icu knowledge points 1. icu discharge summary
Originally Posted By: McMansion in addition to the spirit of
ICU discharge summary of the week has passed in the ICU rotation, in this week, I have seen in ordinary wards is difficult to see the scene of the resuscitation and death; to learn to a variety of instruments to use, such as electrocardiogram, I learned how to use various instruments, such as electrocardiogram, ventilator, non-invasive cardiac function monitoring, defibrillator, etc.; commonly used rescue medicines: atropine, adrenaline, diuretics, cardiac arrhythmia, etc.; the cooperation of resuscitation: tracheotomy, tracheal intubation, cardiac chest compression, etc.. The operations that can be practiced in ICU are: morning care, sedative push, sedative drip, sedative injection, sputum aspiration, blood gas analysis, central venous pressure measurement, non-invasive cardiac function monitoring, double lower extremity body ***, bladder flushing, insertion of gastric tubes, catheterization, gas switching medication, deep vein drug exchange, perineal scrub, oral care, blood glucose, and so on. From the time of learning to care for patients independently with the time, witnessed their own independent operation of the hands-on ability, so that their theoretical knowledge is more solid and more skillful operation skills. ICU requires a very high quality of nursing staff must be able to do ① skillful grasp of the configuration of a variety of instruments, the establishment of the rapid detection of changes in the monitoring measures and improve the resuscitation equipment; ② on the critically ill must be based on the changes in the condition of the correct judgment and treatment; ③ skilled (ii) make correct judgment and treatment for critical illnesses immediately according to the change of the condition; (iii) master various new techniques of resuscitation, and deal with emergencies quickly and promptly within a limited period of time; (iv) correctly diagnose and treat patients of various ages, and provide safe and comfortable physical and mental holistic nursing care. Compared with the isolated medical environment of the general ward, patients are more likely to have various special psychological changes, such as anxiety, fear, insecurity, anxiety, etc. This requires nursing staff in the monitoring room to be able to handle the patients in a safe and comfortable manner. This requires the nursing staff in the monitoring room not only to do the above points, but also to actively explore newer and more complete nursing measures, nursing concepts, in-depth patient, to gain trust, and to fight for the patient's right to life from death. But also have a solid theoretical knowledge and skillful operation skills, with a high degree of responsibility, responsible for each patient. ICU is a good learning room, exercise
2.icu discharge summary
The lowest 0.27 yuan to open the library members, view the full content > Originally Posted By: McMansion in addition to the spirit of the ICU ICU discharge summary of a week in the ICU rotations have been over, this week, in the past, the ICU is the only one of the ICU, the ICU has been the first time in the ICU, the ICU has been the first time in the ICU.
In this week, I have seen the rescue and death scenes that are difficult to see in ordinary wards; I have learned the use of various instruments, such as electrocardiograms, ventilators, non-invasive cardiac function monitoring, defibrillators, etc.; commonly used rescue drugs: atropine, epinephrine, diuretics, cardiac arrhythmia and so on; and the cooperation of resuscitation: tracheotomy, intubation, cardiac chest compression and other cooperation.
In the ICU can be practiced to the operation of: morning care, static push, static drip, static injection, sputum, blood gas analysis, central venous pressure measurement, non-invasive cardiac function monitoring, double lower extremity body ***, bladder flushing, insertion of gastric tubes, urinary catheterization, gas switching medication, deep vein drug exchange, perineal scrub, oral care, blood glucose, etc.. From the time of learning to independently care for the patient's time to cooperate, witnessed their own independent operation of the hands-on ability, so that their theoretical knowledge is more solid and more skillful operation skills.
ICU requires nursing staff of very high quality, must be able to do ① master the configuration of a variety of instruments, the establishment of monitoring measures and perfect resuscitation equipment that can quickly detect the changes; ② critical illness must be based on the changes in the condition of the immediate make the correct judgment and treatment; ③ master a variety of new technologies to rescue, in a limited period of time to deal with emergencies quickly and in a timely manner; ④ correctly for a variety of (iv) Proper diagnosis and treatment of patients of various ages and safe and comfortable overall physical and mental care. Compared with the isolated medical environment of the general ward, patients are more likely to have various special psychological changes, such as anxiety, fear, insecurity, anxiety, etc. This is the reason why we are so concerned about the safety of our patients and their health and well-being.
