icu out of the department self appraisal essay
ICU that is intensive care unit (English; Intensive Care Unit), also known as the intensive care department, is with the development of medical and nursing care, the birth of new medical equipment and hospital management system improvement and the emergence of a set of modern medical care technology as one of the forms of medical organization and management. The following is my collection of icu out of the department of self-identification model, I hope to help you!
icu discharge self-assessment a
ICU gave me the impression that is "mysterious" with apprehension and anticipation to go into my second internship department. Stepping into the department, it is the shift changeover, into my eyes is in green nurse uniforms keep shuttling in front of my eyes, beds lying unconscious patients inserted with a variety of pipelines next to a variety of instruments showing some familiar figures. In the face of unfamiliar environment, unfamiliar work, looking at the busy crowd, feel that they are redundant, have not had time to digest this frustration, the head nurse arranged to teach teachers, and I have thus begun the ICU internship journey.
At the beginning of the sputum suction, I just casually and quickly up and down a few times, feel the phlegm is no longer on the pull out, at first also feel strange why the patient's sputum secretion so fast, a moment to be sucked once, but I think the critically ill patients, it should also be normal, in the afternoon, the teacher asked me to know the sputum suction is how to suck it? I didn't hesitate. I said, up and down lifting, left and right rotation, sputum suction time is not more than 15s, thinking that this kind of problem is really pediatrics, the teacher then said, you say is very fast and very correct, but I observe you do not do the same as you say, observe your operation, sputum suction like fishing, up and down a few times on the pull out, it should be sputum tube inserted into the resistance in the withdrawal of 1-2cm and then two fingers in the abdomen, the sputum tube should be inserted in the resistance in the withdrawal of 1-2cm and then two fingers in the withdrawal of 1-2cm and then two fingers in the sputum tube. The first thing you should do is to insert the suction tube to the resistance and withdraw it from 1-2cm, and then gently pinch the suction tube with two fingers and rotate it, and the sputum will come out by itself with the negative pressure, which is a shame after listening to it, but it also makes me realize that the theory is the basis of the operation, and both of them are complementary to each other.
A night shift, the new transfer of a patient, the doctor said to leave a gastric tube, the teacher and I said that today you to leave, then confused, and then both nervous and very excited, quickly prepared for the things, to help the patient to measure the length of the sword from the hair to the protrusion of the length of the insertion of the patient, and so on and so on, but no way to go down, not the courage to insert, I looked at the teacher to help, and honestly said that it is okay to insert ah, I still do not dare to, and I do not know, I do not know, and I am not sure if I can do it, I do not want to do it. The teacher helped me insert a few centimeters, but the patient is very irritable, the doctor said to give him a propofol injection, in the teacher injected when I lifted the patient's head to the chest leaning, surprisingly very smooth into the, but also heard the gas over the sound of the water, it was very excited, although not alone to complete, but for their own progress is very proud.
Through four weeks of study, mastered the use of commonly used resuscitation instruments and alarm processing, mastered the monitoring of the patient's vital signs, skillfully carry out basic nursing operations, from the first time nervous and helpless intramuscular injections to now be able to familiarize themselves with the injection point to find the injection point, the angle of the needle, from the first time of the value of a variety of instruments to the bewilderment of the present to be able to understand correctly the reference range of the value of the various from the first cardiac monitoring of each line, from the From the first time on the cardiac monitoring lines of the messy to now can also be very skillfully connected to the patient's body, from the first time to a new patient after the overwhelmed to now be able to work with the teacher to save lives, four weeks not only to learn the operation, the theory, but also to let me grow up quickly and into the clinical atmosphere.
In the ICU teacher's first-class operation technology is worth learning, I think for just entered the clinical internship for me more important is the spirit of their body. ICU is relatively closed compared to other departments, to help the patient to turn over and pat the back, feeding, suctioning ----- almost all the operations are completed in the case of unsupervised, but regardless of the teacher's work is busy, and then hard, will be meticulous, and will not be able to do anything. The first thing I'd like to say is that I'm not sure if I'm going to be able to do this, but I'm sure that I'm going to be able to do it.
A short four-week internship, but the harvest is a lot, thank you for the teacher's teaching me to correct my mistakes, the internship is still continuing, but I will work harder to learn every thing, down-to-earth to do every thing.
icu discharge self identification twoICU is the rapid development of a discipline in recent years, a wide range of knowledge, the teacher asked us interns to master the basic theory and basic skills of ICU, that is, respiratory, circulatory monitoring and treatment of the basic content, to understand the content of other related. 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 determine 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, catheterization and deep vein placement, ICU department patients with respiratory tract-based infections, the underlying disease to injury.
