1 20xx Summary of Pediatric Nursing Work Under the correct leadership of the hospital leaders and the nursing department, with the joint efforts of the department directors and all the medical staff in the department, I have been strict with myself, worked hard, actively responded to the requirements of the hospital and the nursing department for all kinds of work, earnestly completed all kinds of work, strived to improve the level of nursing technology, carried out high-quality nursing services, and successfully completed all the tasks assigned by the organization. In the practice of clinical nursing management in the past year, I have learned a lot, and I have learned a lot of management knowledge and experience in my study. Here, first of all, I would like to thank the hospital leaders and the nursing department for their care and support, the sister departments for their help, and the pediatric staff for their trust and help, so that I can grow up in the management team.
In 20xx years, our department * * * admitted X cases of children, X cases of newborns, X cases of critically ill infants, hours of use of neonatal blue light box, hours of use of neonatal incubator and hours of use of CPAP noninvasive ventilator. The identification system of newborn's double wrist bands was implemented, and the blood sampling technology of newborn's radial artery was mastered, and the arterial blood gas analysis was obtained in time, which provided clinical data for medical diagnosis. The newly developed painless puncture technique was affirmed and praised by the families of children. At present, we have introduced painless puncture into neonatal intensive care unit to minimize the pain of children. Through practice, it is explored to apply diaper with buttock cream, which prevents the occurrence of severe red buttock in newborns and greatly reduces the contradiction between nurses and patients.
Pediatrics is a complicated and stressful department. Every day, nursing is an art for children, babies or newborns. Because there are more only children in families in modern society, children are the center of the family, and the requirements for pediatric nurses are very high. It's common to be looked down upon and scolded if you don't hit the nail on the head or feel that the service is not in place.
I have taken various measures to solve the problems in my work.
1, nurse decompression
The measures we are taking at present are
A, when patients are few, the department organizes short trips and other collective activities.
B, actively participate in hospital recreational activities and sports meetings.
C. The department has established a WeChat group to communicate and talk with each other.
2, do a good job of nurse-patient communication.
A, treat patients positively and sincerely, and provide patients with services within their power.
B, communicate with the family members in the ward and play with the children. The department purchased a batch of baby toys and distributed them to the children free of charge during the Spring Festival, giving them lucky money to narrow the distance between nurses and patients.
3. Improve professional skills
A, let senior nurses do a good job of passing, helping and leading.
B, let the department staff to participate in the study and skills training inside and outside the department and the hospital, and send nurses to study in a planned way.
4, do a good job in department unity
A treat nurses fairly, love them, listen to their voices, understand their difficulties and help them solve problems as much as possible.
B, let nurses participate in the practice and decision-making of various departments, listen to their opinions carefully, and let them have the enthusiasm and motivation to work.
Second, the development of other nursing work
1, strengthen nursing quality and safety management.
A, constantly strengthen safety awareness education, organize nurses to study every month, so that nursing staff can fully realize the new situation and new characteristics of nursing error factors, learn from them, and make the safety alarm bell ring.
B, strengthen the management of key busy working hours, implement flexible scheduling system, reasonably match the old, middle-aged and young people on duty, provide appropriate nursing manpower, and ensure the effect of nursing work and reasonable arrangement of manpower.
C, strengthen the management of hospitalized children, evaluate the existing and potential risks of newborns and critically ill children, and achieve * * * knowledge, which attracts the attention of each class. In strict accordance with the requirements of 5S management law of nursing department, the layout rectification in the department was completed.
2. Comprehensively carry out high-quality nursing services.
A, use the morning shift to organize learning, so that each responsible nurse can understand and master the service connotation, service items and working standards. Strengthening the implementation of basic nursing and improving the quality of nursing service. B, ask the responsible nurse to communicate with the children and their families in the ward, including health education, to understand the changes of the child's condition, life needs, the effect and reaction after taking the medicine, etc. Nurse-patient communication can shorten the distance between nurses and patients, and it is the prerequisite and necessary condition for doing all kinds of nursing work well.
