The object of the nurse's work is a living life, and the sense of equality should also include respect for life. Patients are physically different from healthy people, but they are the same and equal to healthy people in terms of personality. The following is "Outpatient Nurse Work Experience 2018" organized by me. For reference only, welcome to read it! For more content, please subscribe.
Outpatient nurse work experience 2018 (a)Outpatient guide nurse work experience nurse's work position is sacred and noble. Wearing a white coat on duty to fulfill their responsibilities, should be fully committed to the work, so as to be able to do a good job in all aspects of the affairs. Not only pay attention to work efficiency, but also pay attention to the quality of work, pay attention to the effect of work. In my opinion, the work of a nurse looks easy, but it is not easy to do well. This work has its own responsibilities and internal standards, the nurses do due to their own age, filial piety work experience, attitude, personal character and other factors, although they can also work within the scope of responsibilities and work standards to complete the task, but the efficiency and quality is very different, and high efficiency, high quality work standards are not the top. Some nurses complete the hardware work (such as temperature, injections, medication, etc.) after the peace of mind to rest in the office; some nurses do the hardware work, and then do a lot of software work (such as to give the patients more truth, goodness and beauty of the spirit of things). "Hard" has the scope and scale, "soft" has no directive statute. So, how can nurses fulfill their duties in the workplace with high efficiency, high quality and creativity to complete all work tasks and achieve the best results, so that patients can feel at ease, feel relieved and actively cooperate with the hospital in their treatment? Although there is no one-size-fits-all format, there are rules to follow. Through this study of medical ethics, triggered me to the establishment of the nurse's post consciousness, to improve the efficiency and quality of work to promote the role of the issue of thinking!
1, sense of responsibility
Responsibility is the premise of good work. This "sense of responsibility" of the "heart" word, as early as the ancient Chinese philosophers metaphorical ideas, spirit, that is, today's broad philosophical category "consciousness", and the medical said that a certain part of the body of the It is different from the medical term for a part of the body, "heart". Work on the "heart" (sense of responsibility) in place, that is, hold a heart to, in the class with a heart to do, do not clip selfishness away from the class, so that the dedicated "heart" of the cause, you can do a good job of nursing. As a young nurse, I have just finished the theory course to the internship position for the novice: work is really "more than enough", but as long as this heart, I believe I will be able to do the job as soon as possible. If there is a lack of responsibility, both new nurses, or old nurses, will not do a good job of nursing. Things have a cause and effect relationship, that is, there is a cause and effect, nurses work
There is also a causal side. Work is done by people, nurses work to achieve good results, or even the best results, must require the nurses themselves to have a good state of mind, have the right consciousness to guide themselves to fulfill their duties. A good start will lead to good results. There is such a thing as a good start, but it is not universal. Nurses must not have the slightest paralyzing thought, "a tiny difference, a thousand miles", the crooked is not right. Strengthen the sense of responsibility is a good motive, but also the best starting point. Of course, there will be good intentions in the work of the wrong thing, which is a normal range, the worldview is no problem, there is a correct consciousness, just the worldview into a square **** on the link on the error, or the operation of the method of error. "Good intentions go astray" is a matter of method, not of thought. The question of method is complex and demanding. For nurses, nursing has a business level, experience, patient cooperation, other obstacles, etc., so that the method is not effective, or not in place. These are external reasons, is caused by objective, not subjective, this "error" is easy to be prevented and overcome. If you should not make a mistake because of the responsibility of the wrong, the nature of the reproduced since, it is not the normal scope, can not be used to "error" to pond, that should be held accountable. Therefore, the sense of responsibility for nurses is not dispensable, but must be self-cultivation, little by little to develop this sense. Awareness of responsibility and the requirements of the job is closely linked, sometimes can be combined into one, but the difference is obvious. The former is self-consciousness, self-requirement, emphasizing individual internal control, with a soft side; the latter is an external statute, mandatory requirements, with a hard side. "Hard" is the work duties, standards, "soft" is the soul of individual work, "hard" is like a skeleton, "soft The "soft" is the soul of an individual's work, "hard" is like a skeleton, "soft" is like flesh and blood.
