Summary of nursing work in operating room

Summary of operating room nursing work

Part 1: Summary of operating room nursing work in the first half of the year

The operating room is a place full of vigor and vitality. A group that has the courage to work hard and is willing to contribute. Along with the vigorous growth of the new comprehensive building, we have worked hard and diligently through the first half of 20xx. In the past six months, we have never forgotten the purpose of "people-oriented, quality first", used our love, enthusiasm and sincerity to meet the needs of every surgical patient, and strived to create "satisfaction with society, satisfaction with patients, satisfaction with ourselves", and "satisfaction with society, satisfaction with patients and satisfaction with ourselves". The work style of "scientific, standardized, harmonious and efficient" runs through the entire process of nursing work. Under the leadership of the hospital and the Nursing Department, and with the close cooperation and support of various departments, in response to the target plan formulated at the beginning of the year and in accordance with the requirements of the "Second Class A" hospital, all medical staff paid close attention to the implementation, conscientious implementation, and unremitting efforts, and successfully completed Various tasks have achieved both social and economic benefits.

1. Create department culture and establish team spirit

As the saying goes: "A hero has three gangs, and a fence has three stakes." When everyone adds firewood, the flames will rise. One person can go fast, but if you want to go farther and better, everyone must go together, which requires teamwork and combat capabilities. The successful completion of each operation and each major rescue requires a harmonious, efficient and enterprising team that is not afraid of hardship. Over the past six months, we have implemented a flexible scheduling system, with the old leading the new, hierarchical matching, optimized combinations, bonuses, more work, more gain, and a performance appraisal system, which has effectively mobilized the enthusiasm of general nursing staff, effectively avoiding safety hazards and Let the whole department form a positive, united and fighting "wolf" team.

2. Patient-centered and striving to create first-class and high-quality nursing services

In daily work, nursing staff always keep in mind the service tenet of "patient-centered" and put themselves in the patients' shoes. , to think about everything from the perspective of "if I were a patient." Carry out comprehensive nursing in depth, actively

give full play to the subjective initiative of responsible nurses, especially strengthen intraoperative care, postoperative guidance, implementation of nursing measures, and satisfaction surveys of operating room nurses, thus greatly enhancing Nurses' work responsibility.

3. Standardize overall nursing and strive for first-class management

Good management is the foundation and prerequisite for high-quality services. In order to make management more standardized and professional, we insist on doing it every week There is a plan and a summary every month. Actively implement the "6s management" promoted at the beginning of the year, receive every surgical patient well, do every job well, care for every patient, improve literacy, ensure safety, optimize processes; improve efficiency, provide high-quality and efficient services, and strive to create a brand department , to create a safe operating room. Strictly implement the checking system and nursing operation procedures, and no errors or accidents occur. Strict implementation, management and monitoring of disinfection, sterilization and isolation measures. In the past six months, the surgical incision infection rate was <0.5%.

IV. Improve the quality of nurses and cultivate first-class talents

As society continues to advance and develop, we deeply realize that comprehensively improving the comprehensive quality of nursing staff is an important part of the development of the department. Strive to cultivate a team with high cultural quality, good professional ethics, and superb professional skills. First of all, we improve the theoretical level of the nursing profession through continuous learning, and conduct monthly business studies, monthly operational assessments and "three basics" theoretical examinations. Not only that, in order to raise their cultural level to a higher level, the nursing staff , actively signed up to participate in various self-study and professional title examinations despite his busy schedule. In the past six months, one nurse has successfully passed the nurse qualification examination, and two new nurses have passed the nurse practitioner qualification examination. And won the first prize for the group and the Outstanding Organization Award in the nursing skills competition organized by the hospital's nursing department during the "5.12" Nurses' Day.

5. Work performance

In the past six months, we have completed 802 large, medium and small surgeries and rescued more than 30 critical patients without any medical care errors or accidents. Keep up with the pace of the hospital's first-class office and nursing department, make vigorous rectifications in accordance with the requirements of second-class hospitals, and conduct various medical and nursing operations in strict accordance with systems and procedures. In cooperation with the Department of Obstetrics and Gynecology

Hysteroscopy, laparoscopic ectopic pregnancy surgery, and laparoscopic ovarian tumor resection were performed; in cooperation with the Department of Surgery, laparoscopic variceal ligation and prostate surgery were performed Electrotomy.

