Summary of internal medicine work 1 Time flies. In a blink of an eye, I will soon end my internship in four departments: internal medicine, surgery, gynecology and pediatrics. Looking back on these days, I believe everyone has a taste of their own in their hearts. I have been practicing in pediatrics for nearly a month, and I have benefited a lot. I am about to leave the department, but I have a lot to give up. For our internship, all the teachers in our department are unwilling.
During my internship, I will strictly abide by the rules and regulations of the hospital and all departments, earnestly perform my duties as a nurse, be strict with myself, respect teachers, unite with my classmates, work hard, love children's cause and think of children wholeheartedly. At the same time, it is necessary to understand family members, correctly handle the nurse-patient relationship, do a good job of explanation and comfort, say "I'm sorry" more, let family members understand the work of pediatric nurses, and reduce unnecessary misunderstandings or excessive behaviors.
Under the guidance of the teacher, I have basically mastered the nursing of some common diseases in pediatrics and some basic operations. Especially for children's scalp needle puncture technology, I have been learning, and I am also summing up my experience. I can be diligent in observation, be good at observing the condition of children, grasp the changes of the condition in time, and make accurate judgments. In a word, I think I learned a lot in this internship. Although I am only a student, maybe my ability is limited, I use my efforts to enrich my knowledge and skills. I hope to send patients away healthily with my smile, and I am eager to grow up in my study and really be a angels in white who sings silently and flies hard.
1. Before internship, you should master some basic operations of cardiology, such as electrocardiogram, blood pressure measurement, heart physical examination, etc. Don't underestimate these. Take the simplest blood pressure measurement as an example, many people do not have a standardized grasp.
2. Familiar with books and knowledge of common diseases in cardiology, such as hypertension, heart failure, cardiomyopathy, valvular disease and coronary heart disease. ; Then clinically, the diagnosis and treatment plan of the superior doctor corresponds to the book to see how to combine with the individual patient. Ask if you don't understand, and your level will improve quickly.
3. Learn some first aid knowledge, such as hypertension emergency, acute pulmonary edema and arrhythmia. Urgent things will be dealt with, regardless of the slowness, so that you know that everything is under control!
Besides, doctors should not only master superb medical skills, but also have good communication skills. They should learn more communication and conversation methods and skills with patients and colleagues from their superiors at ordinary times, and they will get started quickly when they really work.
The complex taste of this kind of surgical internship experience may only be realized by those who have experienced it personally. Whatever it is, it's worth remembering. Of course, it is more important to know a lot of things that can't be learned in books and meet a few good friends. Maybe this is more valuable than books.
Under the careful guidance of the teacher, through continuous efforts, the internship in the Department of Cardiology soon ended and achieved remarkable results. First of all, in terms of basic theory, reviewing the past has strengthened consolidation and improvement; Secondly, I learned new knowledge and treatment methods in clinical practice. Anyway. After heart practice, I have a new understanding and improvement of the diagnosis and treatment of common diseases and frequently-occurring diseases, and learned the knowledge and skills to deal with sudden diseases. I will definitely apply what I have learned to my future work. I will never forget my teacher's teaching and keep learning and making progress.
With the support and help of hospital leaders, all nursing staff in internal medicine follow the service tenet of "patient-centered, improving the quality of medical services" advocated by hospital management, conscientiously implement this year's nursing work plan, improve various nursing rules and regulations, improve service processes, improve hospitalization environment, strengthen nursing quality control, and maintain continuous improvement of nursing quality according to the basic requirements of hospital nursing service quality evaluation standards and standard assessment rules. The nursing work in our department for 20xx years is summarized as follows:
First, seriously implement the rules and regulations.
1, our department reiterated the responsibilities of nursing staff at all levels, defined the post responsibility system and nursing work system, and ensured that nursing work was carried out in accordance with operating procedures.
2, adhere to the inspection system:
(1) It is required to check the doctor's advice every day and make records.
(2) Nursing operation requires three checks and eight pairs.
(3) Insist on filling in infusion cards, and no nursing mistakes occurred in the past year.
3. Conscientiously implement routine internal medicine and specialized nursing, and insist on filling in all kinds of information and data registers.
Second, strengthen the construction of medical ethics of nursing staff.
1, continue to implement the code of conduct for nurses and implement the civilized language of nurses in daily work.
2. Conduct medical ethics and professional ethics training for all nurses to improve the doctor-patient relationship. Our nursing work is well received by patients and their families.
3. The medical ethics satisfaction survey was distributed to inpatients, and the satisfaction survey results were all above 90%.
