During the year-end summary of hemodialysis nurses 1 20xx, with the close cooperation of hospital leaders, nursing department leaders and all staff, all nursing staff in hemodialysis department overcame the difficulties of few staff and heavy workload, strictly implemented the Basic Operating Procedures for Hemodialysis, made great efforts in management and service, strengthened nursing safety management, improved nursing risk prevention measures, and provided high-quality, safe and orderly nursing services for patients. Take patients as the center, advocate humanized service, strengthen nurse-patient communication, improve patient satisfaction and avoid nursing disputes. Regular and irregular nursing quality inspection, to maintain the continuous improvement of nursing quality. After completing all the tasks set at the beginning of the year, the nursing work for the whole year is summarized and reported as follows:
First, improve the system, conscientiously implement the work system to ensure medical safety.
1. Seriously organize and study the responsibilities of nursing staff at all levels, various post responsibility systems and nursing work systems newly formulated by the nursing department at the beginning of the year, and implement them in practical work.
2. The hemodialysis room of Nenjiang County Hospital of Traditional Chinese Medicine formulated quality management standards and strict work plans according to the requirements of B-level review rules and the setting and qualification of blood purification room, improved various rules and regulations, technical operation specifications, emergency plans for various emergencies, emergency risk plans for dialysis patients, and other related documents, and standardized various operations in accordance with the Standardized Operating Procedures for Hemodialysis issued by the Provincial Blood Purification Center, and implemented the whole medical quality management of hemodialysis.
3. Adhere to the check system, strictly carry out three checks and seven checks on all nursing operations, strengthen the accuracy of implementing the doctor's orders, review the doctor's orders and set various parameters and indicators on the computer to ensure the quality of dialysis and the safety of patients, and ensure that there are no nursing errors and accidents throughout the year.
Second, strengthen learning, attach importance to improving the overall quality of nurses, and optimize the nursing team.
1. Strengthen business theory study and technical operation training: according to the business theory study and operation training plan at the beginning of the year, organize nursing staff to study business, participate in operation training and assessment organized by the nursing department, and ensure that all the results meet the standards.
2. Strengthen the study of relevant knowledge, and constantly improve the professional and technical level of blood purification. Guided by the national 20xx version of Operating Procedures for Blood Purification, the Standardized Operating Procedures for Hemodialysis issued by Heilongjiang Blood Purification Center regulates all operations, strictly implements the Management Measures for Hospital Infection and the Management Measures for Disinfection, strengthens disinfection and isolation management, and ensures the dialysis quality and treatment safety of patients.
3. Update professional theoretical knowledge, improve the technical level of specialized nursing, and learn the diet, treatment and nursing knowledge of uremic dialysis patients, which greatly improves the professional technical level of all nursing staff.
Third, change the concept of nursing and improve the quality of service.
Strengthen the communication between nurses and patients, advocate humanized service, improve the concept of humanized service, strengthen the consciousness of active service, and carry out nursing service from the characteristics and personality of the clients.
1, our dialysis department is facing a special group. Because the disease can't be completely cured after a long illness, when family members have some shortcomings in the long nursing process, it is easy for patients to feel lost and lose confidence in life. At the same time, due to the long dialysis time and the decline of self-care ability, suicide and despair are more likely to occur because of the high treatment costs. Therefore, first of all, we should care for every patient with our sincerity and love, listen carefully to the patient's talk, try to understand the patient's psychology, be good at mastering the psychological characteristics of every dialysis patient, and win the respect and trust of patients with good professional knowledge and skillful communication skills. Help them treat the disease correctly, and patients can change their understanding of the disease, so as to face the reality with a positive attitude and establish confidence in treating the disease. And get the cooperation of family members to reduce the psychological burden of patients. Make patients have a good attitude to receive treatment, thus improving the quality of life.
2. Pay attention to cultivating nurses' emergency ability in daily work, make a retrospective evaluation of each emergency work, draw lessons from it, and improve nurses' ability to deal with emergencies. Improve the sense of responsibility and keen insight of nursing staff, and let them develop a rigorous, agile and decisive work style. Closely observe the changes of patients' vital signs, do not ignore any symptoms, do not relax any hemodialysis links, and do not miss any rescue opportunity. Over the past year, * * * dialysis treatment for 5378 person-times, the whole year without a case of poor nursing and error accident, no case of dialysis infection and infectious diseases cross infection accident.
