Do doctors in the emergency department need to do self-identification? So how should the relevant content be written? The following is a model essay on self-identity of emergency doctors that I share with you. Welcome to reading.
Self-identity of emergency doctors: one month's study in the hemodialysis room of Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run Run I have learned a lot of new technologies and new ideas, and I deeply feel that I am far behind others. There are many places worth learning and improving in management and professional technology. The following are the deepest feelings during my study:
1. Strong safety awareness: Like our hospital, the hemodialysis room and nephrology department are relatively independent. The same department director and doctor, the director's office and doctor's office are located in the hemodialysis room, and the morning shift is also in the hemodialysis room. First, listen to the report of hemodialysis patients treated yesterday, then the doctor reports the operation and catheterization of hemodialysis patients, and finally the doctor on duty reports the patients in the ward in English, and the head nurse takes notes on the morning meeting. There are two full-time doctors in the hemodialysis room, an attending doctor and an assistant doctor, who rotate every three months. The reason why we don't arrange patients at night and Sunday (except emergency) is because a doctor on duty can't take good care of patients on both sides, which has potential safety hazards.
2. The doctor's technical level is high: the techniques developed by the department, such as artificial blood vessel surgery, internal fistula dilatation, internal fistula constriction and internal fistula stent, have not been carried out in the military general hospital where hemodialysis is best carried out in our province, and nurses have no vascular access problems.
3. Nurses have high technical level: Nurses attach great importance to the evaluation of patients, especially the evaluation of blood vessels. Blunt needle puncture was introduced by foreign doctors in 20 14, which is the first technology in China. Every year, the general teacher teaches and promotes the blood purification training course sponsored by the hemodialysis room. Now many hospitals in China have carried out it, and the seventh issue has been held in September this year. The main training content of the training course is the development of new techniques for doctors, as well as the live broadcast of surgical procedures and explanations. The lectures given by nurses in hemodialysis room are all in PPT form. After-school exams and papers are submitted to the nursing department for credit. Organize them to study 1 time for two months, and the nurses take turns to teach, with unlimited content.
4. Strong first aid ability: the hospital has an emergency team. When the department has to rescue the patient, call the main duty phone 1999. Regardless of the off-duty time in the class, the emergency team quickly arrived at the department. After it is in place, it will perform its duties: squeezing the balloon, intubation, indwelling needle, injecting drugs, contacting ICU to prepare beds, and taking blood tests. Only one nurse in charge is left in the hemodialysis room to provide the needed items and record the medication. When doing these things, the team knows what they should do, and the scene is quiet and orderly, which shows that they have undergone strict training and have a specific division of labor. During the rescue, doctors from the nephrology ward also arrived. Their rescue team is strong and professional. The members of the first aid team are anesthesiologists, respiratory therapists, ICU doctors, ICU nurses and emergency nurses.
5. High management level: the water treatment system is located on the top floor of the ward and managed by the engineering department, that is, our equipment department. The water pipe is connected to the ICU ward. Severe patients need hemodialysis, and the hemodialysis machine should be pushed to ICU instead of hemodialysis room, which greatly improves the safety factor.
When the head nurse checks the quality of the department, she takes pictures of the existing problems with the camera and plays them back at the meeting, which is more convincing and convincing.
The emergency plan formulated by the department is very detailed. For example, it is stipulated in the fire prevention plan that 1 shift is responsible for alarming, cutting off the main gate of central oxygen supply, class 2 is responsible for fire fighting, and class 3 and class 4 are responsible for disembarking and evacuating patients. Everyone knows his role when the incident happens, and there is no need for a commander, which avoids many people doing one thing repeatedly, and some things that no one can do will greatly save time and improve efficiency. The hospital organizes a fire drill every year.
Constructive opinions:
1, blunt needle puncture technology can be trained in departments and gradually developed.
2. Master the technology of hemodialysis filtration preliminarily, so as to lay a foundation for the development of this technology in the future.
3. Mastering the technique of ascites reinfusion in theory can give advice to doctors.
Self-identification of emergency doctors Part II: I had a one-month study in xx Central Hospital in June this year. I am very grateful to the hospital leaders and nursing department for giving me this opportunity to learn. Through this study, I benefited a lot and felt deeply. Now I will summarize what I have seen, heard and gained in my study as follows.