2, equal awareness
Nurses to strengthen the sense of responsibility is essential to do a good job of the essential work, but only the sense of responsibility is not enough, should be based on the sense of responsibility, and closely around the sense of responsibility to creatively expand the work. This "expansion" is a unilateral effort by the nurse, wishful thinking work, into the nurse and the patient's mutual cooperation and mutual coordination. The nurse and the patient close collaboration between the initiative, the right to choose the side of the nurse. How can nurses work to adapt, cater to and be supported by patients, to establish a sense of equality is the key, that is, nurses treat patients with the concept of equality, not only to treat all patients with a bowl of water, but also to get along with the patients equally at all times, nurses can not have a sense of condescension. Nurses in the ward is relatively fixed, the patient is mobile, choose the power of hospitalization in the hands of the patient, if the nurse is compared to the master, then the patient can be compared to the guest. Nurses and patients with each other's relationship should be "the master of the guest diligence". How to receive guests, how to facilitate guests? First of all, we should respect the patient, pay attention to each other's existence, like entertaining guests as warmly as to entertain each patient, and strive to make the patient feel that the master of the hospitality enthusiasm, easy-going, considerate service. To do this, the main embodiment of the nurse's service attitude, the nurse should do "talk light, walk light, operation light, close the door light".
The nurse's work object is a living life, the sense of equality should also include respect for life. Patients in the physical and healthy people have a difference, but in the personality and healthy people are the same, equal. If the nurses in the mind to establish this sense, then in the attitude towards the patient will not have a condescending performance, instead of speaking kindly, do things gently sensitive. But sometimes there will be such a situation occurs, when the nurse good voice to speak to the patient, the return is bad language or ignore, from the phenomenon that is not equal with equality for equality, what is the reason? Obviously this is because the patient's psychological state has changed. When people are affected by disease, the body's normal tissue cells are damaged, affecting the normal activities of people, disrupting years of life, thus producing irritability, the patient may be immersed in pain and worry, so it will not be on the nurse's kind words to give due attention and return. If we can think that when our nurses themselves encounter unpleasant things, they will also have this kind of behavior, perhaps even worse than his performance, then we will be able to understand them. This requires nurses to have a sense of equality, but also compassion and tolerance.
Now patients to the media to complain about the main reason for our nurses are attitude problems, accounting for more than 85%. This shows that patients care a lot about the attitude of nurses, and also shows that the attitude of nurses plays an important role in the development and regression of the patient's condition.
20xx outpatient nursing work in the hospital leadership care support, in the Department of Nursing and outpatient department director of the direct leadership and business guidance, in the hospital departments and departments of the strong support and assistance, through the outpatient staff of the concerted efforts to cooperate with the hospital to carry out the current "quality nursing service work" and other activities, closely around the hospital's central work. Closely around the center of the hospital's work, outpatient nursing management has changed significantly this year, outpatient nursing staff from the quality of medical care, service attitude, mental outlook and other aspects have made significant progress. Now summarized as follows:
1, adhere to the construction of the style of work, and constantly improve the quality of service of nursing staff, strengthen the ideological education of nursing safety, strengthen the sense of responsibility, strict implementation of the rules and regulations, to avoid the occurrence of nursing defects and errors, and to eliminate medical accidents, to ensure medical safety.
2, according to the Ministry of Health, "on the implementation of public hospitals in the work of the views of the appointment service", combined with the hospital to carry out the actual situation of the work of the appointment service, the development of the work of the implementation of the appointment service program, and achieved good results.
3, improve outpatient services, convenient for patients, extend the spirit of quality care, outpatient department in the peak hours of the overall strengthening of outpatient departments to coordinate; different time to adhere to a number of booking measures; and China Unicom Xinjiang Branch to carry out the 116114 booking platform work to facilitate the patient's access to the clinic, and the cooperation of MAA to provide consulting services for the patients, to ensure the quality of medical care of the hospital clinic, to shorten the patient's visit, check, check, and provide consultation services for patients. It has shortened the waiting time of patients for consultation, examination, treatment and medicine collection, and greatly improved patients' satisfaction with outpatient treatment. We implement real-time monitoring of outpatient flow, according to outpatient flow monitoring to obtain the number of patients waiting for treatment, the actual number of doctors to provide services or the number of windows, to determine whether to increase the number of staff or service windows, the quality of outpatient services every month, outpatient management work, outpatient management of the work of the physician to make an analysis of the evaluation and continuous improvement, and therefore effectively shorten the waiting time for the patient's medical treatment.
