Introduction: for the hemodialysis room nursing work, you come from me to summarize it. The following is my summary of hemodialysis room nursing work, for you to read and learn.
The hemodialysis room nursing work summary a
20xx year, hemodialysis section of all nursing staff in the hospital leadership and the nursing department of the correct leadership and the close cooperation of all the members of the section, to overcome the small number of personnel, the workload of heavy difficulties, for the beginning of the year to formulate the goal plan, pay close attention to the implementation of the implementation of the implementation of the implementation of the implementation of strict implementation of the "hemodialysis basic operating procedures Strictly implementing the "Basic Operating Procedures of Hemodialysis in Jilin Province", adhering to high standards and strict requirements, making efforts in management and service, strengthening nursing safety management, improving nursing risk prevention measures, and providing patients with high-quality, safe and orderly nursing services. Patient-centered, advocate humanized service, strengthen nurse-patient communication, improve patient satisfaction and avoid nursing disputes. Regular and unscheduled nursing quality inspection, to maintain continuous improvement of nursing quality. Successfully completed the work of the beginning of the year to develop the various tasks, the leadership and the patient's affirmation and praise, now will be the annual nursing work summary report
a sound system, conscientiously implement the work of the system, to ensure the safety of medical care.
Seriously organize the study of the Department of Nursing at the beginning of the year to re-establish the duties of nursing staff at all levels, all types of job responsibilities and nursing work system, and implement into the actual work.
2. Combined with the requirements of the second grade compound review rules and requirements for the establishment and qualification of the blood purification room, to develop quality management standards and strict work plan, to improve the Longjing People's Hospital hemodialysis room rules and regulations, technical operation specifications, various emergencies emergency response plan, nursing emergency risk plan, dialysis patients' diets and care and other related documents, according to the provincial blood purification center issued by the According to the "hemodialysis standard operation procedure" issued by the provincial hemodialysis center, the operation is standardized, and the whole medical quality management of hemodialysis is implemented.
3. Adhere to the checking system, the nursing operation is strictly three checking and seven checking, strengthen the accuracy of the implementation of the medical advice, double-checking the medical advice and set up the parameters and indicators, to ensure the quality of dialysis and patient safety, and to ensure that the whole year, no nursing errors, accidents occurred.
Second, strengthen learning, pay attention to improve the overall quality of nurses, optimize the nursing team.
Strengthen the business theory learning and technical operation training: according to the beginning of the business theory learning and operation training plan, the organization of nursing staff twice a week business learning and make good study notes, participate in the Department of Nursing organized by the operation of the training and assessment, to ensure that the results of the standard.
2. Strengthen the related knowledge learning, and constantly improve the professional and technical level of hemodialysis, with the national 2010 version of the "hemodialysis operating procedures" as a working guide, the Jilin Provincial Hemodialysis Center issued by the "hemodialysis standard operating procedures" to regulate the operation, and strictly implement the "hemodialysis standard operating procedures". We standardize the operation, strictly implement the "Hospital Infection Management" and "Disinfection Management" to strengthen the management of disinfection and isolation to ensure the quality of dialysis and safety of treatment.
3. Update professional theoretical knowledge, improve the level of specialized nursing technology, seriously study and comprehend the second grade review review inspection rules, learning uremia dialysis patient diet, treatment and nursing care and other related knowledge, so that all nursing staff professional and technical level has been greatly improved.
Three, change the concept of nursing, improve the quality of service, strengthen the nurse-patient communication advocate humane service, improve the concept of humane service, from the characteristics of the service object and personality, strengthen the active service consciousness, carry out nursing services.
Our dialysis department is facing a special group, because the disease is long and can not be completely cured, the family in the long process of care there are some shortcomings, easy to make the patient to lose sense of loss, loss of confidence in life, and at the same time, due to the dialysis of a long time, the decline in the ability to govern life, which has to bear the high cost of treatment, it is easy to produce a light hearted and despair. Therefore, we first do with their heart and love to care for every patient, listen carefully to patients, try to understand the patient's psychology, good at mastering the psychological characteristics of each dialysis patients, with good professional knowledge and skillful communication skills, to win the respect and trust of patients. Help them to treat the disease correctly, patients change the understanding of the disease, so as to face the reality with a positive attitude, so that they set up confidence in treating the disease. And obtain the cooperation of family members to reduce the psychological burden of patients. So that patients have a good mind to accept the treatment, in order to improve the quality of life.
