Many people think that the work of nurses is relatively stable, but our work as nurses is actually very hard. As surgical nurses, we are no exception, and nursing during probation period is not easy. The following is my summary of the work of selecting surgical nurses, hoping to help you!
Work summary of selected surgical nurses (selected article 1) Under the leadership and care of the nursing department and other hospital leaders, all the nursing staff in our department, Qi Xin, worked together to complete this year's plan with high quality, which is summarized as follows:
First, patient satisfaction and continuous quality improvement.
Shang Jin Campus is a newly-opened hospital, and the satisfaction of the hospital will directly affect the reputation and credibility of the hospital itself. Therefore, our department regards patient satisfaction evaluation as a key indicator.
Measures:
1) conducted a special training on "how to carry out health education on neurosurgery" for general nurses, and made rounds on related businesses.
2) Effectively implement the concept of high-quality nursing service from bed separation to people, strengthen health education in all aspects such as admission, preoperative, postoperative and discharge, and assist patients who can't take care of themselves.
3) Incorporate monthly patient satisfaction and health education into performance appraisal, and implement bedside nursing.
4) Hold special training on "Nurse Etiquette" to improve the quality of the workplace and nurses' self-cultivation. Results: The patients' satisfaction was continuously improved. With the increase of the number of patients, the average annual satisfaction of patients reached 99.93%.
Second, quality nursing service
As a demonstration unit of high-quality nursing service in hospital, in order to fully implement the spirit of high-quality nursing service, let nurses return to patients and continuously improve patient satisfaction, the new measures implemented by our department under the banner of high-quality nursing service are as follows:
Strengthen the consciousness of high-quality nursing service, formulate the implementation plan and measures of high-quality nursing service, and make it detailed and concrete. Check yourself monthly according to the quality nursing service plan and give corresponding feedback. Feedback the shortcomings in this month's work in various forms, and analyze and sort out the modification measures with the method of continuous quality improvement. 2. Pay attention to humanized and meticulous ward environment, set up health education bulletin board and make health education manual, which is a good supplement to nurses' oral health education in order to better serve patients.
3. In order to ensure the quality of nursing and strengthen the manpower allocation of weak links, our department explored a new scheduling model. Incentive mode of senior young nurses; Adjust the scheduling flexibly according to the patient's condition; Such as morning shift (7:30- 10:30) and intensive shift in the afternoon (18-21); Intensive class (8- 18,14-22); Mobile shift (6-9, 18-2 1), etc.
4. Implement bed management, "guarantee the bed to be cared for", each ward is equipped with 1-2 nurses who are responsible for it, and the name is listed, and the patient awareness rate of the nurse in charge is increased from 74% to100%; The awareness rate of patients on developing high-quality nursing service reached 99%.
5. Reform the writing method of nursing documents, control the time of nursing records and reflect the dynamic changes of illness. The nurse writes for 30 minutes. And the nursing team leader will check the nursing documents of this group of nurses every day. =""
Three, new business, new technology training
Sichuan Continuing Education Project "Training Course on New Progress of Neurosurgery Nursing" undertaken by our department was held in Chengdu on September 20th. Nurses responded positively and improved their nursing professional knowledge through learning and communication.
2. In order to strengthen the professional knowledge and skills of the medical staff in the department, we organized the "training of new EEG detector". This test can well detect the frequency and location of patients' seizures, provide more information for clinical treatment and provide reliable basis for more detailed nursing work.
3. In view of the nausea and vomiting after craniotomy, under the leadership of the head nurse, the nursing group of the department assisted in the acupuncture anti-vomiting project, and the postoperative nausea and vomiting of the patients were obviously improved, from the original 23% to 3.68%.
4. Actively encourage medical staff to go out for training and study. There are four participants this year.
5. Train new nurses in skills operation and professional theoretical knowledge. This year, the department taught 3/kloc-0 times, with an average attendance rate of 98.2%. Randomly take notes, give corresponding theoretical and operational assessments, establish training files for new recruits, have an oral conversation with the head nurse once a month, summarize the work and study situation this month, and urge them to make progress and development.
Fourth, quality control circle activities
1. Material management: 1) Common liquid management: first come, first served, planned and purposeful use to avoid the occurrence of expired liquid.
2) Clean the warehouse regularly every month, and carry out flexible planning and management according to the monthly consumables to achieve a balance between supply and demand.
2. Special management: special personnel and counters for rescue materials and toxic drugs, regular self-inspection and double handover. Monthly pass rate 100%.