Four, to carry out new technologies and new projects, and constantly improve the professional and technical level.
In June and May of 65438, a new treatment method of hemodialysis and hemoperfusion purification was developed in our department. More than ten patients have been treated for more than 30 times, and the clinical effect is remarkable, which not only meets the treatment needs of patients, but also increases the economic benefits for the hospital.
2. Send 1 nurse to participate in the short-term training course of "blood purification standardized operation process" in the whole province, which not only learned new theories, but also further standardized technical operation.
Looking back on the work in the past year, under the guidance of hospital leaders and nursing department, and with the joint efforts of all staff, the nursing work in our hemodialysis department has successfully completed all the tasks undertaken and achieved certain results. However, the results are just like the fruits of autumn. Although they are happy, they have all quietly fallen. While tasting success, we should also clearly see many shortcomings: we should strengthen management innovation and persistent management consciousness; Health education is still a mere formality; There are still a few comrades who are indifferent to the implementation of rules and regulations; Thesis writing and nursing research are almost absent; The demand of patients is the scope of our service, the satisfaction of patients is the standard of our service, the touch of patients is the goal we pursue, and the quality service is endless. We will constantly sum up experience, study hard, make the service more emotional and humanized, and make unremitting efforts for the hospital's service level to a new level.
Personal year-end summary of hemodialysis nurses II. 20xx, which is of special significance to me, is coming to an end. Looking back on this special year, it seems vivid. In this year's work, I will not be late and leave early, and I can abide by all the regulations of the hospital, respect the leaders and unite my colleagues. Actively complete the tasks assigned by leaders at all levels. In addition to successfully completing the advanced study of "hemodialysis", we also successfully established a hemodialysis room under the leadership of the department director and head nurse, and carried out and maintained hemodialysis work well.
People say that everything is difficult at the beginning. Since the opening of the hemodialysis room, assist the head nurse to formulate the post responsibilities, work flow, operation specifications, ledger management, emergency plan, etc. of the hemodialysis room, so as to plan ahead, ensure that the problems encountered in the work can be well documented and solved in time, and ensure the smooth development of the hemodialysis room.
At work, I adhere to the people-oriented service concept, strengthen service awareness, enhance the feelings between nurses and patients with friendly and patient language communication, carefully explain dialysis knowledge, give dietary guidance, eliminate patients' fear and blindness of diseases, and enhance patients' confidence in treatment. I often take the initiative to seek the opinions of patients and constantly improve my service. During the dialysis process of dialysis patients without family members, I can assume the responsibilities of family members, such as delivering water, heating meals, helping others, changing clothes, assisting defecation, etc., and never complain that I am dirty and tired.
I have a high sense of responsibility for my work. I am bold and cautious. Hemodialysis is risky. As a nursing operator, I have both risk awareness and subjective initiative to control and avoid risks to the maximum extent, thus improving the quality of nursing. In addition, I also have a high degree of marketing awareness and sensitivity to the economic benefits of the hospital, so as to serve every fixed patient well, retain every consulting patient, promote the software and hardware of the hospital and attract more patients. Actively participate in various off-campus studies, constantly enrich themselves, and actively participate in the development of "two new technologies" in the department. Since the opening of the hemodialysis room, * * * has completed 465,438+00 hemodialysis units, including 20 hemodialysis filtration units, 2 hemoperfusion units and 65,438+065,438+0 heparin-free dialysis units. No nursing safety accidents and errors occurred throughout the year.
As the person in charge of hospital infection in hemodialysis room, besides the daily dialysis work, I have to complete the regular maintenance of water dispenser and dialysis machine, and the regular supervision of dialysis water, dialysate and dialysis environment. In the end, I was named "excellent hospital infection quality controller"; The hemodialysis room managed by me won the honorary title of "excellent hospital sensory department" and ended successfully this year.
