Through the systematic study of respiratory medicine and cardiovascular medicine, I further understand the basic knowledge and the latest diagnosis and treatment technology of respiratory and cardiovascular systems, master the diagnosis and treatment of common diseases and frequently-occurring diseases in respiratory medicine, cardiovascular medicine and related departments, get familiar with the routine operations of respiratory department, such as closed thoracic drainage, pleural biopsy, ultrasound and ct-guided percutaneous lung puncture, and basically understand the operating essentials of bronchoscope and thoracoscope.
The director of their department makes rounds 1-2 times a week. I feel a harmonious atmosphere during rounds, emphasizing seeking truth from facts and attaching importance to evidence-based medical evidence. Many issues of principle have been recognized, but differences that do not violate principles are allowed. The central hospital has always emphasized comprehensive treatment, first-line or studying the doctor's medical history when making rounds; A higher-level doctor may make a diagnosis, further examination and treatment by reading the film carefully. In this way, some patients can get reasonable treatment systematically, and young doctors know a lot about it. Reasonable comprehensive treatment is one of the important factors for the high level of diagnosis and treatment in xx Central Hospital.
To develop departments, we must attach importance to re-education, re-learning and the cultivation of reserve talents. 1 New progress in theoretical study and treatment every week; One week 1 study time; Long-term intensive and conscious study is also an important factor for their longevity. The cooperation of various disciplines is the guarantee to improve the level of diagnosis and treatment. Every department has technical expertise, and every doctor also has technical expertise to ensure the level of diagnosis and treatment in the department. It is not enough to have a good clinician. Only advanced equipment and perfect auxiliary examination can design a new treatment plan. At the same time, the cooperation between various departments of the hospital is also very important, such as surgery, pathology, diagnosis and so on. Outstanding comprehensive strength can bring a high level of diagnosis and treatment.
Advanced equipment and technology also left a deep impression on me. In our primary hospitals, there are many problems that plague us. With advanced medical equipment and technology, we will be easily solved and suddenly enlightened. Nevertheless, routine treatment is still the most commonly used treatment. In my opinion, relying on the current technology and equipment in our hospital, as long as we can use conventional technology in a standardized and reasonable way and carry out new business and new technology within our power, most patients can also obtain satisfactory curative effect.
When working in the department, I can feel that they have a strong sense of protection, can reasonably explain all kinds of problems raised by patients, and can clearly inform the development and prognosis of the disease. During my study in the Department of Cardiology of Central Hospital, I greatly broadened my horizons, especially their strong learning atmosphere and exploration spirit, which constantly inspired me to master new theoretical knowledge and technology as soon as possible. Four months' study is very short, full and enjoyable. Although the study life will soon be over, there is no end to learning, and there is still a lot of knowledge that I need to study and study hard in my future work. In the process of further study, many new experiences and gains are always accompanied in the learning process, which adds rich content to my life here. I look back on this period and examine my own changes. My knowledge has been consolidated and increased, and I have learned a lot of advanced technologies and; But for me, the most important gain is the change of concept. I am moved by my efforts and gains now. I am determined to bring the knowledge and ideas I have learned back to my work, influence and drive my colleagues in my work, and make the work level of internal medicine in our hospital reach a new level.
Summary of personal work of respiratory nurses for half a year II. Working in a humanized hospital has enriched my brain, broadened my horizons, made me see the human sufferings that I didn't feel before, and made me truly understand the value of life! The work since taking office is summarized as follows:
Being promoted to attending physician is the beginning of my independent work. In order to improve my diagnosis and treatment skills quickly, I have been working in the emergency department for the past two years. The exercise of emergency work has enabled me to quickly improve my understanding and rescue level of acute and critical diseases, and I can skillfully handle medical emergencies such as acute left heart failure, acute coronary syndrome, bronchial asthma attack, hypertension emergency, grand mal's disease, upper gastrointestinal bleeding and hemoptysis. At the same time, he can skillfully rescue cardiopulmonary cerebral resuscitation.