Cooperated with the Department of Surgery to successfully carry out artificial knee replacement and so on. No errors or accidents occurred. During the "March 8th" Women's Day, the company was awarded the honorary title of "Advanced Group of Female Employees for Contributions to Their Careers" by the Provincial Coal Trade Union.

6. Shortcomings

Not bold enough in management awareness and unable to persevere. In terms of humanized care, visits to surgical patients are still a mere formality. There are still a few comrades who do not pay attention to the implementation of rules and regulations. There is almost nothing in terms of paper writing and nursing research. In the future work, we will continue to redouble our efforts and contribute to the two benefits of our hospital and the success of the establishment of the second class.

Chapter 2: Summary of the nursing work in the operating room in the first half of the year

The operating room is a holy place to save lives and heal the wounded, but it is also a group that is silently dedicated, willing to sacrifice, united and forge ahead, and dares to endure hardships , in the first half of 2011, under the leadership of the hospital and the Nursing Department, and with the close cooperation and support of various departments, all medical staff paid close attention to the implementation of the target plan formulated at the beginning of the year, conscientiously implemented it, and worked tirelessly to basically complete various tasks and achieve results. Having achieved certain social and economic benefits, the work in the first half of the year is now reported as follows:

1. Continuous improvement of operating room nursing quality and nursing safety management

1. The number of surgeries completed in *** in half a year was more than the same period last year. Under the circumstances of tight work, heavy tasks and few staff, all the nurses worked hard without any complaints, especially the ENT nurses Zhang Liying and Bu Jinhui who often came early and left late in order to make the operation go smoothly.

2. In the first half of this year, there was no vacancy in the second emergency department, and they could all arrive at the operating room within the specified time. Especially ophthalmology nurse Shi Chunping, who works normally all year round, works normally during the day, and has to shoulder the responsibility of the second emergency department at night and on weekends. Works consistently over the years.

3. In addition to completing various work plans formulated by the hospital and the Nursing Department, organizing specialist studies based on the characteristics of undergraduates has greatly improved the professional level of each nurse.

2. Patient-centered and striving for first-class services

1. In daily work, nursing staff always keep in mind the service tenet of "patient-centered" and put themselves in the patients' shoes. Thinking about others, you can put yourself in someone else's shoes in everything.

2 Strengthen the learning of common sense and basic knowledge of patient safety management during surgery, be patient-centered at all times, solve problems in a timely manner, and continuously improve. Be truly people-oriented and give patients a sense of security and comfort.

3 Continuously improve and strengthen perioperative nursing management, and conscientiously do preoperative visits and postoperative follow-up work; for every patient who enters the operating room, we try our best to do every job well , care for patients, strengthen communication with patients, reduce patients' fear of unfamiliar environments, and enhance confidence in surgical treatment. 4. The head nurse, quality control nurse, and visiting nurse regularly visit the department for follow-up visits, often asking about surgical cooperation, the operating room nurses' requirements for doctors and patients, and timely resolution of patients' opinions and suggestions.

3. Strictly implement the check-up system and nursing operation procedures

1. Check carefully every patient who enters the operating room and fill in the patient safety checklist in a timely manner. In the first half of the year, patients No care items in the safety checklist were missed, and the pass rate was 100%.

2. Strict disinfection, sterilization, and isolation measures are implemented, and the surgical incision infection rate is <0.5% in the past six months.

3. Continuously improve and improve the various rules, regulations and operating procedures within the department, conscientiously implement and implement various rules, regulations and job responsibilities, and have a clear division of labor.

4. Implement a flexible scheduling and bonus distribution system according to work, truly embodying the principle of more reward for more work, abolishing the previous system of equal distribution of bonuses, and fully mobilizing the enthusiasm of each nurse.

Increase revenue and reduce expenditure, and contribute to the economic benefits of the hospital.

1. Standardize the entry and exit system of the secondary warehouse, strengthen the management of disposable items, assign dedicated personnel to take charge, reduce the phenomenon of expired disposable items, and eliminate the occurrence of running, leaking, dripping and leaking for our hospital contribute to economic benefits.

2. A recovery room was established in the operating room at the end of April, and it has been operating normally so far. It not only ensures the safety of patients after general anesthesia, but also makes the operation smoother, and at the same time brings certain economic benefits to the hospital. .

