ICU is to become a rescue center for critically ill patients in the hospital, how the level of supervision of the ICU, whether the equipment is advanced, has become an important symbol to measure the level of a hospital. The following is my summary of the work of the icu nurse, I hope it will help you!
icu nurse work summary 1icu is the rapid development of a discipline in recent years, a wide range of knowledge, the lead teacher asked us interns to master the basic theory and basic skills of icu, that is, respiratory, circulatory basic monitoring and treatment of the contents of the understanding of other related content. Strict implementation of disinfection and isolation system Strict aseptic technical operation and conscientious implementation of all disinfection and isolation system is an effective measure to prevent infection in the icu department, keep the room ventilated and dry, and at the same time do a good job of final disinfection of the indoor air, floor, surface of the goods and bed units, use air purifier for continuous purification, wash hands correctly before and after the operation or use disinfectant to wipe the hands, and in general, thank family members for accompanying us, and let them 2 to 3 p.m. to watch. Staff entering the icu wear prescribed work clothes, change shoes, wear a good hat and mask.
According to the doctor's orders, we have to test the patient's cvp and oxygen saturation, blood pressure, blood glucose, etc., and follow the doctor's orders to observe the patient's urine output, and judge the patient's condition according to the amount of input and output.
In the shift handover to the patient in your bed today's doctor's orders to do and not do to tell each other, the patient has what pipeline to account for, to ensure that the drainage is smooth. After that, then hand over the infusion pump and micro input pump.
The basic assessment of the daily patient, the response to speech activity, pupil reaction, limb strength assessment, etc., craniocerebral injury to do Glasgow coma score. Many nursing operations were also personally attempted during this internship.
Strict aseptic operation: strict aseptic operation in sputum suction, urinary catheterization and deep venous catheterization, the infection of patients in the icu department is mainly respiratory, and the underlying diseases are mostly injurious diseases, due to the critical condition of patients in the icu, the bedtime is long, and most of the patients are in the state of coma, the loss of the ability to cough, and the difficulty of discharging airway secretions. Therefore, it is necessary to suck out the sputum for the patient in time, wear sterile gloves when sucking sputum, use disposable suction tube, oral care, perineal care, tracheotomy care, changing dressings and so on. Turn the patient over and change the position to prevent pressure sores. Pat the back to make sputum timely and fully discharged, keep the bed unit and skin clean and dry.
The three-week ICU internship came to an end in a flash, although the learning time is short, but the harvest is quite a lot. Under the guidance of the head nurse and the teachers of the whole department, I have a further understanding of the nursing work of the icu, but also learned a lot of knowledge. In the future work, I will also redouble my efforts to live up to the teachers' expectations of me!
icu nurse work summary 2This time in the icu training of emergency medicine specialties trainees *** two rounds, 11 trainees, each batch of trainees to learn a month. Trainees are from the emergency department or icu of various hospitals, they have very rich work experience. Under the leadership and strict requirements of the Nursing Department, the strong support of the head nurse and the *** with the efforts of each teacher in the icu, it is summarized as follows:
I. Complete operational content
According to the requirements of the internship manual, and in line with the purpose of cultivating specialists, the department arranged for two specialized operational skills (the use of simple respirators The use and maintenance of the ventilator) as a demonstration of the operation of the content, and the trainees carried out a rigorous examination, a pass rate of 100%, the use of multi-functional cardiac monitor, the use of infusion pumps and maintenance of micro pumps, the assessment of the state of consciousness, the femoral artery and the radial artery puncture and other operations are also carried out a formal demonstration of the trainees in the work of the actual operation, most of the trainees can be very good. The majority of the trainees were able to master it well.
Theoretical knowledge
Because this section involves many kinds of diseases, complex conditions, in view of the actual situation of the students, we have arranged for the reading of the blood gas analysis report, invasive pressure monitoring nursing care, the care of the artificial airway and other theoretical content of the teaching, through the form of mini-lectures or bedside checkups to teach the students. Through these forms of teaching, the trainees have a perceptual and rational understanding of specialized care in the ICU and the observation and care of critically ill patients.
