical knowledge, improve the emergency rescue ability and the level of disposal of critically ill patients, and better serve the patients.
Chai Cunshe 20XX.12.10
Part II: supply room duty report
Dear leaders, dear comrades:
Time as running water, flow of the ancient does not flow back, the year 20XX has been passed, in the Guangyuanfa Group of companies, the hospital leadership of the 'correct leadership, I strictly abide by the rules and regulations set by the hospital, and strive to improve the hospital, and to improve the hospital, I have been working to improve the hospital, and to improve the quality of life. Hospital rules and regulations, and strive to improve the efficiency and quality of work, "service clinic, care window", in the active service on the article, to ensure the normal development of the work of the supply room. I strictly abide by labor discipline, no late, early departure phenomenon, always stick to the workstation. In order to better carry out next year's work, I compared to the work duties of the head nurse, made the following report, please leaders and comrades to criticize and correct.
A department as a home, united to lead the nursing staff to complete the work of high standards
Over the past year, in the work, as a middle-level cadres, I always in accordance with the duties of the head nurse, self-discipline, hard work, dedication, dedication, adhere to the department as a home. Strictly in accordance with the operating standards, reasonable arrangements for nurses' scheduling, supply room scheduling is different from the clinical departments, is to follow the "disinfection specifications", "hand hygiene norms", "occupational protection system", "Hospital Sense Monitoring System" to carry out the scheduling of shifts. Divided into cleaning shift, packaging shift, sterile goods distribution shift, sterilization shift, dressing shift, these shifts by registered nurses, which cleaning shift by at least two people at the same time on duty, packaging, distribution, sterilization, dressing shift at least two people at the same time on duty. Nurses on the cleaning shift and the packing, distribution, sterilization and dressing shifts are never allowed to work in tandem with each other. Each shift has been assigned duties and responsibilities that are specific to a particular individual. After the rescheduling, in order to enable the staff to adapt as soon as possible and understand the significance of this type of scheduling, I led us to study the three standards of CSSD and the relevant core system of hospital sensory, and asked us to master the new job duties, and to strictly carry out the operation in the work
Specifications. The overall quality of the nursing staff is developed so that they are all able to fulfill their duties well.
Two lead by example, conscientious, kind of work in front
Over the past year, I insisted on doing to lead by example, exemplary leadership of all the nursing staff in the department, in accordance with the department's work arrangements and requirements, and carry out the work of the supply room in an orderly manner, kind of work in the front of comrades, comrades asked to do the first of their own to do, asked comrades do not do I do everything in front of my comrades, ask them to do their own first, ask them not to do their own first not to do, and insist on coming early and leaving late every day, checking and supervising and doing a good job with them to disinfect and sterilize the supply room. I insist on 24 hours a day to keep the communication tools, no matter whether it is a holiday or Sunday, or even one or two o'clock in the morning, as long as the phone rings, the need to disinfect surgical instruments package, and strive to arrive at the hospital in the shortest possible time to the fastest possible speed to play a good variety of instruments package for clinical use, to ensure that on-call.
Three adhere to the frequent and continuous learning of business knowledge, hand in hand to the new nursing staff to do a good job, help, take
Over the past year, I have been seriously doing their own work on duty at the same time, timely grasp of the nursing staff of the department's business learning and skills training, hand in hand to the new staff of the business knowledge and skills training, to pass on, to help, After our *** with efforts, although some of the nursing staff of the department because of the short time has not been able to fully grasp a variety of equipment package instruments, but I believe that as long as the hard work will certainly be able to do a good job.
Achievements, from the leaders of the care and support and comrades in the department of unremitting efforts, I am determined to continue to maintain and carry forward in the next year's work. At the same time, we should also see: there are still some gaps in front of the achievements, summarized as follows:
1 in the actual work, sometimes their own way of working is not appropriate, there is a sense of impatience and eagerness to achieve the idea.