In my work, I deeply understand the qualities and conditions that a qualified doctor should have. Strive to improve their professional level, constantly strengthen business theory study, read a lot of medical magazines and books, insist on writing reading experiences and summaries, actively participate in online forums for medical majors, and often participate in various academic conferences, thus broadening their horizons and expanding their knowledge. Timely application of new theories and technologies to guide business work can master common diseases, frequently-occurring diseases and new diagnosis and treatment technologies in various internal medicine systems, and at the same time can deal with common diseases and various critical and difficult diseases in various systems such as cardiac arrest, drug poisoning and coma. , and strictly implement the work system, diagnosis and treatment routine and operating procedures in the work, thus avoiding the occurrence of misdiagnosis accidents to the greatest extent. My belief is to do my best to do my job well and relieve the pain of patients.
Clinical work can not be separated from scientific research, and at the same time, I hope I can make some innovations. I have carried out a series of studies on the theme of stroke. In view of the sequelae of limb paralysis after stroke, the age of onset is high and the cure rate is low, I applied for the topic "Clinical application of compulsory exercise therapy for stroke hemiplegia" and proposed to strengthen limb rehabilitation with compulsory exercise therapy. In rehabilitation treatment, I found that compulsory exercise therapy has a better effect on the recovery of upper limb motor function. However, there is little difference between the recovery of lower limb function and general rehabilitation treatment. Therefore, the related research of "clinical analysis of treadmill exercise therapy for stroke patients with hemiplegia" was put forward. Treadmill exercise was used to treat the affected lower limbs and achieved good results. After more than a year's efforts, the project was finally completed, which made me deeply understand the hardships of medical research in clinical promotion. Although my project has achieved phased results, the treatment of stroke is a long-term work, and I hope to make more achievements in the future work.
Since taking office, I have paid great attention to the cultivation of talents, actively carried out the guidance work for junior doctors, trained junior doctors to perform various common internal medicine operations, standardized the three-level medical treatment system, improved the diagnosis and treatment level of common diseases and frequently-occurring diseases of junior doctors, organized lectures in hospitals for many times, and standardized various routine operation skills, which really played a key role in business.
I hope that I can pass this promotion evaluation and make my business in by going up one flight of stairs an excellent doctor.
Summary of personal work of respiratory nurses for half a year. In the first half of the year, our department followed the service tenet of "patient-centered, improving the quality of medical service" advocated by the hospital, earnestly implemented this year's nursing work plan, and improved various nursing rules and regulations, improved service processes, improved hospitalization environment, strengthened nursing quality control and maintained continuous improvement of nursing quality in accordance with the basic requirements and standard assessment rules of "Evaluation Standard of Hospital Nursing Service Quality in Liaoning Province". Our work in the first half of 20xx is summarized as follows:
First, the implementation of nursing staff training plan, improve the professional quality of nursing staff.
1. Conduct "three basics" training for nurses at all levels, and organize theoretical examinations and technical operation examinations every month.
2. Ask questions twice a week in the morning, including basic theoretical knowledge, nosocomial infection knowledge and specialist knowledge.
3. Organize general nurses to learn and evaluate the emergency risk plan of nursing.
4. Organize general nurses to study the core system of hospital nursing and conduct assessment.
5.4 nurses took the nursing self-study exam.
6. Every nurse can try to master the first aid technique of cardiopulmonary resuscitation (CPR) and take the exam, and the qualified rate is 100%.
7. Nurses at all levels participated in theoretical examinations and technical operation examinations organized by departments and hospitals, with a participation rate of 100% and achieved excellent results.
The second is to improve the service process and improve the service quality.
Implement the "first-in-charge responsibility system", standardize the service process of receiving newly admitted patients, popularize standardized terms in the service process, provide various conveniences for patients, brake discharged patients for half a month, ask about their rehabilitation and record interviews, listen to the opinions of patients and caregivers on nursing services extensively, find out the causes of existing problems, put forward rectification measures, and continuously improve service quality. In the past six months, there have been no complaints from patients and their families. The satisfaction rate of service quality survey organized by the hospital was 100%, and 60 questionnaires on nursing service quality were distributed by departments. Patient satisfaction rate 100%, nominated nurses with the best service attitude 18.
Third, improve the nursing rules and regulations and operating procedures, and put an end to nursing errors and accidents.