3. Operation skills: All nursing staff will pass the demonstration quality control mode of operation skills, and gradually improve their operation ability.
Verb (abbreviation of verb) perfects departmental rules and regulations
Improve the rules and regulations of departments, refine their specific requirements, and make nursing work evidence-based.
1. Shift-over system: doctors and nurses should be integrated with shift-over, and shift-over in nursing group should be combined with holistic nursing mode, and the bedside shift-over system should be strictly implemented by applying nursing procedures.
2. Double inspection system: adopt the double inspection system of "nursing-nursing, nursing-patient" to prevent mistakes and accidents. The accuracy of inspection is improved from 92% to 100%.
3. Refine the salary assessment scheme. Performance appraisal is directly related to the salary level, which guides the nurses on duty to shift their focus from treatment to nursing and effectively leads the progress and development of the nursing team.
4. Make each emergency plan process specific, increase the fire emergency plan, and effectively implement all responsibilities to people.
Six, nursing quality and safety
1. environmental management: carry out nursing rounds and standardize environmental management requirements; Persuade and educate the accompanying staff patiently through various forms, improve the attention of the nursing staff through random rounds, and create a quiet environment for patients as much as possible.
2. Infection management: Medical wastes should be classified and placed, with emphasis on hand hygiene management, so as to improve nurses' self-protection awareness and summarize their sense of control regularly.
3. Adopt a new disinfection measure of "integration-classification", integrate the treatment tray, arc tray, pulse pressing belt and mesh bag into a disinfection box, and at the same time, soak and disinfect them separately by negative pressure suction, and configure them on the spot at 2 1: 00 every day, soak the disinfection materials in a centralized way and throw them away immediately after use. Ensure the effective chlorine content of disinfectant, reduce the test times of disinfectant, reduce the consumption of materials and the occurrence of hospital infection.
4. Safety and quality management: classify all hospitalized patients with high risk of falls and pressure ulcers, implement high-risk labels for patients, and strengthen corresponding health education. Results: The patient's condition was serious and the incidence of pressure ulcer was low.
Summary of the work of selected surgical nurses (selected part 2) Reviewing the nursing work of neurosurgery in the past year, mainly in the following aspects:
I. Ideological and political aspects
1。 Actively participate in various activities and temporary mandatory tasks organized by the hospital. In the activities of studying the concept of scientific practice development, we should do our best, deeply understand and accurately grasp the profound connotation and spiritual essence of the concept of scientific practice development, closely link with the actual situation of the department, deeply think about the areas that need to be improved and innovated in the current work, and turn doing good things for patients into conscious actions; Teach nursing staff to love their posts and be dedicated in their future work, starting from the patient, thinking for the patient and serving the patient. Cherish the good working environment, study hard and work hard.
2。 Carefully and actively prepare for the "patient-centered" medical safety and the inspection of the "demonstration hospital for the people", and put the guiding ideology and core of this activity through every link of nursing activities. In nursing work, by constantly improving the political quality and professional quality of nursing staff, we can do a good job in nursing quality management and improve service.
3。 Elected as an excellent nurse in Henan Province. He won the first prize and the third prize in the Nursing Science and Technology Innovation Competition of Henan Provincial People's Hospital.
Second, the business work
1。 Up to 20__ years, 873 patients have been treated, including165438+1October 30th, including 159 emergency patients, 603 operations, 79 tracheotomy patients and 35 critically ill patients. These include brain stem tumor, acoustic neuroma, cerebral aneurysm, spinal canal tumor, hemifacial spasm and so on.
2。 The qualified rate of ward nursing quality index is 100%. However, there are still several problems that need to be improved: the basic care for patients needs to be strengthened; There are too many accompanying staff in ward management; The staff's awareness of active service is not good, and their service attitude needs to be further improved. Organize general practitioners to analyze the problems found and put forward improvement measures. Through tracking and monitoring, we hope to solve these problems fundamentally.
3。 In terms of new nursing business, subclavian vein catheterization was carried out in the second half of this year, with 20 cases of _ _, 165438+ 10/0 on October 30th.
4。 Due to the establishment of universal health insurance and cooperative hospitals, the number of patients has increased sharply, and the number of emergency patients has increased sharply, often in an extra bed state. Nursing staff 16, bed: nursing = 1: 0. 4. The distance of neurosurgery sickbed required by health department: nursing = 1: 0. 6, there is still a certain gap, there are many critically ill patients, and the nursing workload is large, so it is still difficult to carry out nursing work.