First, the classification of nurses. Central hospital divides nursing staff into assistant nurses, junior nurses, intermediate nurses and senior nurses. According to different grades, the requirements for nurses are different, and the number of patients in charge and the degree of illness are also different. The corresponding salary bonus is different from other corresponding rewards. Assistant nurses are new employees who finish their work under the guidance of superior nurses. The head nurse in charge has been employed for 1 to 3 years, and can basically master common nursing operations and solve common nursing problems. Intermediate competent nurses can master basic and specialized nursing skillfully, and can make nursing plans and organize their implementation according to patients' conditions. Senior responsible nurses are proficient in conventional and specialized nursing knowledge and operation, have rich clinical experience, can solve complex and difficult nursing problems, and have the ability to organize and guide teaching. In this way, the working ability of nurses is distinguished and nurses have a clear career plan. Nursing quality is closely related to nurses' professional quality and independent thinking ability. The classification of nurses has improved everyone's work enthusiasm, prompted us to study actively, accumulated more knowledge and information, and served patients better.
Second, quality nursing service. The high-quality nursing service activities carried out by the central hospital have changed the mode that nurses complete all nursing work with "doctor's advice" as the center, changed the fragmented care of patients by different nurses into a relatively fixed nurse's responsibility from admission to discharge, and implemented the mode of being in charge of classes for 8 hours and 24 hours. In the past, the whole nursing work was simply summarized as functional nursing that dealt with several functions, such as doctor's advice, injection and medicine distribution, and changed into responsible nursing with small responsibility system. The nurse in charge has professional knowledge, can grasp the key points of observation, and closely observe the patient's condition while carrying out life nursing. For example, taking a bath in bed, she will check whether the skin is damaged, pressure sores, bleeding spots and rashes, and contact the doctor to take measures if it is abnormal. When turning over for the patient, she will pay attention to protecting the catheter, prevent the catheter from slipping, guide the correct turning over method, protect the affected limb and avoid aggravating the patient's pain. Through the development of high-quality nursing work and the implementation of small responsibility system, nurses have established the concept of "my patient", went deep into the ward, communicated effectively with patients, actively cared for patients, provided health knowledge related to diseases and implemented health education. Improve the quality of nursing. Provide continuous whole-course nursing service for patients in charge.
Third, specialized nursing. My major is orthopedics, and they attach great importance to the development of specialty characteristics. The atlas of health education distributed according to common diseases in the department is hung in the corridor of the department, which is very specific, comprehensive and easy to understand, so that patients can have a complete understanding of their diseases. Print and shoot specialist nursing operation specifications and videos such as triangle towel suspension, straight turn and back muscle exercise. Standardize and standardize specialized nursing operation. After the patient is admitted to the hospital, the responsible nurse should know eight things about the patient, namely, bed number, name, diagnosis, illness, treatment, nursing, diet and positive signs. There will be health education and functional exercise guidance from admission to discharge. According to the characteristics of the specialty and the characteristics of the surgical site, the hospital gown is not only convenient for dressing change and condition observation, but also fully convenient for patients. The pillow made makes the patient's affected limb more comfortable, and the use of bedsore pad can effectively prevent and reduce the occurrence of bedsore and relieve the patient's pain.
In short, with the improvement of people's living standards, the requirements for medical care are also constantly improving. Nursing service is not limited to simple nursing work such as injection, infusion and medicine distribution, and more and more attention is paid to providing patients with all-round and all-round quality nursing services. Through this study, my awareness of nursing service and nursing level have been greatly improved. Finally, I am very grateful to the hospital leaders for giving me this opportunity to learn and improve. I will consolidate the knowledge and skills I have learned and apply them to practical work to better serve patients and contribute to the rapid development of the hospital.
I was lucky enough to be sent to the blood purification room for further study from March to September this year. During this period of study, I have deep memories and benefited a lot. In just half a year's study, I deeply experienced and felt their advanced management experience and quality service system through face-to-face communication with their employees. I was deeply inspired and moved by the service concept of "service first, people-oriented" in hemodialysis room, and I also realized it.
Hemodialysis room is an excellent department with excellent equipment and a group of high-quality and dedicated medical staff. At present, there are nurses 10, doctors in charge 1 0, and hemodialysis machines 18, including 3 online dialysis filters and 1 bedside hemofilters Plaautoiq. Can be use for hemodialysis and blood purification treatment of various critical diseases; Blood purification and rescue treatment of drug and poison poisoning and multiple organ dysfunction. The layout design of hemodialysis room is reasonable, which basically meets the quality management standards of hemodialysis.