Nurses carry out safety awareness education every week, find out unsafe factors in their work, put forward rectification measures, eliminate hidden dangers of errors and accidents, conscientiously implement various nursing rules and regulations and operating procedures, give play to the role of quality control teams in departments, and regularly and irregularly check the implementation of various nursing systems, so that the incidence of nursing errors and accidents is zero.
Fourth, the writing of nursing documents should be accurate, objective and continuous.
Nursing documents are legal documents and the objective basis for judging medical disputes. They should be carefully considered in the writing process, which can objectively, truly, accurately, timely and completely show the patient's condition changes, and constantly strengthen the significance of formal writing of nursing documents, so that every nurse can correct his writing attitude and strengthen supervision and inspection at the same time. Each shift checks whether the records of the previous shift are defective, the quality control team checks regularly, the head nurse checks regularly and irregularly, and the final quality inspection of the discharged medical records. Correct the problems found in time, analyze the quality of nursing documents every month, put forward rectification measures for the existing problems, and continuously monitor them. The qualified rate of nursing documents reached 100% in the first half of the year.
Fifth, standardize ward management and establish a people-oriented wishing environment, so that patients can reach the best physical and mental state of receiving treatment.
The ward is ventilated regularly every day, keeping the room quiet, clean and fresh, providing safe and effective protective measures for patients with consciousness disorder, implementing post responsibility system, nursing patients according to grading nursing standards, implementing health education, strengthening basic nursing and case nursing for patients, and meeting the reasonable needs of patients and their families. In the first half of the year, the qualified rate of nursing inpatients and nursing patients at all levels was 100%, and there were no nursing complications.
6. The intact rate of first-aid articles shall reach 100%, and the first-aid articles shall be managed by "four settings". Specialist personnel shall conduct a comprehensive inspection once a week, and the head nurse shall conduct weekly inspection and spot check at any time to ensure that the first-aid articles are always in an emergency state.
Seven, according to the hospital infection management standards, focus on strengthening the management of medical waste, improve the medical waste management system, organize research on medical waste classification and medical waste treatment process, and carry out special evaluation, so that the hospital infection monitoring indicators can meet the treatment standards.
There are still many shortcomings in this work:
First, the basic nursing care is not in place, the sanitary disposal of newly admitted patients in individual shifts is not timely, and the lying position is uncomfortable.
Second, ward management needs to be improved, and patients bring more items.
Third, some nurses don't have a strong aseptic concept, they don't wear masks during aseptic operation, and disposable sterile articles are not treated in time after use.
Fourth, the learning atmosphere is not strong enough, and there are no academic papers.
Five, there are defects such as missing items, missing records and lack of continuity in the writing of nursing documents.
Six, health education is not deep enough, lack of dynamic continuity.
Summary of personal work of respiratory nurses for half a year. In the first half of 20xx, under the leadership of the hospital and the support of various departments, all the doctors in the outpatient department, Qi Xin, worked together and took the initiative to establish a high sense of professionalism and responsibility. They worked hard around the nature of the department's work and the hospital center, seeking truth and being pragmatic, and achieved good results in medical quality and medical ethics. By the end of X, they had received about X million consultations and successfully completed the task.
First, take patients as the center and serve patients wholeheartedly.
Adhere to the patient-centered, strengthen the management of outpatient medical quality, standardize medical service behavior, and improve the humanistic service consciousness of outpatient doctors, so that every doctor can clearly define his responsibilities, actively and enthusiastically receive patients, patiently ask about their illness, carefully understand the patient's illness process, carefully explain the precautions for taking prescription drugs, and take corresponding psychological guidance or comfort according to patients' different medical psychology, so that patients can receive psychological guidance while receiving drug treatment, and enhance their confidence in overcoming diseases. Through the implementation of humanized service, the quality of medical care has been significantly improved, the satisfaction of patients with outpatient doctors has been greatly improved, and the complaint rate of outpatient service has been significantly reduced.
Second, strengthen the construction of medical ethics and establish a good image of doctors.
Strictly standardize the appearance of outpatient doctors. Strengthen outpatient medical ethics education and carry out inspection, improve the professional ethics of outpatient doctors and the communication ability between doctors and patients, and put an end to the phenomenon of refusing patients to seek medical treatment or coping with patients. Through the construction of medical ethics, the professional ethics of outpatient doctors have been significantly improved and their service awareness has been enhanced.
