Fan Wen (1), a nurse's work experience in 2020, used to like watching stories about emergency departments in film and television programs, and felt that doctors and nurses in the stories were so decisive, capable, attractive and envious. Unexpectedly, when I grew up many years later, I was lucky enough to become an emergency nurse. From the initial anxiety to gradually finding the law, I really realized that it is not easy to be a good emergency nurse!
The emergency department is one of the most important windows in the hospital. My hospital is one of the best comprehensive tertiary hospitals in the province. It not only receives normal acute and severe patients, but also receives critically ill patients transferred from prefectures and counties. It is anxious, busy and complicated. Facing the first diagnosis and rescue of critical emergency patients, emergency patients often have unclear diagnosis, unclear condition and rapid changes. If it is not handled properly, it is easy to have medical disputes. However, patients and their families are prone to impatience, anxiety and fear. The emergency room is different from the ward. Medical staff have enough time to communicate with patients and their families, understand the needs of patients in time, and establish a good nurse-patient relationship. In the emergency department, patients and their families have not yet established a good sense of trust in their brief contact with medical staff, and they are very sensitive to every nuance of medical staff. The speech and behavior of medical staff will have a great influence on patients' psychology. As a result, the treatment behavior of medical staff is not understood, leaving patients and their families with the illusion of "being ignored" and "being urgent and not urgent". Therefore, the more I feel that communication is the most easily overlooked and important thing in an emergency.
Nightingale said: Nursing needs not only exquisite skills, but also art. First, you must learn to observe, so that you can be good at discovering the existence of problems, including observing the patient's condition, psychology, needs and family members. For example, some patients' families are critical of nurses' behavior, but they don't fully understand patients' fluids. For such family members, we should patiently remind them where to call a nurse when changing fluids. At the same time, we should also patrol the ward on time to observe the progress of the liquid, so as to avoid conflicts with the patients' families to a great extent because the liquid was not replaced in time. Second, learn to communicate. Mutual respect and trust between people is based on communication. For patients who come to the emergency department, we should actively ask and guide them enthusiastically. For example, we can help patients with mobility difficulties, or help them take them to the clinic with carts, measure their vital signs and give them to the nurses in the clinic; For patients who need and can go to the ward for treatment, the location of the ward can be pointed out in detail to prevent patients from "running wrong". For patients who have been ill for a long time but their condition is not critical, we can advise them to go to the outpatient clinic for medical treatment, and patiently and carefully inform them of the location and time of medical treatment, so as to facilitate patients' arrangements. A smiling expression and a hand gesture can not solve the physical pain of patients, but can quickly shorten the distance between nurses and patients, effectively meet the psychological needs of patients who need care, thus facilitating our follow-up nursing work. Finally, through observation and communication, learn to judge, and have an accurate understanding and judgment of the patient's condition and needs, which is conducive to the rescue work of medical staff and buys time for patients. For example, trauma patients can know the location and severity of their injuries through observation and general inquiry, and seek medical treatment at the first time. Registration procedures can also be prepared.
The above is just a brief talk about my short work in the emergency department, and there are still many things to learn. Everyone is my teacher in the emergency department, and everything is my experience, which has taught me a lot, whether it is being a person or doing things. Of course, being a good emergency nurse is not enough. It also needs a solid theoretical foundation, rich rescue experience, quick response and quick action. This is a guarantee to stand the test in an emergency.
2020 Nurse Work Experience (II) Three months ago, I took up my job with great joy and became a nurse. I wore a white nurse's uniform and a dovetail hat, walked lightly and smiled at the patient. This is the first lesson that the head nurse taught me. I thought that "nursing" was enough as long as we were patient, earnest and hard-working, but the fact was not so simple.
These three months of work have made me grow a lot. From the "Smile Service, Build a Sunshine Team" organized by the department to the end of the three-level evaluation of the hospital, from simple clinical nursing to emergency treatment of patients with critical myocardial infarction, I deeply realized that it is easy to be a good nurse, but it is really not easy to become a qualified specialist nurse.
As a qualified nurse, you should have a high sense of responsibility and good professional ethics. We should establish the concept of "patient-centered", respect, understand, sympathize with and care for patients, and treat patients equally regardless of gender, race, wealth and level. We should not only care about the patient's condition, but also strengthen the psychological care and health education for the patient. At the same time, it is necessary to help patients' social adaptation potential, which is also compatible with "modern health".