2 Most of the work is simply to carry out tasks and do routine work, the spirit of innovation and sense of precedence is not enough.
3 Self-protection and aseptic concept is not strong to be improved.
4 registration, labeling writing is not standardized.
Four, the next step in the work plan
1 to strengthen the political theory of learning, to improve their own moral cultivation
Sincerely as a person, down-to-earth work. Do not relax their own learning of political thought, so that they can keep up with the development of the times in the mind. Maintain a modest and prudent work style, resolutely implement the hospital leadership team's instructions, regulations. Strictly abide by the hospital rules and regulations, and obey the leadership management.
2 to improve the organization and leadership
3 to further strengthen the learning of business knowledge and personnel training, training, further proficiency in professional skills. Safe operation, according to the rules, quality for development. Strengthen the awareness of quality management in the department, strengthen the safety service consciousness of each nurse, and do a good job of disinfection and sterilization. Strictly aseptic technical operation, enhance the knowledge of disinfection and isolation of new ideas. For the prevention and control of hospital infection 0 accident to make the greatest contribution.
4 increase revenue and save money, improve economic efficiency. The supply room is an important part of the hospital costing, a lot of expenditure is spent from the supply room. Therefore, the new year to do a good job of thrift and frugality, reduce hospital expenditures, increase hospital revenue. Specifically to start from the following aspects:
(1) from saving every drop of water, every electricity to start, like we use consumables such as: masks, hats, latex gloves, lubricants, etc., we want to double the savings, such as lubricants we can use three times resolutely can not be thrown away with a time, such as latex gloves we used to need to use at least 4 pairs of scrubbing instruments every day, and now we resolutely do not let reuse. This way we at least to
hospitals save ten dollars a day, a year down is more than three thousand dollars. This is only one of them, there are a lot of need to save us, I will not list here, so we must be thrifty, the hospital as their own home.
(2) Streamlining personnel, we must not play grips lazy people, we can do a person's work resolutely do not two people to do.
(3) find ways to increase medical income, for example, suggest that the hospital into a disposable package sold to patients can increase several times the profit, we are now to the patient with a package of medication not only can not collect the cost to, but also with our consumables, increase hospital spending, neither profit nor increase revenue.
5 Keep the department equipment intact rate, regular maintenance. Small failures to learn to eliminate, to ensure normal operation. For the department to create the greatest economic benefits.
6. supply room health work must be grasped, health is the life of the supply room, always keep tidy. Further increase the management of the department, and all the staff of the department of the same mind, to overcome the difficulties, know the difficulties, in order to Chengyang three doctors for the big picture, internal quality, external image, and constantly improve the level of nursing technology, and effectively provide quality supply services for clinical, made significant achievements. In the future work, I will continue to work hard, forge ahead, better serve patients, and make their own new contribution to the formalization of the hospital.
Nina Chen
20XX-02-19
Part III: Sterilization supply center learning experience
Strengthen the connotation of the specialty, improve the quality of service
October 11-17, 20XX, I participated in the Henan Province disinfection supply post training course. Henan Province disinfection supply post training course, learning time for one week, ***60 hours, the lecturer for the provincial health department Wang Xiuping director, Henan Provincial People's Hospital Nursing Department Wang Baoyun director, Zhengda First Affiliated Hospital Infection Fan Qiu Ping section chief and a number of Henan Province disinfection supply experts. The course covered a wide range of contents, including the analysis of the standard rules for the evaluation of the disinfection supply profession in tertiary hospitals, how to build a high-quality and efficient service team, the analysis of the laws and regulations of the disinfection supply profession, the quality of cleaning and continuous improvement of endoscopy, and how to standardize the cleaning, packaging, sterilization, and issuance, and so on. Through this study, I have a deeper and broader cognitive understanding of the work of the disinfection supply center, and now summarize the learning gains as follows to share with you.
