In clinical work, "if a worker wants to be good at his body, he must sharpen his tools first." I know the responsibilities and responsibilities on his shoulders, and angels are not easy to be, so I learned from nursing work. Nursing work is really hard and tiring, but it will also bring a lot of happiness. Only by putting yourself into it will you have a profound experience. Here, I want to talk about my experience in this job.
1, understand the value of nurses.
2 1 year-old, realizing the dream of being a nurse. When I put on the nurse's uniform and stepped into the ward for the first time, I saw dying figures and begging eyes. I had a mission: I understood the value of a nurse and the hard work and selfless dedication behind the "angel". Every day, I put myself into my work with a smile and a happy mood. Even if I encounter difficulties, I always look up at the sky on my way to work every fresh morning and say to myself, "Work hard and don't make mistakes!" " In this way, day after day, I kept busy shuttling in the ward, taking the patient's temperature, taking injections and taking medicine. When I gave the patient a puncture and hit the nail on the head, my heart was happy; When the patient's respiratory tract is blocked by phlegm, it is comfortable to dredge it; When the patient has a high fever, patiently do an alcohol bath for him, and the patient's high fever finally recedes, and his heart is comfortable; I feel very comfortable when I see the patient I care for recover. When I saw faces from unfamiliar to familiar, from the pain when I was admitted to the hospital to the radiant when I was discharged, I felt a relief. As an ordinary nurse, I don't ask for gratitude, return, flowers or applause. I just hope that we can get respect, understanding and support while paying tolerance and love.
2. Noble dedication
This is the main content and starting point of nursing workers' professional ethics, and it is also the ideological basis for doing a good job in nursing. As we all know, nursing work is noble, but it is also very hard. Three shifts, always stick to the job, and use our efforts to help patients relieve their pain and recover as soon as possible. All holidays are no exception, which is an important feature of nursing work. So we must adapt to this (including family members), consciously overcome personal difficulties and give up some personal interests when necessary. Consciously strengthen the sense of responsibility, have the noble moral character of loving their posts and dedication to nursing, and contribute youth and wisdom to people's health.
3. Skilled skills
First, it is necessary to be steady, and the movements should be gentle, coordinated, flexible and orderly, which not only makes patients feel safe, but also gives people a sense of beauty; The second is to be accurate, that is, the action is strictly in accordance with the nursing routine, and the operation is accurate and just right; The third is to be quick, that is, skilled in action, quick in hand, quick in eye, clean and neat, and complete the task with less time and high quality; Fourth, the quality is high, the effect is good, patients are satisfied, and they are satisfied. In nursing work, time is often associated with life, and skilled skills often win safety and save lives. Nurses are the frontline sentries when observing critically ill patients, especially when observing the vital signs of brain surgery patients. Once the condition suddenly changes, such as mydriasis and cerebral hernia symptoms, nurses are the first to find out and provide timely and accurate information for doctors, so that doctors can make a decision on rescue surgery without wasting time. When a patient with heart disease suddenly stops, the nurse should immediately knock on the precordial area, supplemented by artificial respiration, chest compressions and venous access. When doctors rescue patients, nurses should cooperate quickly and timely to ensure the supply of various drugs and instruments. These are the keys to successful rescue, so much work needs to be done in an orderly way, so the nursing technology is profound. Therefore, we should be good at learning, be brave in practice, keep forging ahead, strive for perfection, and strive to improve our quality and skills, which is the inevitable trend of medical development.
Summary of personal work of clinical nurses This year is my first year of work. Under the care and direct leadership of hospital leaders and head nurses, I take? Everything is patient-centered, and everything is for the patient? The purpose of service, better completed the nursing work assigned by the hospital leaders, and mastered the clinical operation skills. The work is summarized as follows:
After less than a year's practical study, I feel that if I want to combine the theoretical knowledge I have learned before with my clinical work, on the one hand, I should strictly ask myself to consult teachers in my usual work, on the other hand, I should study hard in my spare time to understand the essentials.
There are relatively many surgical patients, and they have also learned relevant knowledge before and after operation. Preoperative preparation includes psychological counseling, intestinal preparation and dietary guidance. Postoperative vital signs monitoring, incision observation, assistance in coughing and expectoration, observation of infusion volume and infusion speed, nursing of various drainage tubes, nursing of catheter, diet nursing, observation and nursing of postoperative complications, etc. In our daily work, we are required to communicate with them more patiently. Only in this way can we better improve the quality of nursing and make patients trust our work.
