Further training completion assessment of personal appraisal

Further training completion assessment of personal appraisal, the doctor is with the life and death of the race, life sometime

Further training completion assessment of personal appraisal

Further training completion assessment of personal appraisal, the doctor is with the life and death of the race, life sometimes in their hands the possibility of salvation, which requires them to always keep learning to further study and improve their medical skills, the following share further training completion assessment of personal appraisal.

Through a six-month training in the First Affiliated Hospital, with the help of a wide range of doctors and nurses, the successful completion of the general, thoracic, cerebral, and orthopedic group of rotations. Even though this was a refresher course in general surgery specialties, I only stayed in the general surgery group for more than 2 months and spent most of the rest of my time in the orthopedic group. Surgery in general surgery is the most common, done more often, and the most basic surgery in our operating room, however, as one of the nurses in the operating room, we should all be skillful in it. This refresher study has made me feel y and benefited a lot, and at the same time, I also recognize the shortcomings in my past work. Now my learning experience is reported as follows.

First Affiliated Hospital of Nanda University is a first-class comprehensive teaching hospital in Jiangxi Province. When I first went there, I was a little bit uncomfortable and had a lot of pressure because their daily operation volume is 3 to 4 times more than our hospital, but their nurses have the perseverance and meticulous spirit of continuous work, which I admire very much. During the operation, they implement the operation strictly according to the technical specifications, effectively preventing the occurrence of various nursing errors. Hand-washing nurses in familiar with the surgical process on the basis of active preparation for the operation of a variety of instruments required to do consciously active, rapid delivery of instruments, with the operation to do busy but not chaotic, organized, to ensure the smooth progress of the operation. Their doctors and nurses on the operating table, not a word of gossip, the entire operating room quietly, traveling nurses are very careful, posing position of the patient in every exposed place with gel pads or water bags for protection, effectively preventing the formation of pressure sores on surgical patients, especially long-time surgery patients. And every time with the ward nurses to carry out all the handover should also do a good skin handover. During the operation, any request of the doctor's itinerant nurse will be the first time to get a response, the attitude towards the patient is also very good, each operating room is equipped with small blankets, very humanized, which is something we should learn. The visiting nurses also have to cooperate with the anesthesiologist to anesthetize the patients. While the operation is completed successfully, they record the operation cost into the computer and record the operation expenses on the operation bill for verification. The garbage in the operating room is clearly categorized, and the sharps produced in the operation are put into the sharps box, and then poured into the big sharps box in the whole operating room by the roving nurse after the operation, and then destroyed and disposed of in a unified way.

The operating room is very strict on the requirements of the basic operation, first of all, the second change of shoes very seriously. I remember just went to the first week, a teacher took me to the instrument cleaning group to put instruments, is because there is no replacement of shoe covers, was seen by the head nurse, then a month's bonus all deducted. Therefore, the nurses there are very careful and conscientious in everything they do, and if they are not careful, their bonuses may be deducted again. Their surgical gowns have now been replaced by all-inclusive ones, with the hand-washing nurse being the first to wash her hands, assisted by the visiting nurse to put on the gown, and the rest of the surgical patients being assisted by the hand-washing nurse, who has brought along good gloves, in tying the belts around their waists. Although we also have all-inclusive gowns in our hospital, we are not really doing this, and this is something we need to correct. For all kinds of surgical instruments gauze count throughout the operation, by the instrument traveling nurse *** with the count 3 times (preoperative, before the closure of the body cavity, after the closure of the body cavity), instrument check carefully, including the teeth of the teeth forceps, instruments are loose, joint screws are missing, with gauze with or without should be examined one by one, to prevent errors caused by the instrumentation. At the end of the operation, the instruments are received by the nurses of the instrument group, and the number of instruments is checked again when they receive them, and then they are pushed to the instrument group for categorization.

The operating room insisted on 7:45 every day on time shift handover, shift handover procedures standardized and clear, from the big instruments to the smallest needle and thread are handed over very clearly. The medical department checks whether the surgery is open and whether the surgery mark has been made at 9 o'clock on the dot every day. The head nurse does the matching of old and new when scheduling, divides each specialty group and sets up specialty group leader to manage the group, which makes the surgical nurses understand the doctor's habit, and the doctor can cooperate with them tacitly, which effectively shortens the operation time and improves the efficiency of the operation. The operating room will arrange regular lectures every week. Friday morning is the time for each specialty group to study, with senior nurses from the specialty explaining the surgery and specialty knowledge of the specialty. One week is for general nurses to learn, and one week is for young, new nurses and trainees to learn. This rotation is done. Different surgical position protection and the use of advanced medical equipment, as well as management learning, but also regularly invited specialists to give lectures, y feel their strong learning atmosphere.