3. Strengthen hospital consciousness management.
First, the implementation of effective ward management system, ward disinfection measures. Ensure the normal operation of the daily nursing work of the department.
B, require nursing staff to strictly carry out disinfection and isolation and aseptic operation, find weak links in time, and take measures to effectively prevent and control the occurrence of hospital infection.
4. Improve various rules and regulations and work processes. Re-formulate the scoring standard of nursing quality control in pediatric neonatal room according to the requirements of superiors, and establish the critical value of pediatric specialty and the use process of high-risk drugs. Reduce unsafe factors. The department has formulated a management system with clear rewards and punishments, punishing mistakes and disciplinary actions, and rewarding comrades with standardized work style and outstanding performance in various activities in the hospital, which greatly improved the enthusiasm of nursing staff.
5. Continuous improvement of nursing quality.
First, according to the nursing quality standards, standardize the workflow and establish operating procedures. Monitor and record various quality indicators and their implementation.
B, daily nursing quality inspection, the head nurse on the continuous improvement of nursing quality tracking effect and summary every month, and report the results to the nursing department.
C, give full play to the role of nursing quality control group, conduct a comprehensive nursing quality inspection for each department every month, comprehensively analyze the feedback information of quality inspection, find out the reasons, formulate feasible rectification measures, and check the implementation of rectification. Avoid similar incidents from happening again.
In the practice of pediatric nursing management for more than one year, I have earnestly performed my duties, strived to complete the tasks assigned by my superiors, and made a little progress in my work. However, I know that I still have many shortcomings from an excellent pediatric head nurse. Problems existing in the department:
1, some young nurses lack enthusiasm and sense of responsibility.
2. Teaching needs to be strengthened.
3. Emergency skills need to be strengthened.
4. Further improve the technical level of specialists and improve the painless puncture technology.
5. Strengthen the inspection of nursing quality and establish the monthly standard table of pediatric nursing quality.
20xx65438+On February 26th, the Department of Child Health Care in our hospital was formally established. In 20xx, we will go deep into medical institutions and schools at all levels in rural towns to publicize and popularize the knowledge of children's infant health care, so that parents of children can understand the importance of children's physical examination, promote the development of children's health care, create new income growth points for our hospital in cooperation with the physical examination department of our hospital, and improve and promote the all-round development of comprehensive medical care in our hospital.
The road ahead is still very long, and my gap is there. Everything needs me to move forward step by step. I don't care about my grades, I just want to do my best. I believe that with the care and support of the hospital leaders and the nursing department, under the leadership of the department director, the second department of pediatrics and all doctors and nurses in pediatrics will work together, and our tomorrow will be better!
Summary of pediatric nursing II. Basic situation of the department
1, there are 9 employees in ordinary care, including 5 nurses, 1 4 nurses in charge, 4 nurses, 2 junior college students, 2 undergraduate students and 5 technical secondary schools. * * * 40 beds, hospitalized patients 13 13, 489 in the first half and 824 in the second half, an increase of 25.5% over the total number of patients in the first half. In the second half of the year, 9 critically ill patients were rescued 126, and the success rate of rescue was 92.9%. There were 468 venous blood samples, including jugular vein 12, femoral vein 2, skin test 472, intramuscular injection 148, blood transfusion 126, catheterization 18, gastric lavage rescue 18, and 3 cases died. Three people were intubated, two people were intubated successfully, and they were breathing with positive pressure ventilator. Strict nursing routine, strict implementation of disinfection, sterilization, isolation measures, no cross-infection in the hospital, internal and external infectious diseases general department without errors and accidents.
Second, the department equipment, materials operation and related systems.
