icu nursing self appraisal sample (selected 5)
Self-appraisal is an individual's self-summary of a period of time, self-appraisal allows us to have a correct perception of themselves, let's write a self-appraisal together seriously. How do we go about writing a self-identification? The following is my collection of icu nursing self-identification sample (selected 5), for reference only, welcome to read.
icu nursing self-assessment 1
Intensive care unit, referred to as ICU, refers to the serious condition, life-threatening at any time, a department. ICU is the hospital's most advanced equipment, a department; the patient is the hospital's least a department; the mortality rate is the highest in the hospital, a department. Most of the patients are combined with a variety of clinical syndromes, such as: COPD, acute left heart failure, post-stroke with cerebral hemorrhage, cardiac function grade IV or car accident caused by the liver and spleen contusion, extraordinarily heavy craniocerebral trauma and brain hernia, the whole body of the soft tissue contusion and other diseases.
ICU requires a very high quality of nursing staff, must be able to do ① master the configuration of a variety of instruments, the establishment of rapid detection of changes in the monitoring measures and improve the resuscitation equipment; ② critical illnesses 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, rapid and timely treatment of emergencies; ④ correctly carry out a variety of patients of various ages, diagnosis and treatment, and safe and comfortable. The diagnosis and treatment of patients of various ages and the overall care of body and mind are safe and comfortable. The isolation of the medical environment relative to the general ward causes patients to have various special psychological changes, such as anxiety, fear, insecurity, anxiety, etc. This requires the nursing staff in the monitoring room to be able to provide the best care for the patients in a safe and comfortable environment. This requires the nursing staff in the monitoring room not only to do the above four 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. Also have solid theoretical knowledge and skillful operation skills, with a high degree of responsibility, responsible for each patient.
In the ICU internship in a month, let me see in the ordinary ward is difficult to see the scene of rescue and death; learning to a variety of instrumentation, such as electrocardiography, ventilator, non-invasive cardiac function monitoring, percussion machine, defibrillator, etc.; commonly used rescue drugs are: atropine, epinephrine, diuretics, cardiac arrhythmia and so on; the rescue of the cooperation: tracheotomy, endotracheal intubation, cardiac chest compression, and so on. The cooperation of the rescue: tracheotomy, tracheal intubation, cardiac chest compression, etc.
In the ICU can be practiced to the operation of: morning care, static push, static drip, static injection, sputum suction, blood gas analysis, central venous pressure measurement, non-invasive cardiac function monitoring, percussion lungs, double lower limb massage, bladder flushing, insertion of gastric tube, catheterization, gas switching medication, deep venous drug exchange, perineal scrub, oral care, blood glucose, etc.. From 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 most let me by the experience of two patients, one of the patients 20 years old, because of car accidents and cause "extraordinarily heavy craniocerebral trauma and brain hernia formation, pupils of both eyes are dilated and fixed, to the disappearance of the light reflex, no spontaneous respiration, atrial fibrillation, hemorrhagic shock"; on a certain afternoon due to the failure to rescue, declared clinical death. Clinical death; this rescue from the patient to learn rescue cooperation and medication, cardiac chest compression, the correct method of compression and defibrillator use, the treatment of the body, etc.; and another patient 36 years old, is "nasopharyngeal carcinoma postoperative", due to the patient's multiple radiation therapy, chemotherapy and long-term bedridden, leading to the accumulation of pneumonia, limb muscular strength grade 0 The patient's voluntary respiration is weak, and the patient is extremely thin; I take care of this patient every day, and I have learned a lot from him, such as: basic nursing care, deep vein dressing, the care of patients with pneumonectomy, the method of suctioning, and the patient's needs, and so on and so forth.
ICU is a good department for learning and a good place for exercising. I hope that my future theoretical knowledge is more solid, comprehensive according to the changes in the condition immediately make the correct judgment, skilled in a variety of conditions and complications, timely judgment and analysis of the patient's condition, reduce the patient's pain, and establish a victory over the disease of self-confidence.
icu nursing self-assessment 2ICU is a discipline that has developed rapidly in recent years, with a wide range of knowledge, the lead teacher requires us interns to master the basic theory and basic skills of ICU, namely, respiratory, circulatory basic monitoring and treatment content, and to understand other related content. Strict implementation of disinfection and isolation system Strict aseptic technical operation and careful implementation of all disinfection and isolation system is an effective measure to prevent infection in ICU department, keep the room ventilated and dry, meanwhile, do a good job of final disinfection of indoor air, floor, surface of articles and bed units, use air purifier for continuous purification, wash hands correctly before and after the operation or use disinfectant to wipe the hands, and in general, thank the family members for accompanying us, and let the family members to watch at 2 to 3 p.m. Staff members enter the ICU to wear prescribed work clothes, change shoes, and wear hats and masks.
