Summary of surgical work 1 Neurosurgery of New Medicine is the leader of neurosurgery in Xinjiang, with 5 chief physicians and professors, 4 deputy chief physicians and 6 attending physicians. At the same time, there are about 10 doctors and 16 nurses in the department, with 30 beds. The diagnosis, treatment and operation of intracranial tumors, skull base diseases, vascular diseases and spinal cord diseases are very mature.
After I became familiar with the working environment for a short time, I took part in separate duty and admitted patients. I saw many diseases that I only saw in textbooks before. Ask the teacher modestly when encountering problems, read books and materials to consolidate knowledge after work, and often wait for emergency surgery while reading books in the department after work. Emergency surgery is a good opportunity to improve our hands-on ability. Through the study, I have a better understanding of neurosurgical diseases, a new understanding of common diseases in our hospital before, and a great improvement in the diagnosis and treatment of common craniocerebral trauma and the refinement, proficiency and humanization of surgery in our hospital. Through weekly lectures by department teachers, the anatomy of nervous system and the reading of ct, ct-a, dsa, mri, mra and mrv have also been improved to some extent.
I also completed the training course of neuromicroscope with limited study time. After graduation examination, I will complete 30g end-to-end anastomosis of abdominal aorta, end-to-side anastomosis of internal jugular vein and common carotid artery, and more difficult kidney transplantation in mice. For this course, it is stipulated that the training certificate of medical college neuromicroscope can be issued after completing the first two exams, and the training certificate signed by yasgil of Beijing Tiantan Hospital can be obtained after being able to complete three exams. The operation is to suture the broken ends of blood vessels with a diameter less than 1 mm with 6 ~ 10 stitches under the microscope, and ensure the anatomical and functional integrity. Since the training, the pass rate of the three items is less than 50%.
In fact, kidney transplantation is still relatively difficult. It takes at least 4 hours to do an operation. These four hours need to be absorbed. Sometimes the needle is not handled well at the end, or the blood vessel is broken or blocked without the strength of the hand. It is possible to give up all your work. In the first few days, a kidney transplant was unsuccessful and sometimes I wanted to give up, but it was not easy to think of this learning opportunity and was concerned by the leaders. I can't be sorry for myself and those who helped me. Often work overtime and train. It took me two months to complete the three-month training course, and I successfully passed the exam and obtained the training certificate issued by Tiantan Hospital.
During my further study, I also contacted the Continuing Education Office of New Medical College and the Nursing Department, so that a nurse in our department could study and cooperate smoothly, which laid the foundation for coming back to improve the work of the department and strengthen the cooperation between doctors and nurses. He also brought back many books, surgical videos and the latest nervous system anatomy CDs from the further education hospital, which provided rich materials for the medical staff in our department to learn.
However, due to the short time and too much knowledge to learn, I have seen fewer diseases in our hospital before, so I feel that my gains are not as great as I thought, and I feel that I still have more to master. After I come back, I will continue to consolidate what I have learned and study hard to improve myself even more. Through this study, my theoretical knowledge, diagnosis and treatment of neurosurgical diseases and surgical skills have been significantly improved. More importantly, I have broadened my horizons, broadened my thinking and changed my ideas.
Summary of surgical work II. Strengthen ward management.
1, according to the plan of the hospital, carefully formulate the annual plan, seasonal arrangement and monthly plan suitable for this area, and urge the nurses to implement it and monitor the implementation effect.
2. Seriously implement the rules and regulations.
Strict implementation of rules and regulations is the fundamental guarantee to improve nursing quality and ensure medical safety.
Strict implementation of post responsibility system and nursing work system has improved nursing quality and put an end to medical disputes.
Adhere to the inspection system:
1) requires the doctor's advice class BANCHA to attend the general examination 1-2 times a week;
(2) Nursing operation requires three checks and seven pairs. In the past year, there were no major nursing mistakes.
Conscientiously implement various nursing technical operation procedures and disease nursing routine. Organize nurses to practice technical operation every quarter, and the pass rate of the examination reaches 100%. Usually, nurses are strictly required to follow rules and routines.
3. Strengthen quality management.
Regularly check basic nursing, nursing document writing, health education, technical operation, first aid items, etc. , do not regularly check and guide the nursing work of critically ill patients. The qualified rate of basic nursing and nursing list writing was 95%, and the intact rate of first aid items was 100%.
The second is to improve the overall quality of nurses and optimize the nursing team.