Third, improve the rules and regulations and implement the norms.
Conscientiously implement the responsibility system of first diagnosis, the system of succession and the system of rescuing critically ill patients, clarify the responsibilities of doctors at all levels, improve the diagnosis and treatment process, strengthen and improve the formulation of the core system of outpatient service, supervise the implementation of 5S, and strictly implement various reward and punishment systems. Regularly check the writing quality of various medical documents in outpatient department, and improve the qualified rate of writing quality of emergency medical records, prescriptions and various application forms. Strict reporting and registration of diarrhea, infectious diseases and adverse drug reactions. Strictly grade antibiotics, improve the utilization rate of drug sensitivity test, and put an end to antibiotic abuse. In the past six months, the rules and regulations of outpatient department have been strictly implemented, the writing quality of medical documents has been obviously improved, and the implementation of 5S is in good condition.
Fourth, do a good job in emergency handling.
Strengthen the study of first aid knowledge, make outpatient doctors familiar with the importance of emergency first aid in the current society, steadily promote the construction of emergency first aid team, improve the emergency and admission process, mediate the order of medical treatment according to the patient's condition, give priority to critically ill patients, timely, correctly and orderly rescue every critically ill patient, write out outpatient medical records, resolutely put an end to any medical mistakes and medical accidents, and achieve timely, safe, convenient and effective emergency services.
Five, strictly implement the convenience measures, reduce waiting for medical treatment.
There are various convenience measures such as guidance, triage, wheelchairs, stretchers and escort services. If there is an abnormal increase in outpatients, a special person will be arranged for on-site coordination, medical procedures will be maintained, visits will be intensified, doctors will go to work early, and work will be delayed, so as to reduce patients' dissatisfaction caused by long waiting time and ensure that every patient can see a doctor in time.
Six, regular academic lectures, improve the level of medical technology of doctors.
Attend hospital meetings on time, carefully understand the contents of the meetings, hold regular outpatient meetings every month, summarize the work this month, check for leaks and fill vacancies, and replace them in time when problems are found. Reasonable arrangement of outpatient doctor's schedule, as far as possible, let every doctor have the opportunity to participate in various academic lectures carried out inside and outside the hospital, improve the level of medical technology, and update the knowledge learned in time.
In the future, we will constantly sum up experience and make unremitting efforts for the development of the hospital.
Summary of personal work of respiratory nurses for half a year 5 The first half of the year has passed. Looking back on the work in the past year, with the support of the leaders of various departments in the hospital and the help of various brother departments, through the efforts of all the staff, the work of the departments has achieved certain results. The details are summarized as follows:
I. Training of departmental personnel
In the past year, the work of the department has been facing the problem of shortage of staff, but we can tide over the difficulties with the concerted efforts of Qi Xin. They not only cooperated with the completion of continuing education, but also actively carried out continuing education in the hospital. In addition to attending classes in the hospital, they also study internally. The study content includes the development of professional knowledge, routine diagnosis and treatment technology, review of professional basic theory, and summary of experience after further study. The professional quality and skills of all staff have been continuously improved, and the awareness of scientific research has been continuously strengthened. Combining traditional Chinese and western medicine, highlighting the characteristics of traditional Chinese medicine.
Second, the department management
Department management implements the concept of quality first and safety first, conscientiously implements various rules and regulations and laws and regulations of the hospital, practices medicine according to law, and standardizes management, so that quality awareness permeates every link of clinical work and eliminates medical hidden dangers in the bud. First of all, correct service attitude, do a good job in patient communication, keep abreast of patients' opinions on diagnosis and treatment work and patients' reactions after treatment, constantly optimize treatment plans, strengthen vocational education, carry out honest service, practice medicine honestly, earnestly perform professional ethics construction, and make service commitments: unity and cooperation, * * * mutual progress, forge ahead, dedicate love activities, advocate foothold and dedication, and constantly improve service quality and service connotation to patients. Secondly, the treatment of patients should be thorough. In addition to ensuring the standard treatment during hospitalization, we should also do a good job of health guidance for patients after discharge, so that every patient who comes to see a doctor can get a friend who will defend his health all his life instead of medical service. Conscientiously implement the relevant policies of the "new rural cooperative medical system", based on the actual work, make all indicators meet the requirements to the maximum extent, ensure that patients get reasonable treatment, effectively curb the rise of medical expenses, regularize the quality management of departments, strengthen the responsibility system for first consultation, strengthen the system of three-level doctor rounds, check the writing of medical documents and the rational use of antibiotics at any time, and correct problems at any time. Minimize medical risks.