4, the department held a regular public holiday symposium every month, solicit opinions from patients, to meet the demands of patients to the maximum extent.
5. Conduct pre-job professional ethics education, rules and regulations, nurse code of conduct education, basic nursing knowledge, specialized disease knowledge and nursing technology operation assessment for new nurses, and those who pass the examination will be given posts.
Third, strengthen the management of hospital infection.
1, strictly implement the disinfection and isolation system.
2, adhere to the air culture in the treatment room every month.
3, insist on ultraviolet disinfection of the treatment room every day, and record, dust the ultraviolet lamp with anhydrous alcohol every week, and record.
4, disposable goods can be destroyed in time after use, centralized processing, and regular inspection and supervision, record.
5, ward adhere to ultraviolet disinfection every day, ventilation for half an hour in the afternoon.
6, medical waste according to the process of transshipment, and recorded.
Four, the successful completion of the special inspection of key diseases
1, improve traditional Chinese medicine nursing routine and syndrome differentiation nursing.
2. Carry out rehabilitation health education and guidance with Chinese medicine characteristics, which has been well received by patients.
3. Carry out TCM nursing skill operation training, focusing on TCM scalding therapy and acupoint massage.
4. Make continuous improvement measures of TCM nursing quality, actively improve and record, and the effect is good.
Fifth, improve the professional quality of nursing staff.
1. Conduct three basics and three strictness training for on-the-job personnel and organize theoretical assessment.
2, the department organizes business study every week, the content is the basic theoretical knowledge of nursing, professional knowledge.
3. Insist on nursing rounds once a month, discuss nursing diagnosis and nursing measures, and improve professional quality.
4. Pay attention to the collection of nursing service demand, obtain hot demand and feedback information by issuing nursing job satisfaction questionnaire, and put forward improvement measures in time to motivate nurses to work and mobilize their enthusiasm.
5. Strengthen the study of nurses' etiquette culture, strengthen nurses' awareness of modern nursing culture, standardize nursing operation terms and nurse-patient communication skills, cultivate nurses to establish good professional ethics and improve the quality of nursing staff.
Six, there are still many shortcomings in the work:
1, basic nursing is sometimes not in place, and the sanitary treatment of newly admitted patients in individual shifts is not timely, and they are uncomfortable lying down.
2. Ward management needs to be improved, and patients carry more items.
3. Some nurses don't have a strong sense of sterility, they don't wear masks during aseptic operation, and disposable sterile articles are not treated in time after use.
4. Sometimes there are some defects in the writing of nursing documents, such as missing items, missing records, lack of continuity in content, etc., especially after the simplification of nursing records, the requirements for the writing quality of nursing records have declined, which is urgently needed to be improved and strengthened in our department.
5. Health education is not deep enough and lacks dynamic continuity.
The second half of 20xx is a half year of transformation, growth and progress for hospitals, departments and individuals, because our internal medicine department finally has its own home. In the past six months, we have been faced with challenges and opportunities. After half a year's work and study, I have made qualitative changes, grown rapidly, and defined the goal of forging ahead.
The internal medicine nursing in our hospital follows the service tenet of "patient-centered, improving medical service quality" advocated by hospital management, conscientiously implements this year's nursing work plan, and improves various nursing rules and regulations, service processes, hospitalization environment, strengthening nursing quality control and maintaining continuous improvement of nursing quality according to the basic requirements of hospital nursing service quality evaluation standards and standard assessment rules. The nursing work in the second half of 20xx in our department is summarized as follows:
Implementing nursing training plan to improve the professional quality of nursing staff
1, three basics training for nurses at all levels, organizing theoretical examinations and technical operation examinations every month.
2. Ask questions twice a week in the morning, including basic theoretical knowledge, nosocomial infection knowledge and specialist knowledge.
3. Organize general nurses to learn basic nursing knowledge.
4. Organize general nurses to study the core system of hospital nursing.
5. Every nurse can master the first aid technique of cardiopulmonary cerebral resuscitation.
6, nursing staff at all levels to participate in the theoretical examination, hospital knowledge examination, technical operation examination organized by departments and hospitals.
Improve service process and improve service quality.
Implement the "first-in-charge responsibility system", standardize the service process of receiving newly admitted patients, popularize standardized terms in the service process, provide various conveniences for patients, take the initiative to inquire about the rehabilitation of discharged patients within half a month and record the interview contents, listen to the opinions of patients and caregivers on nursing services extensively, find out the causes of existing problems, put forward rectification measures, and continuously improve the service quality. There were no complaints from patients and their families for half a year, and the patient satisfaction rate of the service quality survey organized by the hospital was 100%.