Continue to implement nurses' code of conduct and civilized language, and organize nurses to learn professional ethics education, rules and regulations and nurses' code of conduct education.
Improve the theoretical and technical operation level of nurses: organize nursing rounds once a month, study business four times, learn advanced technology, advanced experience, clinical knowledge and nursing difficult cases.
Organize nursing staff to strengthen the study of the fourth edition of the three basics theory, and participate in the theoretical assessment organized by nursing departments and departments every quarter. Pass rate of assessment 100%. While strengthening theoretical study, we should pay attention to the improvement of operational skills. According to the plan of the nursing department, operational assessment runs through our daily work.
Hold a work recess once a month, conduct a satisfaction survey on each discharged patient, solicit opinions and suggestions from patients, and make timely rectification.
Third, strengthen business study and teaching and scientific research.
Encourage nurses to take night college and self-taught exams.
Organize nurses to learn about writing papers.
Conscientiously do a good job in practice teaching, make a teaching plan as required, set an example by teachers, strictly manage, ensure the teaching quality, and give feedback to interns.
Throughout the year, nursing staff published papers, provincial papers and municipal papers.
Fourth, shortcomings:
The research work of nurses' papers needs to be strengthened.
The first aid skills of new nurses need further teaching.
Ward management needs to be further strengthened.
Summary of surgical work Chapter 3 reviews the nursing work of neurosurgery in the past year, mainly in the following aspects:
First, the continuing education of nurses
1, organize a small lecture every week by using morning meeting class and bedside class for critically ill patients in the department; The department organizes business study once a month, and the old experts and doctors with doctoral degrees explain the professional knowledge of neurosurgery, so as to cultivate the ability of nursing staff to observe, analyze, handle and express problems.
2, organize personnel to participate in business lectures held by the nursing department on time.
3. In order to better use monitors, micropumps, blood glucose meters and other instruments, organize and invite relevant manufacturers to explain the correct use methods and precautions, so that everyone can often learn and update their knowledge.
4. Organize a nursing technical operation examination once a month, with scores above 93. Organize department nurses to take a professional theoretical knowledge examination every quarter, with an average score of 95 points.
5. Five people went out to attend provincial conferences throughout the year and went to xuanwu hospital for neurosurgery treatment 1 person.
6. At present, there are 6 nurses in our department 10, 6 with bachelor degree and 3 with junior college degree10 (among them, 3 are studying undergraduate nursing).
Second, nursing teaching
Throughout the year, * * * received nursing interns 1 person and 50 nursing interns in the whole province. Three nursing interns.
Third, the writing of nursing academic papers
Four nursing academic papers were written by ward nurses throughout the year. Nursing staff went out to attend provincial conferences 5 times throughout the year.
Four, the new nursing business:
Subclavian vein catheterization will be carried out in the second half of this year.
Summary of surgical work 4 "Strengthening comprehensive hospital management and building a harmonious society" is not only the main work focus of our hospital, but also the work focus of our hospital in xx years. Under the care and guidance of the leaders in charge of the superior comprehensive management department, we conscientiously implement the national comprehensive management laws and regulations, closely focus on the overall goal of building a harmonious society in an all-round way, firmly grasp the general requirements of social stability, and combine the reality of our department with a high sense of responsibility and mission to strengthen the comprehensive management work. General practitioner Qi Xin and Qi Xin worked together to prevent public security, production accidents and fires, and achieved good results, which made all the work carried out in an orderly and tense manner.
First, the supervisor attaches importance to it and the system is sound.
Every department in our hospital constitutes the whole hospital. Strengthening the comprehensive management of social security is the key to prevent all kinds of unsafe factors and ensure the stability of the whole unit, and ensuring the safety and stability of all work is the premise of hospital development. Therefore, hospital leaders always attach great importance to the comprehensive management of social security and put it on the daily agenda. At the beginning of the year, they included these tasks in their annual work plan. In accordance with the requirements of the comprehensive management department, they carefully analyzed and insisted on comprehensive management and safe medical care as the major events of our department. The task of comprehensive management is often arranged in meetings between departments, directors and departments, emphasizing its importance and necessity, so that every medical staff in the department can clearly understand the current social security situation, improve the sense of responsibility and urgency of security, and put comprehensive management work through the whole process of medical service. Strengthen the organization and leadership of comprehensive management, set up a comprehensive management working group in the department, and the director of the department is responsible for the division of labor with the head nurse. Every medical staff is a team member who is responsible for medical safety, public security, fire fighting, production, etc. , organize monthly work inspection and irregular spot check, and carry out routine inspection and inspection of key parts of the department by the personnel on duty at night.