To be a qualified nurse, we should have a solid theoretical foundation and exquisite technology, develop in an all-round way and keep pace with the times. To adapt to the new era of holistic nursing, we must have a variety of knowledge, such as computers, foreign languages, humanities and so on. The concept of nursing in the new era requires nurses to be not only a health care worker, but also a qualified consultant, missionary, educator, necessary nutritionist and so on. Therefore, a qualified nurse, on the premise of solid basic skills, should also keep learning, constantly sum up experience in her work and constantly improve herself.
To be a qualified nurse, you should have a healthy body and plenty of energy. Meticulous and responsible for the work. Nurses are busy and tired in clinical work. When nursing critically ill patients, especially in the process of rescuing patients, they always need to be clear-headed and energetic, which is inseparable from health. Nurses should strictly abide by the rules and regulations of the hospital, strictly study the theory of "three basics and three strictness", strictly implement aseptic operation and disinfection and isolation, timely and accurately handle every doctor's order, and improve various nursing documents. According to the nursing level, we should carefully patrol the ward, observe the patient's condition changes, and notify the doctor in time when problems are found.
As a qualified nurse, whether formal, recruited or nursing staff should have the spirit of ownership and the potential of teamwork. Nurses deal with complicated medical environment and interpersonal relationships. If they don't pay attention, they will enter the minefield and cause unhappiness. As a qualified nurse, you should know that the power of the masses is powerful, and you must never be divorced from the masses and engage in complexity. A drop of water in the sea will dry up, and a person will have strength only if he integrates his own interests with the masses. The masses are the source of personal wisdom and the melting pot for cultivating personal talents and character. The United and cooperative masses will work hard and unite for the health of patients and the improvement of nursing quality in departments. Unity is strength, cooperation is sail, and human feelings are like water. Only with unity and cooperation and human touch can the ship sail more stably and further.
As a qualified nurse, you should have a high degree of legal awareness. With the improvement of people's living standards, patients' requirements for nursing quality are also improving. With the construction of legal society, patients' right to know about medical treatment and medical knowledge is increasing, and a little negligence of nursing staff will lead to patients' dissatisfaction or complaints. Therefore, nurses are required to constantly improve their legal awareness, update their concepts, be strict with themselves, avoid quarreling with patients, carefully check and implement doctor's orders, standardize operations, provide well-founded and enthusiastic services, and strive to create a good and safe medical environment.
In short, as a qualified nurse, we should love our job, establish a good moral outlook, have a high sense of responsibility, be hard-working and work hard. We should keep learning, emancipate our minds and adapt to the needs of the times.
If youth is a fire, let it burn for feeding! I am willing to use my life to add luster and heat to the nursing cause.
2020 nurse work experience model essay (3) I am a nurse, an ordinary pediatric nurse. I said, "You have worked hard!" . As a nurse, I deeply feel the hardship and difficulty of this job. Nursing seems simple, but it needs a hundred times of care and patience. A slight negligence may cause irreparable consequences. Pediatric nurses hear children screaming and crying from morning till night, which is sometimes unbearable, but this is the nature of their work. After a long time, they can only adjust themselves, just like listening to music. Every day. Every day, I face children who babble, and parents, mothers, grandfathers and grandmothers who care for their children like the stars holding the moon.
Grandpa's relatives and friends, they often cry because of their children's intravenous infusion, and they also scold the nurses for not seeing blood. It is conceivable that the work of pediatric nurses is really hard. I remember once, an old woman took her little grandson for an injection, and his grandson was ill. Grandma is distressed, paying money, seeing a doctor, drawing blood and taking medicine. I am impatient. I smiled as usual and asked the child to reach out to encourage and comfort him. The child is very cooperative, and his little hand is still. Grandma always said, "My grandson is timid, but she is around." If you can't get the needle, you can see it. You can take it again if it looks good! ".The child's blood vessels are not good. Her words made me nervous. I want to explain something, but I adjust my mood internally. Sometimes it's strange that the more I think about it, the more I prick it, but the puncture fails because of the great pressure.
