Orthopedic nurses need to closely observe the changes in the condition, monitor vital signs, state of consciousness, in and out depending on the condition, and report the changes in the condition to the doctor in a timely manner. So how do you write an appraisal for orthopedic nurses? You may want to take a look at my push orthopedic nurse refresher appraisal comments, I hope to bring you help!
The orthopedic nurse refresher appraisal comments a
xx October to x September in Beijing xx orthopedic refresher study year, a year's time, not rich but very fulfilling, personal experience and empathy, really benefited from the orthopedic refresher appraisal.
Looking back at the xx orthopaedic one year of training, there is a careful questioning of the history of the time, there are serious checkups, there are quiet listening to the time, do not busy with the patient to add the checkups, there are honestly stand a day of the time of the operating table, there are books and literature, and so on a scene, when I write a review of the summary of the time to present in my mind. Certainly some of the work is already very familiar, but every day and Dr. XX clinical practice in the party flag in my heart teacher speech, such as room visits, ask the history, check the body and so on these most basic things can be re-discovered their own shortcomings. From the point of view of the standardization of the difference is very far, so this year is not in vain, from the most basic learning, not only to learn their profound spinal joints set, but also from the clinician's point of view to regulate their own behavior.
The habit of twice a day checking the room has made me memorable. They have made it a habit to check in once a day in the morning and once in the evening, and they really do observe the condition carefully. The checkups are to understand the changes in the condition, the results of the examination; listen to the patient's feelings, the family's opinion is the main. It is a very good idea to have a good time, but it is a very good idea to have a good time.
Define the concept of a bedside doctor. In fact, the concept of the bedside doctor is the best interpretation of the clinician. Bedside doctors on the first line of hospitalization, do the General Manager's Office and the Sales Department weekly work plan system to write their own bedside patients' medical records and other paperwork, to complete the relevant examinations and pre-operative and post-operative consultations, to deal with the patient's common perioperative complications, and to report to the higher level of the topic in a timely manner. So the residents stay overtime is a common thing, because of their things trivial, heavy workload, they will not leave today's things to do tomorrow. Only every day down-to-earth to their own bed governance, is a real sense of the clinician. Only by doing a good job as a resident can you lay a solid foundation for your future career
The tireless pursuit of professionalism. xx as a national center for the diagnosis and treatment of difficult diseases, so in the field of orthopaedics, they often come across a lot of rare diseases, and rare glass When they come across a disease they haven't seen before, they will consult a large amount of literature and organize the whole department to learn from the literature they have accessed and to discuss the treatment plan, identify and evaluate the results. The material "orthopedic training appraisal". Medicine is certainly an empirical science, and the accumulation of experience is important for the latest transfer unit to appraise fellow trainees, but it is more important to respect evidence-based medical evidence. They will keep all the information of the cases that have been treated intact in order to summarize the treatment experience.
Every Thursday morning reading meeting and the big checkup is a chance for the whole department to communicate. xx Orthopaedics every Thursday morning morning reading meeting is really a small lecture, which is taught by associate professors or above, and their specialties will explain a topic, and after the lecture, you can ask questions and exchange. It has become famous in XX hospital and has been praised by the hospital leadership. The big checkup is to summarize the surgical patients since one week, and to discuss the surgical plan for next week's preoperative patients before the whole department. For the advanced students, it is like a huge amount of specialized knowledge to learn.
The concept of strict asepsis on the operating table. The advanced laminar flow equipment in the operating room and modern . Sterilization instruments can provide a more sterile environment and tools for surgery, but if the surgeon, the operating room *** familiar with the concept of asepsis is not enough, the most advanced and most modern are also floating clouds. From the first lesson on sterility to the professors' familiarity with sterility every time they go on stage, it is clear that sterility is a habit for them. Doing the most successful surgery, if due to infection would be a disaster, especially orthopedic placement of endografts, infection will certainly lead to surgical failure.
Doctor-patient communication. The establishment of a good relationship between doctors and patients know is needed is a good communication between doctors and patients and their families, but to get a good communication, as far as not you give the patient good surgery on the line. Of course, this may be a necessary condition. In xx orthopaedic patients new to the hospital after the doctor will first self-introduction, so that patients know you are his bed doctor, during hospitalization, something can be found. I think this is really important. Patiently listen to patients, carefully explain the condition, timely treatment of the condition, and even in the life of the party flag to increase the glory of the speech three to care for the patient, personally accompanied by the patient examination, often to guide the preoperative and postoperative exercises and rehabilitation and so on the details of the communication with the patient is a good way to communicate with the patient. Doctors have to be in the medical practice to get the patient's trust this is the most effective way of communication.
It is difficult to be a skilled doctor, and it is even more difficult to be a skillful doctor. Orthopedic surgeons to treat diseases is the main means of surgery, so the progress of surgical techniques and surgical ability will be very important, but a good doctor not only to have the basic level of professional and technical, but also need to have a sincere and responsible for the patient's heart. Certainly these axioms can be understood, but how many doctors can really do it? At least I have contacted xx orthopedic professor did. Therefore, I feel that the environment is very important, xx spirit, xx culture made them. The academic leader is very important, an excellent leader can bring out a piece of excellent people.
