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Summary of otolaryngology nurses' internship-I'm about to finish my otolaryngology internship. During this month's internship, I abide by the laws and regulations of the hospital and various departments of the hospital, respect teachers, unite with my classmates, be strict with myself, and strive not to be late, leave early, be absent from work without reason and leave my post without authorization. Treat patients kindly, have a good attitude, and strive to apply the theoretical knowledge and basic skills learned to practice. In this process, I constantly sum up my learning methods and clinical experience, strive to improve my ability to think independently, solve problems independently and work independently, and constantly cultivate my lofty thoughts and good professional ethics of serving the people wholeheartedly.
During my internship in this department, I abide by labor discipline, work hard, be diligent and eager to learn, and be able to apply what I have learned from books to practice. Under the guidance of the teacher, I basically mastered the nursing and some basic operations of some common diseases in otolaryngology, which made me realize the particularity and necessity of clinical work from an intern to a nurse. What I learned in school before was all theoretical, but now I find that what I saw in my actual work is not as simple as I thought, nor as typical as what I wrote in the book. At work, I often rely on my usual experience. Only by practicing and having good experience can I gradually accumulate experience.
Practice summary of otorhinolaryngology nurses: 2 1 year and 20xx years' work summary: achievements.
1, 20 12, 1- 10 each medical index:
The number of outpatient visits, the number of discharged patients, the number of surgical cases and the average hospitalization days are all XX days, and all the indicators are in good condition. Compared with 20 1 1, the number of outpatients increased by XX, the number of discharged patients increased by XX, and the number of surgical cases increased by XX. The average hospitalization time was XX days. From June 5438 to September, the hospitalization expenses of medical insurance patients were controlled within the limit.
2, personnel training, scientific research and teaching work
Pay attention to talent construction, increase the number of young doctors, bring the old with the new, and form a stepped medical talent team. Director Wang Yongliang once again obtained the qualification of standing committee member of Liaoning Medical Association Voice Branch. Fan Binbin and Qian Kun won the second prize in the emergency drill competition of public health emergencies in our hospital. Dr Wang Xiurong was hired as a technical backbone.
3. Carry out two clinical pathways of chronic otitis media and chronic rhinosinusitis, and standardize the nursing procedures of diagnosis and treatment.
4. Outpatient management
The number of outpatients has greatly increased. This year, we began to strengthen outpatient management, ensuring that at least two experts make visits from Monday to Friday, and one doctor makes regular visits, so that outpatient patients can see a doctor in an orderly manner. In addition, a doctor on duty will be added on Saturday and Sunday morning to ensure the smooth progress of ward, consultation and operation without affecting the normal treatment of outpatients.
5. Actively report department adverse events, organize discussions, analyze the reasons, and implement improvement measures. Summarize and discuss medical safety every month, put forward rectification measures, define the work direction next month, and completely eliminate potential safety hazards in the bud.
6. Continue to carry out partial laryngectomy, near total laryngectomy, vocal cord reconstruction, maxillary sinus cyst removal through nasal approach under nasal endoscope, surgical treatment of vocal cord lesions under microscope, and tympanic membrane catheterization under nasal endoscope.
7. Endoscopic sinus surgery under TV monitoring.
8. Innovative nursing programs? Application of tracheal cannula cap in home care of tracheotomy patients. It has been applied in clinic and achieved good results and evaluation.
There is a problem:
1, service attitude is also a problem that cannot be ignored. In the future, we will continuously improve the service quality of the department, do a good job of communication with patients, conscientiously implement the requirements of hospital quality service, improve the quality of medical staff and enhance the image of the department.
2. Strengthen business study, attend various academic conferences, go out to study, and constantly absorb advanced treatment methods.
3. Insufficient and aging surgical instruments.
2.20 1x work plan:
1, patient-centered, strengthen department management, pay special attention to link quality control and analysis.
The final quality, rectification measures in place, attention to detail service, and continuous improvement of medical quality. On the premise of ensuring medical safety, improve technical and economic benefits. Technically, we need the support of the hospital to introduce new equipment.