Such a blunt attitude and outrageous language have to go through several times a day's work. Grandma was even more angry when she saw that the needle had been pulled out. She immediately raised her voice and scolded loudly. The child who has been silent has also been scared to cry by grandma's scolding. Next, the parents of several patients also refused you to give their children infusion. At that moment, how eager we were to know. Under such circumstances, we still persevere, insisting on three checks and seven pairs to ensure the safety of infusion work in pediatric outpatient department.
The pediatric ward is also very busy. Sometimes five patients come at once, which may be nothing in other departments, but it is different in pediatrics. Other wards have nursing classes, main classes, treatment classes and drug classes, and the work is relatively easy, while our department only has main classes and treatment classes, and the main class often helps the treatment class after the treatment class is busy, and the head nurse often helps to complete other work. If we make the rounds, we need to go to the hospital. Busy at work, even if the elderly and children at home are sick, everyone has no time to take care of them, and even the whole family has no time to eat together. They often drag their tired bodies home and don't even want to say a word, so they fall asleep. They always feel that they owe too much to their families. But no one complained. When the clinic is busy, the sisters in the ward come to help, and when the ward is busy, the sisters in the clinic go to help. I'm really glad there are so many good sisters in pediatrics. Under the leadership of the head nurse, everyone helps each other, regardless of gains and losses, and loves each other.
On the occasion of Mid-Autumn Festival and National Day, the head nurse led us to welcome the festival with a brand-new look. Heavy work has never made us back down, and we can bear inexplicable grievances, because we have always believed in this belief, that is, "I choose, I like." We love the profession of nurse, because she let us know the value of life, because she let us treat every life well, because she let us realize the true meaning of dedication!
2020 nurse work experience model essay (4) I still remember that when I first joined the work, I didn't have much enthusiasm in my heart. I've been in a coma for months. In the past, my mind was blank about nursing, but now I have many indelible memories.
Before, I was often emotional or depressed because I didn't understand the little things in my work, but as time went on, I learned a lot, and I learned a lot: the job of a nurse is to care for and benefit patients, satisfy them and make them recover as soon as possible! This is my job! The opinions put forward by patients are my shortcomings, not their unreasonable demands! If I don't even know the patient's needs and don't give them in time, it's my dereliction of duty. I'm not qualified to talk about the nobleness of my work! Only the recognition of patients is the highest honor!
In nursing work, we should talk while doing, and sometimes talking is more important than doing. Skills occupy a great factor in communication with patients, and the responsible nurses in our department have profound "skills" in this respect, which makes people have to be convinced.
From my work, I realized that in order to carry out nursing work smoothly, we must first gain the trust of patients. Trust is the basis of communication between the two sides and the most beautiful language between people. In the process of communication, we should pay attention to the artistry of language, avoid applying blunt medical terms, be good at using nonverbal communication skills, and use friendly eyes and good words and deeds to relieve the tension of patients, so that patients can actively cooperate with the treatment and finally get diploid.
"Trust" is the best bridge between nurses and patients. Let's build this bridge firmly together and use our care to get the comfort of patients!
2020 nurse work experience model essay (5) The position of nurse is sacred and lofty. When you perform your duties in a white coat, you must devote yourself to your work, so that you can do everything well. Pay attention not only to work efficiency, but also to work quality and work effect. In my opinion, it seems easy to be a nurse, but in fact it is not easy to do it well. This work has its own responsibilities and internal standards. Because of age, work experience, attitude, personal personality and other factors, nurses can complete tasks within the scope of duties and work standards, but the efficiency and quality are quite different, and there is no top standard for high efficiency and high quality work. Some nurses have completed the hardware work (such as taking temperature, giving injections, distributing medicines, etc.). ) Then rest in the office. Some nurses do a lot of software work besides hardware work (such as giving patients more spiritual things of truth, goodness and beauty). "Hard" has scope and scale, while "soft" is not mandatory. Then, how can nurses perform their duties efficiently, with high quality and creatively, so as to achieve the best work effect, reassure patients and actively cooperate with hospital treatment? Although there is no uniform format, there are rules to follow. Through this study of medical ethics, I began to think about the promotion of the establishment of nurses' post consciousness to improve work efficiency and quality!