Participating in academic conferences can broaden your horizons. We all know that Beijing has a deep academic atmosphere, and there are various orthopedic-related academic conferences in Beijing almost every weekend. Therefore, the lonely weekend life can be spent in the academic conferences in Beijing hotels, to understand the latest development of orthopaedic specialties, to learn the success of other hospitals, and to broaden their clinical thinking.
A year of training is short, but xx rigorous spirit of learning and dedication to the work style will let me be used for a lifetime. I am very grateful to the hospital leadership and the nursing department gave me the opportunity to study, through this study, benefit a lot, feel very deep, now the study of what I have seen is summarized as follows.
First, the classification of nurses. The central hospital divided the nursing staff into auxiliary nurses, primary charge nurses, intermediate charge nurses, senior charge nurses. According to the different grades, the requirements for nurses are different, the number of patients in charge and the degree of illness is different. The corresponding wages and bonuses are also different. Auxiliary nurses are new recruits who complete their work under the guidance of their supervisors. Junior nurse is 1 to 3 years, can basically master the common nursing operation, solve common nursing problems, intermediate nurse is able to master the basic and specialized nursing, and according to the patient's condition to formulate nursing plan and organize the implementation. Senior nurse in charge is proficient in routine and specialist nursing knowledge and operation, has rich clinical experience, can solve complex and difficult nursing problems, have the organization, the ability to guide the teaching. This differentiation of the nursing staff's work ability, so that nurses have a clear career planning, the quality of care, good or bad and the professional quality of nurses, independent thinking ability is closely related. Nurse grading improves everyone's enthusiasm for work, and urges us to be able to take the initiative to learn, have more knowledge accumulation and information reserves, and better serve patients.
Second, quality nursing service. The central hospital to carry out quality nursing service activities, change the nurse to "medical advice" as the center of the completion of the nursing work, so that the patient to accept different nursing staff of the fragment of the nursing change from the patient from the hospital to the discharge of a relatively fixed nurse is responsible for the implementation of the 8 hours in the class 24 hours in charge of the model. In the past, the entire nursing work content is simply summarized as a number of functions, such as dealing with medical prescriptions, injections and medications, and other functions of the functional system of nursing, to a small package of responsibility system of nursing. Responsible nurses have professional knowledge, can grasp the focus of observation, in the implementation of life care for patients at the same time, the condition of close observation, such as in the bed for the patient to scrub the bath, will check the skin with or without breakage, pressure sores, bleeding points and rashes, etc., and found that the abnormalities in a timely manner to contact the doctor to take measures, in the patient will pay attention to the protection of the catheter, to prevent the catheter from folding and slipping off, to guide the correct method of turning over to protect the affected limbs, to avoid aggravating the patient's pain. The patient will be instructed on the correct way to turn over, protect the affected limbs, and avoid aggravating the patient's pain. Through the development of quality nursing work, the implementation of small packet responsibility system, nurses have established the concept of "my patients", in-depth wards, effective communication with patients, take the initiative to care for patients, provide disease-related health knowledge, the implementation of health education. Improve the quality of nursing care. For the patients responsible for the provision of continuous, the whole nursing service.
Third, specialty care. I studied in the department of orthopedics, they pay great attention to the development of specialty features, according to the department of common diseases issued by the health education atlas, hanging in the department corridor, very specific and comprehensive, easy to understand, so that the patient for their own disease can have a complete understanding. Printing and filming of triangular towel suspension, linear turning, lumbar and dorsal muscle exercise and other specialized nursing operation norms and videos. To make the specialized nursing operation standardization, standardization. After the patient is admitted to the hospital, the responsible nurse should know eight things about the patient, i.e., bed number, name, diagnosis, condition, treatment, nursing care, diet, and examination of positive signs. From the patient's admission to discharge there will be a full range of health education, and functional exercise guidance. Nursing innovation according to the specialty characteristics, for the characteristics of the surgical site produced by the hospital gown, that is, to facilitate the wound dressing and observation of the condition, but also fully convenient for the patient. The production of cushions and pillows to make the patient's affected limbs more comfortable, the use of decubitus pads to effectively prevent and reduce the occurrence of decubitus ulcers, reducing the patient's pain.
In short, with the improvement of people's living standards, the demand for health care is also increasing, nursing services have been not only limited to injections, infusions, medication and other simple nursing work, but more and more focus on providing patients with a whole body, a full range of quality care services. Through this study, so that my nursing service consciousness and nursing level has improved greatly, the most second, very grateful to the leadership of the hospital to give me this opportunity to learn and improve, I will further study to learn the knowledge and skills to consolidate and apply to the actual work, better service for the patients, and for the rapid development of hospitals to contribute to the power.