Second, carry out publicity and raise awareness.
In order to enhance medical staff's awareness of prevention, give full play to the role of hospital propaganda tools and positions, organize department staff to actively participate in various forms of publicity and education activities in hospitals, and conduct comprehensive safety prevention education by using various conference forms such as Regulations on Internal Security of Enterprises and Institutions and Special Education on Commercial Bribery Control, combined with a series of legal education, so as to change medical staff's awareness from "I want to learn the law" to "I want to learn the law".
Three, take various measures to ensure the safety and stability of the department.
Maintaining stability is an important part of comprehensive management. The surgery department of our hospital attaches great importance to maintaining stability, making information sensitive, quick response and decisive disposal, and taking various effective measures to ensure the safety and stability of the department. Specifically:
(1) In the second half of this year, our department was just separated from orthopedics, and the nursing staff were transferred from different departments. There are many patients and unfamiliar business, and the overall situation is chaotic. We adopted a "please come in, please go out" approach. Please ask the nursing department leaders to personally guide, grasp the main line and sort out the mess; Going out to other well-done departments and learning advanced scientific systems and experiences quickly put the work on the right track, resolved contradictions and avoided all accidents.
(2) In special periods such as major holidays, all departments pay more attention to it, hold special departmental group meetings to study and deploy various measures, strictly implement the system, strengthen supervision and inspection, strengthen the inspection of personnel on duty, carry out their duties, and have a clear division of labor, especially strengthen the prevention of important posts and links, do safety self-inspection as much as possible, eliminate hidden dangers, and wait in line for various unstable factors to ensure the full implementation of various comprehensive management work.
Fourth, strengthen inspection and pay close attention to implementation.
Although our department has just been listed separately in September, comprehensive management has always been the primary task. Combined with the actual situation of the department, according to the hospital's social comprehensive public security and fire safety responsibility book, earnestly implement the responsibility system for fire safety and safe production, and constantly strengthen the awareness of self-inspection, especially take regular inspections and irregular spot checks on key parts, designate special personnel to carry out this work, pay equal attention to inspection and rectification, find defects or problems, investigate those responsible, immediately rectify, and strive to nip the accident in the bud. Through the joint efforts of all departments, good results have been achieved. So far, there have been no fires and production accidents in this department.
Today is the year of medical quality management. Under the guidance of hospital leaders, our department organizes medical staff to study hard according to the requirements of various systems in the year of medical quality management, and requires them to strictly implement various medical operation procedures, strict disinfection and sterilization system, medical document system, standardize medical staff's responsibilities, strict management system, strengthen medical quality management, continuously improve medical staff's quality awareness, continuously enhance service awareness, improve the relationship between doctors and patients, and resolutely put an end to all kinds of medical disputes or accidents to ensure that all aspects of medical care are guaranteed.
Our department adheres to the policy of "combining attack with prevention, giving priority to prevention" to ensure safety. With the strong support of the higher authorities and the joint efforts of all the staff in the department, our department's comprehensive management work is at the forefront of the hospital, ensuring that the overall level of the hospital's comprehensive management work is not affected, ensuring the normal medical order of the department and the smooth development of all the work, and contributing to our hospital's comprehensive management work.
"Strengthening the comprehensive management of hospitals and building a harmonious society" will be a long-term work. We will fully understand the current grim situation of safety work, sum up experience, develop our advantages, and strive for greater achievements in xx years.
Summary of surgical work In the past 5-20xx years, under the correct leadership of the hospital leaders and the unremitting efforts of the department leaders and the broad masses of employees, our department has made gratifying achievements, which are summarized as follows:
1. During this year, all the staff in our hospital abide by the laws and regulations of the hospital, respect the leaders, love their posts and work hard, obey the division of labor, unite and cooperate with all departments, continuously strengthen the education of medical ethics, serve patients with enthusiasm, treat them equally, and implement a 24-hour duty system with all staff on call, regardless of personal gains and losses.
Second, strengthen the theoretical study of department staff, so that our medical staff can reach a new level in the diagnosis and treatment of common and frequently-occurring diseases in general surgery, and successfully complete various medical tasks.
3. From 20xx 11to1and then to 1 1, the total number of inpatients in our department reached 949, and the number of outpatients reached 1302, which was a record high. Among them, 2 cases of acute severe pancreatitis were successfully treated, and 65438 cases of gastric cancer were cured at the proximal end.
