Experience of community nurses (1) A few weeks ago, Mr. xx told us that he contacted a community hospital and asked us to go on probation and arrange our own time. I was very excited. All my ideas about community hospitals come from books and TV, and I feel that community hospitals are a very tall place. Later, several groups of students went to the community hospital for internship, and most of the feedback I got from my internship was that I didn't learn anything at all, just kept calling, filling out forms and typing there. To tell the truth, I am a little disappointed at this time, because I think it is no different from an ordinary customer service industry, and I don't have the feeling of being a doctor to help her. The last assignment of community nursing was a drama rehearsed by our group, and the script was written by me. It feels like my imaginary community hospital, where doctors will come to do health education and help some elderly people prevent some common diseases of the elderly. For some people who are already sick, they will not only prescribe the right medicine, but also "prevent the disease from developing" like Chinese medicine. Perhaps, he will also be a paradise for some dying patients, just like a special nursing home. It can be simpler and smaller, but it will definitely not be a place where you just need to make phone calls and write information.
It's finally Thursday, and this afternoon is my day to practice in xx community. I greeted the bus route early and made an appointment with my classmates. When I arrived at Qingshan community, I found that he was like a small clinic. There are a few people sitting sporadically in the hall, but there is no one at the triage desk. I am really disappointed. If I hadn't met the director of the hospital later, I might have gone back with misunderstanding and disappointment about the community hospital. Director He talked a lot with us in the big classroom. I just realized that the community hospital is the same as I imagined, but it is different.
Community hospital is a small hospital for community health care. Since 1988 introduced the management mode of community hospitals from abroad and vigorously promoted it, there are now 4,500 community hospitals in China and 46 in Hengyang. The existing community hospitals are all state-funded public hospitals. Because of the state funding, drugs in community hospitals are sold at factory prices, and some hospitals have doubled their drug prices because of the exploitation of various middlemen and medical representatives. And community hospitals will have a corresponding amount of medical insurance reimbursement. Therefore, community hospitals are really aimed at the broad masses of the people, so that lonely old people can afford to get sick.
Community hospitals, like regular hospitals, also solve diseases for others. The difference is that community hospitals are more targeted at individuals. They not only treat the right medicine and save lives like conventional hospitals, but also pay attention to the combination of medical care and nursing. Their process is to establish archives, health education, treatment follow-up and health supervision. Mainly for some minor diseases that people may ignore in their lives, such as children's vaccination, management of pregnant women, infectious diseases, chronic diseases and so on. It is precisely because of the limitations of community hospitals in medical equipment and medical resources that community hospitals generally work together with conventional hospitals. Many patients with chronic diseases have been transferred from regular hospitals to community hospitals, and their conditions have been successfully controlled after they have stabilized. Of course, some people are transferred from community hospitals to regular hospitals. Castle Peak Hospital, our trainee, cooperated with the First Affiliated Hospital of South China. When it comes to treatment and follow-up, we can see that community hospitals have more follow-up than regular hospitals. Conventional hospitals are large in scale and have many patients, so it is impossible to continuously observe the situation of each patient. Therefore, a common situation in conventional hospitals is that patients are discharged from the hospital when they are ill, and they are sent back soon after. But the community hospital won't, because he will set up relevant files after controlling the symptoms, and will arrange special follow-up after a period of time to help patients prevent the recurrence of the disease.
In addition to the follow-up, Director He also talked about a volunteer activity of Time Bank. That is, every volunteer who volunteers here will have a time record. Volunteers will have 1.5 times the time to return when they are old, and will be accompanied by new volunteers. However, this activity has not achieved good success, and the reason is still because of distrust between people and selfishness and inferiority. I feel very sorry that the state can change policies and regulations, but it can't change people's minds. ...
In today's increasingly tense doctor-patient relationship, I believe that community hospitals will eventually become the mainstream. Because he makes doctors and patients a family. Director He said that they all went out for follow-up with empty boxes and came back with a lot of things. Perhaps what Director He said is a bit exaggerated, but doctors and patients in community hospitals really trust each other and there is no gap, so patients are more willing to listen to them. Let's expect more and more community hospitals, so that the major problem of China's difficulty in seeing a doctor can be solved!