Summary of Selected Surgical Nurses (Part III) Over the past year, with the example and care of hospital leaders and head nurses, and with the support and help of colleagues, I have continuously strengthened my ideological and political study, improved my work, and completed all my tasks. My personal ideological and political quality and professional work ability have made some progress, laying a good foundation for future work and study. The annual work is summarized as follows.
First, political and ideological aspects.
Adhere to the patient-centered, quality-centered nursing service concept, adapt to the new nursing model, take serving patients and contributing to society as the purpose, take patient satisfaction as the standard, and serve patients wholeheartedly.
Second, enhance legal awareness.
Studying the Nurse Law and its laws and regulations seriously makes me realize that the modern nursing quality concept is to satisfy patients in all directions and in the whole process, which is a higher and newer demand for medical care services. This requires me to enrich my legal knowledge, enhance my awareness of safety protection, make nurses know the usage of the law, and reduce the occurrence of medical accidents according to law.
Third, work.
I studied surgery for a year. I think if we want to combine the theoretical knowledge we have learned before with clinical practice, on the one hand, we should be strict with ourselves in our daily work and consult more teachers, on the other hand, we should study hard in our spare time and understand the main points. One year I mainly worked in comprehensive surgery, and these two subjects were the focus of clinical work. Surgery should calmly deal with emergencies, such as the emergency treatment of chest tube falling off, so the pace of surgery is faster than that of internal medicine, and the work is busier and more trivial than that of internal medicine.
When I first went for surgery, I didn't adapt, but I wasn't afraid. I didn't do anything before In order to do a good job, obey the arrangement of the leader and not be afraid of trouble, I asked the teacher, learned from my colleagues and explored the practice myself. In a short time, I became familiar with the work of the other department, understood the responsibilities of each class, defined the procedures and direction of the work, improved my working ability, and formed a clear working idea in the specific work, which enabled the work to be carried out smoothly.
Fourth, study.
With the goal of "doing better", we should seriously receive every patient, treat every patient as our friend and relative, and always put ourselves in others' shoes. Do a good job in writing medical documents. The writing of medical documents needs to be serious and responsible, with a correct attitude and clear thinking. Carefully write general nursing records, critical nursing records and rescue records. Abide by the rules and regulations.
I hope all patients can recover soon. I will try my best to use the limited time to spare no effort to encourage them, patiently help them understand their illness, establish confidence in overcoming the disease, and silently pray for their early recovery. At work, I will strictly abide by the rules and regulations of hospitals and departments, strictly implement the ward round system and nursing operation procedures, implement the system, reduce the occurrence of errors and accidents, and strictly implement aseptic operation to ensure the safety of patients.
Carry out the service concept of "patient-centered, quality-centered", serve politely, adhere to civilized language, implement it in every position in the work, and strive to improve the writing quality of nursing medical records. , and carefully summarize, analyze and find out the hidden dangers of work in view of shortcomings and mistakes, so as to nip in the bud.
Summary of Selection and Compilation of Surgical Nurses (Part IV) In the past 20 years, under the correct leadership of the dean and the nursing department, and with the unremitting efforts of the department director, head nurse and ordinary care staff, the general surgical nursing group has achieved excellent results, which are summarized as follows:
First, all the nursing staff in our department can strictly abide by the rules and regulations of the hospital, love their jobs, obey orders, unite and cooperate, and actively participate in various activities organized by the hospital.
Second, actively carry out high-quality nursing service, establish high-quality nursing mode wards, pay attention to collecting nursing service demand information, and collect and sort out patients' needs and feedback information by understanding return visits, talking with inpatients, setting up suggestion books, and issuing satisfaction questionnaires. The advantages will continue to be carried forward and the shortcomings will be rectified immediately.
Third, pay attention to the nursing business study and nursing rounds in hospitals and departments every month, give full play to the role of specialized nursing, strengthen the content of bedside shift, use the time of bedside shift, and the head nurse and senior nurses will explain the nursing problems existing in primary care and critically ill patients, and can take effective intervention measures.
Fourth, make training plans and objectives for nurses at all levels, conduct training and assessment at different levels, attach importance to the training of new nurses, encourage nurses to study on the job, improve the academic level of nursing team, attach importance to the learning of new business and new skills, and train and transport two excellent nursing staff for other departments.