The flexible scheduling of the operating room, according to the daily volume of surgery for scheduling, the operation list must be opened before 12:00, the head nurse 14:00 before the next day scheduled for surgery shift. Nurses daily 7:45 on to 15:00 p.m. 15:00 before the end of the surgery, according to the regulations to notify the head nurse, deployment of surgery, such as no other arrangements by the individual truthfully fill in the hours of time. Surgery time is too long to lead to the nursery class, according to the routine are completed by the staff of the group, not allowed to carry out the handover, except in special circumstances.

There is also a point worth learning is that they have a set of strict management system. If the instrument disinfection special person management, including small pressure steam sterilizer. Laparoscopic instruments and valuables are taken over by a special person, carefully verified with the surgical nurse and recorded. All items used in surgery, such as "indwelling needles, tees, absorbable sutures, electrosurgical knives, anastomoses..." are issued and registered by a nurse. A nurse is responsible for issuing and registering the items.

These are just some of the insights that I summarized after my study, which is not very comprehensive. But I will apply the good technology and methods I have learned to my future work, improve my motivation and enthusiasm for work, and constantly summarize my experience and study hard. Finally, I hope that the nursing work of our hospital will flourish and our hospital will have a better tomorrow.

Beijing Chaoyang Hospital is a set of clinical, teaching, scientific research, prevention in one of the three A-class general hospital. Built in 20xx, it has 1030 beds, 1600 health technicians, and 206 senior medical personnel such as full and associate professors. Beijing Respiratory Disease Research Institute", "Beijing Clinical Laboratory Center", "WHO Collaborating Center on Tobacco and Health", "Chinese Medical Association Hyperbaric Oxygen Society", "World Health Organization Tobacco and Health Collaborating Center", "World Health Organization Tobacco and Health Collaborating Center". The Hyperbaric Oxygen Society of the Chinese Medical Association, the Cardiovascular Disease Research Center of Capital Medical University, and the Institute of Surgical Urology of Capital Medical University are all located in Beijing Chaoyang Hospital. The hospital has an annual outpatient clinic of about 1.2 million, admits and treats more than XX0 inpatients and performs more than 7,000 large and medium-sized surgeries. In addition to a considerable amount of conventional equipment, Beijing Chaoyang Hospital also possesses the most advanced diagnostic and therapeutic equipment of our time. The hospital has 41 clinical and medical departments, respiratory department, heart center, urology department are established as key advantageous disciplines by Beijing health system. The number of emergency ptca's ranks first in the country, and the number of radiofrequency ablation and coronary artery bypass graft surgery cases is at a leading level in China.

On March 1 to May 31 this year, I had the honor to be sent to Beijing Chaoyang Hospital ccu further study, a period of 3 months. The main content of this training is: 1, ccu management and related systems, 2, ccu patient condition observation, 3, the application of a variety of instruments, is now related to the content of the study report is as follows: Chaoyang Hospital ccu room **** there are 13 beds, 24 nurses, 2 nurses, beds and nurses ratio as high as 1: 1.8, first of all, in the staffing has laid a good foundation, in addition, ccu room In addition, the ccu room's rules and regulations are very perfect, in addition to the regular system, they have especially developed the rescue emergency protocols, transfer process and critical patients out of the examination and nursing process, in the work, we will comply with the rules and regulations to complete their own work.

For the management of staff and wards, it is even more demanding. All kinds of leave must be based on the patient's situation in the case of scheduling allows to be allowed to leave, all to work first, they are a week scheduling system, divided into 4 people a group, *** divided into 5 groups, every day each class by the group leader to allocate the patient medical teaching | education network collection, and then each to complete the nursing work. The head nurse carries out nursing quality inspection from time to time, and must test the basic operation every month, as well as the use of various instruments. If there are new instruments and equipment, the whole department will organize learning, and we must learn to operate and use them in the shortest possible time. Among them ① aortic balloon antibiotic ② bedside hemofiltration machine ③ automatic defibrillator. It is the focus of our study.

ccu nursing staff requires a wide range of basic knowledge of medicine, nursing and skilled clinical rescue and nursing technology, and has the basic knowledge of electrocardiography, proficiency in a variety of monitoring equipment performance and use. As long as the patient into the ccu are given special care, the implementation of 24-hour comprehensive care system, closely observe the condition, ccu patients are not allowed to get out of bed, all the activities are in bed, to keep the bed unit neat and clean has a certain degree of difficulty, but in the ccu of the Chaoyang Hospital can not be seen on the bed sheet stains `, absolutely can be done at any time to contaminate the replacement at any time, the basic care is very in place.

