Blood purification is one of the alternative therapies for the survival of patients with chronic uremia, because such patients have serious physiological and psychological dysfunction. Therefore, nursing work is difficult. To do a good job in nursing hemodialysis patients, nurses must have high-quality nursing concepts and specific nursing skills. The following is a summary of my work in the hemodialysis room in 217. Welcome to read. Summary of hemodialysis room work in 217 1
2xx, with the care and support of hospital leaders and nursing department, and with the efforts of all nursing staff in the department to work overtime, the hemodialysis room has successfully completed various tasks in the department, and the work is summarized as follows:
1. Revise the emergency plan and conduct regular drills. Actively participate in the business study and training in the hospital, formulate the training plan in the department and organize the staff in the department to study hard and assess regularly.
2. Do a good job in nursing quality and safety management, strictly check the system, including patient's pre-flushing management, blood vessel puncture, dialysis treatment and treatment parameter setting, especially to ensure the patient's constant patrol and vital signs monitoring during dialysis, timely discover dialysis adverse reactions, machine abnormal alarm, puncture site oozing blood and so on and deal with them in time to ensure the patient's life safety.
3. Do a good job in the daily cleaning and maintenance of the water machine and dialysis machine, keep the machine running normally and safely, and ensure the safety of patients and high-quality dialysis.
4. Ensure the sterility, concentration and quality of dialysate configuration, and formulate relevant configuration systems and processes.
5. Make patient satisfaction survey regularly every month, solicit opinions from patients and their families, and constantly improve and improve. Cooperate with the hospital infection department to do all kinds of disinfection and isolation work: strengthen the aseptic consciousness of nursing staff, let the aseptic consciousness penetrate into any link of the work, strictly implement the disinfection of the inside and outside of the machine, all kinds of articles, air ground and so on according to the regulations, so as to make all the culture results meet the standards, and record them carefully and in time.
There are more than 5,1 dialysis treatments and more than 24 hemoperfusion treatments in 2xx. The total income was 4.63 million yuan, an increase of more than 6, yuan compared with last year.
in addition to our efforts and achievements, we also have some shortcomings this year. In the new year, our general nurses should strive to keep up with the new pace of the second-level evaluation of hospitals, take quality management as the main line, strive to improve in an all-round way, strive for a new look, and add strength to the evaluation of hospitals. Summary of work in hemodialysis room in 217 2
This year, with the care and support of hospital leaders and nursing department, and with the concerted efforts of all nursing sisters in the department, the hemodialysis room has successfully completed all the tasks undertaken. The work is summarized as follows:
1. Make clear the post responsibilities, workflow and operation specifications of hemodialysis room, and make a handling plan for dialysis emergencies seriously. Strict check-up system, including patient pre-flushing management, blood vessel puncture, dialysis treatment and treatment parameter setting. Actively participate in the business study and training in the hospital, support and encourage nursing staff to participate in junior college study, improve the comprehensive quality of nurses, fully mobilize the enthusiasm of nurses, enrich our knowledge, broaden our horizons, and cooperate with each other in the daily dialysis process. Because there are many patients in the department and few machines, whether it is emergency or overtime on Sunday, there is no prevarication, and overtime will not affect the normal work of the next day.
2. Do a good job in nursing quality and safety management. During dialysis, the patient's blood is in extracorporeal circulation, and nursing safety is the top priority. Therefore, every nurse is required to strictly stick to his post, conscientiously implement the doctor's advice, implement the check system, set the parameters strictly according to the dialysis prescription, and check with one person according to one operation. Each class is fixed with two people, and the nurses are divided and closely cooperate to complete the patient's pre-,middle and post-care work. In particular, it is necessary to ensure the patient's constant patrol and vital signs monitoring during dialysis, timely discover the adverse reaction of dialyzer, abnormal alarm of machine, blood leakage at puncture site, etc., and deal with it in time to ensure the safety of patients.
3. Do a good job in daily cleaning and maintenance of the water machine and dialysis machine, so as to achieve medical care and ensure the safety of patients and high-quality dialysis.
4. Ensure the sterility, concentration and quality of dialysate.
5. Seek the opinions of patients and their families at any time, and constantly improve and improve.
6. Do a good job in disinfection and isolation: disinfect all kinds of articles, floors, etc. strictly, so as to make all the culture results meet the standards, and record them carefully and in time.
There were "2332" dialysis sessions this year, including 4 dialysis sessions and 23 perfusion sessions. There has never been a medical error accident, and some experience has been gained in how to monitor blood sugar and prevent hypoglycemia shock in diabetic patients during hemodialysis. At the same time, the hypotension during dialysis is analyzed and preventive measures are taken to ensure the adequacy of dialysis. In addition to our efforts and achievements, we also have many shortcomings.