3. In early May, we jointly carried out a new technology - painless gastrointestinal endoscopy with the endoscopy department. We completed the case in two months and the follow-up results were very satisfactory.

Improving the quality of nurses and cultivating first-class talents

1. All nurses used their spare time to complete their undergraduate study tasks. 24 nurses in the general department, all undergraduates, junior college graduates, and undergraduate students, passed Continuous learning has significantly improved everyone's way of thinking, civility and courtesy, etc.; we constantly update our concepts and transform passive service concepts into active service concepts.

2. Rationalize the scheduling, match the old with the new, and give better play to the mentoring role of the old comrades. Young nurses will gain a lot from it, study in groups, and continuously improve the professional level of young nurses. , and gradually improve Corey's echelon construction.

In the first half of this year, we completed many major and minor operations, rescued many critically ill patients, performed painless gastrointestinal endoscopy, and established an anesthesia recovery room. However, we still have many shortcomings: in terms of management awareness Not bold enough to be persistent. In terms of humanized nursing, visits to surgical patients are still just a formality. In terms of the implementation of rules and regulations, there are still a few comrades who do not pay attention to writing papers and nursing scientific research. There is almost nothing in the future work. We will continue to work hard and contribute to our hospital. Contribute to the two benefits.

Part 3: Summary of operating room nursing work

1. Preoperative psychological care Regardless of the size of the operation, patients need to bear a certain amount of psychological pressure.

When patients enter the operating room, they often have the mentality that "life is in the hands of medical staff." The words and deeds of medical staff will directly affect the patient's complex. Therefore, operating room nurses must be kind, neat, and dignified. Paying attention to all aspects of cultivation is an important prerequisite for good psychological care.

Continuously learn new medical theories and techniques, sum up experience, enrich yourself, promote the spirit of professionalism and dedication, improve nurses' own quality, eliminate patients' nervousness and fear, so that patients can be in the best psychological state Cooperate with surgery.

2. Preoperative Preoperative Vision Care

Go to the ward to prevent vision of the patient before surgery, communicate with the patient with your own words and deeds, let the patient express his concerns, ask various questions, and use The scientific and honest attitude and patient answers helped them eliminate their worries and become confident in the surgery.

Most patients are eager to learn about anesthesia and surgical methods. We go to the ward to monitor the patients before the operation, introduce the surgery and anesthesia methods to the patients, demonstrate the posture during the operation, and pre-operate on the ward bed before the operation. Train to be able to actively cooperate immediately after entering the operating room to improve the success rate of anesthesia and ensure the smooth progress of the operation.

Read medical records, inquire about medical history, check the patient's general condition and laboratory documents and other auxiliary examinations, operation names, anesthesia methods, fully understand the patient's condition, predict possible unexpected situations during the operation, and formulate solutions to problems in a timely manner measures. Explain the time and importance of indwelling gastric tubes, urinary tubes, fasting, and drinking before surgery, and inform relevant precautions to obtain the patient's active cooperation.

3. Cooperative care for intraoperative anesthesia accidents

Preparation of standing equipment and drugs, such as anesthesia machine, endotracheal intubation supplies, ECG monitor, aspirator, etc. Rescue drugs such as epinephrine, lidocaine, atropine, dopamine, metahydroxylamine, sodium bicarbonate, etc.

Close observation of the condition during anesthesia can enable early detection and rescue as soon as possible. Keep the airway open. If there is a foreign body in the mouth, assist the anesthesiologist to aspirate and remove it. If the airway is blocked, prepare a tracheotomy bag and perform a tracheotomy if necessary. When the anesthesiologist is preparing for tracheal intubation, the nurse should first perform mouth-to-mouth artificial respiration to avoid interruption of the patient's ventilation. Establish a feasible intravenous channel to buy time for administering drugs during rescue.

If cardiac arrest occurs during anesthesia before surgery, the nurse should first perform chest cardiac compressions, speed up the infusion rate, and accurately apply rescue drugs according to the doctor's instructions. In the past, direct intracardiac injection was used for resuscitating patients. Now it is advocated intravenous injection and tracheal administration. The onset time and drug effect are the same as those of intracardiac injection. This avoids the adverse factors of intracardiac injection on myocardial damage. Myocardial monitoring should be carried out early and the patient should be informed. Doctors provide various data accurately. ;