Looking back on all this, this is only a small beginning. I will wholeheartedly assist the director and head nurse to make the hemodialysis room in our hospital more distinctive and stronger.
Personal year-end summary of hemodialysis nurses 3 internship period, need to explore in the future, do not forget the teacher's instruction. After this period of internship, I didn't learn much in cardiology. I feel that I am familiar with the book of common diseases in cardiology now. No matter my internship, I have been learning and progressing constantly, I have met many people, really understood students and cardiomyopathy, learned the knowledge and skills to deal with them, and soon ended my internship in cardiology, met several good friends, and had a heart examination. And really be a silent singer, good at observing children's illness; Secondly, I have learned a lot in dealing with patients and emergency affairs, and I also need good communication skills, taking the simplest blood pressure measurement as an example, coronary heart disease and so on. Whatever it is, I think back to the days of internship and see how to combine with patients, but in some details.
Moreover, the surgical internship experience was not easy, and there was little communication with students. I finished my internship in my heart and just passed the New Year.
Under the guidance of my teacher, I have come into contact with a lot of things about valvular disease and worked hard. Because the internship time is not very long, I can do a good job of explanation and comfort. First of all, I strengthened my consolidation and improvement by reviewing the past, hoping to send the patient away healthily with my smile, which is quite memorable. In a word, I think I know what I am doing during this internship. At the same time, we are constantly learning and summing up experience and being strict with ourselves. I strictly abide by the rules and regulations of the hospital and various departments, but I use my own efforts to enrich my knowledge and skills, correctly handle the relationship between nurses and patients, and love the cause of children, which means that I have begun to contact half of the society. Acute pulmonary edema, even family members understand the work of pediatric nurses, eager to grow up in learning, complicated. In other words, it is still new to me, and I will get used to it soon after I really work. In short, angels in white, who tried to fly, stepped into the department and worked with his colleagues.
Doctors should not only master superb medical skills, learn some first aid knowledge, but also earnestly perform their duties as nurses. Especially scalp acupuncture for children.
I have been practicing in cardiology for half a month, and I have gained a lot. I already know something about the work of teachers. I have basically mastered the nursing of some common diseases and some basic operations in pediatrics, in terms of sudden diseases. Of course, it is more important to know a lot of things that books can't learn. Many people don't have a standardized grasp. Through continuous efforts, the diagnosis and treatment of frequently-occurring diseases have been re-recognized and improved, and the level will be improved quickly!
Arrhythmia, heart failure, etc. It is my common fault to unite my classmates and make accurate judgments. Although I am only a student, I have to master some basic operations of cardiology before my internship, and I have also learned new knowledge and treatment methods in clinic, such as doing electrocardiogram. Hehe, I have learned the changes of my condition in time, and I am diligent and dedicated to my children. I have achieved great results. In a word, I have talked about the methods and skills. It also made me see the faces of some people, "everything is under control." Maybe my ability is limited, and my internship is coming to an end. If I fall behind, I don't have to worry. Ask if you don't understand, and you're not familiar with it. At present, the students' inner world and the existing learning state, during this time, I have carried out education and social practice learning, and usually learn from the communication of superiors. Maybe this is more valuable than books.
Under the guidance of the teacher's efforts; Then in clinic, the doctor's diagnosis and treatment plan should correspond to the book, say "I'm sorry" more, don't underestimate these, respect the teacher, take blood pressure, and reduce unnecessary misunderstanding or excessive behavior. At the same time, I should also understand my family. In particular, I feel that the following are some internship appraisals I have studied. I will definitely apply what I have learned to my future work, such as hypertension emergency.
Hemodialysis nurses personally summarized the year-end of this year. Under the correct guidance of hospital leaders and nursing department leaders, the hemodialysis center managed all departments according to the 20xx version of Guangdong Clinical Nursing Quality Management and Control Guide and the 20xx version of Quality Nursing Service Evaluation Rules. According to the 20xx standard operating procedures for blood purification, improve the relevant working environment and layout of hemodialysis center. According to five regional management departments (emergency dialysis area, transition area, hepatitis C area, hepatitis B area and general area). Strict implementation of disinfection and isolation system and equipment management system. Details are as follows:
(A) standardize equipment management to ensure the safety of dialysis equipment.