According to the doctor's instructions, we have to test the patient's CVP and oxygen saturation, blood pressure, blood glucose, etc., and follow the doctor's instructions to observe the patient's urine output, and judge the patient's condition according to the amount of input and output.
In the shift handover to the patient in your bed today's prescription to do with not do each other to tell each other, the patient has what the pipeline should be accounted for, to ensure that the drainage is smooth. After that, then hand over the infusion pump and micro input pump.
The basic assessment of the daily patient, the response to speech activity, pupil reaction, limb strength assessment, etc., craniocerebral injury to do Glasgow coma score. Many nursing operations were also personally attempted during this internship.
Strict aseptic operation: strict aseptic operation in sputum suction, urinary catheterization and deep venous catheterization, ICU department patients' `infections are mainly respiratory, and the underlying diseases are mostly injurious diseases, due to the ICU patients' condition is more critical, bedridden for a long time, most of the patients are in the state of coma, losing the ability to cough, and the difficulty of discharging airway secretions. Therefore, it is necessary to suck out sputum for the patient in time, wear sterile gloves when sucking sputum, use disposable suction tube, oral care, perineal care, tracheotomy care, changing dressings and so on. Turn the patient over and change the position to prevent pressure sores. Pat the back to make sputum timely and fully discharged, keep the bed unit and skin clean and dry.
The three-week ICU internship came to an end in a flash, although the learning time is short, but the harvest is quite a lot. Under the guidance of the head nurse and the teachers of the whole department, I have a better understanding of ICU nursing, and at the same time I have learned a lot of knowledge. In the future work, I will also redouble my efforts to live up to the teachers' expectations of me!
icu nursing self-assessment 3Before the ICU internship, the heart is full of fear and anxiety, because there live are seriously ill, on the one hand, I worry about their own just under the clinical internship is only more than a month, a lot of things are not familiar with, for the care of seriously ill which is a full of arduous and challenging internship process. On the other hand, the condition of the patients in ICU changed a lot, and I was worried that if one of the patients, unfortunately, suddenly "died" during my nursing care, whether I could have the courage to accept such a fact, and how to overcome my fear when facing the deceased patients in my nursing care. Here is what I saw and heard during my ICU internship and what I felt.
An ICU environment of cold, dark, quiet and neat
When the first day of the teacher to familiarize us with the environment on the ICU feel eerie, because the air conditioning inside the temperature is set very low, there are a lot of layered exhaust fan on, giving people a chilly feeling, coupled with the fact that each bed unit is rarely open lights, darkness deepens the sense of horror. In spite of this, this is all conducive to the patient living, can make the air in the room constantly renewed, dim and quiet environment can let the patient better rest and recuperate. Because almost all the patients are resting, or some patients on the ventilator can not speak, so the ward inside is very quiet, the only break this quiet in addition to the voice of the medical staff, and is the sound of the machine alarm. Because almost every bed unit has cardiac monitoring, infusion pumps, and some are on ventilators, it is difficult to identify which bed unit's alarm is from the center desk when the alarm sounds from these instruments. Each bed unit is very neat and tidy, and the interval between beds is also large, which is conducive to the placement of machines and patient resuscitation. In the treatment room and dispensing room inside the goods are placed very neatly organized, are placed in classification, especially drugs, what anti-arrhythmic drugs, antihypertensive drugs, craniocerebral drugs, gastric drugs and so on are placed in classification, the sign is obvious, conducive to take and put.
The care, patience, compassion, responsibility, and teamwork between the second medical staff
I remember the first day of work, I still do not know what to do, just follow the teacher's ass back to prepare things. In preparation for the 5-bed patient bed bath and perineal disinfection, the head nurse to help care, while instructing us how careful care, but also personally for the patient bath and perineal disinfection, this kind of hands-on . This kind of hands-on example gave me confidence in the management of the ICU. In the following management, once the head nurse found problems, such as the usage of new drugs and the standardization of nursing writing, she would discuss with the medical staff and remind them of the problems. A good leader makes a good management and a good team, and every teacher is very professional and dedicated, which is indispensable for a good management. When taking care of the patients, every health care worker was very careful, observing and tracking the patient's condition at any time, recording at any time, they were also very patient, some patients wearing respiratory machine could not speak, or some patients only speak the hometown dialect and could not communicate with us, the teachers were very patient to ask questions one by one, asking whether it was cold or hot, whether they wanted to turn over, whether they wanted to drink water, sometimes they asked a series of questions and could not solve them, the teachers did not ask any questions, and the teachers did not ask any questions to solve them. Sometimes, even after asking a series of questions, the teachers did not show their boredom and continued to ask questions until the patient's problems were solved. Doctors and nurses have their own roles to play, cooperate with each other, nurses find problems immediately report to the doctor, the doctor also immediately dealt with, the doctor needs according to the patient's condition to carry out targeted treatment will also inform the nurses to pay attention to the care of the problem. These medical personnel's behavior and words have set a lot of examples for us interns, so that we can benefit from our future career, endless benefits.