Because the pace of surgery is faster, work is busier than talking on the phone. Trivial. I remember when I first arrived in surgery, I was not used to it. In order to do a good job and obey the arrangement of the leader, I am not afraid of trouble. I asked the teacher, learned from my colleagues and groped for it myself, and soon I became familiar with the work of surgery. Understand the responsibilities of each class, clarify the procedures and direction of work, improve work ability, form clear working ideas in specific work, and be able to carry out the work smoothly and complete the work skillfully and smoothly.
After nearly a year's study, I am familiar with the professional knowledge of the department and pay great attention to the professional image of nurses. I pay attention to civilized and polite service in my daily work, adhere to civilized language, have a dignified appearance, dress neatly, do not wear heavy makeup, do not wear high heels, do not ring shoes, have a polite attitude and have a standardized language. Seriously study the Regulations on Handling Medical Accidents and its laws and regulations, and actively participate in the learning activities of the Regulations on Handling Medical Accidents organized by the hospital, which enriched the legal knowledge and enhanced the awareness of safety protection.
Under the active and serious guidance of the head nurse, I have made great progress and improvement in many aspects. Usually, I insist on participating in the business study of the department and the three-basic training of nursing staff every Friday. In the past year's work, I have always adhered to my love and dedication. Patient-centered, quality-centered? Service concept, improve their own quality and emergency ability.
Of course, I still have some shortcomings to improve. For example, in study, sometimes I feel impetuous, I feel that I have too much to learn, and I am impetuous, especially when I encounter setbacks, and I can't handle it calmly. At work, sometimes the standard is low. Although I can basically perform my duties and obligations, my initiative needs to be further improved, which is what I need to improve and improve in the future.
In the coming year, I would like to thank the hospital leaders, head nurses and teachers for their education, guidance, criticism and help, and my colleagues for their concern and support. Looking back on the past, there have been many advances and improvements, but there are also some shortcomings; Looking forward to the future, we should carry forward our own advantages and overcome our own shortcomings.
In the coming 20xx year, I will continue to carry forward the spirit of the past year, do my job well, be anxious about the patient's urgency, be responsible for the patient, and never make the patient's condition worse because of my' reasons'. I will be absolutely responsible for my work. This is the minimum work that a good nurse should do to save lives.
Summary of personal work of clinical nurses
Entering pediatrics, I learned from the teachers that pediatrics is a comprehensive department, covering various diseases of internal medicine and surgery. However, the types of children's diseases are very different from those of adults: the onset is urgent, the momentum is fierce and the changes are rapid. Therefore, we nurses should formulate a series of corresponding nursing measures according to the characteristics of their diseases. Because of children's own characteristics and young age, they can't or can't accurately describe their illness, and they don't know how to cooperate with medical staff. Therefore, pediatric nursing has many contents, great difficulties and high requirements. In addition to basic nursing and disease care, there are a lot of life care and health education. The patient's condition should be carefully observed, and the doctor should be informed in time if any changes are found.
After understanding the basic situation of pediatric nursing, I began to devote myself to internship. Under the tireless teaching of clinical teachers, I have continuously studied and explored professional knowledge and accumulated some work experience. Perhaps these experiences are just a drop of water in the vast ocean; A pebble in the vast desert is a precious treasure to me, just like a wave on the vast beach, leaving countless sparkling shells, which are worth cherishing and remembering. Perhaps these gains are relatively small, but I believe that success is accumulated on every small progress. ? Rome was not built in a day. ?
After a month's pediatric practice, I have grown a lot, gradually getting rid of the childishness of the school and becoming mature. Are you online? Location? In fact, I learned not only the most basic skills of a nurse, the knowledge of disease care, but also how to communicate with patients' families. Pediatric care is for children. For every parent, the most precious thing is their children. Family members and medical staff are based on the concept of thinking about children. In addition to the exquisite infusion technology, it is also necessary to educate patients' families, such as diet education, environment, clothing, psychological care and so on. After preaching to my family, they expressed great gratitude to me, and I was particularly gratified that the fruits of my labor were appreciated.
Internship is my first step out of clinical work. There are still many bumps and hardships waiting for me. I will not shrink back, but face the challenge bravely! ? Work? This mountain is waiting for me to climb fearlessly!
