Summary of Hospital Obstetrics Work 1 year, under the great attention and guidance of hospital leaders, our department has established an effective internal supervision mechanism and assessment methods, standardized the behavior of medical staff, ensured the quality of work, and continuously consolidated, improved and improved the baby-friendly work.
First, leaders attach importance to further strengthening system construction.
Since the establishment of baby-friendly hospital, baby-friendly work has not been relaxed at all. At the same time, the hospital leaders put the baby-friendly work on the important agenda, so that the leading group and technical guidance team will not be withdrawn, the baby-friendly office will not be set up, the string of consolidating achievements will not be loosened, and the importance of administrative management will not be reduced. According to the personnel changes every year, timely adjust and consolidate the members of the leading group and technical guidance group of baby-friendly hospital. The dean served as the leader of the leading group for the consolidation of baby-friendly hospitals, personally taking the consolidation of baby-friendly hospitals as the "number one" project, with the dean in charge of business as the deputy leader. The leading group for the consolidation of baby-friendly hospitals is composed of hospital offices, baby-friendly offices, medical offices, nursing offices, health care offices, obstetrics departments and finance departments. The Baby-Friendly Office is responsible for making plans, breaking down tasks, assigning responsibilities to people, performing their respective duties, coordinating with each other, and working closely together to ensure the smooth consolidation of baby-friendly hospitals.
Two, combined with the actual situation, and constantly improve the baby-friendly work.
(a) in accordance with the requirements of the standards of baby-friendly hospitals, comprehensively revise and improve the working system of baby-friendly hospitals, and establish and improve the breastfeeding working system, breastfeeding education system, disinfection and isolation system and breastfeeding routine.
The normal routine of newborn care and health education make the baby-friendly work have rules to follow and laws to follow, and gradually move towards institutionalized, standardized, standardized and scientific management.
(2) While providing a series of maternal and child services, the management measures of breastfeeding should be included in the duties of nurses in each class, and the responsibility should be implemented to people. Open nursing should be integrated with clients, which not only increases the sense of responsibility at work, but also stimulates the enthusiasm of family members to actively participate in the promotion of breastfeeding, forming a new situation of national participation and social support, improving the quality of the population and safeguarding the legitimate rights and interests of women and children.
(3) Continuously optimize the outpatient and ward environment to meet the requirements of neatness, safety, comfort and humanization, further embody the purpose of baby-friendly action, and create a warm, comfortable and clean hospitalization environment for pregnant women. Now the baby-friendly area has a pleasant environment, complete equipment and complete functions; In order to meet the needs of clients at different levels, create an independent space for pregnant women, better protect their privacy, increase the warm and humanized service conditions of wards, and win unanimous praise from society and clients. Adhere to breastfeeding training. Every year, newly assigned medical, technical, nursing and logistics personnel are trained for more than 18 hours, with the focus on "Thirty Articles" and related breastfeeding knowledge. After the training, they will take exams, do demonstrations and drills, and only after passing the training can they take up their posts. The training rate of new employees is 65,438+000%.
(4) Breastfeeding should be carried out, so that every pregnant woman will be placed in a good health education atmosphere on the first day of admission. From the obstetric clinic to the ward, medical staff will do a good job of breastfeeding. As soon as they enter the ward, the nurse in charge will give them publicity materials, and then the full-time staff will do a good job in pregnancy health care and breastfeeding knowledge. After the parturient enters the delivery room, the midwife sends publicity materials on the benefits of breastfeeding to the parturient and his family in the form of a letter from the fetus to the mother, and implements "one-on-one" midwife to accompany the delivery; Midwives closely observe the labor process, reduce the occurrence of dystocia, and minimize the harm caused to the mother and baby during childbirth; Early contact and early sucking within half an hour after birth; When the mother is in the delivery room, she can't send the baby to obstetrics (baby-friendly area) first and leave her mother. When midwives escort parturients and babies to obstetrics (baby-friendly area), the staff in the baby-friendly area should warmly receive them. After the newborn is disposed of in the department, vaginal delivery requires breast-feeding knowledge education and guidance within half an hour at the bedside, and 24-hour mother-infant sharing room is implemented to encourage breast-feeding as needed; Obstetric nurses patrol mothers and babies every 1 ~ 2 hours to supervise and evaluate breastfeeding knowledge.