5. The teaching and practice of nursing students have been successfully completed. The department has perfected and implemented the teaching plan for student nurses, strengthened the management of student nurses, appointed nurses with professional titles above nurses as teaching teachers, and strictly implemented the examination system for student nurses. The pass rate of the examination for nurse interns is over 90%. With the continuous strengthening of nursing business, the nursing level of common and frequently-occurring diseases in general surgery has reached a new level, and various nursing tasks have been successfully completed.
Management of key links of intransitive verbs: the intact rate of first-aid drugs is 65,438+0,000%, and drugs can be counted regularly, which ensures the need of clinical medication. There are no expired drugs, vague labels and other drugs. Sterile items are placed separately from non-sterile items. Sterile articles after use shall be marked with opening time in time, disinfected regularly, and medical wastes shall be clearly classified. The test results are all qualified. In the process of operation, we should strictly control the system, emphasize the implementation of rhetorical inspection and secondary inspection, and strengthen the responsibility of safety management so as not to make mistakes or accidents.
Seven, 20__ at the beginning of the nursing goal completion is as follows:
1, qualified rate of basic nursing 100%.
2. The intact rate of first aid articles 100%.
3, basic nursing theory knowledge and nursing technology operation assessment results up to standard.
4. The qualified rate of nursing for critically ill patients is 100%.
5. The qualified rate of nursing document writing is ≥95%.
6. The qualified rate of "three basics" examination for nursing staff reached 100%.
7. Patients' satisfaction with nursing work is more than 97%.
8, strict aseptic technique operation, do a needle a tube with.
9. The qualified rate of disinfection and sterilization of conventional instruments is 100%.
10, and the incidence of nursing accidents in the whole year is zero.
1 1, and the success rate of venipuncture was over 96%.
12, the number of pressure ulcers is zero. Eight, 20 years * * a total of 9 18 patients, a total of 428 people were operated. * * * The completed nursing items are as follows:
20032 intravenous drip, 972 intravenous injection, 937 intramuscular injection, 655 skin test, 130 blood transfusion, 1465438 blood collection, 188 infusion pump, 588 intravenous indwelling needle puncture, 258 oxygen inhalation and 65438 rescue. There were 380 person-times of primary care, 4 19 person-times of monitoring, 41person-times of catheterization, 0/00 person-times of enema, 2 16 person-times of atomizing inhalation, 827 person-times of oral care and perineal care. There were 324 infrared physiotherapy, 407 skin preparation, chest bottle 125, microwave physiotherapy 1266, subcutaneous injection 1276, bladder irrigation 3 16, gastrointestinal decompression 40 1 20, and drainage nursing.
These achievements can not be achieved without the correct leadership of hospital leaders and the joint efforts of nursing staff in departments. Although good results have been achieved, there is still a certain gap with the expected requirements. In the future work, we will work harder, constantly learn and develop new nursing techniques to meet the needs of patients, so as to better serve patients.
Summary of the Selection of Surgical Nurses (Part V) In order to reflect the feeling that the hospital is home, I have established the service tenet of "patient-centered, patient satisfaction as the core and patient demand as the goal" in the department.
Starting from me, practicing, and then subordinate nurses should first give humanistic care to patients, think about problems from the needs of patients, and establish the concept of caring for and respecting people. Secondly, use warm, cordial and warm words to understand and sympathize with patients' pain, make patients feel cordial and natural, and introduce the hospital environment, various rules and regulations, patients' rights and obligations in the form of hospitalization instructions.
Strengthen communication with patients, explain the occurrence and development process of diseases in a simple way, introduce the purpose of each examination and the matters needing attention in doctor's advice in detail, carefully observe the changes of the condition, cooperate with doctors to rescue critically ill patients, grasp the psychological state of patients, formulate humanized and personalized nursing measures, evaluate the nursing effect in time, let patients participate in treatment and nursing, eliminate tension and anxiety, and make patients feel safe and satisfied. Thirdly, from the list of patients' sensitive days, the charging items and standards are explained in detail, so that patients can clearly understand the consumption.
As long as we persist in taking patients as the center, taking patients' satisfaction as the core, taking patients' needs as the goal, and providing high-quality personalized services, the economic and social benefits of the department can achieve double harvest. Satisfying patients is the core of hospital work. The improvement of patients' satisfaction is essentially to establish a sincere relationship between patients and hospitals. Only when patients are satisfied can patients become loyal customers of the hospital. Over the past year, nurses have given sincere smiles to patients, and patients have left favorable comments to departments and medical ethics offices. Although the bonus in our hospital is not high, our nursing service is really the best.