Blood purification and first aid equipment has equipment management system and operation specification, and users have been trained, assessed and recorded. This year, the dialysis center purchased 200S 10 hemodialysis machines, equipped with 1 defibrillator and stored 1 CRRT. The new machine was put into use after the standardized training of engineers, with training and assessment records. Each dialysis machine has an equipment file record book to record the use and maintenance of the equipment. Check the parameters of hemodialysis machine once every six months to ensure the normal operation of the machine and the safety of dialysis treatment. With emergency management mechanism, such as on-site demonstration of water supply and power failure.
(two) the implementation of infection control management, to prevent cross infection.
Manage the departments according to the hospital disinfection and isolation system and the related systems and processes of hemodialysis specialty management. New patients should be treated by dialysis in different areas (emergency dialysis area and transition area). After treatment, the machine should be thoroughly disinfected, and the machine should be washed between treatment shifts to avoid cross-infection and prevent hepatitis C and hepatitis B from being infected by blood transmission. Dialysis fluid, anti-seepage, air bacterial culture, object surface, disinfectant (regular bacterial culture reaches the standard every month, and the dialysis water pipeline is disinfected every three months, and endotoxin inspection meets the requirements.
(3) Implementing the nursing core system and quality indicators, and strengthening the cultivation of nurses' core competence.
Implement various nursing core systems to ensure nursing safety. The nursing quality control group regularly monitors various nursing quality indicators and makes continuous quality improvement. Hemodialysis nurses have professional qualifications, plans and measures to cultivate core competence, constantly improve their professional competence and emergency handling ability, and regularly evaluate the performance ability of nursing staff. Personnel training is guaranteed. This year, * * * selected a nurse to study in the hemodialysis center of Southern Hospital, and a machine maintenance trainer to study in Foshan First People's Hospital. Two new nurses are trained and managed according to the core competence of professional nurses, and they are regularly assessed, so that they can enter the skills of independent operation and the ability of managing patients.
(4) Strengthen safety management to prevent patients from falling and other accidents.
Risk prevention education should be given to patients with imbalance, hypotension, old age and infirmity during dialysis. Twenty minutes after the end of dialysis, the patient's vital signs are stable and there is no discomfort before leaving the hemodialysis room. Nurses give relevant risk assessment and preventive measures to dialysis patients with independent risk factors such as falling history, dyskinesia, limb weakness and gait instability. Preventive guidance should be given to patients with frequent hypotension, such as not taking antihypertensive drugs before dialysis and not exceeding 3 kg during dialysis to avoid hypotension caused by excessive dehydration.
(5) Pay attention to the management of blood vessels to reduce the infection of dialysis catheter and internal fistula.
Strictly grasp the first use time of internal fistula to ensure the maturity of internal fistula. Use internal fistula in a planned way. In the process of internal fistula puncture, aseptic operation technology should be strictly implemented to avoid local infection. Strictly implement the operating rules of catheter care and follow the principle of aseptic operation to ensure the unobstructed vascular access of dialysis patients. Keep its lifeline in a normal state.
(six) to improve the department environment and service quality, to provide patients with a safe and comfortable treatment environment.
It is forbidden for accompanying personnel to enter the room to affect the environment, provide patients with free lunch, and provide patients with necessary life care and payment.
(seven) actively participate in business learning and training inside and outside the hospital.
Learn the professional knowledge of hemodialysis once a month, participate in the training and study of other professional knowledge in the hospital, improve the professional ability and comprehensive quality of nurses, fully mobilize their enthusiasm, enrich their knowledge, broaden their horizons, and pay more attention to humanities, language, interpersonal communication, ethics and rational thinking.
(eight) do a good job in the teaching of interns and advanced students in colleges and universities, and designate special teachers to give professional guidance and small class teaching.
(9) Collect the data of the scientific research project "Clinical research on psychological intervention for depression in maintenance hemodialysis patients", implement the experimental facilities and collect data. This year, the Department selected two papers.
(10) This year, dialysis patients 165 16 rescued more than 400 critically ill patients, with a total economic income of 955,000 and 20,000.
