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Emergency physician work self-identification a
In the city health bureau and the hospital's leadership, adhere to Deng Xiaoping theory and "xxxx" important thought as a guide, continue to study and practice the scientific concept of development, implement the party's xx session of the spirit of the Plenary Session of the Fourth Plenary Session of the party to carry out the "study guidelines, abide by the discipline" activities, to learn the guidelines. Discipline" activities, in-depth development of the "first to strive for excellence" activities, emergency department cadres and staff under the command of the hospital leadership to actively participate in the hospital flood relief activities to protect the hospital's property safety. Continue to implement the prevention and control of hand-foot-mouth disease and other infectious diseases, strengthen the management of medical quality and safety, and actively complete the tasks assigned by the hospital, the emergency department business income of more than 1.8 million from January to June, 23,347 outpatient visits; discharged 320 people; now the first half of XX years of work is summarized as follows:
First, actively carry out the business of traditional Chinese medicine, acute and critical care technical training
Seriously implement the national Chinese medicine business training
The first half of the year is summarized as follows. p> Seriously implement the State Administration of Traditional Chinese Medicine and the Department of Health, "patient-centered, to give full play to the characteristics of traditional Chinese medicine as the theme of the Chinese medicine hospital management program" to implement the spirit of the meeting, give full play to the emergency department of traditional Chinese medicine personnel, the advantages of talent, the use of traditional Chinese medicine therapies for the majority of patient services. To this end, our emergency department to develop a good department development plan, work plan, and organization and implementation. Establishment of talent echelon to continuously meet the needs of specialized Chinese medicine connotation construction. Develop specific measures to play the characteristics of Chinese medicine, and organize the implementation. Develop and constantly improve the common diseases and characteristics of the specific measures, and organize the implementation of the medical education, education network | collect and organize to improve the level of dialectical treatment of special diseases, improve the rate of Chinese medicine treatment. Carried out acupuncture therapy, auricular pressure beans, cupping therapy, Chinese medicine enema, Chinese medicine wet coating, infrared therapy; developed a clinical path for common diseases in the Department of Emergency Medicine. Our department of Chinese medicine grade A medical record rate of 100%, dialectic excellent rate of ≥ 92%, the use of pCms dialectic rate of ≥ 92%, the rate of Chinese medicine treatment ≥ 92%, the rate of combined Chinese and Western medicine treatment ≥ 94%, the success rate of emergency and critical care ≥ 82%, the rate of acute and severe Chinese medicine treatment ≥ 90%, the rate of acute and critical care combined with traditional Chinese and Western medicine treatment rate of ≥ 50%, the first aid items intact rate of ≥ 100%.
Second, to strengthen the quality of medical care, medical safety, the management of departmental business
Focus on the implementation of the core system of medical management. Such as the medical record writing system, prescription management system, the first diagnosis is responsible for the system, duty, handover - shift system, three physician room system, case discussion system, medical advice system, consultation system, referral system, transfer system, transfer system, checking system, hierarchical care system. Strengthening the three-level quality control network management of medical quality control, to ensure that all aspects of the medical process have the appropriate norms and systems to constrain. Continuously improve the quality control and assessment indicators, and conduct centralized inspection and assessment every month. Further strengthen medical safety and production safety. Our department repeatedly
emphasizes the importance of medical safety work through section morning meeting, special lectures and business training, enhances clinicians' awareness of medical safety, educates clinicians to strictly abide by the technical operation standard, and timely, comprehensive and correctly writes medical records and all kinds of records. To ensure medical safety and prevent the occurrence of major medical accidents. Communication between doctors and patients was strengthened, and the patients' right to informed choice was fully respected. It further emphasizes the obligation of medical personnel to inform, effectively protects the legitimate rights and interests of both doctors and patients, and effectively prevents the occurrence of medical disputes. Efforts have been made to improve the medical environment and reduce medical costs. Through the hospital management year activities, the emergency department personnel to further understand the implementation and deepen the "people-oriented, patient-centered" service concept, further improve the service facilities, deepen the medical environment, update the service model, simplify the medical process, improve the service attitude, to provide patients with humanized service, put an end to the patient, cold, top, Push and drag phenomenon. Actively carrying out people-friendly services, our department has carried out free medical consultation, water supply, wheelchair supply, simplify the consultation process and other people-friendly measures. The Emergency Department takes the initiative to provide patients with cost inquiries for medicines and medical services, and provides hospitalized patients with a list of hospitalization costs. Strict management of medical charges and elimination of unreasonable charges. The overall nursing care work has been carried out in a solid manner. According to the requirements of the "Hospital Management Year Activity", the head nurse has established and improved a series of nursing rules and regulations. Standardize a variety of nursing instruments, carry out the overall nursing work. Efforts to improve service attitude, improve service quality. Strengthened the "three basic and three strict" education for each nurse, focusing on strengthening the training of operational skills. Strengthen the management of hospital infection and effectively control the occurrence of hospital infection. Sensory control physician monthly inpatient emergency department inpatient ward irregular inspection and the end of the month case statistics.