Improve various nursing rules and regulations and operating procedures to prevent nursing errors and accidents.
Nurses carry out safety awareness education every week, find out unsafe factors in their work, put forward rectification measures, eliminate errors and hidden dangers of accidents, conscientiously implement various nursing rules and regulations and operating procedures, give play to the role of quality control teams in departments, and regularly and irregularly check the implementation of various nursing systems. The incidence of major nursing errors and accidents is zero.
Writing nursing documents should be accurate, objective and continuous.
Nursing documents are legal documents, which are the objective basis for judging medical disputes. They should be carefully considered in the writing process, which can objectively, truly, accurately, timely and completely reflect the changes of patients' condition, constantly strengthen the significance of formal writing of nursing documents, make every nurse correct his writing attitude, and strengthen supervision and inspection at the same time. Each shift checks whether the records of the previous shift are defective, the quality control team checks regularly, the head nurse checks regularly and irregularly, and the final quality inspection of the discharged medical records.
Standardize ward management, establish a people-oriented hospitalization environment, and enable patients to achieve the best physical and mental state of receiving treatment.
The ward is ventilated regularly every day, keeping the ward quiet, tidy and fresh, providing safe and effective protective measures for patients with consciousness disorder, implementing post responsibility system, nursing patients according to grading nursing standards, implementing health education, strengthening basic nursing and case nursing for critically ill patients, meeting the reasonable needs of patients and their families, nursing hospitalized patients 1 person or more in the first half of the year, rescuing patients, and first-class nursing patients for * * * days without nursing complications.
The intact rate of first-aid articles reaches 100%. First-aid articles shall be subject to "four-set" management. Specialized personnel shall conduct a comprehensive inspection once a week, and the head nurse shall conduct weekly inspection and spot check at any time to ensure that first-aid articles are always in an emergency state.
According to the hospital infection management standards, strengthen the management of medical waste, improve the management system of medical waste, organize the classification and treatment process of medical waste, and carry out special evaluation. Part-time monitoring nurses in hospital infection group can perform their duties seriously, so that the monitoring indicators of hospital infection can meet the quality standards.
There are still many shortcomings in this work:
1, basic nursing is sometimes not in place, and the sanitary treatment of newly admitted patients in individual shifts is not timely, and they are uncomfortable lying down.
2. Ward management needs to be improved, and patients carry more items.
3. Some nurses don't have a strong sense of sterility, they don't wear masks during aseptic operation, and disposable sterile articles are not treated in time after use.
4. Sometimes there are some defects in the writing of nursing documents, such as missing items, missing records and lack of continuity in content. Especially after the simplification of nursing records, the requirements for the writing quality of nursing records have declined, which is what I urgently need to improve and strengthen.
5. Health education is not deep enough and lacks dynamic continuity.
Summary of internal medicine work 4 This year, the internal medicine nursing group earnestly implemented and carried out this year's nursing plan. According to the basic requirements and standards of Hospital Nursing Service Quality Evaluation Standard, we should improve various nursing rules and regulations, improve service processes, improve hospitalization environment, strengthen nursing quality control and continuously improve nursing quality. The nursing work in 20xx years is summarized as follows:
First, the implementation of nursing staff training plan, improve the professional level of nursing staff.
Carry out three-basic training for nursing staff at all levels, and learn all kinds of emergency plans for nursing risks and nursing core systems; Update nursing knowledge and evaluate it regularly; Learn and accept new nursing knowledge and technology, update the nursing technology of pressure sore, and develop the application of hydrocolloid dressing, a new material for the treatment of pressure sore, so as to promote wound healing and shorten the hospitalization time of patients with pressure sore, thus reducing the economic burden of patients. Update and formulate various operation and emergency procedures, and successfully held a fire safety drill in September.
The second is to improve the service process and improve the service quality.
Standardize the service process of receiving newly admitted patients, implement standardized terms in the service process, bring convenience to patients, listen to the opinions of patients and caregivers on nursing services, find out the reasons for existing problems, put forward rectification measures, and continuously improve service quality. There were no complaints and nursing disputes from patients and their families throughout the year.
Third, improve the nursing rules and regulations and operating procedures, and put an end to nursing errors and accidents.