Third, the existing problems:
Due to the particularity of department work and tense work rhythm, sometimes some comrades are slack in their work, lack patience, can't correctly treat patients' inquiries, are busy with their daily work and lack rigor, and are negligent in their work, which is mainly manifested in many problems in writing medical documents, incomplete registration of various records, and insufficient care for patients' diagnosis and treatment, resulting in uncertain diagnosis and treatment plans. The above problems have laid a hidden danger for the occurrence of medical disputes to a certain extent.
Four, in order to better complete the work next year, the work plan is as follows:
1. Strengthen the training and learning of basic skills and knowledge, effectively improve the professional quality of all staff, improve the rescue ability of critically ill patients, improve the construction of cardiovascular diseases, standardize the treatment of respiratory diseases, strengthen the study of theoretical knowledge, improve the safety of clinical medication and improve the treatment ability of rheumatic immune diseases. Expand the influence, improve the professional construction, and further expand the business scope of the department. 2. Thoroughly study various laws and regulations, safeguard patients' legitimate rights and interests, implement hospital rules and regulations, standardize medical behavior, strengthen medical staff's risk awareness, avoid medical errors and accidents, strengthen medical ethics education, correct service attitude, do a good job in communication with patients, strengthen the training of interns and rotation doctors, implement the combination of medical care and nursing at work, improve the overall level, and bravely undertake health education and popular science propaganda work, in order to improve chronic diseases,
The second half of the year is about to begin, and all nursing staff in respiratory department will work together with Qi Xin to make continuous progress according to the work requirements of the hospital Party Committee and the nursing department, so that the nursing work in respiratory department will reach a new level. We will follow the service tenet of "patient-centered improvement of medical service quality and implementation of patient safety management objectives" advocated by hospital quality management requirements, improve various nursing rules and regulations, improve service processes and strengthen nursing quality control in accordance with the basic requirements of hospital quality management evaluation standards in xx Province, and formulate the nursing work plan for respiratory medicine in the second half of the year as follows:
First, the majority of nursing staff will conscientiously implement the rules and regulations of the hospital, put professional ethics first, maintain the good image of the hospital, and make their own efforts to create a civilized and harmonious hospital. Will lead the majority of nursing staff to keep up with the requirements of modern nursing development, people-oriented, implement humanized and emotional services, and provide patients with quality and warm services.
Second, strengthen nursing safety management, improve nursing risk prevention measures, effectively avoid nursing risks, and provide patients with quality and safe nursing services.
1. Constantly strengthen safety awareness education, promptly remind unsafe factors found in the work, and propose corrective measures. Taking the nursing errors inside and outside the hospital as an example, we can organize discussion and study for reference, so that nurses can fully understand the new situation and new characteristics of nursing error factors, learn from them, and make the safety alarm ring constantly.
2, the implementation of various rules and regulations, regular and irregular inspection, supervision in place, and supervision and inspection records.
3. Strengthen the management of key periods, such as night shift, middle shift and holidays. Implement flexible shift scheduling system, reasonably match the old, middle-aged and young people on duty, and pay attention to cultivating the cautious and independent spirit of nurses when they are on duty independently.