We not only have a good service attitude, more importantly, we must have skilled rescue techniques and emergency response capabilities. Emergency patients to quickly and accurately diagnosis and treatment, as soon as possible to alleviate the patient's pain, which requires each medical staff to seriously study the business, proficient in a variety of rescue equipment and rescue techniques. Therefore, the department organizes regular business study and strengthens the training of various first aid techniques. Such as cardiopulmonary resuscitation, mechanical ventilation, electrocardiographic monitoring, electric cardioversion, defibrillation, gastric lavage and other routine technical operations. We adhere to the system of three-level physician checkups, conduct timely business discussions on relevant cases, and improve the level of first aid for the whole medical staff. In order to adapt to the development of the modern health care market, this year, the Department of the development of pre-hospital emergency work as an important task to grasp, strict emergency outpatient system, pre-hospital emergency team on call 24 hours a day, 5 minutes to arrange emergency outpatient, the development of an emergency green channel overall program, such as in the case of emergency, critical, serious patients, the implementation of the emergency green channel, has been to do the first rescue, and then make up for the various formalities.
Third, there are problems
The quality of medical services is not high, the individual staff's enthusiasm and conscientiousness is poor; the department's business growth can not keep up with the needs of development; the emergency staff is small, the lack of top-notch excellent technical backbone and discipline leader; the lack of advanced medical equipment; the department's inpatient wards, the environment is poor. The next step of our department for the existence of problems gradually rectification, strengthen the construction of Chinese medicine culture characteristics.
Emergency medicine doctor work self-identification twoI am in the emergency department during the internship, abide by the rules and regulations of the hospital and the department, internship attitude is correct, internship motivation is clear, the work of the subjective initiative is strong. Under the leadership and guidance of the teacher, strict "three checks and seven pairs" and aseptic operation, now understand the process of pre-screening triage and pre-hospital emergency care, familiar with the care of common diseases in the emergency department, the rescue of critically ill patients with, mastered gastric lavage, cardiopulmonary resuscitation, defibrillation, and other emergency medical expertise and ********** operation of first aid instruments, Maintenance.
In the emergency this month internship, whether in the front emergency, or in the back emergency, the knowledge learned is a great benefit, the work of the Emergency Department is about the patient's life in the first line, especially in the work of the rescue room. When the patient was sent from the 120 car to the rescue room, this time to improve the spirit of twelve million is ten thousand times more, a high degree of commitment to the patient's rescue, here, I witnessed the rescue room in the rescue of a number of life-threatening patients, such as cardiac arrest, ventricular fibrillation, cerebral hemorrhage, etc., patients, in short, to summarize a sentence, the work of the Emergency Department is a matter of life and death, the speed of your agility means that the patient's one! Life! Similarly, in the work of the pre-screening table, initially learned what kind of patients for what kind of triage, in the custody room, followed by Mr. Chen learned how to draw blood gas, and practical understanding of the distinction between venous and arterial blood, in the work of the emergency department, but also enabled me to master the most basic measures to rescue patients and gastric lavage techniques, the process of pulling the electrocardiogram, and so on. The use of various instruments, such as defibrillator, the use of ventilator, sputum suction techniques and the use of artificial respirator, chest compression, etc..
There are only four months left before the end of the internship, I will do my best to leave a better impression on the teachers and patients, and I hope I can achieve what I want.
Emergency Medicine Physician Work Self-identification Three
In this period of internship, I learned a lot of things are still a lot of things. I would like to provide you with my Emergency Department discharge summary, and hope that it will provide you with reference value. In the emergency everyone is my teacher, everything is my experience, teach me a lot of things, whether it is to do people or do things. Of course, to do a good job as an emergency medicine doctor, only communication is not enough, but also need a solid theoretical foundation, rich experience in resuscitation, rapid response, numb action, which is in the case of emergencies to withstand the test of the guarantee.
In the emergency department rotation period, I take the initiative, abide by the rules and regulations of the hospital and the department, master the emergency operation skills, seriously complete all the work, listen carefully to the teachings of teachers, and strive to improve their own shortcomings. In these three months, through the passionate guidance of the teachers, patience and teaching, so that I have a deeper understanding of the doctor's work of art and professionalism. Emergency medicine is the first line to save patients' lives and take care of critically ill patients. As an emergency doctor, I am not only familiar with the theory of various specialties, but also skilled in cardiopulmonary resuscitation, use of ventilator, arterial puncture, gastric lavage, urinary catheterization and other first aid operations, but also continue to cultivate my patience, care and love. In emergency situations, I can play a temporary adaptability, use theoretical knowledge, treat patients with a sincere attitude, and seriously do a good job of communicating with patients' families. These tasks may seem simple, but they can never be accomplished overnight. Through this period of rotation in the emergency room, so that I have a further understanding of the work of doctors, I will remember the emergency room rigorous and pragmatic, serious and cautious work style, down-to-earth and do a good job in every job, and strive to become an excellent clinician.
In the face of critical emergency patients first diagnosis and rescue, emergency patients and often diagnosis is not clear, the condition is not clear, rapid changes, if not handled properly, it is easy to occur medical disputes. And patients and their families are prone to impatience, anxiety, fear, emergency is different from the ward, health care personnel have enough time to communicate with patients and their families, timely understanding of the needs of patients, and the establishment of a good nurse-patient relationship. In the emergency, patients and their families in the shorter contact time with health care personnel, has not yet established a good sense of trust, health care personnel are very sensitive to every minute link, health care personnel's speech and behavior on the patient's psychology will have a great impact. Resulting in the rescue behavior of health care workers are not understood, patients and their families are left with the illusion that they are not taken seriously, emergency medicine is not urgent. So I feel more and more communication in the emergency room is the most easy to ignore and the most important thing.
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