Nurses conduct safety awareness education every week, find out potential safety hazards in their work, improve rectification measures, eliminate potential accidents, conscientiously implement various nursing rules and regulations and operating procedures, give play to the role of quality control teams in departments, and regularly and irregularly check the implementation of various nursing systems, so that the incidence of nursing accidents is zero.
Fourth, strengthen and improve the quality requirements of nursing documents, and strive to be accurate, objective and continuous.
Nursing documents are also legal documents, which are the objective basis for judging medical disputes. In the process of writing, every nurse can write carefully according to the patient's condition observed by herself, which can objectively, truly, accurately, timely and completely reflect the patient's condition change, and constantly strengthen the important benefits of formal writing of nursing documents, so that every nurse can strengthen supervision and inspection while correcting her writing attitude. Check whether the records before each shift are defective, and the quality control team will check them regularly. Head nurses regularly and irregularly check and assess the terminal quality of discharged medical records, correct problems in time, analyze the quality of nursing documents every month, put forward rectification measures for existing problems, and continuously monitor them. From June 65438 to June 10 this year, 555 medical records were discharged, and the writing quality of nursing documents reached over 95 points.
Fifth, standardize ward management, establish a people-oriented hospitalization environment, and enable patients to achieve the best physical and mental state of understanding and treatment.
The ward is ventilated regularly every day, and the ward is quiet, clean and fresh, which brings safe and effective protective measures to patients with consciousness disorder. Nursing patients according to grading nursing standards, implementing health education, strengthening basic nursing and case nursing of critically ill patients, and meeting the reasonable needs of patients and their families. According to patients, the space between wards and beds is too narrow, which is not conducive to activities and nursing rescue treatment, and there are hidden dangers such as patients falling, fire safety and hospital infection. Therefore, the beds in the hospital have been scientifically and reasonably arranged, which has been well received by patients and leaders.
Six, the first-aid items intact rate reached 100%, first-aid items "four fixed" management, specialist comprehensive inspection once a week, the head nurse does not spot check every week, to ensure that first-aid items are always in an emergency state.
Seven, according to the hospital infection management standards, focus on strengthening the management of medical waste, improve the medical waste management system, organize the study of medical waste treatment process, hospital infection monitoring nurses can conscientiously perform their duties, so that the hospital infection monitoring indicators can meet the quality standards.
Eight, there are still many shortcomings in the work.
1, the implementation of basic nursing is not in place, the sanitary treatment of newly admitted patients in individual shifts is not timely, and they are uncomfortable lying down. Ward management needs to be improved, and patients bring more items.
2. Individual nurses don't have a strong sterile concept, and disposable sterile articles are not handled in time after use.
3. The learning atmosphere is not strong enough, and there are no academic papers; There are some defects in nursing documents, such as missing items, missing records and lack of continuity of data. Health education is not deep enough and lacks dynamic continuity.
Nine. Outlook for next year
On the basis of continuing the original achievements, we will continue to work hard:
1, continue to strengthen business skills learning and training, and improve the level of nursing skills;
2. Further improve the nursing service process and quality control scheme and implement them conscientiously;
3. Strengthen the implementation of basic nursing, strengthen ward safety management, and create high-quality nursing service;
4. Establish a rehabilitation nursing team to reduce the disability rate of cerebral infarction and improve the quality of life of patients with cerebral infarction.
5. Improve various management systems such as "quality, safety and service" of nursing, and make all work institutionalized, scientific and standardized.
6. Strengthen the connotation construction, continuously improve the overall quality of the nursing team, and build a nursing team with good medical ethics, good service and good quality.
7, adhere to the "people-oriented" service principle, make the nursing service closer to patients, people and society, meet the growing health needs of the people, create high-quality nursing service benefits and satisfy the people.
Summary of internal medicine work 5 At the end of this year, when the New Year is coming, I worked as a head nurse in neurology for two years and made the following summary:
A, under the leadership of the director and nursing department, fully responsible for delivery room administration and nursing quality management.
Second, according to the requirements of the nursing department and obstetric quality management, responsible for making nursing work plans and organizing their implementation, regularly or irregularly supervising and inspecting the implementation of various rules and regulations, job responsibilities of each class and various nursing technical operation specifications, summarizing and commenting in time, and constantly improving the quality of nursing.
Third, according to the work tasks of delivery room and the specific situation of midwives, optimize the combination of nursing forces, conduct scientific and reasonable scheduling, and formulate the post responsibilities of each class.
Four, organize business learning and professional skills training, regular questions or other forms of assessment, and do a good job in reward and punishment assessment.
