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22 Emergency Department annual work summary Fan Wen
It's almost a new year. During the past year, we have also made a lot of progress in our work and made a lot of efforts. The following is the "22 emergency department annual work summary model essay" compiled by me for everyone, for reference only, and you are welcome to read it. 22 Emergency Department annual work summary Fan Wen (1)
In 22, under the correct leadership and specific guidance of the leaders of various hospitals, the emergency department will further deepen the "patient-centered" in the spirit of "respecting life, saving lives, being willing to contribute, and having boundless love", improve the service quality, and insist on putting the pursuit of social benefits, safeguarding the interests of the masses and building a harmonious doctor-patient relationship in the first place. With the active support of all departments in the hospital and the concerted efforts of all staff in the emergency department, certain achievements have been made in the aspects of department management, medical safety, business skills, service quality and overall benefits, etc. They are proactive in their work, constantly emancipate their minds, update their concepts, be pragmatic, establish a high sense of responsibility and dedication, and work around the hospital center in combination with the characteristics of departments. The specific work is summarized as follows.
First, keep up with the pace of hospital construction and strengthen the management of departments
This year is a key year for the construction of our hospital. With the putting into use of the emergency medical technology building in our hospital, the emergency department has been developed from less than X square meters to a new emergency department with complete implementation in different districts, serving as the window department of our hospital, keeping up with the development situation, continuously improving medical quality, safety and management, and strengthening the construction and stability of emergency teams. The department attaches great importance to the management of the department. According to the hospital management system and the actual situation of the department, various rules and regulations, core medical principles, various work processes and rescue processes have been formulated, and various doctor-patient communication has been improved and documented. Seriously study various medical emergency procedures, gradually establish and improve quality control procedures, and achieve institutionalized management and procedural work. Strengthen contact with clinical departments, study in clinical departments, regard in-hospital consultation as one of the routine diagnosis and treatment of departments, listen carefully to feedback from various departments, analyze and discuss problems in time and make rectification. Further improve the linkage mechanism between pre-hospital first aid and in-hospital first aid, ensure the smooth flow of "green channel for chest pain and stroke", and comprehensively improve the ability of emergency treatment. Medical quality is the foundation of hospital's survival and establishment, and the life chain of medical quality can't be broken anywhere. The emergency department is the window of the hospital and the concrete embodiment of hospital management, medical care quality and service level. The improvement of any link in the emergency department can optimize the operation of the whole hospital and ensure the follow-up treatment of patients.
Second, strengthen connotation construction, improve service attitude and improve service quality
The medical staff in our department set up the idea of "patient-centered", and in the spirit of "respecting life, saving lives, being willing to contribute, and having boundless love", regard patient satisfaction as the principle of medical service, patient's wishes as the first signal, patient's satisfaction as the first pursuit and patient's interests as the first. General practitioners continue to learn and improve the communication skills between doctors and patients, and at the same time, establish the first "hospice ward" in our hospital to create a comfortable, comfortable, harmonious and medical environment for patients and their families. At present, there are more than X cases of hospice care. Through communication and education with patients and their families, the satisfaction of patients and their families with the emergency department has been greatly improved.
3. Reasonable layout, strengthening business and technical training, and improving the overall treatment ability of the emergency department
The emergency department is a place to treat and rescue patients, and it is far from enough to have a good service attitude. Reasonable layout of the emergency department is the premise to realize rapid treatment. On this basis, according to the actual work situation of the emergency department, the layout will be optimized, and the emergency operating room, emergency treatment room, gastric lavage room, general consultation room and emergency observation room centered on the rescue room will be optimized. In the hospice observation room, chest pain clinic and stroke clinic, the resuscitation unit is specially set up in the rescue room, and the emergency pharmacy is equipped with emergency registration, and the patients are classified according to the severity of their illness, which greatly shortens the radius of rescue and treatment and the time of seeing a doctor. And add rapid and timely inspection equipment to realize rapid inspection of myocardial infarction. However, it is necessary to have skilled rescue ability and emergency ability, and to diagnose and deal with emergency patients quickly and accurately, so as to alleviate the pain of patients as soon as possible. This requires every medical staff to study their business seriously and master all kinds of rescue instruments and techniques skillfully. Therefore, the department organizes business study every month and strengthens the training of various rescue techniques, such as cardiopulmonary resuscitation, ECG monitoring, electric defibrillation, ventilator, tracheal intubation and other emergency technical operations. Give full play to the professional guidance role of the director of the department for critical and difficult patients, and personally participate in management. Timely business discussion on related cases is helpful to improve the first aid skills of general medical staff. With the concerted efforts of general practitioners, the medical technical level of our department has been greatly improved, and X cases have been treated in the past year. Among them, there were X critically ill patients, X successful cardiopulmonary resuscitation, more than X hospitalized patients, more than X outpatients, and X chest pain patients in emergency treatment, including X acute myocardial infarction and X acute stroke. Treat major traffic accidents x times. Good social and economic benefits have been achieved.