(5) Strengthen the quality management of basic obstetric care, make the ward clean, beautiful and family-oriented, and ensure that pregnant women achieve "two mistakes", "six cleanness" and "five in place". Adhere to the implementation of obstetric ward round system to ensure the safety of mother and baby; The doorman should also have someone who is responsible for the safety work; Before leaving the hospital, the nursing staff made a good evaluation of breastfeeding again, and told the lying-in women and their families how to get in touch with breastfeeding support organizations after leaving the hospital, so that breastfeeding work can go deep into every corner and level of society.
Third, pay close attention to quality and strengthen supervision and evaluation.
In strict accordance with the evaluation standards and scoring methods of baby-friendly hospitals, each quality standard requirement is decomposed into the responsible person, distributed to the departments, and then the responsibility of the departments goes to the people, so that everyone has a clear understanding of the quality standards and scoring methods, so that there are activities at all levels, everyone is responsible, the system is bound, everyone participates in quality control, and everyone controls quality to ensure the improvement of baby-friendly hospitals. Timely feedback the problems existing in baby-friendly work, and formulate improvement measures according to the problems to prevent the decline of baby-friendly work. The obstetric service model has been continuously reformed, and the quality of obstetrics has been steadily improved. Especially since the establishment of baby-friendly hospital, the obstetric service model has been continuously reformed, and the maternity management has been systematic, and the quality of obstetrics has been significantly improved. None of the newborns had complications due to improper diagnosis and nursing. In the monthly medical ethics examination, the satisfaction of pregnant women remained above 96.6%. While consolidating the work of baby-friendly hospitals, we should constantly sum up experience and be brave in innovation. Combined with the difficulties and key points of maternal and child health care, the close relationship between outpatient service and health care in baby-friendly hospital has been strengthened. While doing a good job in the follow-up management of breast-feeding consultation, maternal nutrition consultation clinic and postpartum clinic, it also provides guidance and help in puerperal health care, breast-feeding and neonatal care, which has been welcomed and praised by pregnant women and their families.
Fourth, look for shortcomings to promote the development of baby-friendly cause.
(a) improve the system construction, baby-friendly work is a social system engineering, leaders attach importance to and social support, so that maternal and child health care services are supervised and managed by the whole society and brought into an institutionalized, standardized and systematic management track. By consolidating the work of baby-friendly hospital, our hospital constantly improved various rules and regulations and service functions, strengthened the legal awareness and professional ethics awareness of medical staff, standardized the behavior of medical staff, significantly improved the medical quality and promoted the all-round development of hospital work.
(2) Combine consolidation with development, and work hard for sustainable development. We will persistently keep our minds open, our goals unchanged and our responsibilities unchanged. In baby-friendly work, as always, medical security, publicity and guidance, and nursing responsibilities are in place. By standardizing management and strengthening supervision and assessment, the service consciousness of nursing staff has been strengthened, the service quality has been improved, the patient-centered service tenet has been embodied, and the baby-friendly work has been effectively promoted.
(3) Consolidate the work of baby-friendly hospitals. Through various forms of maternal health education activities, different education plans and methods are formulated according to different individual needs, which broadens the knowledge of nursing staff, enhances communication ability, promotes the harmony of nurse-patient relationship, embodies the value of nursing work, improves the comprehensive quality of nursing staff and promotes the combination of health care and clinic. Make health education go deep into every pregnant woman and every family, carry out health care in clinic, enhance pregnant women's awareness of health care, close the relationship between doctors and patients, improve pregnant women's satisfaction with the hospital, and break the phenomenon of disconnection between clinic and health care.
Problems with verbs (abbreviation of verb)
(A) individual staff on the "ten measures to promote the success of breastfeeding in our hospital" content evaluation is not good.
(2) Some obstetricians and paediatricians have some shortcomings in guiding the clinical application of breastfeeding skills.
(3) The facilities of the milk distribution room in neonatal department are not perfect and the design is not reasonable enough.
Rectification measures of intransitive verbs
(1) In view of the fact that all the staff in the self-evaluation middle school and pediatric series (except on duty) have not mastered the knowledge and skills of baby-friendly hospitals well, all departments have strengthened training.
(two) to strengthen the knowledge training of baby-friendly hospitals for new medical staff, strengthen the importance of learning, and improve the breastfeeding skills of baby-friendly hospitals.