2. Positive response to the "quality nursing service demonstration project" to create activities, and actively organize the nursing staff to learn, from passive service to active service, creative work in nursing, always patient-centered, to provide patients with safe, high-quality, satisfactory nursing services. Pay attention to cultivate nurses' emergency response ability in normal work, do retrospective evaluation of each emergency work, learn lessons from it, and improve nurses' ability to respond to emergencies. Improve the nursing staff's sense of responsibility and keen insight, so that they can develop a rigorous, agile and decisive work style. Closely observe the changes of patients' vital signs, do not ignore any symptom, do not relax any hemodialysis link, and do not miss any resuscitation opportunity. Over the past year, *** dialysis treatment 4074 times, there has not been a case of nursing error and error accidents, no case of dialysis infection and infectious disease cross-infection accidents throughout the year, for the hospital to lay the foundation for the safety of medical care.
Four, regular assessment and inspection to improve the quality of care.
Medical quality management is the core content of hospital management and eternal theme, dialysis quality control is an important part of dialysis standardized management and hospital medical quality management. Comprehensively strengthen the nursing staff medical care safety quality management, so that all nursing staff fully aware of the importance of medical care safety, enhance the awareness of medical care quality services and the implementation of rules and regulations consciously. And regular quality supervision, inspection, assessment and evaluation, to strengthen the management of key links, weak links and important links of hemodialysis, to judge the completion of nursing quality indicators, and put forward improvement measures, is to improve the quality of nursing care guarantee. This year, in order to improve the quality of nursing care, our department in the nursing department arranged weekly quality inspection, in addition to the head nurse and department nursing supervisor is responsible for the inspection, more than 4 times a month for self-checking, through the usual inspection so that many easy to neglect the problem can be solved for the safety of clinical medical care to provide a guarantee. Monthly special nursing safety work conference, timely feedback on existing problems, timely put forward the next step and preventive measures, for the deficiencies in the inspection, detailed analysis of the reasons, and through in-depth ideological education, strengthen the nursing staff's sense of service, quality awareness. Practical improvement measures are formulated to change the weak links in the work in time. In order to ensure hemodialysis, medical safety, improve the quality of dialysis has achieved certain results.
Fifth, to carry out new technologies, new projects, and constantly improve the level of professional and technical.
1, in April, my department newly carried out, hemodialysis plus hemoperfusion purification treatment method, three patients *** to receive 12 treatments, the clinical effect is remarkable, in order to meet the needs of the patient's treatment at the same time also for the hospital to increase the economic benefits.
2, in constantly specializing in new technologies, new projects at the same time, nursing staff are required to be good at summarizing the work of the experience of mutual exchange, during the year has written two papers.
3, sent three nurses to higher hospitals to learn blood purification operation technology, one nurse has returned to work in the department, two nurses for the reserve force, and sent a nurse to participate in the province's "blood purification standard operating procedures" short-term training courses, not only learned a new theory, but also further standardize the technical operation.
Looking back on the work of the year, we hemodialysis nursing work, in the hospital leadership and the nursing department of the correct guidance and all members of the section of the *** with the efforts of the more successful completion of the work of the tasks entrusted to the work of the task, but also made a number of achievements. But the achievements are like a golden autumn fruit, although beautiful, but have quietly fall, in the taste of success at the same time, we should also be sober enough to see the shortcomings: in the management of awareness but also bold innovation, perseverance; health education is still a form; in the implementation of rules and regulations, there are still a small number of comrades indifferent; in the paper writing, nursing research is nearly blank; the patient's needs is the scope of our services, patient satisfaction is the scope of our services! The patient's satisfaction is the standard of our service, the patient's touch is the goal we pursue, quality service is never-ending. We will continue to sum up the experience, study hard, so that the service is more emotional and humane, the level of service for the hospital to reach a new level and make unremitting efforts
20xx year work plan:
1, to further strengthen and implement the basic operating procedures of hemodialysis, and strictly in accordance with the procedures of the various technical operations.
2, the strict implementation of infection management regulations, isolation dialysis intermittent nursing staff relatively fixed, to further prevent cross-infection.
3, strive to send more nurses out to participate in the relevant blood purification technology learning classes, the Department of nursing staff regularly organized business learning and technical operation training, and constantly improve the theoretical knowledge and technical evaluation of all nursing staff.