Next year, our general nurses should strive to keep up with the new pace of hospital development and reform, take the service tenet of "everything for patients, everything for patients", take quality management as the main line, increase the number of machines as soon as possible, serve more hemodialysis patients, and add strength to the hospital's first-class standards. Summary of hemodialysis room work in 217 3
Since the hemodialysis department was formally established in the hospital in mid-November of 2xx, with the care, support and attention of the hospital leaders and the nursing department, and with the concerted efforts of the medical staff in the department, all the tasks undertaken by the hospital have been well completed, and no medical errors and adverse reactions have occurred. The work is summarized as follows:
(1) Medical work: We insist on "taking" as an example. With the medical management concept of "improving the service quality of medical clothes
" as the theme, the communication between doctors and patients is strengthened, and the post responsibilities, workflow and operation norms of dialysis center are clearly defined in combination with the actual work of the hospital, and the dialysis risk plan is formulated. Medical staff are required to consciously implement the responsibility system of first asking doctors, the system of preoperative discussion and discussion of difficult and critical cases, and the important system of three investigations and seven equal medical care; Discuss difficult and critical patients in time, strictly follow the principle of rational drug use, and formulate a reasonable treatment plan; Departments adhere to the weekly morning meeting system, summarize and analyze last week's work, arrange and deploy a new week's work, and study and rectify specific problems; Actively encourage medical staff in departments to participate in short-term business training organized by medical departments and nursing departments, participate in medical academic seminars, and require everyone to reach the standard in medical technology operation; Strictly implement the Medical Record Writing Specification and Prescription Writing Specification, so that outpatient medical records, prescriptions and application forms can be filled in qualified, and outpatient logs and supporting materials can be reported in time and written in a standardized manner; The hospital infection management system has been further improved, and the adverse events in medical services have been effectively controlled. There have been no major medical disputes and medical accidents since the blood purification room was started and operated this year, ensuring the effect of patients' treatment and treatment. As of June, 2xx, there were 5 patients with long-term maintenance hemodialysis in the hospital, including hemodialysis? Example, hemodialysis filtration? Example, hemoperfusion? Example. Outpatient medical records, prescriptions and application forms are qualified, medical records are written in a standardized way, medicines are used reasonably, first-aid skills, first-aid procedures and first-aid equipment are mastered, and medical business training and learning are organized? Second, doctors passed the training, theory and skill examination, doctors mastered the work rules and regulations, job responsibilities and emergency plans, the core medical system was implemented, there was no nosocomial infection, and the patient satisfaction was 1%.
(2) Nursing work:
Nurses are familiar with the core nursing system, work in strict accordance with the rules and regulations and workflow, and strictly check the system, including patients' pre-flushing pipeline, blood vessel puncture, dialysis treatment and treatment parameter setting. Ensure that there must be more than 2 nurses on duty in each shift. Check each other, including whether there is blood leakage at the puncture site, whether the parameters set by the machine are accurate, the dosage of anticoagulant and other drugs, and the patient's vital signs, etc., to ensure the patient's patrol and monitoring of vital signs during dialysis, and timely find out the adverse reaction of dialysis, abnormal alarm of the machine, blood leakage at the puncture site, etc. and deal with it in time to ensure the patient's life safety.
Nurses are required to have strict aseptic consciousness. From the preparation of dialysate, to the preparation of therapeutic articles and machines, to the operation of internal fistula puncture and getting on and off the machine, the principle of aseptic operation must be strictly observed. The preparation of various disinfectants should be fixed in shifts, according to the needs, according to the quantity and concentration, and the concentration should be detected by special test paper. The disinfection of the inside and outside of the machine, various articles, air and ground should be carried out in strict accordance with the disinfection time and disinfection method, so as to make all the culture results. Establish a people-oriented management model. Strengthen service awareness. Carefully explain dialysis knowledge to patients, eliminate their fear and increase their confidence in treatment. Head nurses focus on nursing quality management and strengthen the quality education and professional skills training of nursing staff. Proficient in first aid skills, first aid procedures, correct use of first aid medical equipment, intact first aid articles, qualified in nurse training, theory and skill assessment, and the rate of admission education reached 1%. Organize nursing business training and study? Second, the nursing business exam? Second, the nursing staff mastered the rules and regulations of nursing work, job responsibilities and emergency plans, and the nursing core system was implemented.