Experience of community nurses (II) With excitement and pride, I am honored to be a member of the community nursing team. With curiosity about society and enthusiasm for work, I started a new journey in my life. For a new employee, there are things that need to be familiar with and completed before going to work. Fortunately, the hospital gave me a precious opportunity. 17 Attended 15 days community nursing pre-job training organized by nursing department from June to July 2. Although the training was short, the knowledge I learned from it benefited me a lot, and I felt a lot, which also made me suddenly enlightened. From a series of wonderful lectures, I further understand and master the development direction and goal of community nursing. To do a good job in community nursing, there must be specialized nursing talents! Some vivid examples, rich knowledge connotation and exquisite theoretical exposition have made me understand the mission and responsibility of community nurses, and strengthened my original career choice, which really benefited me a lot ... Although I have only come into contact with theoretical knowledge these days, in the future, I will try my best to expand my knowledge, continue to study deeply, correct my shortcomings, and strive to do better in all aspects and become a qualified community nurse. Faced with the rapid development of special medical care in today's society and the increasing service demand of nursing care, I once thought it was very difficult to be a nurse, even more difficult to be a good nurse, and even more difficult to be a good nurse in a community. During my study, I was deeply educated by the professionalism of teachers. Our teacher told us with his own grades that giving is rewarding. I deeply realize that loving patients more than loving myself is an essential quality for community nurses.
Community nursing is community-centered, providing continuous, convenient and economical nursing services for families and individuals, and closely cooperating with medical treatment, rehabilitation and prevention in community service to complete the health care tasks of community members. In addition to medical care in the community, community nurses should also complete some important services such as prevention, health care, rehabilitation, health education and family planning. To do a good job in community nursing, community nurses must have good qualities in many aspects.
1, good professional ethics
It is a powerful guarantee to complete community nursing work. Because community nursing work is relatively independent, it is more a nursing activity carried out by nurses alone, which requires nurses to have high consciousness and good professional ethics.
As the working object of community nursing is all residents in the jurisdiction, most young and middle-aged residents go to work during the day and stay at home at night, a lot of work needs to be done at night in order to cover all residents with community nursing services, which requires community nurses to have high working enthusiasm, professionalism and dedication, love community nursing, be loyal to community nursing and establish professional pride.
2. Excellent professional knowledge
It is the premise of completing community nursing work. Community nurses not only serve patients, but also serve healthy people. The service content is not only disease care, but also community health care, which requires nurses to be "general practitioners". Nurses should have not only certain cultural knowledge, but also rich medical knowledge and other professional knowledge. I can not only engage in clinical nursing, but also conduct health education. At the same time, you must have scientific knowledge in clinical medicine, preventive medicine, health care medicine, rehabilitation medicine, behavioral medicine, sociology, ethics, aesthetics, humanities and so on, so that you can understand medical knowledge, be proficient in nursing knowledge and be familiar with relevant knowledge. In terms of professional skills, we should strictly abide by the operating rules, achieve superb skills, and make the nursing objects feel safe.
3. Good psychological quality
It is the basis of completing community nursing work. The object of community nursing service is all people and families, especially some special families and individuals. Without a certain psychological accomplishment, it is difficult to carry out the work to the end. As a community nurse, she should have strong psychological endurance. In any case, she should always maintain emotional stability, not be anxious or impatient, not affected by changes in the external environment, and not good at controlling herself. She can enhance emotional communication with residents through her positive, optimistic and confident inner feelings, so as to obtain active cooperation and support from residents.
The work of community nursing is still being explored and improved, and the qualities that community nurses should possess need to be discussed with everyone to promote the progress and development of community nursing.
Experience of community nurses (3) 1. Strengthen on-the-job education of nurses and improve their comprehensive quality.
(a) in accordance with the requirements of standardized training of nurses and nurses' on-the-job continuing education, do a good job in the training and assessment of nurses' "three basics" and specialist skills.
1, focusing on strengthening the assessment of new nurses, hired nurses and junior nurses, and strengthening the awareness of learning. In the first half of the year, the nursing department focused on strengthening basic nursing knowledge and increasing the number of examinations until it reached the standard.