Summary of Hospital Obstetrics Work In the past 2 20XX years, under the correct leadership of hospital leaders, with the strong support and cooperation of comrades in various departments, the clinical laboratory has studied hard and made extraordinary efforts to conscientiously implement the tasks and work assigned by hospital leaders. In the work, some achievements have been made, but there are also some problems. The summary is as follows:
First, the basic situation:
There are 3 people in our department, who are responsible for the daily work of the whole department, including blood room, body fluid room, biochemical and electro-optic light-emitting room, HIV room and blood bank, quality control work of the above departments, daily maintenance and maintenance of instruments, biological safety work, health work, hospital infection monitoring work of the whole department and so on.
Second, the ventricular interstitial assessment:
In 20XX, with the correct leadership of hospital leaders and the strong support of department members, our department passed the acceptance of laboratories and blood banks in secondary hospitals and participated in the interstitial evaluation of the Ministry of Health. Each project room includes 20 tests, including whole blood cell count, urine analysis, coagulation, infection A marker, blood gas and pH analysis, prenatal care, blood transfusion compatibility test and HIV antibody test, among which 10.
Three. Related training and inspection:
In 20XX, all the staff of our department participated in various trainings of different projects, including trainings organized by Beijing CDC, Chaoyang District CDC, Chaoyang District Maternal and Child Health Hospital and Health Bureau, and regular trainings organized within the department, which ensured the continuous improvement of the knowledge and business level of the whole department. This year, with the correct leadership of hospital leaders and the strong support of department members, our department passed the acceptance of laboratories and blood banks in secondary hospitals, and accepted and passed the inspections of Tongzhou Blood Station, Chaoyang Maternal and Child Health Hospital and CDC.
Fourth, the department income and workload:
In 20XX, our department originally planned to develop ferritin, vitamin B 12, folic acid, AFP, CEA, CA 125, CA 153, prenatal and postnatal care, etc. However, due to the limited position and detection speed of the original photometer, it is impossible to add all the items, so only ten tests such as eugenics, chromosome and B chain were carried out. The income of the department has increased from about 300,000 yuan per month in 20XX to more than 600,000 yuan per month in 20XX.
5. Existing problems: Although we have made some achievements in 20XX, there are still some deficiencies in labor discipline, hygiene, consumables control and the promotion, utilization and operation of some rare items. The reagent level and detection speed of luminometer are limited, which can not meet the clinical needs. The test method related to blood transfusion is the test tube method (recommended card method), and the interventricular interstitial evaluation of biochemistry and endocrine is not involved, and efforts will be made to improve it next year.
Summary of Hospital Obstetrics Work In the past 3 1 year, under the guidance of superiors, the correct leadership of hospital leaders, the support of various departments in health centers and the joint efforts of department members, we have conscientiously implemented the Maternal and Infant Health Care Law and carried out various maternal and infant health care work, in order to improve the quality of the birth population in our town, reduce the maternal and perinatal mortality rate, and reduce.
First, strengthen study.
Strive to build a learning department and improve the overall quality. Over the past year, we have always given priority to learning relevant knowledge and improving comprehensive quality. We have carefully studied the relevant knowledge and appropriate technology of gynecology, obstetrics and maternal and infant health care, as well as laws and regulations such as the Law on Maternal and Infant Health Care, guided our business with theory, enriched our experience through practice, and constantly improved our overall comprehensive quality. Through study, we can master the diagnosis and treatment techniques of various common diseases, frequently-occurring diseases and some intractable diseases in obstetrics and gynecology department of primary hospitals, and treat patients who come to see a doctor.
Second, strict rules and regulations.
Standardize the operation process and improve the service quality. Over the past year, we have always strictly implemented various work systems, diagnosis and treatment routines and operating procedures in our work, carefully handled every patient, at the same time, made good communication between doctors and patients, strictly mastered the operating procedures of surgical patients, and performed strict aseptic operation during the operation, opened the obstetric green channel for critically ill patients in the shortest time, and consulted and treated as soon as possible, thus achieving the goal of zero accidents in medical services throughout the year, improving service quality and winning a good social reputation.
Third, control post objectives
Actively explore ideas and successfully complete the task. Over the past year, we have carefully compared the post target responsibility system formulated by the health center at the beginning of the year, emancipated our minds, updated our concepts, sought truth from facts, pioneered and innovated, and successfully completed various tasks of our department. According to statistics, in the past year, we have established about 600 perinatal health cards; The number of pregnant women in the whole year was 333. Male 162, female 17 1, with a balanced male-female ratio. Among them, 294 cases were delivered naturally and 39 cases were cesarean section. For about 4000 people, common gynecological diseases and frequently-occurring diseases were diagnosed and treated, and good economic and social benefits were achieved.