Fourth, prevent accidents and improve the shortage of departments
In the long-term medical practice, we deeply realize that medical safety plays an important role in the medical process. The object of our work is people, and every bit of our work is related to the life and death of patients. The patient's treatment results profoundly verify the success or failure of our work. In particular, medical safety is closely related to the fate of the department. Because the emergency department is the place where the hospital accepts patients at night, the number of night shift patients is concentrated and large. In view of this situation, the department timely adjusts and increases the number of night shift personnel to prevent mistakes from happening in the busy work, and strengthens the writing management of medical documents such as emergency medical records. Organize first aid drills, be familiar with all kinds of first aid procedures, find out the shortcomings in practice, improve the emergency response ability and emergency diagnosis and treatment ability, and lay a good foundation for the development of the department.
5. Strengthen rectification and look forward to the future.
In retrospect, with the strong support of hospital leaders in the past year, we have made great progress, but we also realized many shortcomings, and there are still more places to be improved. At present, the emergency department is short of personnel, the age structure is too large, the professional title structure is unbalanced, there is no ward, and the medical insurance policy is the resistance that restricts the future development of emergency department, which can not run through the diagnosis and treatment, so the technical level of emergency doctors can not be improved, and the assessment and notification of illness are not sufficient and rigorous. With the crossing and infiltration of branches of medical science, the knowledge originally belonging to the specialty has been transformed into the basic knowledge of general practice, and the extension of general practice has been expanded and the connotation has been enriched. Emergency physicians must first have a high level of differential diagnosis ability. Understanding the clinical and laboratory characteristics of diseases in various systems, being familiar with the emergencies in various systems and mastering the treatment of critical emergencies are the extensive characteristics of the knowledge of emergency medical professionals. Only by summing up the past can we find the gaps and deficiencies and have the direction and goals for future efforts. For this reason, the following ideas are put forward:
Establishing an emergency general ward: As our hospital is a general training base, there is no real general training practice ward for the time being. As the emergency department is an important part of general training, there are a wide range of diseases to be treated. With the general ward, patients can be followed up for observation and treatment, which can reduce many medical hidden dangers and establish a general ward.
1) General training in our hospital has a real meaning.
2) reduce the hidden danger of emergency medical treatment;
3) It can make the emergency personnel quite stable (solving the worries of big doctor, the age of emergency department), and the department personnel have professionalism and enhance their sense of identity with their work;
4) Reduce the economic burden of emergency patients. 22 Emergency Department annual work summary Fan Wen (II)
In 22, the hospital put forward the working idea of "quality service and developing specialties". The nursing staff in our department always maintained a good mental outlook, stuck to their posts, and made continuous efforts to rectify according to their own actual situation, adhered to the purpose of patient-centered, creating quality services and cultivating specialists, and gradually improved the quality of nursing work. Under the guidance of hospital leaders, department directors and the efforts of general nurses, the nursing work plan for the whole year was successfully completed.
1. All kinds of nursing workload and work compliance throughout the year
1. Workload: emergency x person-times. Participated in the rescue of x people. Cooperate with emergency surgery.
example. Nursing observation of patients x times. Get out of the car x times Handle emergencies x times.
2. Work compliance: the first-aid articles are in good condition. Qualified rate of sterile goods. Qualified rate of medical record writing. Comprehensive satisfaction of nursing.
2. Strengthen the service awareness of nurses and provide quality services
1. Strengthen the service concept
General nurses participate in quality service training courses organized by hospitals, and constantly conduct etiquette and behavior training, standardize common polite expressions and communication expressions during operation, and use them in practical work. Constantly study and discuss communication skills, cultivate nurses' foresight on the signs of disputes, effectively deal with all kinds of contradictions and differences in work, build mutual trust between nurses and patients, achieve zero complaints throughout the year, and achieve comprehensive satisfaction of x%.
2, people-oriented, fully meet the needs of patients
Continuously improve the environment of the infusion hall, install TV and other facilities, and provide convenient services such as paper towels, water cups and a glass of water at the bedside of unaccompanied patients. Continuously optimize the process of medical treatment, timely triage, and take measures such as using emergency priority service card to pay for medicine for critical patients, so as to reduce the time of waiting for medicine. And improve the service quality through environmental hygiene supervision, nursing inspection and health education. Pay attention to the treatment of illness, basic nursing and three meals, know their situation in time, help contact their families or rescue stations, help such patients this year, and contact their families outside the province through ID cards. This measure was praised by the patients' families and other patients. Discuss and rectify patients' opinions and problems in work, and constantly improve the service image
3. Scientific and institutionalized nursing management, with emphasis on monitoring the implementation of the system
1. Through grouping regional management, continuous grouping scheduling is carried out, the number of shifts is reduced, and human resources are effectively utilized. Through dynamic quality control of senior nurses, the work pressure of young nurses and nursing hidden dangers are reduced to ensure the nursing quality of each class.