4, in order to ensure the quality of dialysis patients, to strengthen the configuration of dialysis water management, dispensing room nurses are relatively fixed, regular monitoring of dialysis water to ensure that the dialysis water configuration is accurate, the monitoring indicators in the normal range.
5, to strengthen the quality of nursing education, the implementation of humanized service, to give patients a loved one-like care, the implementation of flexible working system, to ensure that the patient's treatment needs.
Hemodialysis is the main treatment for patients with uremia. The dialysis patients are actually living a very abnormal life, they are largely "tied" to the dialysis machine, life-long dependence on medical equipment, dependent on health care personnel to survive, patients and their families have a very heavy economic burden, the impact of long-term pathological factors also make the patients have not easy to stabilize the mood, easy to irritate and other characteristics. With the transformation of the medical model, hemodialysis patients should not only be given psychological appeasement, but also humanized care, and advocate the concept of people-oriented nursing services to improve the quality of survival of dialysis patients. The so-called "small hemodialysis room" actually carries all the hopes for the survival of dialysis patients and is an indispensable means of treatment for patients with acute renal failure and various kinds of poisoning. Here in 2006 the hemodialysis room nursing experience to do a summary:
1, clear dialysis center job responsibilities, workflow, operation norms, and the development of the dialysis risk plan and emergency contingency plan.
Study carefully so that the hemodialysis nurses are skilled. When encountering problems in the work there is evidence and can be solved in a timely manner. The rules and regulations are constantly added and improved in the work. Strictly in accordance with the rules and regulations and workflow work, strict checking system, including the patient's pre-flush line, vascular puncture, dialysis treatment and treatment parameter setting, to ensure that each shift must have more than 2 nurses on duty, checking with each other, including the puncture site with or without blood seepage, the machine set the treatment parameters accurately or not, the dosage of anticoagulants and other drugs, as well as the patient's vital signs and other conditions. Actively participate in all business studies and training in the hospital, and specialize in hemodialysis once a month. Support and encourage nursing staff to participate in tertiary studies, improve the comprehensive quality of nurses, fully mobilize the enthusiasm of nurses to enrich their knowledge and broaden their horizons.
Improve the quality of nurses, not simply business level, to pay more attention to humanistic cultivation on the basis of professional theory, including language and writing cultivation, interpersonal relationship cultivation, ethical and moral cultivation, rational thinking cultivation and so on. Care for nurses in life, try their best to solve practical difficulties for them. Let the nurses feel the collective warmth and friendship. Establish a people-oriented nursing service concept, not only between doctors and patients, nurses and patients to have humane care, nurses and nurses is a working relationship, is a colleague relationship, but also a friend relationship, mutual understanding, trust and communication, can create a good medical and working atmosphere, to promote the relationship between nurses and patients ***, to further improve the quality of medical and nursing care and efficiency of the service to lay a good foundation for the environment. The management of the hemodialysis room has doubled the effect. In the daily dialysis process, nursing staff collaborate with each other, no shift fight; emergency dialysis, are able to rush in the first time, whether it is an evening emergency or Sunday dialysis, from the phenomenon of no shirking, but also not due to overtime and affect the normal work of the next day.
2, the establishment of people-oriented nursing management mode, strengthen the sense of service.
After the patient started dialysis, there is often a lot of pressure, such as the risk of dialysis, pain, freedom of restriction, the disease itself on the body's impact, the cost of dialysis, the change of affection, etc., the performance of the psychological problems of depression, anxiety, despair, and some even so hate the community to hate health care workers. Kind and patient language communication can make patients have a sense of security, carefully explain the knowledge of dialysis, eliminate the patient's fear, explain the effect of dialysis of other patients, enhance their confidence in treatment. Try to reduce the patient's burden, set up a dialysis program for them, as far as possible, so that they are not entangled in the disease 's pain, the length of life, but focus on the quality of life, smile at life.