(3) Hospital infection work:
The blood purification room is the key department for hospital infection. The general medical staff wear clean clothes during working hours, without rings, earrings and long nails. The time limit for reporting hospital infection medical records is strictly in accordance with the standard requirements. Sterile articles and contaminated articles in the dialysis room are placed separately, and sterile containers, instruments, dressings and instrument disinfectant are replaced once a week. The treatment room and dialysis room should be mopped with disinfectant 2-3 times a day, the surfaces of desktops and other objects should be scrubbed twice, and ultraviolet disinfection should be performed twice. The cuff, stethoscope and oxygen tube of blood pressure meter shall be cleaned and disinfected once a week, and the tourniquet shall be soaked and disinfected after use. According to the national regulations of relevant departments in China, dialyzer, pipeline and puncture needle should be used once. The dialysis room is cleaned once a week and thoroughly cleaned once a month. After cleaning, it is sealed and disinfected, and air bacteria culture is carried out. The hemodialysis room carries out bacteria culture on air, object surfaces and medical staff's hands, iodophor, alcohol medical document paper, medical records folder and so on every month. Bacterial culture of dialysis water and dialysate shall be carried out every month, and endotoxin in dialysis water and dialysate shall be determined at least once every three months, and the above qualified rates are all 1%. After using disposable syringes and infusion sets, the disfigurement rate is 1%, the centralized disposal rate is 1%, the implementation rate of one person, one needle and one tube is 1%, the disinfection items in class are qualified, and the implementation rate of one person, one bed, one set of one table and one part in the morning and evening care is 1%. The medical materials that fail to be disinfected according to the court.
(4) Basic work of the department:
At present, there are four medical staff in the blood purification room, and at present, one doctor is responsible for the diagnosis and treatment of dialysis patients; There are 3 nursing staff, and the pass rate of the "three basics" exam for medical staff is 1%, and the pass rate of the department's employment certificate exam is 1%.
Department personnel strictly abide by the hospital's various rules and regulations, no violation of discipline, stick to their posts, carry out the construction of medical ethics and quality education according to the regulations of the hospital, report all kinds of attendance reports in time and accurately by the department, and the department's survey satisfaction rate is 95%, and there is no complaint about work style and morals. The head of the department can attend the middle-level meeting in time, without being late and leaving early, and convey the spirit of the meeting in time.
The charge for medical services and medical equipment in the department is accurate and reasonable, and there is no overcharge, undercharge, disorderly charge or missed charge, and there is no price complaint. The hospital's management regulations on the refund system are strictly implemented, and there is no illegal refund.
The department using large medical equipment in the department has a complete card, correct suspension, a registration book for the use, maintenance and repair of the equipment, and a special person to manage the equipment and truthfully register the usage of the equipment. The department has no safety production responsibility accident and can report the safety production report timely and accurately.
(5) There are still shortcomings in the work:
1. With the continuous development of departments, the management of dialysis rooms needs to be strengthened, and the rules and regulations need to be improved;
2. Hemodialysis is a high-risk technology, so safety and curative effect should be put in the first place, and the safety awareness of medical staff should be strengthened, and the professional level of medical staff should be improved at the same time;
3. The economic benefits of departments need to be straightened out, and it is necessary to strengthen expenditure reduction and management of expenditure and fees.
4. Scientific research needs to apply for project approval and publish papers. Chapter 3: Summary of 2xx work in blood purification room in 217. In 2xx, general practitioners adhered to Scientific Outlook on Development, closely focused on the work plan of nursing department, adhered to the working idea of "people-oriented, scientific development", followed the national health situation closely, actively carried out quality nursing services, expanded the scale of departments, and made good achievements in nursing work through unremitting efforts. With the steady growth of business income and the remarkable improvement of social benefits, hemodialysis has had a certain influence in the whole hospital and even in the whole city. The nursing work in the blood purification room is summarized as follows:
1. According to the Standard Operating Procedures for Hemodialysis issued by the Ministry of Health in 21, the post qualification, responsibilities of each shift, workflow and operating specifications of the dialysis room were revised, and the dialysis risk plan and emergency handling plan were improved. And organize all nursing staff to study hard, and everyone can master it skillfully.
2. A hierarchical training plan for each department was made. According to the plan, a new nursing staff was given a three-month standardized training to learn the theoretical knowledge and operation of hemodialysis, and strive to be competent for hemodialysis alone for three months. At the same time, the department dialysis professional knowledge and infection knowledge once a month to improve the comprehensive quality of nurses.
3. Actively carry out quality service, let nurses truly realize the importance of quality service from the heart through learning, regard quality service as the duty and duty of nurses, and ask nurses to actively understand patients' psychology, understand patients' needs, solve problems for patients, and carry out love activities at the same time. Through the development of high-quality nursing service, the distance between nurses and patients has been shortened and the sense of responsibility of nurses has been strengthened. 4. Organize general practitioners to seriously study the standard operating procedures of hemodialysis and strictly implement them. According to the specifications, monitor the hardness and residual chlorine of dialysis water every week, conduct dialysis water, dialysate bacterial culture, dialysate solute concentration monitoring and disinfectant concentration monitoring every month, conduct air bacterial culture, staff hand hygiene monitoring, and conduct endotoxin monitoring every three months, all of which are qualified. The dialyzer is strictly disinfected by one person, the dialyzer pipeline is used once, and infected patients are dialyzed by special plane, which eliminates cross-infection and ensures the treatment safety of patients.
5. Strengthen health education, carefully explain dialysis knowledge, eliminate patients' fear, explain the dialysis effect of other patients, and enhance their confidence in treatment.