Disease predominantly, due to the ICU patients in critical condition, bedridden for a long time, most of the patients are in a coma, the loss of the ability to cough, airway secretion discharge difficulties. Therefore, it is necessary to suck out sputum for the patient in time, wear sterile gloves when sucking sputum, use disposable suction tubes, oral care, perineal care, care of tracheotomy, change dressings, etc. 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, but also learned a lot of knowledge.
icu discharge self-identification threeAt the end of the year, reviewing the icu ward started this year, I served as icu nurse during this year, in the hospital leadership care, in the department director and the director of the Department of Nursing of the help and support, so that the nursing work of the icu can be normal operation. This year, in the continued in-depth implementation of the creation of mass satisfaction hospital and combat commercial bribery under the guidance of the idea, the successful completion of the work, now will be a year's work to do the following aspects of the summary:
a: improve the ward facilities, to strengthen the management of the ward:
icu is a critically ill patients for resuscitation and close monitoring of the place, require Ward environment is reasonable, simple, convenient, conducive to observation and rescue, the ward's rescue facilities are complete, in the original icu ward's humble conditions and facilities, under the support of the hospital leadership, improve the facilities and instruments, a year, the addition of three ventilators, six syringe pumps, two infusion pumps, and a variety of medical supplies. And the installation of water heaters, indoor boiling water supply facilities, as well as a variety of living facilities, with high-quality ward conditions to serve the patients, convenient working conditions for the benefit of medical staff, so that the ICU ward conditions in the city and the surrounding areas at the leading level. Perfect facilities can not be separated from the effective management, this year formulated: icu valuable instrument management system, valuable drug management system, ward disinfection measures. We have set up the management system of valuable instruments, the management system of valuable drugs, and the measures of sterilization in the wards. We have fixed the position of the articles and fixed the management personnel of instruments, drugs and materials. In the past year, effective ward management has ensured the daily work of the icu.
Second: the establishment, sound, the implementation of the rules and regulations:
icu in the hospital is a new discipline, collect the hospital departments and foreign hospitals of the critically ill, the organization is complex, medical care tasks, and our nursing staff are younger, seniority is shallow, the work of the sense of responsibility is not strong enough, and the icu nurse personnel The flow is large, so the development of a set of strict and thorough, practical system routines to ensure the normal operation of the icu nursing work, this year in the original XX years of icu nursing work in the trial draft, and constantly improve and modify the draft, increased the nursing operation routines, first aid drugs, poisonous drugs, narcotic drugs, daily counting of the system on every shift, aseptic goods management system, nurse training programs, disinfection and isolation system, etc., the development of the At the same time to supervise, check the implementation of the system routinely ensure that the work of the rules to follow, so that the icu order, busy but not chaotic, the effectiveness of its work to give full play to.
Three: Improve the quality of nursing staff, strengthen their own construction:
Due to the nature of the work of the icu and the strict requirements, nurses are always in the first line of patient treatment and observation. Therefore, how the quality of nursing staff, will be directly related to the efficiency of the icu. This year, the training of icu nurses is the focus of my work, in the follow-up education of icu nurses, I have taken the on-the-job training, training, self-study and assessment of a combination of methods, and combined with the medical regularly held section business lectures and participate in the nursing room, in strict accordance with the training and assessment, XX years
year has transported two nursing staff to Shanghai and Beijing for further training, the whole department of nursing staff have participated in the nursing specialty training. Nursing staff have participated in the nursing specialist or undergraduate on-the-job education, a year of training makes the icu nurses competent in their daily work, most of the nurses have become skilled icu talent.
To do a good job of icu nurses sister lead goose, not to strengthen their own learning is not possible, in the busy work of the spare time, I strive to learn professional knowledge and proficiency in operational skills, and in the media and the network to consult icu-related information, learning and exploration, in order to improve their management and business level, in addition to the year also participated in the nursing undergraduate on-the-job education, and achieved good results. At the same time, to assist the dean successfully completed the & lt; & lt; extracorporeal circulation in cardiac surgery application & gt; & gt; this topic, and through the municipal science and technology commission appraisal, in addition to participating in my department & lt; & lt; ustekin on critical care patients organ protection role & gt; & gt; the subject of research.
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