Three, pay attention to the strengthening of professional thinking
In the teaching found that some trainees on the acute and critical care nursing work enthusiasm is not high.
icu nurse work summary 3
I work in the icu, the story of the intensive care unit often does not move to reflect the "patient-centered."
The icu is the implementation of 24-hour unaccompanied system, each patient into the icu all the treatment, care and feeding, water life care is completed by the nurse.
The nurses who work in the icu have a desire to manage the patients in my care in a clean and fresh way. Every morning the first thing in the morning care is for the patient to carry out the whole body warm water bath. If you don't believe me, we met a few old people who hadn't bathed for a few years, and when they lifted the quilt, the whole body emitted an unpleasant sweaty odor, and when they wiped it with a towel, the skin flakes fell off straight away. When we used four pots of water to help an old man after scrubbing, he said repeatedly, "Thank you, thank you, too comfortable."
Most critically ill patients are unable to speak, and timely detection of problems depends on the nurse's eyes and experience.
"Cough, cough again, with a little force," we often in the suction, to encourage awake, open airway patients to increase the number of coughing, airway wetting after the patient a choking cough, phlegm immediately from the artificial airway outward, too late to spray to the nurse's clothing and body, " Just now is very good, come on, cough again," although everyone knows that the clothes are dirty, to immediately change clothes, but our nurses do not even frown, continue to encourage the patient to cough, clean up. If the patient's condition improves, the number of coughs increases, suction is effective, the nurses will be very happy, and only such angels, their love is so pure.
In the eyes of the families outside the ICU ward, we are just that in and out of the busy, even walking with the running figure, in the ward, we are really the only dependence on the side of the patient.
Last summer, we admitted a case of car accident male middle-aged patients, multiple rib fractures, double femur fracture, completely immobile. After the condition is stabilized, a bowel movement, the need for four nurses in the Department of force to lift him up, more than one hundred and fifty pounds of body, but also must be force uniform. That's a lot of weight! At first, he refused to do so, but only reluctantly agreed after we patiently explained and persuaded him. Put into the potty, after relieving the stool, we first use paper to wipe clean the perianal area, and then wash with a warm water towel, when we finished all this and covered him up, we found that his eyes were red, and the tears had fallen silently. "You guys are so nice, so nice that I can't get over it." "It's okay, it's okay, as long as you get better."
You have to ask the ICU nurses when they are the happiest, then let me tell you, the patient is stabilized day by day, day by day, recovery, our heart is the most comfortable.
In the one-way train of life, the nurse's superb service will make the end of the journey of life to be extended.
Mentioning the ninety-five-year-old old Red Army Grandpa Zheng Yi, I believe that 'many people here will not be unfamiliar. He is a family member of our hospital and one of the only few retired cadres in the city. Last winter, he was transferred to the ICU after a fistula surgery for colon cancer. in the beginning of the ICU a few days, vital signs are very unstable, heart rate is fast, blood pressure fluctuates, the condition is extremely critical in the department of each person's heart string is taut, do not dare to have a hint of slackness.
After a few days of hard work, the condition gradually improved. The next few days, the old man as long as the spirit of a little better, will give us his glory days, we listen carefully, he spoke up can be really gushing. He treated us as his confidant, and we were happy to be his friends.
His ninety-fifth birthday was spent in the ICU. On his birthday, the doctors and nurses in the department came to his side and said into his ear, "Happy Birthday," and "Wish you an early recovery!" After hearing these simple words, his face showed a child-like shy and innocent smile.