4, conscientiously do a good job of outpatient complaints reception, to the complaints of patients to do a good job of coordination and explanation of the work, and timely resolution of conflicts between doctors and patients, the complaints in a timely manner to check the views, try to nip medical disputes in the bud. At the same time to carry out outpatient, medical technology, inpatient and functional department satisfaction survey, monthly satisfaction questionnaire issued 150, timely feedback to the hospital leadership and nursing department, outpatient nursing deficiencies in the timely adjustment and rectification.
5, outpatient level hospital review work, always synchronized with the hospital to meet the requirements of the evaluation office and the task, conscientious and meticulous completion of each task.
6, usually do a good job in the outpatient clinic window sections of the coordination of work, such as outpatient patients peak window more crowded. Guide nurse timely maintenance of order, queuing, and remind patients to prevent theft and burglary.
7, weekly nursing safety hazards check, everyone in the department to participate in the work of the existence or potential nursing safety hazards, timely report to the nursing department and timely rectification. January - September, the outpatient nursing staff no nursing error accidents, no valid complaints.
8, encourage nurses to take the initiative to report adverse events, the possible hidden danger of cause analysis, and actively improve the work.
9, outpatient nurses in accordance with education, years of experience, title and comprehensive quality assessment is divided into n3 level, complete the outpatient nurses training program, outpatient nurses 2 times this year to participate in the first aid training organized by the hospital, to carry out ① tracheal intubation to cooperate with; ② defibrillator, monitors, ECG monitors, the use of simple ventilator; ③ cardiopulmonary resuscitation; ④ first aid simulation exercise; through the training, the nurses first aid skills Through the training, the nurses' first aid skills have been greatly improved.
10, deepen the "excellence" work, improve the outpatient nursing rules and regulations, and constantly optimize the medical environment, in the outpatient clinic to carry out a variety of convenient measures, humane service, and improve the satisfaction. Guiding staff, can correctly guide patients to medical treatment, to provide active service.
11, strengthen the nursing team construction, enhance the level of professionalism and quality connotation, deepen the "excellence" work, improve the outpatient nursing rules and regulations, in the period of January - September 20xx, improve the infusion and other processes, so that the patient more quickly and conveniently, and improve the efficiency of work. Work efficiency. During the period of January-September 20xx, services such as telephone follow-up for discharged patients were carried out, which greatly improved patient satisfaction.In October 20xx, in order to reduce medical risks, minimize the waste of human resources, and actively cooperate with the three-tier diagnostic and treatment program of the Commission on Health and Planning, the hospital closed down the work of the outpatient injection room after weighing the advantages and disadvantages, and shifted the nursing staff of the injection room to the position of clinic guide to strengthen the outpatient clinic. The hospital, after weighing the disadvantages, closed the work of the outpatient injection room, the injection room nursing staff to transfer to the post of the guide, in order to strengthen the work of the outpatient window. 20xx October due to the nature of the work of the guide, is not in line with the part-time discharged patients phone call back to the work, so in the declaration of the hospital leadership, the outpatient clinic has been discontinued discharged patients phone call back to the work.
12, with the Hospital Nursing Department to complete the work of the Xinjiang Specialty Nursing Course, has been well received and recognized. 14, shortcomings of nursing research work to carry out insufficient efforts, the paper published unsatisfactory. In the future work, outpatient nursing staff will work harder to do excellent white angel!
Outpatient nurses work experience 2018 (2)Outpatient nurses personal work summary of the second year, outpatient nursing in the hospital party and government leadership team, the correct leadership of the nursing department and the director of the department under the business guidance, in earnest, in accordance with the Ministry of Nursing and the section of the nursing work plan to carry out the nursing work, now 20xx nursing work is summarized as follows: a workload to complete the situation
< strong> A year **** completed triage guide more than 26,000 times, to assist the outpatient surgeon for minor surgery 78 times and surgical dressing 102 times, blood gas analysis times, checkups 8700 times.
Second, to strengthen the quality of care monitoring, so that the quality of outpatient care has been continuously improved.
1, the implementation of the job responsibility system: the beginning of the year for the specific circumstances of the clinic, re-established the outpatient nursing staff job responsibilities and the work of the class standard, so that nursing staff in strict accordance with the norms of the work of their own, the strict implementation of the first ask first welcome responsibility system. At the same time, the positive response to the city's health work, the strict implementation of the pre-inspection and sub-inspection workflow. Strictly prevent errors and accidents.