2. Strengthen the training of specialized skills: each department formulates the assessment plan of specialized theory and skills training within the cycle, and organizes 2-3 examinations every year. Theoretical examination should have examination papers, and the head nurse should organize a closed-book examination, which requires practical results and is not a mere formality, laying a solid foundation for training specialist nurses.
3. Basic skills assessment: Nurses who are standardized training objects must all meet the standards in 16 basic skills during the year, and the assessment needs to be randomly tested in actual work. Nurses at other levels plan to arrange an operation exam and two theoretical exams.
4. Strengthen the study and mastery of relevant knowledge, organize a practical assessment of rules and regulations, combine theoretical assessment with clinical application, and check the compliance of implementation.
(2) Strengthen the study of humanistic knowledge and improve the overall quality of nurses.
1, organize the study of hospital service etiquette culture, strengthen nurses' awareness of modern nursing culture, discuss it at the head nurse level first, and then carry out quality improvement activities in the whole hospital after reaching the knowledge of * * *, and formulate training plans and specific implementation plans.
2. Arrange lectures in the whole hospital, and study the social etiquette and professional service etiquette of nurses by sending them out and inviting them in.
3. Conduct a nurse etiquette competition, use the "5. 12" Nurses' Day to set off a month-long activity of learning etiquette and stressing literacy, and organize an entertaining holiday party.
(3) update professional theoretical knowledge and improve the technical level of specialized nursing. The development of nursing level and medical technology is unbalanced, and the head nurses of various departments organize to learn professional knowledge and meet new knowledge.
For technical projects and special and difficult diseases, we can update our knowledge and skills by inviting doctors to give lectures, searching literature, organizing nursing rounds by the nursing department, and discussing nursing consultations. At the same time, some nurses are sent out for further study in a planned way to improve their academic level.
Second, strengthen nursing management and improve the management level of head nurses.
(1) A hospital head nurse management class was held at the beginning of the year, mainly to update the management concept, management skills and humanistic spirit in nursing service, the current social demand for nursing service, the prospect of nursing work in the new year and the emotional exchange of head nurses.
(2) Strengthen the assessment of head nurses' target management, combine monthly assessment with year-end assessment, and link the nursing quality of departments with the assessment of head nurses.
(3) Promote the exchange of learning between head nurses and departments, organize mutual inspection of nursing quality every quarter, and hold an exchange meeting of head nurses' work experience to improve the level of nursing management.
Third, strengthen the process control of nursing quality to ensure the safety and effectiveness of nursing work.
(1) Continue to implement the two-level management system of nursing quality, especially to cultivate and improve the head nurse's ability to find and solve problems, and at the same time give play to the quality control role of the quality control team of the department, clarify their respective quality control points, enhance the awareness of all staff to participate in quality management, and improve the quality of nursing.
(2) Establish inspection, evaluation and feedback system and establish traceability mechanism. Nurses often go deep into various departments for inspection, supervision and evaluation. The evaluation method is to evaluate nurses on the spot, check patients, check records, listen to doctors' opinions, find problems in nursing work and put forward rectification measures.
(3) Further standardize the writing of nursing documents, start with details, strengthen the three-level evaluation system of each nursing document from quality controller to head nurse to nursing department, regularly analyze and improve the defects of nursing records, increase the weight of deducting points for defects in discharged medical records, and emphasize that unqualified nursing documents will not be filed. At the end of the year, nursing documents were rated as the first, second and third in the group.
(four) to strengthen the safety management in the process of nursing:
1, continue to strengthen the three-level monitoring and management of nursing safety. Departments and nursing departments conduct monthly investigation of nursing safety hazards and do a good job in attribution analysis of nursing errors, defects and nursing complaints, and analyze the reasons, lessons to be learned and preventive improvement measures from the perspective of themselves and departments. The management and personal responsibility of the head nurse shall be investigated for the departments and individuals with the same recurring problems.
2. Strictly implement the check system, emphasize the second check in place, strengthen the management of nursing students, clarify the responsibility of teachers' safety management, and put an end to serious mistakes and accidents.
3. Strengthen the head nurse's awareness of routine inspection of the hardware facilities of the department, strengthen the performance and safety inspection at ordinary times, timely find problems and maintain them in time to keep the equipment in good condition.
I recommend it carefully.