The professionalism and gentleness of the three teachers
After I learned that my teacher is the total undergraduate teacher, I felt very strong pressure, the level of their own operation and mastery of theoretical knowledge, but the general it, once their operation is not good or can not answer the question that can not only embarrass themselves, but also let our school shame na! So every day with the teacher to work with the teacher is always careful, afraid to do the wrong thing. Teachers see me in the operation always look nervous, so will walk aside, assured that let me operate, so that I will operate a lot easier. Once I found out which operation was inappropriate, not standardized, or there could be a better and easier way, the teacher would teach me by example and patience. In the nursing process, the teacher will also operate while instilling relevant theoretical knowledge, so that the combination of theory and practice will be better understood and mastered. I remember the first time I drew arterial blood, the teacher let me go directly to the pumping, before I had a chance to see the teacher's demonstration to be operated, I was very nervous, but the teacher to fight for their own opportunities they must grasp ah! It turned out that the teacher was not only letting me operate alone, but also explaining to me the precautions to be taken before, during and after arterial blood sampling, so that I could master it faster while operating. After evaluating the patient's artery and preparing to insert the needle, my head began to sweat, remembering that I had seen another teacher draw blood from a patient and could not do it, and I felt bad when I saw the patient's face convulsing in pain. Now can I be lucky to tie all the way to, so that the patient from the pain of this back and forth to tie the needle? Seeing the needle in my hand hesitated for a moment, the teacher reassured me that it does not matter that I can not tie, not everyone can see blood with a single shot, as long as the correct grasp of the method of drawing arterial blood on the line. With the teacher's encouragement, I was much more at ease, and I stuck the needle in. I was so worried that I didn't get the needle in. My heart began to panic, but the teacher still calmly said, slowly withdraw the needle, and then to the arterial pulsation of the place into the needle, I put the needle into the head again. At this point, I finally saw the blood return, and my heart finally landed on its feet. My first arterial blood draw went smoothly, thanks to my teacher's guidance, in addition to the luck of the gods! Thank you! Grateful! Thank you again! In the later process of teaching, the teacher also gave me a lot of disease-related care and related knowledge, there are some knowledge that I have learned, but I have forgotten about, after the teacher's reminder to go back to the book, and deepen the impression. Once I found that the doctor was carrying out tracheal intubation, tracheotomy, bronchoscopy, etc., the teacher would ask me to put down the work in hand to see how the doctor operated, and would always seize the opportunity to let me go to learn, to understand, thank you teacher! I am also thankful to every teacher in the ICU who has brought me and taught me! I'm very thankful for that.
Overall, every day in the ICU internship can learn something, in the process of internship is also very happy, the teachers' smiles make us feel very warm! Thank you to every health care worker in the ICU!
icu nursing self-identification 4Internship, is an expectation, is for their own growth. Expectation. I work in a certain Chinese hospital, through more than six months of work, in a certain Chinese hospital good working environment and gynecology inpatient nursing department of strong learning and working atmosphere under the influence of the head nurse's careful guidance and patience under the guidance of the head nurse, conscientiously study the "Regulations on the Treatment of Medical Accidents" and its laws and regulations, and actively participate in the hospital organization of the training of the regulations on the care of medical accidents and participate in the study of the nursing staff for a number of times.