2, seriously organize the nursing staff to learn the hospital's new "nursing quality inspection and scoring standards", so that each nurse to understand, master the scoring standards, enhance the nurses to take the initiative to participate in the quality management consciousness, monthly nursing quality control evaluation, for outpatient clinic departments are widely distributed, the quality of nursing care is difficult to monitor the characteristics of the monthly unscheduled department self-checking 4 to 8, found that the problem pointed out in a timely manner, and deadline for correction, so that the quality of care has been sustained. The quality of nursing care in the department has been continuously improved.
3, to strengthen the management of first aid items: weekly specialists to carry out a comprehensive inspection, the head nurse weekly inspection, at any time, to ensure that the first aid items are always in an emergency state, the first aid items intact rate of 100%.
4, strengthen the supervision of disinfection and isolation work: according to the hospital infection management standards, through the organization of learning disinfection and isolation standard requirements, so that nurses master the principle of disinfection and isolation, the department of hospital sensory nurses can conscientiously perform their duties, and actively check and urge medical staff to strictly abide by the aseptic technology operating procedures, so that the hospital sensory control indicators to meet the quality standard requirements.
Third, to strengthen the management of link quality, to ensure the safety of nursing
1, monthly nursing safety hidden trouble investigation, strengthen the control of nursing operation link, found that the safety of hidden trouble, point out in a timely manner, analyze the reasons, the implementation of corrective measures. Encourage nurses to take the initiative to report adverse events in nursing, monthly organization of nurses to carry out safety education and learning once a month, the content of the patient safety management and nursing emergency preparedness, enhance the nurse nursing safety awareness
2, to strengthen the outpatient clinic to observe the patient's observation, found that changes in the condition of the patient, report to the doctor in a timely manner, and to assist the doctor to give an accurate and timely treatment to reduce the incidence of medical care disputes.
3, strengthen the reasonable scheduling of holidays, double holidays, the implementation of flexible scheduling to meet the needs of patients. Nurse manager, quality control officer from time to time to the department for inspection and guidance to ensure nursing safety.
Four, strengthen the nursing training and on-the-job education, improve the overall quality of nursing staff
1, monthly nursing staff in the section of the nursing hierarchy of nursing business learning each one, to further improve the theoretical level of nursing staff.
2, seriously organize different levels of nursing staff to participate in the section and the hospital "three basic" training, assessment, strengthen the standardization of nursing staff training, assessment efforts; the section of the theoretical examination, operational skills training and assessment of six times, the assessment rate of 100%
3, strengthen the first aid skills training, and constantly improve the first aid skills of nursing staff. Section of the nursing staff of the first aid skills technical level and emergency response capability. In the first half of the year to strengthen the nursing staff to learn nursing emergency plan, cardiopulmonary resuscitation, oxygen inhalation, simple respirator and other skills training, assessment and qualification rate of 100%.
4, encourage nurses to participate in on-the-job continuing education learning, the first half of a nurse to obtain Shandong University undergraduate network education learning opportunities.
Fifth, there are problems:
1, individual nursing staff do not pay enough attention to the work of disinfection and isolation, the existence of the garbage canister cover is not covered, the expiration date of the sterile goods, the life of the garbage mixed with medical waste, the refrigerator storage of food, and so on.
2, nursing papers published less, no nursing research.
Whenever I hear a colleague say: "hospital consulting nurses work easier than clinical nurses", I always smile lightly: "The child is not a fish, how to know the joy of fish. You are not in this position, how can you know the sweet and sour?"
Counseling is the window of the hospital service, she is responsible for providing patients with accurate and timely pre-screening triage, Q&A and guidance. Her special lies in the must have and other clinical work is not the same work skills, in addition to the need for solid basic medical knowledge and basic skills, more from the patient's point of view, anxious patients, think of the patient, solve the patient's needs, to achieve the patient's wish. Because the object of our service is the hospital environment, the layout of the structure of the people do not know, is sick, relatively fragile spirit, action many inconvenience people, sometimes you do not think of an answer, a sentence, an expression, a behavior may become a dispute or a contradiction in the trigger. Therefore, even some small problems should be treated seriously and meticulously, so that each patient comes with pain and satisfaction.