This requires the nursing staff in the monitoring room not only to do the above points, but also to actively explore newer and more complete nursing measures, nursing concepts, in-depth patients, to gain trust, and to fight for the patient's right to life from death. Also have a solid theoretical knowledge and skillful operation skills, with a high degree of responsibility, responsible for each patient.
ICU is a good department to learn and exercise.
3. ICU exposure to the theoretical knowledge of which specialties
icu patients are usually heavy and complex, so the exposure to the specialty knowledge is more, but usually for each specialty is not too proficient, usually please consult. icu more common like the ventilator, hemofilter parameters set, hemodynamic monitoring and analysis, emergency tracheal intubation is required to icu doctors master. The doctor has to be able to master it.
The ICU is an intensive care unit. Critical care medicine is with the development of medical and nursing profession, the birth of new medical equipment and hospital management system improvement and the emergence of a set of modern medical care technology as one of the forms of medical organization and management. ICU to the critically ill patients to concentrate on the human, material and technical to give the best protection, with a view to get a good effect of the rescue. ICU has a central guardianship station, direct observation of all the guardianship of the beds. Each bed occupies a wide area, and the beds are separated by glass or cloth curtains. ICUs must be equipped with bedside monitors, central monitors, multifunctional respiratory therapy machines, anesthesia machines, electrocardiographs, defibrillators, pacemakers, infusion pumps, micro syringes, tracheal intubation and tracheotomies with the necessary emergency equipment. In Hong Kong and Macau hospitals, ICU is also known as Intensive Care Unit.
4. ICU Nursing Internship Discharge Summary
ICU, as the first station of my internship phase, is full of challenges for me, because I am a total stranger to the operation of these advanced precision instruments, not to mention the need to master them, but I am confident that I can overcome all this.
Through this one-month internship, and under the careful teaching of the instructor, I have learned a lot, mastered the use of commonly used resuscitation equipment and alarm processing, mastered the invasive, non-invasive blood pressure monitoring, and CVP determination, cardiopulmonary resuscitation techniques, electrocardiogram machine, micro-pumps, monitors, glucose meters, blood gas analyzers, etc. and the use of the record of the intensive care list, to understand the use of some of the commonly used drugs in the ICU. Under the guidance of the teacher, students will be able to complete the analysis on the ICU. Under the guidance of the teacher, I can complete the radial artery blood collection, which is very difficult for me, and I can independently complete the post-tracheotomy care, nasal feeding, sputum suctioning, etc., and strictly follow the principle of asepsis.
I actively participate in the small lectures organized by the department, and constantly enhance their theoretical knowledge, because I know that the combination of theory and practice is more conducive to our understanding and mastery, in this special nursing unit focused on treating critically ill patients, through the teacher's words and deeds in the weekdays, so that I have a deeper sense of ICU not only to have a good operating skills, but also to have a deep nursing knowledge and related knowledge, but also careful, careful, careful, careful, careful, careful, careful, careful, careful, careful, careful, careful, careful, careful, careful, careful, and careful. and related knowledge, but also careful, hard-working. In short, this month down, I learned a lot, but there are also many shortcomings, but I will go to fill them.
5. ICU nursing routine what
(1) Various types of instruments and equipment operation routine.
(2) Basic monitoring items, including 24-hour ECG monitoring, hourly monitoring of heart rate, respiration, blood pressure, continuous pulse oximetry, every four hours to measure temperature, central venous pressure, intra-abdominal pressure and so on. (3) Nursing staff dynamically observe the condition and record the special care record sheet every hour.
(4) Follow the doctor's orders to carry out all treatments and nursing care, and strictly abide by the checking system. (5) Doing basic nursing care, life care, catheter care, pressure ulcer care, critical patient care, and the care of various systemic diseases.