1, sense of responsibility
Responsibility is the premise of doing a good job. The word "heart" of "sense of responsibility" has long been called thought and spirit by ancient Chinese philosophers, that is, "consciousness" in a broad philosophical category today, which is different from "heart" in a certain part of the body in medicine. The "heart" (sense of responsibility) in the work is in place, that is, holding a heart, doing it attentively in class, and not being selfish after class, in order to do a good job in nursing. As a young nurse, sometimes she is "willing but unable" to the job she just took over, but as long as she has this heart, I believe she will be qualified for this job as soon as possible. If there is no sense of responsibility, neither new nor old nurses will do a good job in nursing. There is a causal relationship between things, that is, there is a causal relationship, and nursing work also has a causal side. Work is done by people. To achieve good results, even the best results, nurses must have a good psychological state and correct consciousness to guide themselves to perform their duties. A good beginning will lead to a good result. Some things are wrong, but not universal. Nurses should not be careless in their work. "A tiny difference, a thousand miles away", a beating will not be right. Strengthening the sense of responsibility is a good motivation and the best starting point. Of course, there will be good intentions to do something wrong at work, which is within the normal range. There is no problem with the world outlook and correct consciousness, but there are mistakes in the process of transforming the world outlook into methodology, or in the operation of methods. "Doing bad things with good intentions" is a matter of method, not ideology. The method problem is very complicated and special. For nurses, nursing work has professional level, experience, patient cooperation and other obstacles. , making the method invalid or not in place. These are external reasons, which are caused objectively, not subjectively. This kind of "mistake" can be easily prevented and overcome. If you make a mistake that you shouldn't make because of your weak sense of responsibility, the nature will change, and it will not fall within the normal scope. You can't use "mistakes" to block the pond, and you must investigate its responsibility. Therefore, the sense of responsibility is not dispensable for nurses, and it must be cultivated by self-cultivation. The sense of responsibility is closely related to the requirements of job responsibilities, and sometimes it can be combined into one, but the difference is obvious. The former belongs to self-cognition, self-requirement, emphasizes personal internal control and has a soft side; The latter is an external law, which is mandatory and hard. "Hardness" is the duty and standard of work, and "softness" is the soul of personal work. "Hardness" is like bone and "softness" is like meat.
2. Equality consciousness
It is essential for nurses to strengthen their sense of responsibility, but it is not enough to have a sense of responsibility. On the basis of the sense of responsibility, we should work creatively around it. This "enlargement" means that the unilateral efforts and wishful work of nurses have become the mutual cooperation and coordination between nurses and patients. The initiative and choice of close cooperation between nurses and patients lies with nurses. How do nurses adapt, cater to and get the support of patients? It is the key to establish the sense of equality, that is, nurses should adopt the concept of equality in treating patients, not only treat all patients as a bowl of water, but also always get along with patients on an equal footing, and nurses should not feel condescending. In the ward, nurses are relatively fixed, patients are mobile, and the choice of hospitalization is in the hands of patients. If the nurse is compared to the master, then the patient can be compared to the guest. The nurse-patient relationship should be "patience and diligence". How does the host receive guests and provide convenience for them? First of all, we should respect patients, attach importance to each other's existence, treat every patient with the same enthusiasm as guests, and strive to make patients feel the enthusiasm, easygoing and thoughtful of their hosts. To achieve this, it is mainly reflected in the service attitude of nurses, and it is necessary to "speak lightly, walk lightly and operate lightly".
The working object of nurses is living life, and the sense of equality should also include respect for life. Patients and healthy people are different in physiology, but equal in personality. If nurses establish this awareness in their minds, their attitude towards patients will not be condescending, but they will speak kindly, do things lightly and be sensitive. But sometimes this happens. When the nurse speaks kindly to the patient, she will respond with harsh words or ignore them. Phenomenologically, equality is not bought with equality. What is the reason? Obviously, this is because the patient's psychological state has changed. When people are disturbed by diseases, the normal tissues and cells of the body are destroyed, which affects people's normal activities and disrupts the law of life for many years, resulting in irritability. At this time, patients may be immersed in pain and trouble, so they will not give due attention and reward to the nurse's kind words. If we can think that our nurse will behave in this way when she encounters unpleasant things, maybe even worse than his performance, then we can understand. This requires nurses to have equal consciousness, compassion and tolerance. At present, the main reason why patients complain about our nurses in the news media is attitude, accounting for more than 85%. It shows that patients are very concerned about nurses' attitude, and it also shows that nurses' attitude plays an important role in the development and prognosis of patients' illness.