Summary of personal work of clinical nurse Fan Wen With the arrival of the end of the year, we have worked hard for another year. In this year, under the attention and direct leadership of hospital leaders, all the nursing staff in our department are in? Everything is patient-centered, and everything is for the patient? In view of the target plan made at the beginning of the year, all nursing staff paid close attention to the implementation, earnestly implemented and made unremitting efforts, successfully completed all nursing work and achieved good results at the same time. The work in XX years is summarized as follows:
A, nursing safety management
1, according to our department this year? XX？ Evaluation standards, actively rectify and improve the work, focusing on strengthening the assessment of patients' top ten safety goals. Divide patients' top ten safety target management into departments, and let general nurses actively participate in nursing safety management; Strengthen the management of nursing quality control team in departments and revise the inspection standards and methods of nursing quality control; Improve the effect of quality control; Re-formulated the report form of nursing adverse events and the report form and process of pressure sore/fall, and established the patient handover system between key departments, including the identification and registration system, so that nurses can have a list to follow and the nursing behavior is more scientific and standardized; In order to master various systems and improve nurses' emergency ability, the department organized and studied ward management system, critical value reporting system, medical waste treatment, first aid process of hypovolemic shock, theory and operation of cardiopulmonary resuscitation, use of simple breathing bag, training and assessment of micropump, and theoretical operation assessment of ECG monitoring. The participation rate and qualified rate of nurses reach 100%, which enables nurses to standardize and implement various nursing operations, has strong emergency response ability, and is calm and calm when encountering crisis, which greatly improves the safety of nursing and reduces the occurrence of errors and accidents. XX general nursing mistakes occurred in our department this year, which was significantly less than the same period last year.
2. This year, XX nurses were newly transferred to the hospital in our department, among whom XX were fresh graduates and lacked clinical experience. We gave them guidance on nursing skills such as various nursing rules and regulations, responsibilities, nursing record writing, specialist nursing, and legal awareness education, which improved their anti-risk awareness and emergency response ability, and appointed old nurses with clinical experience and strong sense of responsibility as teaching teachers for newly transferred nurses, thus cultivating their communication skills with patients and clinical operation skills.
Second, nursing quality management
1. The head nurse conducts weekly nursing quality inspection, monthly nursing quality analysis, quarterly administrative rounds of nursing department, monthly nursing risk management registration form and monthly pressure sore report, so that every nurse in the department can participate in quality management, regularly check their respective work tasks every month, and improve the consciousness of nurses' subjective initiative and active participation in management. The head nurse can report, analyze and correct problems in time. And feedback the existing problems to each nurse in time, put forward effective rectification measures, evaluate them after rectification, and further improve the level of nursing quality. Through unremitting efforts, our department has achieved good results in nursing quality inspection, XX? The average monthly score of XX is XX. What do you get is a flowing red flag? Nurse station? The title of.
2, according to the difficulties and focus problems in nursing work, set the key, adhere to? Patient-centered? Incorporate humanized nursing concept into more practical and specific work details. Carry out, permeate, penetrate and implement the nursing quality standard in the whole work of each nurse, so that the nursing quality management can be followed by rules and form a virtuous circle. Evaluate the quality of nursing from the patient's point of view, and take the patient's satisfaction as an important index to evaluate the quality of nursing, so that patients can really benefit from quality management.
3.XX year XX? XX months * * * admitted XX inpatients, with an average hospitalization days of XX days, including XX surgical cases.
Third, ward management
1. Our department has XX beds, and there are only XX nurses this year. At present, there are XX nurses with a heavy workload. However, all nurses in our department always attach importance to basic specialized nursing, consciously carry out morning and evening nursing, assist patients in daily life nursing, and ensure patients? Three short and six clean? . Supervise workers to do a good job in environmental sanitation and cleaning, and provide a clean and comfortable environment for patients. Good hospitalization environment has been well received by patients.
2. All nurses in our department consciously abide by labor discipline, stick to their posts, don't be late, don't leave early, and pay great attention to nurses' gfd and work attitude. Every nurse is dressed neatly, wearing a uniform headdress, and her clothes are clean and tidy, which has been well evaluated in every instrument inspection. Good image, high-quality nursing service attitude and skilled nursing technology make our department get better results in the hospital patient satisfaction survey, and the average score of patient satisfaction survey is above XX.
Fourth, disinfection and isolation.