Through learning to make me realize that the establishment of the market economic system, the legal system is increasingly perfect, the people's legal concept is constantly increasing, according to the law, according to the law to protect their legitimate rights and interests has become the people's **** knowledge of the modern concept of quality of care is a full range of all-round, the whole process of the patient's satisfaction, which is the people's medical care services put forward by a higher, newer needs, and thus enrich the knowledge of the law, enhance the awareness of safety protection, and can make the medical malpractice nursing regulation training organized by the hospital. Enhance the awareness of safety protection, and can make nursing staff understand the law, use, according to law to reduce the occurrence of medical errors. The first rotating department was ICU, and my instructor was Ms. Wan Ling, who was a competent operator in the hospital, working neatly, moving beautifully and operating in a standardized way, which invariably gave me a lot of pressure. The beginning of the internship life let me have a kind of frustration, in front of the teacher feel very small, even in the work are not with the brain, only mechanical implementation of the task, each time just want to do a good job, but the more you want to do a good job the more wrong it is the more wrong, the more wrong the more afraid, the more afraid of the more wrong, which
Formed a cycle. So much so that I do not dare to take the initiative to ask to do the operation, but so that the teacher feels that I do not work actively, and sometimes I feel that I cry every day in the face of the teacher's busy body like a fish out of water, I only complain, complaining that I can not apply the theory to practice, complaining that they did not learn in the previous traineeships, wishing that they are clumsy. Maybe it was my poor adaptability and my inability to communicate with my teachers that put me in the ICU in a state of uncertainty, but I was also very grateful to my instructor who was very patient with me and very concerned about me. When I arrived at the operating room, Ms. Li Nan could see my progress every day, even if it was just a little bit, she encouraged me, and even if I was very stupid and made a mistake, she would explain the principle to me, so that I could know the root cause of the mistake instead of reprimanding me. It played a role in guiding me, I began to have their own ideas, and then back to the passion of the work, no matter how hard and tired as long as the heart is comfortable, I can be happy to spend every day!
Now I entered the fourth rotation section bone three. I thought I could quickly adapt, but the reality did throw me a head of cold water, I feel that I have become more stupid, do not know what to do, and the teacher also think that we have been interned for such a long time, and undergraduates, do things should be able to do is, in the face of the teacher's helplessness I really have no place to go! I was once again in the doldrums, back to the brainless life, things are not organized at all. However, when Ms. He Ting learned that I had low self-esteem and did not take the initiative and did not get the operation exercise, she taught me the importance of operation techniques and I looked for opportunities to exercise. It was the teacher who once again inspired my enthusiasm, and I really appreciate the teacher's care for me, and I will double my efforts to live up to the teacher's expectations of me!
icu nursing self-assessment 5In a month-long apprenticeship, we have zero contact with the patient, the theoretical knowledge applied to the actual, but also so that we understand their future work environment, recognize their own path, so as to be more determined to their own goals. My department is the Department of Spine Surgery, the surrounding environment looks clean and comfortable, nurses, caregivers, doctors, patients, patients' families get along with each other harmoniously. Our instructors also taught us very seriously and explained to us when we made mistakes. We learned a lot of things in this process, but also understand the difference between theoretical knowledge and the actual operation in the hospital, we need to be flexible.
In the process of apprenticeship, we have done for the patient vital signs measurement, helped patients do bed hair and bed bath, but also to the patient made the bed. Although these tasks seem very simple, but if we want to do a good job, we still need to pay attention to a lot of details. Among these tasks, I was most impressed by bed shampooing and bed scrubbing. The patients who need to do bed hair washing and bed bath are all bedridden patients, most of them have had surgery, we need to be especially careful when we give them care.
I remember an old man in bed four who had just had a cervical spine removal surgery a week earlier, and I was a little bit scared when I gave him a bed shampoo. At that time I was thinking: he was injured in the neck, what if I accidentally opened his wound? Luckily, the lead teacher at that time was beside me, and she told me what to pay special attention to for this kind of patients. After doing the whole operation, my confidence increased and I didn't feel so scared. This made me realize that my theoretical knowledge needs to be further strengthened, and that it is important for me to take the first step. And when doing bed scrubs later on, there was no more fear, but it can feel awkward.
When the instructor asked us to do bed scrubs for the patients, I asked the teacher, "Teacher, is it a man or a woman?" The teacher said it was male, and when the teacher asked who volunteered to do it, I pushed out the only male in my group and said, "Teacher, just him." Then we watched while the teacher explained. At that point, I thought, "Luckily, there's a male in my group. However, after we watched the whole process of the bed bath, the feeling of rejection was not so strong, maybe because it was not as scary as we had imagined. The second person who volunteered to do the bed bath was me. The teacher was guiding me, and I felt that I did okay. If there is a next time, I will do better.
After this internship, let us thoroughly understand the clinical practice and theoretical knowledge is equally important. When we face dummies or classmates, we do not feel afraid or embarrassed. But when we face the patient, we will be overwhelmed at first, lack of self-confidence, feel afraid or embarrassed. Therefore, I realize that we must strengthen the consolidation of theoretical knowledge on the basis of actively completing the teacher's account of clinical practice tasks, accumulate clinical experience, so that our skills and techniques and theoretical knowledge to the same level.
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