Although we have made some achievements this year, we still have a long way to go, compared with our brother units and departments. Therefore, we will further strengthen our study, broaden our thinking, standardize our operation, and strive to achieve better results.
Summary of Hospital Obstetrics Work During the past 4 1 year, under the guidance of higher authorities, under the correct leadership of hospital leaders, with the support of various departments in health care centers and the joint efforts of department members, we have closely focused on the "three good and one satisfaction" center work carried out by hospitals, conscientiously implemented the Maternal and Child Health Care Law, and carried out various maternal and child health care work in depth, in order to improve the quality of the birth population in our town and reduce the maternal and perinatal mortality rate. The summary is as follows:
First, strengthen learning, focus on building learning departments, and improve the overall quality. Over the past year, we have always given priority to learning relevant knowledge and improving comprehensive quality. We have carefully studied the relevant knowledge and appropriate technology of gynecology, obstetrics and maternal and infant health care, as well as laws and regulations such as the Law on Maternal and Infant Health Care, guided our business with theory, enriched our experience through practice, and constantly improved our overall comprehensive quality. Through study, we can master the diagnosis and treatment techniques of various common diseases, frequently-occurring diseases and some intractable diseases in obstetrics and gynecology department of primary hospitals, and treat patients who come to see a doctor.
Two, strict rules and regulations, standardize routine operations, improve service quality. Over the past year, we have always strictly implemented various work systems, diagnosis and treatment routines and operating procedures in our work, carefully handled every patient, at the same time, made good communication between doctors and patients, strictly mastered the operating procedures of surgical patients, and performed strict aseptic operation during the operation, opened the obstetric green channel for critically ill patients in the shortest time, and consulted and treated as soon as possible, thus achieving the goal of zero accidents in medical services throughout the year, improving service quality and winning a good social reputation.
Third, control the post objectives, actively explore ideas, and successfully complete the task. Over the past year, we have carefully compared the post target responsibility system formulated by the health center at the beginning of the year, emancipated our minds, updated our concepts, sought truth from facts, pioneered and innovated, and successfully completed various tasks of our department. According to statistics, in the past year, we have established about 600 perinatal health cards; The number of pregnant women in the whole year was 333. Male 162, female 17 1, with a balanced male-female ratio. Among them, 294 cases were delivered naturally and 39 cases were cesarean section. For about 4000 people, common gynecological diseases and frequently-occurring diseases were diagnosed and treated, and good economic and social benefits were achieved.
Although we have made some achievements this year, we still have a long way to go, compared with our brother units and departments. Therefore, we will further strengthen our study, broaden our thinking, standardize our operation, and strive to achieve better results.
Summary of Hospital Obstetrics Work 5 Therefore, only by practicing and having good experience can we gradually accumulate experience. In a blink of an eye, the one-month internship in X has ended. Looking back on these days, it is either bitter or happy, or sour or sweet. I believe that everyone has their own taste in their hearts. Gynecological practice for nearly a month, I have benefited a lot and will leave the department soon, but I also have a lot to give up.
Gynecological practice is almost over. 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 potential of independent thinking, problem solving and independent work, and constantly cultivate my lofty thoughts and good professional ethics of serving the people wholeheartedly.
During my internship in this department, I will abide by labor discipline, work hard, study hard, and be able to apply what I have learned from books to practice. Under the guidance of the teacher, I have basically mastered the nursing of some common gynecological diseases and some basic operations, 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 when I came into contact with the clinic at the moment, I found that what I saw in my actual work was 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.
Summary of Obstetric Work in Hospital 6 20xx is coming to an end. Over the past year, with the correct leadership of hospital leaders and the cooperation of medical staff, taking hospital evaluation and quality service as an opportunity, we have adhered to the concept of people-oriented and patient's life first in accordance with the standards of "Dime" Chinese medicine hospital. Give full play to the characteristics and advantages of traditional Chinese medicine to promote and improve the overall level of medical care in obstetrics and gynecology. Our work in the past year is summarized as follows:
First, medical ethics
General practitioners can consciously abide by the rules and regulations and labor discipline in the hospital, so as to stress style in minor matters and principles in major matters, never engage in unprincipled disputes, work conscientiously and responsibly, take the initiative, learn from each other, respect each other, unite and cooperate, and strictly implement the responsibility system for first diagnosis; Warm service and civilized hospitality have become the norm. Carry forward the fine tradition of saving lives, always think of patients, do everything possible to alleviate their pain, do not quarrel with patients, explain patiently, and try to meet their reasonable needs.