Five, supervise and urge the subordinate personnel to strictly carry out disinfection and isolation and aseptic operation, and regularly enter the air, articles and staff hands in the sterile area of the delivery room for bacterial culture as planned and required, and identify the disinfection effect.
Six, timely convey the work requirements of the nursing department, supervise and guide the delivery room work, preside over the morning meeting, understand the night shift work, and do not regularly check the night shift and holiday work.
Seven, to participate in and organize the rescue work of critically ill patients and the discussion of difficult critical cases, to understand the requirements of doctors at all levels for nursing work.
Eight, do a good job in the management of all kinds of articles, equipment and first aid supplies in the delivery room, designate a person to be responsible, ensure the supply and check it regularly, and make records.
Nine, coordinate the working relationship between undergraduate staff and doctors, ground staff and other departments, communicate with each other, and get timely support and cooperation.
Ten, do a good job of monthly business statistics, accurately fill in and check the report. Major problems in the work should be analyzed, discovered and summarized in time, and effective preventive measures should be put forward.
How time flies! I have been working in the hospital for almost three months. When I first came here, I felt strange about everything here. Because I didn't practice in this hospital, I lacked skills and initiative in communicating with teachers, colleagues, patients and their families, which may be related to my introverted personality! When I first came, Teacher Chen said that I was not very talkative. I can only laugh for my colleagues and patients. I just know this truth now. No matter what we do, communication with others is very important. Good communication with leaders, teachers, colleagues, patients and their families will avoid many misunderstandings and mistakes.
Communicating with colleagues in place can save a lot of time and avoid many unnecessary mistakes and accidents; Good communication with patients and their families can avoid some quarrels and complaints. Good communication between nurses and patients can also make our work smoother. The good cooperation of patients is beneficial to their own condition and makes our work more convenient. ...
Communication is really important. No matter what line of work you are engaged in, you can't avoid contact with people, but communicate with them. In fact, as long as I have good nurse-patient communication with patients and their families, I can avoid patients constantly urging infusion, injection, fluid change and needle removal every morning, and even patients who have been hospitalized for a long time don't know who their doctors are, what they look like and what medicine they lost today. What role do these drugs play? Is the condition getting better or worse? I think there must be such a situation. There are also some unnecessary medical disputes, or some handover errors and so on. I think these are all caused by poor communication, and the incidents caused by poor communication are more than these. ...
Therefore, I think each of us should learn more communication skills and methods. We nurses mainly have to communicate with patients and their families. When you are not busy, you can go to the ward more often and chat with patients. You can do anything, but you must remember not to miss something that the patient can't know. Actually, I think I did well in a department when I was an intern. Every morning, the teacher either goes to do morning care as soon as he gets to work, or the so-called professional teacher in our hospital will patrol his ward and say hello to the patients during the period before handover, every morning. I think it's not intentional to say something to the patient, just a smile and a greeting. ...
Needless to say, communication. It can be a smile, a greeting, a listening and so on. As long as we can achieve harmony with all relationships, it should be possible in any way.
The above is just my own opinion, and I am slowly learning to change now. I hope everyone can do a good job of communication, so that we can save trouble! Isn't our nurse's signature move a smile? Giving patients a smile every day is also the best communication. Come on, angels.
Summary of internal medicine work Chapter VI Safety is not the work center of the hospital, but it affects the work center. Medical errors and accidents not only cause huge losses to patients and their families, but also make the reputation of the hospital decline in society and patients lose their sense of security. In the medical process, medical staff, especially nurses, have the most opportunities to communicate with patients, and nursing work is busy, trivial and repetitive, and there are many opportunities for nursing mistakes. How to create a nursing safety atmosphere and try not to make or make fewer nursing mistakes has always been an important problem that puzzles nursing managers.
Our department is a cardiovascular ward with 36 beds, including 4 beds in the emergency room. The elderly patients are in critical condition, with sudden onset and strong specialist skills. Nurses are required to have solid professional theoretical knowledge, be proficient in ECG monitoring and first aid technology, and have good psychological quality. There are 8 nurses in our department, the longest time in our department is 5 years, the shortest time is 6 months, and the average age is 25 years old. In 20xx years, five common mistakes did not cause adverse consequences to patients.
Cause analysis of 1
(1) Nurses have a weak sense of responsibility and stay in nursing operations such as injection, medicine distribution and bed making. They should finish their duties as soon as possible and sit down to rest or get off work as soon as possible.
(2) Young nurses have not entered the department for a long time, and they are not familiar with the specialized operation process or specialized knowledge.