2. Make a clear division of labor for the quality control staff, and assign special personnel to be responsible for the management of items and work processes in each region. When problems are found, feedback and discuss revisions in time to ensure the nursing quality in each region. Effectively implement the performance appraisal system, truthfully feedback the personnel's hierarchical ability, and make the nursing quality control in place.
3. After one year's adjustment, the structure of nursing team tends to be reasonable. According to the division of emergency areas, posts are basically set according to individual work ability, and the hierarchical management of nurses is basically realized, so as to achieve the rational distribution and use of personnel.
4. The emergency green channel is unblocked, which improves the success rate of rescue. For all kinds of acute, dangerous and severe patients, the measures of rational use of green channel have won valuable time for rescue.
5. Constantly improve the emergency plan for nursing work, including the emergency plan for emergencies.
6. Formulate detailed work guidelines for each region, matters to be informed in each region, points for attention of new recruits, etc., and systematically guide new recruits and young nurses to better complete nursing work.
iv. On-the-job training and continuing education for emergency nurses
Throughout the year, the department organized business study times, medical record discussion times and operation training items. In the second quarter, the general practitioners were organized to complete the emergency post skills training as required, and everyone passed the operation assessment, and the professional skills of general nurses were further improved. All the nurses' knowledge of first-aid drugs within three years after graduation was qualified, and the compliance rate was. The new graduates have passed the post skill operation, all of which are up to standard. Good grades. Basically completed the annual training plan for nurses, arranged for nurses to go to icu to study the nursing of critically ill patients, and arranged for young nurses to go to the pediatric injection room to carry out scalp acupuncture techniques for children, so as to improve the technical level of scalp acupuncture for children. Send many nurses out for short-term study and bring new nursing concepts back to the department. In the whole year, I completed the emergency training of 1 nurses. 22 Emergency Department annual work summary Fan Wen (III)
Looking back on the development of emergency department in 22, 22 is a "key year" for emergency department to adapt to the changes of external market environment and realize "leap-forward" development.
In 22, under the continuous attention and correct guidance of hospital leaders, we will seize the historical opportunity of the "sudden change" of the external market environment in a timely and appropriate manner, fully implement Scientific Outlook on Development, and take the diagnosis and treatment service with emergency specialties as the "first priority" for development; Innovating new ideas and new measures, strengthening the standardized management of emergency medical services, emphasizing the optimization of medical service quality, and constantly improving the vitality of emergency medical services; Consolidate and develop the optimized construction of "emergency medical system" and focus on developing and establishing a "perfect" emergency medical system.
in 22, the general practice firmly established the Scientific Outlook on Development of "taking patients as the center, optimizing the quality of medical services, and paying attention to both social and economic benefits", and rallied people's hearts, United and cooperated, and the general practice business income achieved an annual increase of x% compared with 2xx. To achieve a bumper harvest of economic benefits, at the same time, maintain a smooth green life channel, effectively protect the lives of the people in the city, and achieve a bumper harvest of social benefits.
Looking forward to 221, in order to steadily promote the healthy development of emergency services, a new development plan is now formulated:
1. Guiding ideology
Seriously implement the development plan outline formulated by the hospital department, with the goal of improving specialized services with emergency medical characteristics, vigorously guarantee the smooth implementation of the new rural cooperative medical system and medical insurance for urban residents, and establish the service tenet of "maintaining health and caring for life" in order to build the emergency department into "public trust"
II. Main measures
1. Medical quality
Consolidate the achievements of emergency medical care and service quality management activities that have been continuously improved over the years, and pay close attention to connotation construction around the four core objectives of "quality, safety, service and benefit" in combination with the hospital's "second-class" rating evaluation and rectification work. Further strengthen the professional construction of emergency medical teams, steadily promote the rational allocation of emergency medical teams, increase the professional learning and training of emergency medical knowledge, and emphasize the social significance of "emergency and emergency medical care" to ensure the safety of citizens.
Improve the emergency "green life channel" service in a timely, smooth, effective and safe manner. Improve the catalogue and content of "24-hour" emergency medical service, emergency work flow, document management, standardize the construction and management of life medical service system, and coordinate the cooperation of various clinical departments with the emergency department. Establish a procedure for classified management of "a large number of patients and catastrophic emergency work". Improve the emergency triage work of "the emergency patients are clearly diagnosed within 24 hours and their condition is stable enough to be safely admitted to hospital". Strengthen the first aid guidance of superior doctors and the implementation of the three-level consultation system
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