First, the advanced hospital management model
The first is good teamwork and diversified nursing staff echelon. There are head nurses, specialist nurses, auxiliary nurses and full-time disinfection nurses in the hemodialysis room. Everyone cooperates with each other while completing their own work to ensure the quality of hemodialysis care. In addition, full-time nurses are provided to assist patients with mobility difficulties in daily life and health services, and to replace, supplement and keep nursing supplies. Hygienist, responsible for the hygiene of hemodialysis room (required to achieve spotless effect). Through the careful arrangement of personnel, everyone has their own duties, so that patients can have a sense of security after entering the hemodialysis room, and everything is under the care of medical staff. In addition, various departments of the hospital can also cooperate and coordinate well. Whether it is the medical clinical department or the logistics support department, or whenever they are needed, they will come to * * * to coordinate with them as soon as they are notified by phone.
The hemodialysis room is very quiet, there is no high-profile talk at all, and there is no unbridled laughter. Everyone pays attention to controlling their tone. The rules and regulations of hemodialysis room are perfect, and any work has detailed workflow, especially all kinds of emergency plans, which are bound into a book, making people clear at a glance. Their work is characterized by serious succession, careful succession and high responsibility for their work. In normal work, every rule and regulation can be implemented step by step and methodically to every patient, without being lazy or shirking. It is the same as whether the leader is here or not; Secondly, they have a strong sense of time, and departmental shifts have formed the habit of not being late or leaving early; * * * Tongchuang has created a tense and relaxed working environment.
Second, excellent service attitude.
Humanized care runs through the whole nursing activities, and their care for patients is not verbal, but actually implemented in the work. For example, comprehensive and meticulous health education, detailed information to patients during hemodialysis, such as the protection of internal fistula, diet and drinking water control, etc. They pay special attention to details. When new hemodialysis patients are added, they will introduce themselves and do all kinds of appeasement work, take patients to the patient lounge and dialysis room for introduction, reduce patients' fear of unfamiliar environment and enhance patients' confidence in dialysis treatment. Before all kinds of nursing operations, we should call them "Auntie", "Grandpa" and "Grandma". In terms of language communication, everyone participates in communication and is very particular about wording, attitude, tone and manner. Try to avoid saying no and put an end to the phenomenon of being raw, cold, hard, pushing and pushing. Even when patients are angry, they should maintain their professional image. They try their best to meet the reasonable demands of patients. If they can't finish it in time for some reason, they will say to them very politely, "Please wait a moment, I'll contact you as soon as I finish what I'm doing." If the patient's family wants to consult the condition, the nurse will contact the doctor immediately.
Third, rigorous and meticulous work attitude.
I am deeply moved by the rigorous work style, serious and responsible work attitude, early departure and late return, hard-working spirit and good cautious spirit of the teachers in hemodialysis room. Everyone cherishes the public property of the department, has a high sense of ownership, and does not waste a piece of paper, a drop of water or electricity; For example, in summer, as long as the patient leaves or doesn't need air conditioning, the air conditioner will be turned off immediately. Everyone is involved in management. No matter in the process of patrol or nursing operation, patients or their families will be reminded in time if they don't abide by the hospital rules and regulations, such as entering the hemodialysis room without slippers and entering the hemodialysis room from the medical channel. Strictly implement the escort system, reduce the escort, and create a quiet, comfortable and safe medical environment for patients. I especially cherish the property of my department. Every instrument and equipment should be carefully scrubbed and disinfected after use. So even the dialysis machine that has been used for many years looks as good as new. Strict implementation of the check system, in the process of various nursing operations have strict check, and a second person to review. Nurses should wash their hands strictly before and after operation and be equipped with hand disinfectant. Dialyzers are reused by specialized personnel. The hospital provides medical staff with protective glasses and protective clothing, and strictly abides by the rules and regulations of hospital infection, because they know that if they don't abide by the rules and regulations, they will increase the chances of infection and endanger the life and health of patients.
Fourth, a strong learning atmosphere.
Hospitals are big hospitals. They have fierce competition and great work pressure, so the learning atmosphere is also very strong. The department holds a lecture once a month, and the doctor does a very good job. They give lectures once a week, vigorously advocate integrating theory with practice, and apply what they have learned, so that every staff member can learn and accumulate experience in their work, which greatly improves their professional level.
Studying in the hemodialysis room made me realize how important professional knowledge is for a nurse, which naturally produced a kind of pressure. Here, I want to thank the leaders for giving me this opportunity to study abroad. I will combine the knowledge I have learned with the new nursing concept and apply it to the nursing work in our department to better serve patients.
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