Although he eventually passed away, we know that we were with him for the last eighteen days of his life, and that we tried hard to pull him back from death.
icu nurse work summary 4The New Year is approaching, looking back at the past year, the nursing work of my department is summarized as follows:
First, nursing quality and safety
In the past year, my department in the nursing department, under the supervision of the head of the department of nursing, pay close attention to the quality of nursing care and safety management, the department conscientiously implement the quality of nursing care management, weekly and monthly adherence to self-check, sampling, and so on, and so on. Weekly and monthly self-inspection, random inspection, self-inspection and random results of timely feedback, timely and proactive to the Nursing Department to report adverse events in nursing, in the Nursing Department of rectification, timely improvement of nursing measures, greatly reducing the incidence of adverse events in nursing. In addition, according to the specific conditions of the department to implement scientific flexible scheduling, according to the nurse ability level reasonable scheduling, and strict implementation of hierarchical nursing system and other rules and regulations, to ensure the safety of nursing.
Two, strengthen the three basic training, improve the level of nursing services
For the department of common diseases and diseases of the regular organization of the monthly business learning, and constantly improve the department of nursing routines, to strengthen the basic theoretical knowledge of the study, greatly improved the level of theoretical knowledge of nursing staff. At the same time to strengthen the practice of technical operations, monthly planned nursing skills assessment of nurses in the department are qualified, in addition to strengthening nursing research and new technologies and new business development.
Third, strengthen the clinical teaching
Interns by qualified nurses to teach, and by the head of the teaching and the backbone of the Department of nurses to carry out regular teaching lectures, teaching room and technical operation standards demonstration, strengthen the theoretical knowledge of the specialties and skills learning, theory and operation of the examination before leaving the Department, the successful completion of the teaching program. The new section of the department this year for the individual qualities of different nurses to develop a training program, so that the new section of the nurses in the first into the department of a month of strong goals, as soon as possible into the work of the department, at the same time the monthly focus on checking the lower senior nurses self-study situation, urge the lower senior nurses to strengthen the specialty learning.
Fourth, the quality of care for critically ill patients
For the department of nursing difficult cases, critical cases, to carry out a room, the nurses of the whole department to discuss the views of their own, improve the nurses on the level of care for difficult and critical patients, but also the possibility of nursing problems in the forefront to improve the foresight of nursing problems and response to the ability. The company's website is a great place to learn more about the company's services.
Fifth, to carry out quality nursing service, improve service quality, shaping the image of the hospital
Since the department has become a model ward for quality nursing service, it has been carrying out quality nursing service seriously, and the department has also held a meeting to disseminate the spirit of the relevant to each nurse, explaining why it is necessary to carry out this work, and obtaining the approval of the nurses in the department. recognition of the nurses in the department. At the same time, the department is also actively organized, first of all, in the work arrangement to make adjustments, the implementation of flat scheduling, will be composed of the department staff responsibility group consists of a team leader and two responsible nurses. Re-planning of the duties of each class, the responsible nurse is fully responsible for all the disposal of the patient, condition observation, health education and so on. Nurse leaders and treatment nurses are involved in the nursing work of each group at the peak of ward work. Compact basic nursing care, provide satisfactory service, greatly improve the quality of nursing care, protect nursing safety, and comprehensively improve patient satisfaction. At the same time also greatly improve the professional and technical level of nursing staff, strengthen the nurse responsibility, optimize the deployment of nursing human resources, is the nursing work more orderly, really do the nurse back to the patient.
Six, sense of hospital and disinfection isolation
In the past year I focus on strengthening the sense of hospital and disinfection isolation work, assigned a nurse dedicated to the sense of hospital work, monthly organization of the whole department of nurses to carry out the theoretical knowledge of the sense of hospital learning, all the staff to strictly implement the system of disinfection and isolation and the principle of aseptic technology, according to the six-step washing method All staff members strictly implement the disinfection and isolation system and the principle of sterile technique, wash their hands diligently according to the six-step washing method, regularly conduct bacterial culture on the hands of medical staff, the desktop of the treatment room, and the air in the ward, and regularly disinfect and sterilize the respiratory tubes and other tubes, which are used by one person for one person and replaced regularly according to the regulations.
In the past year, after our efforts, although we have made certain achievements, but there are still many shortcomings, in the next year, we will continue to work and study as hard as ever, and continue to carry out new technologies and new business, encourage the development of nursing research. From the thought and action to really do "patient-centered" active service.