1. The department has rescue equipment: 2 gastric lavage machines, baby incubator 1 set, defibrillator 1 set, adult sputum aspirator 1 set and baby sputum aspirator 1 set, which are in normal operation and ready to use. All rescue equipment is managed by the responsible class Yang Dongzhi, and the operation, maintenance and records are checked regularly every week. The rescue cabinet and medicine cabinet shall be managed by the person in charge of the responsible class, and shall be inspected regularly by Chu. If there is any shortage or leakage of drugs, they should be replenished immediately and recorded. All kinds of disinfectant and materials are changed regularly every week, and the treatment class is responsible for it. The main shift shall check 1 time every day, and report the problems immediately if found, and solve them immediately.
2. Each department implements strict BANCHA system, and BANCHA checks every Friday, which is closely linked. In the past six months, the drug loopholes in the department have been blocked 10 times, and 5 cases of missed treatment were found, which were filled in time without adverse consequences. Each shift has a clear division of labor and coordination, and there is no obvious phenomenon of excessive fatigue due to delayed work.
Third, the department nursing work completion
The completion of nursing work in our department for half a year: the average score of basic nursing is 93, the average score of critical first-class nursing is 95, the average score of nursing sheet writing is 94, the average score of first-aid articles is 89, the qualified rate of ward disinfection is 95, the average score of satisfaction survey is 87, and the average score of department management is 86. Management of disposable medical supplies (disposable sterile syringes, blood transfusions, infusion sets, etc.). ) strictly control, all repackaged, disinfected, disfigured, burned and recorded after use. Strictly carry out aseptic operation, inject one person, one needle, one tube and one area, and there is no infusion or infusion reaction.
Four, the department's business learning and the introduction of new technologies.
Under the guidance of Wu Diwen and the director, after many studies, every doctor in our department can use the ECG machine, and every nurse can understand the common abnormal ECG in clinic. The department discussed every death case and difficult case, summed up the shortcomings, worked out a complete treatment plan and posted it on the wall for reference. At present, the treatment schemes on the wall include: blood pressure control scheme for cerebral hemorrhage, first-aid flow chart for upper gastrointestinal bleeding, first-aid flow chart for children with respiratory failure and heart failure, first-aid scheme for acute myocardial infarction, and first-aid scheme for tachyarrhythmia (1 patient with torsade de pointes was rescued in our department in time, cured and discharged). Most patients with cerebral hemorrhage have received comprehensive and scientific treatment and nursing in our department, which has won the trust of ordinary people and retained many patients. This year, the first tracheal intubation was performed in our department, which set a precedent for breathing with a ventilator. The patients were given a series of nursing care such as eyes, mouth, trachea, catheterization, bedsore, life and psychology, and they were collated and bound into a book. Nurses also learned the new technology introduced by provincial doctors: the application and nursing of indwelling needle, the application of magnesium sulfate wet compress and the use of oxygen therapy for bedsore patients, which achieved good therapeutic effects and was applied in our department. At the same time, we also know the pathogenesis, clinical manifestations and nursing care of various diseases, which can provide timely and accurate diagnosis and treatment basis for doctors.
Verb (abbreviation of verb) internal management
1), distribute satisfaction questionnaires to patients' families, collect opinions and suggestions, so as to grasp and understand the satisfaction of some patients with our doctors, nurses and ward management in time.
2) In order to improve the medical staff's awareness of respecting and safeguarding patients' rights and interests, through study, we have basically understood and mastered the skills of communicating with patients, promoted the harmony between doctors and patients, enhanced feelings, and made patients believe in us and want to stay in our department.
3) In order to give patients a warm adult, we focus on the theme of "building a new industry style and creating first-class services", and start with small links, asking medical staff to provide "four lightness" and "seven lightness" services. For some patients who can't solve the most basic living and hospitalization expenses, our general practitioners generously lend a helping hand to make patients feel warm, patient and caring.
4) After this year's "medical quality management" inspection, we realize that our management is not perfect. The main problems are the lack of medical safety: the writing of medical records is not timely and standardized, the treatment principles of various diseases are not standardized, antibiotics are abused, fees are opaque, and records are incomplete.