(3) The lack of nursing staff, the continuous improvement of nursing quality requirements, and the increasing psychological pressure of nursing staff.
2 countermeasures
2. 1 define the service object and realize the work responsibility. First, let each nurse make it clear that the object of nursing work is the person who has only one life. It is the unshirkable responsibility of nurses to cherish the heavy responsibility and respect people's health rights and dignity. For nurses, in the implementation of all nursing technical operations, the priority should be the safety of patients, and the work attitude of striving for perfection and nuance should be advocated, so that every nurse can begin to be self-aware and realize the responsibilities and obligations of work.
2.2 Establish the concept of regarding quality as life, ensure nursing safety, establish a nursing quality monitoring book, make rounds at least four times a day in combination with the head nurse, conduct a planned comprehensive inspection according to the nursing quality every week, summarize the inspection results every week and every day, correct the nursing problems that need to be solved in time, and never tolerate nurses who are lax in thinking and knowingly commit crimes. If any nurse is found not to wear a mask during aseptic operation, it will be dealt with seriously, and the bonus will be deducted immediately, and it will be checked at the branch meeting, so that every nurse can clearly understand that she does not violate the system, always keep in mind her responsibilities, strengthen her self-cultivation and caution, and provide safety guarantee for patients.
2.3 Encouraging nurses to work as a team to attract intentional attention is the direction and concentration of psychological activities on certain objects, which can be divided into intentional attention and unintentional attention. Nurses must be in a state of intentional attention at work, so as to ensure that they can concentrate on completing nursing tasks. However, long-term intentional attention will make people tired, leading to the phenomenon of "turning a blind eye, seeing without knowing why", which will lead to mistakes and accidents. Therefore, we should encourage and cultivate nurses' spirit of unity and cooperation, advocate mutual reminding and mutual supervision in busy work, set up a nursing quality inspection team, divide nursing inspection into four parts: nursing documents, disinfection and isolation, basic nursing and environmental management, and drug management, make a written and oral summary report on the inspection results, and find out potential safety hazards in time. Except for mistakes, grades are not linked to the end-of-month assessment and bonus.
2.4 Advocate humanistic care and try to reduce the pressure on nurses from all aspects. If a person is in a depressed working environment for a long time, his enthusiasm and initiative will be restrained, his attention will be distracted and his reaction will be inaccurate. Therefore, as a manager, we should fully understand the temperament and personality characteristics of nurses, rationally arrange manpower, use talents, mobilize the enthusiasm of nurses, give full play to their personal potential, and let every nurse feel the happiness of working in the department. Such as "You have worked hard", "Thank you", "You have done a good job" and "Keep working hard". They are good at discovering and affirming the advantages of nurses, and their shortcomings are mainly individual reminders. They rarely criticize in public, strive to protect nurses' self-esteem, constantly solicit nurses' opinions on nursing work, adopt good suggestions, and praise them at regular meetings, so that nurses have a sense of responsibility, belonging, enthusiasm and self-motivation. Such as travel and vacation, create a harmonious, United and friendly working atmosphere, reduce stress and negative emotions, and reduce accidents.
2.5 According to the characteristics of undergraduate majors, organize undergraduate business study in a planned way, continuously improve professional quality, and ensure nursing safety for 1 ~ 6 months. Nurses are required to be familiar with the rules and regulations of undergraduate courses, the responsibilities and operating procedures of each class, and specialized nursing routines, and master the operation from skilled to skilled, so as to standardize, quickly and write nursing medical records, and cultivate the ability of keen observation of illness and the ability of rescue and first aid for critically ill patients. Nurses from 6 months to 2 years are required to skillfully use nursing procedures to implement holistic nursing. Health education, psychological care, familiar with the rescue procedures of cardiopulmonary cerebral resuscitation, and the application of ECG monitoring system. Nurses who have worked for more than 2 years are required to identify all kinds of arrhythmia electrocardiogram in cardiology department, arrange corresponding nursing rounds, strengthen and learn professional knowledge, and encourage nurses to sum up experience and write papers. In addition, nurses are encouraged to take advantage of the opportunity of self-taught junior college or undergraduate course to take care of them in shifts, so as to improve the quality of nursing and the theoretical level of nurses and establish "promising talents and positions".
3 effect
By creating a nursing safety culture, every nurse can raise awareness and reduce mistakes. There were no serious mistakes and nursing disputes in the first half of this year, and only 1 mistakes did not cause adverse consequences to patients. Nurses' working atmosphere is relaxed and negative emotions are reduced.