Four. Nursing: With the development of the above new business, the following nursing was completed: mattress nursing: 862 person-times, oral nursing: 545 person-times, perineal nursing: 72 person-times, enema: 5 16 person-times, catheterization: 355 person-times, oxygen inhalation: 49/kloc-0 person-times, and gastric tube insertion:/kloc-0.
To sum up, the achievements made in 1 1 month cannot be separated from the correct leadership of hospital leaders and the concerted efforts of Qi Xin, an undergraduate general practitioner. Although there is still a big gap between the above achievements and the people's requirements, we will study harder, learn professional knowledge and work, and work hard for the future development of health undertakings.
Summary of surgical work 6 Urology is an ancient specialty with a long history. Today, I sorted out the annual work summary of urology for you, hoping to help you.
This year is a brand-new starting point for me, for us and for the affiliated hospital. In everyone's expectation, we have established a new district hospital, which has first-class technology and environment, and is also facing new challenges. Together with our colleagues in the department, from scratch, from the establishment of the department to the right track, in just one year, we successfully completed our tasks, shed sweat and dedicated our youth. Completely different experience, brand-new harvest.
The development of new district hospitals is closely related to the care of leaders. The growth of this year is inseparable from the support of school and hospital leaders, the teaching of department directors and head nurses, and the unity and cooperation of all our medical staff. With you, we have a platform for growth and development!
Personal income:
As a * * * party member in China, I actively paid attention to the development of the hospital and participated in the first anniversary celebration of the new district hospital and the staff culture and art festival, which broadened my horizons and enriched my connotation.
Through one year's training in urology, the basic nursing operations such as urinary catheter care, bladder irrigation and intravenous infusion have become more proficient, and the specialized nursing and preoperative and postoperative nursing of patients with prostatic hyperplasia, urinary calculi and renal contusion and laceration can also be familiar with the heart.
Participate in the theoretical and operational assessment organized by the nursing department regularly every quarter and obtain excellent results.
I studied hard in my spare time and passed the entrance examination for adult nursing undergraduate this year 1 1 month.
Participate in department business study and major surgery business study every month, and give a lecture on major surgery business study once.
Under the leadership of the head nurse, set an example and do a good job in teaching practice nursing students.
A brand-new task:
Be strict with yourself with the high standards of a party member, enhance your sense of responsibility, and devote your enthusiasm to serving patients.
Strive to complete undergraduate nursing study and constantly improve their professional quality and comprehensive ability. Strive to publish scientific research papers next year and pass the qualification certificate of nurse practitioner.
Learn communication skills from older teachers, learn to communicate with patients, colleagues and friends, and create a warm environment.
Summarize and discover your own shortcomings and deficiencies in time, and keep learning and improving.
One chopstick is easy to break, and ten chopsticks are crowded together. I believe that as long as we work together in Qi Xin to innovate, urology will be better and hospitals in the new district will be better!
Summary of surgical work 7 From July of 20xx, I started to rotate from a surgical department. Through more than a month's work, I have a deeper understanding of nursing work.
First, the concern and support of leaders and teachers is the key to lay a good foundation for my work.
From accepting my report to the hospital to arranging my work, the leaders of the hospital and nursing department gave me great concern and took turns in another department. The director of the department, the head nurse and the teachers have given the greatest support at work and the greatest care in life, and the teaching teachers have given me a lot of guidance and help in nursing work. I met many thorny problems and difficulties in my work. The teachers of the first foreign language department gave me guidance, helped me find and analyze the existing problems, put forward guiding opinions, encouraged and cared for me, and increased my confidence in doing a good job, so that I could find a breakthrough in my work in a short time and straighten out the work of the department in time.
Second, continuous learning and improvement is the basis of doing a good job in nursing.
During one year's internship and more than one month's nursing work, I realized that as a nurse, I should not only be familiar with my own work, but also constantly strengthen my study, including learning professional knowledge, communicating with patients, cooperating with colleagues and adjusting my family life. In mid-August, the nursing department first arranged for us to carry out pre-job education and operation demonstration drills, which further improved my understanding and theoretical knowledge of nursing work.