1, disinfection supply center must implement centralized management: the provincial Department of Health requires hospital disinfection supply center must implement centralized management, otherwise affect the hospital level review and disinfection supply room special acceptance (review). At present, there are two forms of centralized management: the first form is a new or expanded disinfection and supply center, there should be a special supporting facilities for cleaning hard endoscopy. Outpatient clinic with a special soft endoscopy cleaning center, the hospital all recyclable reusable instruments, dressings, stomatology, endoscopy, etc. must be returned to the disinfection and supply center unified centralized treatment. The second form is the existing can not be expanded disinfection supply center, all hospitals can be recycled reusable instruments, dressings must be returned to the disinfection supply center to deal with the dispersed outside the stomatology, ophthalmology, operating room hard endoscopes, outpatient soft endoscopy and other cleaning facilities in line with the national industry norms, the staff must be sterilized by the supply of professional on-the-job training. The new disinfection supply center disposable sterile items, syringes, infusion sets, etc. issued to the Department of Medical Equipment (Equipment Division and Procurement Division into one), in order to enable the disinfection supply center staff to better deal with the hospital can be recycled devices, to ensure medical safety.
2, hospital infection is not a small matter, everyone starts from small things: we often say that "a citizen should abide by the law". In our work, we also have to abide by the law, our medical behavior must comply with the relevant state laws and regulations, irregular medical behavior must be corrected, once a medical incident, we will not be able to use tears to solve, will be subject to legal sanctions. As a disinfection supply center staff, more should be familiar with the relevant laws and regulations, standardize the process, standardize behavior, regulate
Model management. Any work, to leave a standardized record. Otherwise, once the accident, we can not get a justified information, will pay a terrible price. Because our medical quality and safety will be related to a family, a social stability. We need to know that the responsibility for the quality and safety of work is greater than the day, always set up "quality first" and "patient first" thinking, to create the concept of total quality management.
3, scientific standardization of work, continuous quality improvement: disinfection supply center work is very complicated, any work should have processes, systems, operating procedures. To use the process of management work, management work with the system, as a manager must make the maximum standardization of the work of the department staff, in line with laws and regulations, and continuous improvement of the work. According to the difficulty of the work of technology, hierarchical management, the development of detailed hierarchical job responsibilities, work quality standards, competition, the real realization of scientific performance distribution. Sound job responsibilities, standardize job training, strengthen scientific management, increase quality control, ensure medical safety.
4, strengthen the connotation of the specialty, improve the quality of service: with the disinfection supply center to expand the radius of the scope of work and advanced high-tech surgical, operating equipment, minimally invasive development, the increasing number of precision instruments, cleaning work is increasingly difficult, which requires disinfection and supply of professionals to continue to learn, constantly update their knowledge, and constantly high standards for their own, or else it is difficult to keep up with the disinfection supply specialty development. Disinfection supply center to expand the scope of work, which requires us to fully communicate with the clinical departments to do a good job of coordinating, always do patient-centered, out of the department in-depth clinical, found that the clinical needs, in particular, to follow up on the clinical new new business, new technology development, and timely solution to the problem of clinical disinfection, sterilization.
Through this study, I y appreciate: disinfection supply center is the "heart" of the hospital, is an important department to control hospital infection. In the quality service model, disinfection supply center must strengthen the overall quality management system, to "fine" as the goal, to "fine" as a means to achieve the specialist management from experience-based to scientific, from the rough to the transformation of fine management, to ensure medical safety. In order to better provide the whole process, comprehensive, active, safe, professional quality services for the clinical, quality care services for the overall development of the hospital escort, to build a harmonious doctor-patient relationship.
Although this study is short, but expanded my thinking, I am y aware of the disinfection supply professional is a professional strong specialties, the end of this year, Henan Provincial People's Hospital disinfection supply center
To face the acceptance of the national key specialties, thought-provoking is the next step in the Henan Province, Henan Province, to be selected out of the disinfection supply center key specialties, we are confident that we take this opportunity, so that our hospital new! Sterilization supply center to a new level.
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