As a nurse guide, first of all, we must have good professional ethics and a strong sense of service. Rich medical knowledge and flexible service skills, can use professional knowledge in the shortest possible time to quickly assess, correctly pre-screening and triage, timely evacuation and triage, so that outpatients in a timely manner to get specialized diagnosis and treatment, timely completion of the various tests and treatments. Secondly, it is necessary to master the emergency plan and treatment process of common emergencies. In the work, we must learn to look at the face, so that in the process of waiting for the patient to find the critical condition and the condition of the patient changes in a timely manner, so that the patient to get accurate and timely diagnosis and treatment and rescue. To watch six ways and listen to all sides, timely discovery of the patient needs, flexible coordination of the patient consultation process with the pharmacy, registration, charging, laboratory, functional departments, with the ability to deal with a variety of emergency situations. Third, to have good communication skills and standardized service etiquette. Language expression must be clear in tone, loud voice, accurate wording, concise and easy to understand. The questions raised by the patient should be heard and understood. In order to avoid errors, and even have to ask repeatedly, to avoid patients due to did not hear or did not understand and go to the wrong place, wasting time and physical strength, increase the patient's pain or aggravate the patient's condition, but also to avoid medical complaints and disputes. In this way, often a morning guide service down, is dry mouth, waist sore legs, the intensity of this work is not less than the clinical nurses.
Look at these, you will still say that "hospital consulting nurses work easier than clinical nurses"? In fact, for the hospital - any enterprise, every position is important, the key is that we have to do it with heart.
Outpatient nurses work experience 2018 (3)This summer vacation, with a fear of learning, the lack of confidence in their own uneasiness, their inability to adapt to the new environment of worry, but also fear that they will be at a loss of anxiety, with a hope and a bewilderment came to the center of the "landscape A world" xx The hospital is located in the center of the "beautiful world" xx.
The Affiliated Hospital is a comprehensive hospital with a beautiful environment, advanced equipment, and excellent technology that integrates medical teaching and research. Since the establishment of the school in 1985, the hospital construction has been rapid development, especially since the reform and opening up in the medical teaching and research as well as the scale of the hospital function of the comprehensive strength has become the first xx region through the national review of the comprehensive "three-class A hospital". The hospital has always adhered to the "patient-centered" direction of medical work to adhere to the "medical first, service attitude first, the patient's interests first, the hospital's reputation first," the purpose of running the hospital in order to establish a scientific management mechanism to vigorously implement the implementation of science and technology to strengthen the hospital's basic medical tributary ang and spiritual civilization construction to achieve a high level of tertiary hospital. Spiritual civilization to achieve a high level of construction of tertiary hospitals to achieve the goal of ---- "patient-centered, quality service" is the Guilin Medical College Affiliated Hospital of the obsessive pursuit of all medical staff.
Apprenticeship 10 days, let me feel most y is: clinical is the consolidation of theoretical knowledge base, clinical field experience, field operation, let me reproduce in school those boring and stubborn knowledge of all kinds of problems. For example: every day in the face of the teacher as a fish out of water busy figure, my heart only complain, complaining about their own inability to apply the theory to practice, complaining about their own in the apprenticeship before they did not study properly, coupled with the traditional education mode of duck-filling, passive acceptance of knowledge harmed students, the more pathetic is that we can only get a short memory, can not become the material to fight the disease at this time, as long as you continue to turn over the book, there is a kind of "The book to the time party hate less" regret and sigh of regret. Once upon a time made such a joke: "a trainee doctor in the acceptance of the patient's inquiry, because of the gulp, for the knowledge of the not quite understand, on the pretext that to go to the toilet, but in fact, but secretly back to the office to flip through the book to go hungry. Then what excuse should be used to avoid the next question?" Therefore, the study of scientific knowledge, especially life-critical medical knowledge, come not half false, we must do the theoretical foundation is solid, and more importantly, we must learn to link theory to practice, so as not to mislead people and make a big mistake ah.
Learning to link theory to practice, where I also know that the establishment of a good nurse-patient relationship for the smooth implementation of nursing is imperative. So how can we establish a good patient relationship?
Once again into the ward, less a stranger, more a kind; less a burden, more a comfort; less a worry, more a sincere. Here, I not only really learned the knowledge, but also understand some of the truth, down-to-earth people, seriously do things, improve their ability to communicate with others, to establish a good relationship between patients and nurses, to comply with the mentor's teachings, the theory of contact with the practical, and vowed to contribute to the medical cause of their own strength.
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