Second, the department management
The department set up a quality management team headed by the director of the department to strictly implement the medical management rules and regulations, operating procedures and quality control standards. Check the medical quality comprehensively every month, and make continuous improvement, constantly improve the medical quality and promote the standardization of medical quality. Standardize the writing of medical documents, improve the three-level rounds system, with the three-level doctors making rounds x% and the first-level medical record rate x%, adhere to the consultation and discussion system for urgent, dangerous and serious cases, and standardize the medical quality management. All departments constantly improve standardized operating procedures, departmental personnel operate in strict accordance with standardization, and all kinds of data management of departments are carried out in an orderly manner. The information is complete. All equipment and instruments are maintained by special personnel and checked regularly.
Third, study hard and attach importance to personnel training.
1. Attach importance to continuing medical education. The proportion of professional and technical personnel who actively participated in the continuing medical education of Chinese medicine and obtained the required credits reached x%. Over the past year, they have carried out the "three basics" training for professional and technical personnel for more than four times, actively participated in business study inside and outside the hospital, absorbed new knowledge and theories, mastered new technologies and methods, and achieved remarkable results.
2. Pay attention to the construction of talent echelon. This year, despite the shortage of manpower, we still insist on sending 1 people to hospitals above the provincial level for further study.
Fourth, the department of medical work
1, give full play to the advantages of traditional Chinese medicine, inherit, innovate and develop the characteristic diagnosis and treatment technology of traditional Chinese medicine, continuously improve the clinical diagnosis and treatment level of traditional Chinese medicine, and formulate and implement treatment plans for common and dominant diseases of traditional Chinese medicine. From 20xx to 2020, there were X cases in hospital, including X cases of abdominal pain and X cases of metrorrhagia in women with dominant diseases of traditional Chinese medicine.
(1) The accuracy of TCM diagnosis is x%.
(2) The diagnostic accuracy of western medicine is x%.
(3) The diagnostic accuracy of integrated traditional Chinese and western medicine is X %；; The accuracy of TCM syndrome differentiation and treatment is x%.
(4) Three days after admission, the diagnosis rate was x%.
(5) Acute, dangerous, severe and difficult patients account for X %； of the total number of patients; X outpatient visits this year; There were X cases of hospital operation, X cases of hospital delivery, X cases of induced abortion and X cases of IUD removal.
2. In the aspect of systematic management of pregnant women, we should implement the responsibility system of tracking pregnant women all the time, realize early detection, early diagnosis and early card building of pregnant women, conduct regular prenatal examination, manage projects for high-risk pregnant women and make records. Timely report the monthly report, quarterly report and year-end summary of maternal system management, with complete items and accurate figures. In 20xx years, the number of new cards for pregnant women in outpatient clinic is x, the number of hospitalized deliveries is x, and the number of live births is x, among which natural delivery is x, cesarean section is x, and cesarean section rate is x%. The delivery rate of the new method is x%. No perinatal death, puerperal infection, uterine rupture, third degree perineal laceration, maternal death and neonatal tetanus occurred.
3. In the work of maternal and child health care, health education and a general survey of gynecological diseases were conducted for women in the area under their jurisdiction. X people were surveyed this year, and the number of people surveyed increased by x% compared with last year. Data and information reports are timely and accurate.
Over the past year, through the joint efforts of general practitioners, all the tasks of the department have been successfully completed, but there is still a big gap between the quality of work and the requirements of the hospital. In the new year, we should change our concepts, increase the study of professional theories and appropriate technologies of traditional Chinese medicine, give full play to the advantages of traditional Chinese medicine, inherit and develop the characteristic diagnosis and treatment technologies of traditional Chinese medicine, continuously improve the clinical diagnosis and treatment level of traditional Chinese medicine, and formulate and implement the treatment plan of common diseases in traditional Chinese medicine. Improve the quality of work, unite as one, work in a down-to-earth manner, and complete all the tasks of the undergraduate course and the mandatory tasks temporarily assigned by the leaders with high standards. There was no medical liability accident in the whole year.