(6) Strictly implement the shift handover system. (7) When there is special supervision or treatment, it is carried out according to the nursing routine.
(8) grasp the clinical significance of the alarm of various instruments in the ICU, and notify the doctor in time.
6. ICU nursing work in the difficulty of what
icu nurse training report for your reference: the end of the year, review the ICU ward started this year, I served as ICU nurse during this year, in the hospital leadership care, in the department director and the director of the Department of Nursing to help and support, so that the ICU nursing work can be normal operation. This year, in the continued in-depth implementation of the creation of a mass satisfaction hospital and the fight against commercial bribery under the guidance of the idea, the successful completion of the work, now the work of the year to do the following aspects of the summary: First: improve the ward facilities, strengthen the management of the ward: ICU is a place for critical patients for resuscitation and close monitoring of the requirements of the ward environment is reasonable, simple, convenient, conducive to the observation and resuscitation, wards, the ward's resuscitation facilities, the original ICU ward of simple and simple, the ward's resuscitation facilities, the ward's resuscitation facilities. Under the simple conditions and facilities of the original ICU ward, with the support of the hospital leadership, the facilities and instruments have been improved, and in the past year, 3 ventilators, 6 syringe pumps, 2 infusion pumps, and a variety of medical supplies have been added. And installed water heaters, indoor boiling water supply facilities, as well as a variety of living facilities, with high-quality ward conditions to serve the patients, convenient working conditions for the benefit of medical staff, so that the ICU ward conditions in the city and the surrounding areas in the leading level. Perfect facilities can not be separated from effective management, this year developed: ICU valuable instrument management system, valuable drug management system, ward disinfection measures. We have fixed the management system for instruments, medicines and materials. Over the past year, effective ward management has ensured the daily work of ICU. Second: the establishment, sound, the implementation of the rules and regulations: ICU in this hospital is a new discipline, collecting the hospital departments and hospitals outside of the critically ill, the organization is complex, heavy medical care tasks, and our nursing staff are younger, seniority is shallow, the sense of responsibility for the work is not strong enough, and ICU nurses turnover is large, and therefore develop a set of rigorous and well thought-out, practical system routines to ensure the normal functioning of the nursing work of the ICU, this year, the effective ward management to ensure that the daily work of ICU. Nursing work normal operation, this year in the original 2005 ICU nursing work in the trial draft, and constantly improve and modify the draft, increased the nursing operation routines, first aid drugs, poisonous drugs, daily counting system, sterile goods management system, nurse training programs, disinfection and isolation system, etc., the development of the same time to supervise, check the implementation of the system routines to ensure that the work of the rules and regulations, so that ICU order and order. So that the ICU order, busy but not chaotic, its work efficiency can be fully realized. Third: improve the quality of nursing staff, strengthen their own construction: due to the nature of the work of the ICU and strict requirements, nurses are always in the first line of patient treatment and observation. Therefore, the quality of nursing staff will be directly related to the efficiency of ICU. This year, ICU nurse training is the focus of my work, in the follow-up education of ICU nurses, I took the on-the-job training, go out for further training, self-study and assessment of the combination of methods, and combined with the medical regularly held section business lectures and participate in the nursing room, in strict accordance with the training and assessment, in 2006, has transported two nursing staff to Shanghai and Beijing for further training, the whole department of nursing staff have participated in the nursing specialty or bachelor's degree in the field of nursing. All nursing staff have participated in the nursing specialty or undergraduate on-the-job education, a year of training makes the ICU nurses competent in their daily work, most of the nurses have become ICU skilled personnel. To do a good job of ICU nurses sister lead goose, not to strengthen their own learning is not possible, in the busy work of the spare time, I strive to learn professional knowledge and proficiency in operational skills, and in the media and the network to check the ICU related information, learning and exploring, in order to improve their own level of management and business, in addition to this year also participated in the nursing undergraduate on-the-job education, and achieved good results. At the same time, to assist the dean successfully completed the <> this topic, and passed the municipal science and technology commission appraisal, in addition to participating in the research of our department <> topics .