5) In order to realize humanized management, the department studied the "Quantitative Assessment and Scoring System for Nurses" formulated by the Nursing Department. However, in order to make the staff on duty feel relaxed and unwilling to go to work, our department did not deduct points and fines in full accordance with the system, but asked everyone to help each other and check each other. If there is any problem, it is corrected immediately to help fill in and circulate. If it is not corrected immediately, the upper and lower levels will be punished together. For half a year, only in adult health and post.
VII. Social benefits of nursing work
Nurses in our department can master conventional techniques skillfully. The scalp venipuncture technique in children is accurate and has a high rate of hitting the nail on the head. The nurses in the two duty classes have strong initiative and sense of responsibility, and provide each patient with introduction of admission environment, life help, explanation of treatment and nursing plan, health guidance after discharge and return visit. In the first quarter of relocation, the satisfaction survey reached 65,438+000%, and patients sent three thank-you letters. In the second quarter, patients sent banners and thank-you letters, but the satisfaction survey dropped to 75%, indicating that our responsible class did not persist in its work and neglected psychotherapy and return visits. If every return visit can make patients feel that you are treating him attentively, caring for him, and caring for him with a sense of intimacy, we will get good social benefits.
Eight, the existing shortcomings
1, the rotation of nursing staff is too fast, which makes management difficult;
2. The cooperation ability between nurses is relatively poor;
3. Nurses lack communication with the outside world and have a weak sense of service;
XX years internal medicine nursing work plan:
1, in strict accordance with the "hospital management evaluation guide" and hospital related system to carry out the work;
2. Strengthen business study and improve the level of nursing technology;
3. Send nursing backbones to provincial hospitals for further study in clinical nursing of cardiology and neonatology;
4. Strengthen the construction of professional ethics and realize quality service.
Summary of Pediatric Nursing Work 3 During more than half a year's nursing practice, under the careful guidance and patient teaching of the teaching teacher, I studied the Regulations on Handling Medical Accidents and its laws and regulations seriously, actively participated in the training of medical accident nursing regulations organized by the hospital, and participated in the study of nursing staff many times. Through study, I realized that the legal system is becoming more and more perfect, and the people's legal concept is constantly enhanced. It has become a common understanding to act according to law and safeguard legitimate rights and interests. The concept of modern nursing quality is to satisfy patients in an all-round way and in the whole process, which is the demand for higher and newer medical care services, thus enriching legal knowledge, enhancing safety protection awareness, enabling nurses to know the law and usage according to law and reducing the occurrence of medical accidents. Both the theoretical level and the practical level have been improved to some extent. During the internship, I will strictly abide by the rules and regulations of the hospital, earnestly perform the duties of the intern nurse, be strict with myself, respect teachers, unite students, care for patients, be late and leave early, work hard, standardize nursing work, provide high-quality skills and services, be flexible in basic nursing, have regular love activities, combine theory with practice, study theory in a planned and focused way, and take measures and records in practice. Always take "love, care and patience" as the foundation, strive to be "diligent in eyes, hands, feet and mouth", think about patients' thoughts, worry about patients' urgency, and provide quality services wholeheartedly, thus establishing a good medical ethics. In the practice work of each department, we can standardize the writing of all kinds of nursing documents, complete the handover records in time, do a good job in patient evaluation and health education, do a good job in nursing common diseases and frequently-occurring diseases in each department, conscientiously implement aseptic operation procedures, do a good job in preoperative preparation and guidance, and complete intraoperative and postoperative care and observation. Can seriously analyze and solve the problems found in time at work, and be proficient in internal and external, maternal and child care and intensive care. Strictly implement three checks and seven pairs. At the same time, I actively participated in various case discussions and academic lectures, constantly enriched my professional knowledge, and gained a more comprehensive understanding and understanding of holistic nursing technology and ward management knowledge through learning. During this period, I made a self-evaluation of my nursing work.
The above is my internship summary. Through more than half a year's internship, my theoretical level and practical level have been improved. In my future work, I will continue to work hard and keep in mind the responsibilities of nurses.