Summary of surgical work in 20xx With the care and support of hospital departments and the joint efforts of all medical staff, we have paid close attention to implementation, earnestly implemented the target plan formulated at the beginning of the year, and successfully completed various tasks. The annual nursing work is summarized as follows:
Basic situation
1. Personnel structure: there are 22 general nurses, including 1 person in charge, 5 nurses and 16 nurses.
2. Workload statistics: More than 2,400 inpatients were treated in general surgery, with 1650 operations, and no hospital infection and nursing accidents occurred throughout the year.
I. Quality care
1. Continue to implement the grouping responsibility system, ensure the beds, and put the responsibility on people. The responsible nurse is required to be on duty for 8 hours and be responsible for 24 hours. Nurses carry out hierarchical management, continue to implement APN scheduling mode, and at the same time adopt medium-and long-term scheduling mode, which takes into account individual needs and embodies the principle of humanization. Daily flexible scheduling, according to the number of patients, the number of critically ill patients, the number of surgical patients, and the energy level of nurses in the class, everyone is in charge of patients, reflecting hierarchical flat management and corresponding energy level.
2. Set up the admission angle, and the responsible nurse will make a preliminary evaluation of the patients, introduce herself, measure vital signs, narrow the distance between nurses and patients, and reduce the strangeness and fear of patients.
3. Strengthen health education, requiring nurses in charge to carry out health education at different times of admission, preoperative, postoperative and discharge, which is rich in content and easy to understand.
4. Consolidate basic nursing and provide touching service. For patients who can't take care of themselves, the responsible nurse can meet the needs of patients in time, such as assisting in changing clothes, changing bedding, washing hair in bed, etc., which has won unanimous praise from patients and their families.
5. Establish a nursing work log, record the workload, and the head nurse calculates the performance appraisal according to the work quantity, quality, technical difficulty, post and patient satisfaction, so as to improve patient satisfaction. This year, in the evaluation and inspection of Class A wards in high-quality nursing demonstration wards, it has won unanimous praise from municipal experts, especially in APN scheduling, performance appraisal, basic nursing, nursing work log and so on, which is of reference significance.
2. Department quality and safety management:
On the basis of summing up the previous work experience, the department re-planned the nursing account, organized the general nurses to seriously study the nursing quality standards and clinical nursing workflow. The quality control in the department was divided into three levels: head nurse-quality control team-quality control of nursing team leader. The head nurse made five rounds every day, established the head nurse's patrol log, and filled in the patrol log in time for nurses to read in time, which was included in the performance appraisal. Quality Control Team Quality Control: The head nurse takes a quality control nurse for quality control every week, and all members of the quality control team conduct quality control once a month under the leadership of the head nurse. According to the head nurse's quality control plan, select two items for inspection, and feed back the inspection results to the responsible person, discuss and analyze the causes of the problems, put forward improvement measures, and review them when necessary until the problems are improved. At the same time, the quality control results are reported to the hospital nursing quality management Committee in written form. Quality control of the responsible team leader: the responsible team leader should not only ensure the nursing quality of the patients he is in charge of, but also control the work in the group every day. For junior nurses, the responsible team leader will lead them to use the method of nursing procedure to comprehensively evaluate the patients in charge one by one, formulate personalized nursing plans, guide team members to implement nursing in time, and check them every day to realize continuous quality improvement.
Strictly implement the check system, conscientiously implement the identity identification system, and identify it in at least two ways. Surgical patients, elderly patients, patients with communication disorders and critically ill patients must wear wristbands, which must be checked by two people. Develop admission evaluation form for high-risk patients to reduce potential safety hazards. Establish a management system for refrigerators and special drugs to ensure drug safety. Seriously study the blood transfusion management system, blood matching must be checked and signed by two people, and blood bags should be kept for 24 hours.
Strengthen the management of key links and patients: implement flexible scheduling, reasonably match young nurses and old nurses on duty, and pay attention to cultivating the cautious and independent spirit of young nurses when they are on duty independently; Strengthen the care of critically ill and surgical patients, evaluate the existing and potential risks of patients in the process of handover, reach a * * * knowledge, and attract the attention of each class.
Third, personnel management and training.
There are 5 new nurses in general surgery in 20xx, and they have received planned and standardized pre-job training and one-on-one teaching, so all new nurses can adapt to their jobs as soon as possible. Based on the rejuvenation of undergraduate nursing staff, the department has formulated a detailed hierarchical training plan and implemented it conscientiously, and further consolidated the three basic knowledge and professional skills through morning questioning, business study, nursing rounds and operation training. Support and encourage nurses to continue their studies. In March, Shi Qiong went out for further study, and six nurses received continuing education with a bachelor's degree.