Summary of personal work of respiratory nurses for half a year 6. The busy and substantial first half of the year rushed past, taking stock of the harvest and summing up the lessons, which should leave a solid step; Sedimentation and accumulation, moving and inspiring, a good start is after the end of success. The nursing work in the first half of this year is summarized as follows:
First, down-to-earth, starting from the basic work of nursing
First of all, the staff of the department are relatively young, lacking work experience and specialized knowledge. In order to improve the quality of nursing service, we should start with the basic nursing work, strictly implement the ward round procedure and the handover system, take morning nursing and handover as the communication platform, carry out in-depth and meticulous specialist health knowledge education and humanized communication, effectively improve patients' satisfaction and achieve good results. At the same time, the implementation of the core system will be the focus of this year's assessment, and one will be assessed every week to gradually standardize the workflow. In addition, to improve the service quality, we should start with improving the work details:
1. Improve the check method, instead of calling the patient's bed number and name, ask the patient's name, so that the patient can take the initiative to answer and avoid the possibility of wrong check;
2. Improve skin preparation method, use disposable skin preparation knife, cancel civil skin preparation knife, and change talcum powder lubrication into soap solution lubrication to improve work efficiency and skin preparation effect;
3. Promoting the use of family escort chairs only symbolizes the collection of user fees, which provides great convenience for patients;
4. Establish a nurse communication book, writing daily work quality control content, meeting content, handover matters needing attention, etc. The communication book is for each class's reference, so as to reduce the disadvantages of long communication period before the meeting and unable to improve in time, and achieve the goal of continuous and timely improvement of quality.
Two, grasp the implementation of the system, a clear division of labor, to prevent loopholes in the work.
The work is detailed, the division of labor is implemented, and the responsible nurses and quality inspectors are responsible for writing documents. The three-level quality control mode, in which the bed nurse is responsible for filling in the medical record, the responsible nurse is in charge of management and the quality inspector is in charge of quality control, effectively controls the writing errors and irregular writing, and improves the writing quality. The discussion on holidays, the rescue of medicines, the lectures of interns, and the business study are all responsible for people, so that everyone has something to do, everyone is responsible, and everyone participates in department management, which effectively improves everyone's enthusiasm.
Third, strict delivery room management, complete the layout transformation.
Strengthen the management of delivery room, print the common emergency procedures of obstetrics, post them on the inner wall of delivery room, strengthen the operation procedures, implement the wristband identification system, strictly implement the wristband wearing work of newborns, establish the delivery room handover process and supervise the implementation, effectively strengthen the safety management of pregnant women and newborns, improve the vaccine reporting and checking procedures, and strengthen vaccine management. In addition, according to the acceptance standard of management year, the delivery room was improved again, disinfection supplies were configured, and the positions of waiting room, isolation delivery room and isolation delivery room were adjusted to meet the standard requirements.
Fourth, practice hard and strictly control the quality.
According to the situation of young nurses, we should make an operation training plan, incorporate basic operation items into daily assessment, check and supervise one item every week, assess common operation items one by one, especially TCM operation items, formulate operation standards, train all staff, and constantly improve operation procedures in operation assessment. Improve operation technology and effectively improve service quality.
Five, pioneering and innovative, continuous learning, complete the continuing education and teaching work.
Constantly enrich specialized knowledge, send midwives to study in xx, send head nurses to study in xx, introduce new concepts and technologies, improve working technology, promote the learning atmosphere of departments, complete business study twice a month, carry out TCM nursing technology projects, learn TCM theory, and complete a national paper. At the same time, supervise general nurses to complete the task of continuing education and strengthen the study of specialized knowledge. There are a lot of interns this year. In order to ensure the quality of teaching, detailed teaching plans and teachers' teaching plans have been made to ensure that each batch of students receive two professional knowledge studies and successfully complete the teaching tasks.
The next work plan of intransitive verbs
In the next step, we will step up publicity, further create an atmosphere, make further efforts in detail service, environmental sanitation and health education, continue to actively strengthen inspections, reduce calls from patients, consolidate basic nursing, strengthen effective communication with patients, increase warm reminders in wards, and strengthen theoretical knowledge and technical operation training of nursing staff. Effectively provide timely, correct and personalized high-quality nursing services for inpatients, explore, improve and improve, constantly sum up experience, and strive to quickly improve the quality of high-quality nursing services and strive to satisfy patients, the government and society.
A year's efforts are not perfect, there are always gains and losses, enrichment and melancholy go hand in hand, and dissatisfaction with the status quo is the beginning of progress. At the beginning of work, only hard work can set sail and enter another cycle of struggle.