1, strictly implement various disinfection and isolation systems, organize XX times of hospital infection knowledge study and assessment every XX months, and improve nurses' awareness of disinfection and isolation. In particular, the study of perioperative antibiotic use knowledge has been strengthened.
2. Check and rectify the quality management of disinfection and isolation in the department every month, and organize all medical staff to conduct feedback meeting and rectification in the hospital every quarter. XX？ XX month disinfection and isolation quality inspection is divided into XX on average. Cooperate with hospital infection department to manage undergraduate hospital infection: hospital infection case report, antibiotic use management, department environmental monitoring, ultraviolet lamp detection, hand hygiene standards, medical waste treatment, environmental sanitation management, etc.
Five, nursing medical record writing
1. In order to standardize the writing of nursing medical records and continuously improve the quality of nursing medical records, specialists conduct quality inspection irregularly every month to check the writing quality of nursing medical records; The head nurse strictly grasps all aspects of the quality of nursing medical records, regularly checks XX's discharged medical records every month according to the scoring standard of nursing records, corrects the problems found in time, analyzes the quality of nursing documents every month, puts forward rectification measures for existing problems, and continuously monitors them, so that nurses can gradually master the writing requirements of nursing medical records to continuously improve the quality of nursing medical records. The qualified rate of nursing medical records was XX%.
2. Pay attention to the continuing education of nurses, and constantly improve the comprehensive quality of nurses. The comprehensive quality of nurses determines the writing quality of nursing medical records. Nurses are encouraged to carry out on-the-job continuing education and strive to improve their professional and technical level. This year, XX nurses in our department participated in continuing education.
Six, nursing management
1. According to the training plan of nursing operation assessment, use of rescue equipment, specialized nursing knowledge and nursing system, and nurses' emergency ability formulated at the beginning of the year, the nurses in our department were trained and assessed in an organized, planned and purposeful manner. The participation rate of nurses reached 100%, and the qualified rate of training reached 100%, which achieved good results.
2. Hold regular departmental meetings, departmental quality control group meetings, off-duty symposiums, nursing ward rounds, business study and hospital infection meetings, organize a nursing theoretical knowledge assessment and nursing operation assessment every XX months, and answer questions every morning. Regularly report the nursing risk management registration form, evaluate and report the quality of nurses' work on time, and carry out XX times of continuous quality improvement of nursing every year to continuously improve the quality of nursing.
3. Continue to play the role of information register, encourage nurses to actively participate, and feed back the problems and various information at work to every nurse in time through the information register, so as to build a communication bridge between nursing department, head nurse and nurses.
4. In order to meet the needs of patients and their families, provide patients with a good hospitalization environment and reduce the burden on their families, the canteen has carried out food delivery service, and the good service quality has been well received by patients and the satisfaction has been continuously improved.
Summary of Personal Work of Clinical Nurses During the period when Fan Wengang entered the ward, he always felt at a loss. Looking at the students who entered the clinical practice in advance, I can't help but envy them. When can I do this? At that time, nursing work was still in a relatively unfamiliar state, and there was no formed concept of what I could do in such a new environment. Fortunately, the teacher introduced us to the ward environment, shifts and the work of each shift, self-protection of work, and of course, the most important sense of responsibility and cautious spirit. Teachers have rich clinical teaching experience, which makes me adapt to the nursing work and hospital environment quickly, and lays a good foundation for future practice.
The nurse's studio is heavy and messy. Although I felt it before I entered the clinic, I really felt it after I entered the ward. Indeed, the job of a nurse is very fragmentary, which can be said to be very humble. We use our own feet to measure the distance of the ward over and over again; However, nurses also have unique charm. Hospitals cannot be without nurses, doctors cannot be without nurses, patients cannot be without nurses, and the whole environment cannot be without nurses. This kind of trivial work has a complete system. It can be said that sparrows are small and complete.
During this short internship, we gained a lot. If summed up in simple words, it will look pale and weak, at least it can't be expressed accurately and clearly. There are many gains, but there is no need to list them one by one, because we know that the gains during the internship will be better reflected in the future work, so we use some dotted lines instead of faces and special ones to represent individuals. In short, while thanking Dongguan Renkang Hospital for cultivating our dribs and drabs, we will take up our respective jobs with more proactive working attitude, more solid operational skills and deeper theoretical knowledge, improve our clinical nursing ability and do our best for the cause of caring!