In ccuu day and night each with a caregiver, mainly to complete the life care, which can reduce the workload of nurses, have more time to communicate with patients. Their missionary is interspersed in the operation process, there is no special missionary class, because they do the treatment after the rest of the time the nurse is to stay in the ward, this time the nurse can communicate with the patient at the same time to complete the missionary work, the effect is also very good. In terms of nursing records, it is required to make records, if there is a change in the condition to be recorded in detail. ccu has a special visiting system, the visiting time control is very strict, which is conducive to the patient's rest, and will not affect the work of doctors and nurses.

First of all, I would like to thank the leadership of the hospital and the nursing leadership to provide me with the opportunity to go out for further training and learning. Through this study to a large extent opened up my horizons, enriched my knowledge, enhanced their business capacity, clear direction for their future learning and development, for future learning and business skills enhancement laid a solid foundation. I learned a lot of knowledge and skills about hemodialysis. I was like an internship student humbly asking for advice and learning from the teacher, and I felt and practiced on my own. Under the patient guidance of the teacher and the education of the head nurse, I mastered the care of common diseases of hemodialysis as well as the operation. Such as puncture and care of arteriovenous endovascular fistula, care of temporary central venous catheter, hemoperfusion care, hemodialysis care, permanent deep venous catheterization care and so on. It has familiarized the work of hemodialysis, clarified the work procedure and direction, and improved the work ability.

The First Hospital of the University of Medical Sciences has advanced instruments and equipment, a large medical and nursing team, an independent and unique ward structure, which creates a quiet and comfortable therapeutic environment for the patients, and all the nursing appliances are clearly marked, placed in a standardized and orderly manner, which is convenient and quick. Due to the complexity of the condition of hemodialysis patients, rapid changes, complications, they nurses have exquisite technology, a high degree of responsibility and keen insight, with a high nursing theory foundation and skilled operating skills, all have a more rigorous, agile and decisive style of work. Each of them is responsible for 5 patients, closely observing the changes of patients' vital signs, not neglecting any symptom, not relaxing any hemodialysis link, not missing any opportunity for resuscitation, operating quickly and ably, eliminating the occurrence of errors and accidents. They did the nurse operation, focusing on strengthening the self-checking and two-person checking system, self-checking is on the machine after their first check, two-person checking is the team leader and bed (according to the doctor's orders) carefully check the parameters of the treatment. Every shift nurse must master the condition of dialysis patients under her control, so as to avoid the delay of patients' condition due to the change of condition of other diseases in the process of dialysis which cannot be judged correctly. Strict implementation of the notification system, the first use of arteriovenous endovascular fistula patients, to teach. Strict aseptic technical operation and sterilization and isolation system. Dialysis machine to do person times disinfection, operation person times change gloves, strict engineers on the maintenance of the machine and the disinfection of water treatment, to ensure that the dialysis fluid in the safe range, to ensure the safety of patient dialysis. Dialysis fluid and dialysis water are regularly monitored for bacterial culture and ph value every month. The sampling rate of the provincial CDC is 100%.

As the saying goes: take the stone of other mountains intended to attack their own jade. Through learning & gt; training, in the future work of the medical university's good experience to the actual work, to strengthen the quality of care control: clear job responsibilities of the dialysis center, the workflow, operating norms, and the development of dialysis risk plan and emergency contingency handling plan; to provide high-quality service to establish: a people-oriented nursing management model, to strengthen the sense of service. After patients start dialysis, there is often a great deal of pressure, such as the risk of dialysis, pain, freedom of restriction, the impact of the disease itself on the body, the cost of dialysis, the change of affection, etc.; to strengthen the management of the details of the work; and to strive to work carefully and meticulously. Hemodialysis has a high risk, as a nursing operator, it is necessary to establish a correct and positive nursing risk awareness, enhance the concept of the rule of law, but also to play the subjective initiative, to do the maximum control and avoid the risk, so as to improve the quality of nursing care, and better serve the patients. During the dialysis process, blood pressure needs to be routinely measured and recorded every hour, and vital signs are measured and monitored at any time when the condition changes.

Finally, I would like to thank you again for giving me this valuable learning opportunity, learning is a form of feeling is a kind of insight and harvest, learning to use is our `purpose', perhaps this learning will not bring me a sea change, but on the life of the work, I have more thinking, and I hope that it can penetrate my mind, to give a new meaning to my life, I will continue to work hard to learn more! I will continue to work hard to learn more knowledge and skills, more and better service for patients.