2. Strengthen the horizontal communication between undergraduate departments, and members of the branch will go out to study at least once a year.
Understand the technical development of this major. Social and academic exchanges after study. Constantly improve the professional and technical level of this discipline.
3, the introduction of outpatient electronic laryngoscope, operating room nasal endoscope TV monitoring equipment, nasal endoscope surgical instruments, supporting laryngoscope surgical instruments. Apply for the introduction of auditory brainstem evoked potentials and otoendoscope equipment to avoid deafness caused by ear trauma and identify patients with tympanic membrane perforation.
4. Continue to strengthen the clinical pathway and rational use of antibiotics.
5. Learn from domestic advanced experience and strengthen standardized treatment of nasal diseases. It also includes perioperative and postoperative standardized treatment. The frequently-occurring diseases and common diseases of the nose can be relieved or cured.
6. Further laryngeal Ca vocal cord reconstruction surgery.
7. Driven by the Voice Branch of Liaoning Medical Association, voice surgery was carried out one after another.
8. Actively contact other departments such as cardiology, respiratory medicine and nephrology. Synergistic treatment of internal medicine diseases and OSAS diseases.
9. Strengthen the writing quality of outpatient medical records, requiring standardization, standardization and timeliness.
10, constantly optimize the electronic medical record template and improve the quality of electronic medical records.
1 1. Strengthen the concept of legal system, improve service awareness, establish the concept of love and dedication, unity and cooperation, and patient first, stimulate work enthusiasm, guide medical staff to be good at thinking and have innovative consciousness, and improve work efficiency. * *? Building a harmonious department? .
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The three-year internship summary of otolaryngology nurses passed quietly. Looking back on the work in 20XX years, with the care and support of hospital leaders and nursing department, our department gradually completed the nursing work this year according to the work plan and objectives at the beginning of the year, which is summarized as follows.
1. Consolidate basic nursing with patients as the center and improve patients' satisfaction.
With the goal of creating a high-quality nursing demonstration hospital, we organized the study of Nurses' Regulations, Basic Nursing Service Work Norms and Clinical Commonly Used Nursing Technical Service Norms, made clear the basic nursing items and work norms that clinical nurses should be responsible for, and put them in place. At the same time, strengthen health education, correctly select and apply health education methods, improve the effect of health education, improve patient satisfaction, and provide patients with safe, high-quality and satisfactory nursing services.
2. Strict safety management ensures nursing safety.
Establish and improve various safety systems and norms, conscientiously implement the new grading nursing system, drug management system and patient identification system, strengthen nursing risk education and training, monitor key links, discuss and analyze nursing adverse events, and propose corrective measures to prevent mistakes and accidents.
3. Pay attention to the training of specialist nurses, and embody the characteristics of otolaryngology specialist nursing. Continuing education in the department is persistent, regular on-the-job training is organized, basic theoretical study and practical technical operation training of otolaryngology specialty are strengthened, and professional nursing training such as nurse-patient communication technology, new technology and new projects is carried out, which improves the new business, new technology and operational technical level of each on-the-job staff, thus improving the comprehensive quality of nurses and promoting the improvement of nursing quality, which has been well received by patients and their families.
4. Complete the annual work plan with good quality and quantity.
In the whole year, 546 inpatients and 389 surgical patients were treated, with annual business income of1200,000, qualified rate of basic nursing over 90%, patient satisfaction over 95%, intact rate of first-aid instruments and qualified rate of disinfection of conventional instruments over 100%, zero bedsore occurrence and zero nursing error accidents. With few nurses and heavy tasks, the nursing work was successfully completed.
Shortcomings in verb (verb's abbreviation) work.
1 & gt； Bed nurses are a mere formality: due to objective reasons, the 24-hour duty system is implemented, and it is difficult for bed nurses to ensure that they leave all their time for patients and lack psychological communication.
2> The professional technical operation of nurses needs to be strengthened.
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