There is a problem:
(1) In 20xx, dialysis machines 10 were added, and the number of nursing staff in hemodialysis centers also increased. During the training of new nurses, it was found that there was insufficient communication with doctors and the doctor's orders were not updated and adjusted in time, which led to insufficient heparin dosage during dialysis and blockage of extracorporeal circulation pipes.
(2) Patients' health education cannot be fully implemented. Due to personal reasons, regular dialysis is not carried out, and emergency dialysis happens from time to time in maintenance dialysis patients. It is difficult to arrange this work.
Personal year-end summary of hemodialysis nurses 5 As a nurse in hemodialysis room, we should have sympathy for patients, especially patients with maintenance hemodialysis. They have to tie the dialysis surface to survive. In fact, this is a more painful life. Great changes have taken place in their social life, work and family relations, and they are worried about their life, prognosis, career and future. In addition, the pain, repeated puncture, economic burden, sexual dysfunction and other problems caused by blood access surgery can be transformed into mental burden, which makes patients appear depression and rebellious behavior. Therefore, we must do a good job in their psychological care and help them build confidence in overcoming the disease.
As a nurse in hemodialysis room, we should have a strong sense of responsibility. There is nearly 200 ml of blood in the extracorporeal circulation pipeline of dialysis patients, which runs continuously for four or five hours at a speed of more than 200 ml per minute. Each pipeline has several connectors and side holes. A little negligence will make the patient lose blood and even lead to more serious consequences. As we all know, every patient with renal insufficiency has anemia in different degrees, so every drop of blood lost is not only the patient himself, but also us. The dosage of heparin is even more sloppy, and large doses will lead to bleeding tendency in patients; Small doses can not only prevent coagulation, but also lead to blood loss. This requires our nurses to closely observe the patient's vital signs, machine conditions and whether the management connection is intact at any time and anywhere. When going to work, you must concentrate and maintain a high sense of responsibility to ensure the safety of patients in several rooms.
As nurses in hemodialysis room, we should have a scientific service attitude. As nursing workers, we should not only relieve patients' pain, but also patiently do their ideological work, communicate with them, and make them believe in science and trust us. Let them know that after chronic renal insufficiency enters uremia, apart from kidney replacement and peritoneal dialysis, hemodialysis is the only way and there is no choice. Warn them not to take detours, not to believe in ghosts and gods, not to waste money and spoil things. There are many patients who are particularly disgusted with hemodialysis before starting dialysis and are unwilling to accept it. They mistakenly think that dialysis is similar to smoking. Once they live in seclusion, it's hard to quit. In fact, the dialysis machine is equivalent to our kidneys. For a kidney that has lost its renal function, it just plays a substitute role. For patients undergoing dialysis for the first time, their condition, the necessity of dialysis and the methods of dialysis should be explained. If necessary, show your patients around the dialysis room, and the dialysis patients will introduce the situation to ease the tension.
As a nurse in hemodialysis room, sympathy, responsibility, care and love for patients are of course essential, and skilled technology is the guarantee for our nurses to help patients overcome diseases. Only skilled technology can really alleviate the pain of patients. Therefore, we must practice dialysis and various operation techniques, such as arterial puncture, internal fistula puncture and femoral vein puncture.
As a nurse in the hemodialysis room, her work seems to be very regular. In fact, she often has to work overtime and can't turn off her mobile phone for 365 days a year. Because of the particularity of our work, we have to go to work one hour early every day. We are used to such days, and we are more used to the feeling of being with hemodialysis patients on all holidays. In case of critical patients, drug poisoning and other special tasks, whether resting or sleeping, as long as the patient calls, we have no choice but to rush to the hospital, and the next day we have to be busy for the patients who are already lying on the hemodialysis bed.
As nurses in the hemodialysis room, these are our unshirkable responsibilities, and we are very pleased to be able to do our job well. The task we face in the future is still arduous, but we have the correct leadership of hospital leaders at all levels, and we are confident and capable of doing a better job. In the future work, we will continue to study new knowledge and master new technologies to better serve the people and contribute to hospital construction.