Dialysis patients have a strong dependence on healthcare workers as they are in contact with them for a long time. At the same time, they are more familiar with the staff, treatment environment and dialysis procedures and methods, and even regard the hemodialysis room as their second home, and have a clear sense of participation in management. In this regard, we communicate with patients at any time, explain and illustrate the new progress in hemodialysis treatment, and take the initiative to solicit opinions. In the event of other diseases, we take the initiative to contact patients for treatment and establish a smooth channel for consultation. Provide contact information, encounter problems in a timely manner to contact, and strive to solve the problem in the first time. For patients in serious condition, a family member will accompany the patient, so that the patient can feel affection, increase the sense of security, reduce psychological pressure, and better cooperate with the treatment. In the absence of family members, we also assume the responsibility of family members, handing water, feeding, assisting, ****, in the long-term treatment process to sensitize the patient. The patient has a bad mood, bad attitude, timely report to the hospital leadership, and multi-departmental joint, the development of practical measures, and strive to gradually eliminate the extreme idea of social retaliation.
3, strive to work seriously and carefully.
Hemodialysis has a high risk, as a nursing operator, not only to establish a correct, positive nursing risk awareness, enhance the concept of the rule of law, but also to play the subjective initiative, to do to maximize the control and avoid risk, so as to improve the quality of care, and better serve the patient. During the dialysis process, it is necessary to routinely measure and record blood pressure every hour, and measure and monitor vital signs at any time when the condition changes. Some patients, especially those prone to hypotension during dialysis, need to be closely observed and their blood pressure measured every 5 minutes. Parameters of dialysis equipment should be adjusted in time, such as temperature, conductivity, ultrafiltration rate, blood flow rate and so on. Concentration and energy at work, the slightest negligence, can cause the loss of patients and accidents.
Diabetic patients are prone to hypoglycemia because of glucose-free dialysis, and it is important to pay attention to changes in mental state, especially when the patient is sleeping, and need to call often. Due to the dialysis drainage after the edema is reduced, the puncture site skin relaxation, prone to blood leakage from the needle eye or off the needle phenomenon, especially in winter, the patient's arm inside the quilt, and bleeding often occurs in a flash, and the amount is very large. In addition to diligent observation, it is also necessary to hand over to the patient, if there is any abnormality call in time. 2006 year dialysis more than 600 times, there has never been a medical error accident. And in the diabetic hemodialysis how to observe blood glucose, prevent hypoglycemic shock in, made a certain experience; on the dialysis of low blood pressure to analyze, take precautions to ensure that the dialysis is adequate.
4, in line with the hospital's "patient first" values, we continue to advocate the concept of people-oriented nursing services, to be humane care of patients.
We have given more than a thousand dollars to several poor self-funded dialysis patients (because most of the financial support is personal behavior, can not be detailed statistics), and in the food and clothing to give care and help. These are undoubtedly a drop in the bucket for dialysis patients, and cannot improve their lives and dialysis status at all, but to some extent they express our care and encouragement for the patients.
In addition to the efforts and achievements, this year, we also have some slack in the performance of the level of business skills, medical equipment and environmental management, service attitude and poor communication, inadequate systems, etc., in this reflection, but also put forward the views and suggestions, and I implore the leadership of the hospital and the Department of Nursing to pay attention to:
1, the level of business skills: first of all, the problem of arterial puncture, especially for the first time dialysis, emergency dialysis, the patient's life and dialysis status, but to some extent to express our concern and encouragement. Especially the first dialysis, emergency dialysis patients, the general situation is poor, high toxin, more arterial puncture difficulties, difficult to ensure the dialysis blood flow. Firstly, the experience of arterial puncture is still lacking, and in the case of insufficient blood flow, we choose to puncture again; secondly, the overall level of the hospital is not enough to do deep vein cannulation, which increases the pain of the patients and easily causes dissatisfaction of the patients. Secondly, this year, hemodialysis room medical staff did not go out to study, further training opportunities, dialysis work basically maintained in the status quo ante, no new business and new technology development, no paper published. Because the work of hemodialysis room is closely related to doctors, such as deep vein cannulation, ascites infusion, blood perfusion and so on need the guidance of doctors and nurses to cooperate, but also need to learn from actual experience, and can't be made behind closed doors. We hope that the hospital leadership can give us a certain visit and learning opportunities, in order to improve the level of business, strengthen the disinfection and isolation measures, to carry out dialysis on a new project to a new level.
2, medical equipment: dialysis patients are dependent on dialysis equipment to survive, including dialysis equipment, water treatment equipment, perfect water, electricity supply, high-quality dialysis supplies and so on. This year completed the dialyzer and dialysis tubing from reuse, disinfection, to the conversion of single-use, this conversion is the situation.