We have been diligent and conscientious, practicing angels in white's oath in ordinary posts, and handing over a satisfactory answer sheet to patients with high-quality nursing service. In one year, the hospital received 1650 patients, 354 more than last year. The annual income was * * 165 1874 yuan, 420,000 yuan more than last year, and the patient satisfaction was adjusted by 99.8%. Praise 136 person-times, return 12 person-times, totaling 8,000 yuan, with zero complaints throughout the year. This is a breakthrough, this is a leap, this is the result of the concerted efforts of 22 people in our obstetrics and gynecology department, Qi Xin, and the crystallization of our efforts and sweat over the past year, which is worthy of our pride and obvious to all.
In order to ensure nursing safety, I constantly strengthen safety awareness education in daily nursing work, remind unsafe factors in work in time, and put forward rectification measures. Taking the nursing errors in and out of the hospital as an example, organize discussions and learn lessons, so that nurses can fully understand the new situation and new characteristics of nursing error factors, learn lessons from them, and let the safety alarm ring constantly.
1. Strengthen system and responsibility education
Reaffirm the responsibilities of nurses at all levels, and clarify the post responsibility system and nursing work system: for example, microcomputer nurses do their best to eliminate patients' doubts about fees, and roving nurses do their best to prevent patients from changing infusion bottles and pulling needles themselves.
2. Strengthen teaching safety management.
The management of key employees, such as intern nurses, rotating nurses and new nurses, should be educated in legal awareness to improve their awareness and ability to guard against risks, so that they can clearly care for patients only under the guidance or supervision of teaching teachers. At the same time, qualified nurses with clinical experience and strong sense of responsibility are employed as teaching teachers to cultivate students' communication skills and clinical operation skills.
3. Strengthen management in critical period.
Adhere to the bedside morning, noon and night shift system, strengthen the management of night shift, afternoon shift, holiday shift and other key periods, and take the management of key patients such as intensive care unit patients and critically ill patients in general wards as the discussion focus of morning meeting and succession shift, evaluate the existing and potential risks of patients, and achieve * * * knowledge, which will attract the attention of each class.
4, adhere to the inspection system
(1) Please ask the doctor's advice class BANCHA to check the doctor's advice and record it at noon every day;
(2) Nursing operation requires three checks and seven pairs;
(3) Implement the infusion card review process;
(4) Assist in checking the implementation of the double-check signature system;
(5) signature system for daily, night and discharge inspection.
(6) Check and maintain the signature system of various medical and nursing devices;
(7) Check the signature system of first-aid equipment and medicines;
(8) Daily inspection and replacement of isolation and disinfection signature system;
(9) Daily check and signature system for long-term medication;
(10) Medical waste destruction, classification and recovery registration and verification system;
(1 1) Check nursing documents and records every week, conscientiously implement the cross principle in nursing records, that is, "objectivity, truthfulness, accuracy, timeliness and completeness", and avoid irregular writing, such as missing words, unclear alteration, and inconsistency with doctors' records. It should not only reflect the comprehensive nursing problem record, but also reflect the particularity of specialist symptoms.
5. Improve the nursing risk plan.
Pay attention to the cultivation of nurses' emergency ability in daily work: improve the on-site handling ability of emergency patients when they are admitted to hospital, and improve the common sense of fire prevention and fire fighting and emergency plan. Improve the risk plan of nursing emergencies, evaluate each emergency work retrospectively, draw lessons from it, improve nurses' ability to deal with emergencies and ensure the normal work.
Open source and reduce expenditure, improve economic benefits
1. Increase income: master various charging standards, make full use of charging policies, collect every penny recovered, carry out more nursing services, strengthen dunning efforts, and avoid the phenomenon of patients' arrears.
2. Cost saving: minimize the waste of water and electricity, disposable materials and medicines, and pay special attention to the repair and maintenance of medical equipment in the department to ensure normal operation and create maximum economic benefits for the department.
The above are the achievements and achievements that my department and I have made in the past year. "Without enough money, no one is perfect" has many shortcomings and deficiencies. Achievements can only represent the past, and we have to face the future work. Looking back, we have come all the way, full of hardships and joy; Looking ahead, we have a long way to go and are full of hope.
I believe that under the guidance of the president of our hospital, with the sincere cooperation of all members of our hospital and with the close cooperation of our brother departments, our hospital will definitely overcome every problem and every difficulty. I will lead our department to do better, go further and get more benefits. At the same time, we should overcome our own shortcomings and deficiencies, strengthen management internally, shape our image externally, and make greater achievements in nursing quality, professional ethics and medical ethics.