Summary of nursing work in hemodialysis room

Introduction: Let’s summarize the nursing work in the hemodialysis room. The following is a summary of the nursing work in the hemodialysis room that I compiled for your reading and reference. Summary of the Nursing Work in the Hemodialysis Room

In 20xx, all the nursing staff in the hemodialysis department, under the correct leadership of the hospital leaders and the nursing department, and the close cooperation of all staff, overcame the problems of small staff and heavy workload. There are many difficulties. In view of the target plan formulated at the beginning of the year, we will pay close attention to the implementation and implement it seriously. We will strictly implement the "Basic Operating Procedures for Hemodialysis" of Jilin Province, adhere to high standards and strict requirements, and strive to work hard on management and services, strengthen nursing safety management, and improve Nursing risk prevention measures provide patients with high-quality, safe and orderly nursing services. Be patient-centered, promote humanized services, strengthen communication between nurses and patients, improve patient satisfaction, and avoid nursing disputes. Conduct regular and irregular nursing quality inspections to maintain continuous improvement of nursing quality. We have successfully completed various work tasks set at the beginning of the year, and have been recognized and praised by leaders and patients. We will now summarize and report on the nursing work throughout the year

1. Improve the system, conscientiously implement various work systems, and ensure that Medical care safety.

Carefully organize and study the responsibilities of nursing staff at all levels, various job responsibility systems and nursing work systems newly formulated by the Nursing Department at the beginning of the year, and implement them in actual work.

2. Combined with the requirements of the second-class composite review rules and the requirements for the establishment and qualification of blood purification rooms, formulate quality management standards and strict work plans, and improve the various rules and regulations of the hemodialysis room of Longjing People's Hospital. Technical operating specifications, emergency plans for various emergencies, nursing emergency risk plans, dialysis patient diet and care and other related documents, standardize various operations in accordance with the "Hemodialysis Standard Operating Procedures" issued by the Provincial Blood Purification Center, and regulate hemodialysis. Implement full-process medical quality management.

3. Adhere to the check-checking system, and strictly carry out three checks and seven checks on each nursing operation to strengthen the accuracy of the implementation of medical orders. When getting on the machine, double check the doctor's orders and various parameters and indicators set to ensure the quality and safety of dialysis. Patient safety and ensuring no nursing errors or accidents throughout the year.

2. Strengthen learning, pay attention to improving the overall quality of nurses, and optimize the nursing team.

Strengthen business theory learning and technical operation training: According to the business theory learning and operation training plan at the beginning of the year, organize nursing staff to learn business twice a week and take study notes, and participate in the operation training and assessment organized by the nursing department. Ensure that all results are up to standard.

2. Strengthen the study of relevant knowledge and continuously improve the professional and technical level of blood purification. Use the national 2010 version of "Blood Purification Operating Procedures" as a work guide and the "Hemodialysis Standard Operating Procedures" issued by the Jilin Provincial Blood Purification Center. "Standardize various operations and strictly implement the "Hospital Infection Management Measures" and the "Disinfection Management Measures" to strengthen disinfection and isolation management to ensure the quality and safety of patient dialysis treatment.

3. Update professional theoretical knowledge, improve the technical level of specialist nursing, conscientiously study and understand the second-level review and inspection rules, learn the diet, treatment and care of uremic dialysis patients and other related knowledge, so that all nursing staff can The professional and technical level has been greatly improved.

3. Change nursing concepts, improve service quality, strengthen nurse-patient communication, promote humanized services, improve humanized service concepts, and strengthen proactive service awareness to carry out nursing services based on the characteristics and personality of service objects.

Our dialysis department is dealing with a special group of people. Since the disease lasts for a long time and cannot be completely cured, it is easy for patients to feel a sense of loss when their family members have some shortcomings in the long nursing process. , loses confidence in life, and due to the long dialysis time, the ability to manage life is reduced, and the patient has to bear high treatment costs, which makes suicide and despair more likely. Therefore, we must first care for each patient with our sincerity and love, listen carefully to the patients, strive to understand the patient's psychology, be good at understanding the psychological characteristics of each dialysis patient, and use good professional knowledge and skilled communication skills to Earn the respect and trust of patients.

Help them treat the disease correctly, change the patient's understanding of the disease, face reality with a positive attitude, and build confidence in treating the disease. And obtain the cooperation of family members to reduce the psychological burden of patients. Let patients have a good attitude to receive treatment to improve their quality of life.

2. Actively respond to the creation of the "Quality Nursing Service Demonstration Project", actively organize the department's nursing staff to learn, transform from passive service to active service, carry out creative work in nursing work, and always put the patient as the center, Provide patients with safe, high-quality, and satisfactory nursing services. In daily work, attention should be paid to cultivating nurses' emergency response capabilities, and retrospective evaluations of each emergency response work should be made to learn lessons and improve nurses' ability to respond to emergencies. Improve the sense of responsibility and keen insight of nursing staff and enable them to develop a rigorous, agile and decisive work style. Closely observe the changes in the patient's vital signs, do not ignore any symptoms, do not relax any hemodialysis link, and do not miss any rescue opportunity. Over the past year, *** has provided 4,074 dialysis treatments without a single incident of poor nursing care or error. There has been no incident of dialysis infection or cross-infection of infectious diseases throughout the year, which has laid the foundation for safe medical care in our hospital.

4. Conduct regular assessments and inspections to improve the quality of care.

Medical quality management is the core content and eternal theme of hospital management. Dialysis quality control is an important part of dialysis standardized management and hospital medical quality management. Comprehensively strengthen the medical care safety and quality management of nursing staff, so that all nursing staff are fully aware of the importance of medical care safety, enhance the awareness of medical care quality services and the consciousness of implementing rules and regulations. And regular quality supervision, inspection, assessment and evaluation, strengthening the management of key links, weak links and important links of hemodialysis, judging the completion of nursing quality indicators and proposing improvement measures are the guarantee to improve the quality of nursing care. In order to improve the quality of nursing this year, in addition to the weekly quality inspections arranged by the nursing department, our department has the head nurse and department nursing supervisors responsible for inspections. Self-examinations are conducted more than 4 times a month. Through daily inspections, many problems that are easily overlooked can be solved. can be solved, providing guarantee for safe clinical medical care. A special nursing safety work meeting is held every month to provide timely feedback on existing problems, promptly propose next steps and preventive measures, conduct a detailed cause analysis of deficiencies in the inspection, and through in-depth and detailed ideological education, Strengthen the service awareness and quality awareness of nursing staff. Develop practical improvement measures and promptly correct weak links in the work. Certain results have been achieved in ensuring hemodialysis and medical safety and improving dialysis quality.

5. Carry out new technologies and new projects and continuously improve professional and technical levels.

1. In April, our department launched a new hemodialysis plus hemoperfusion purification treatment method. Three patients received 12 treatments, and the clinical effect was remarkable. It not only met the treatment needs of the patients, but also provided medical treatment for them. The hospital increases economic efficiency.

2. While constantly researching new technologies and new projects, nursing staff are required to be good at summarizing their work experience and communicating with each other. They have written 2 papers during the year.

3. Send 3 nurses to higher-level hospitals to learn blood purification operation techniques. 1 nurse has returned to work in the department, 2 nurses are backup forces, and 1 nurse is sent to participate in the province’s “standardized blood purification operations” "Process" short-term training course not only learned new theories, but also further standardized technical operations.

Looking back on the work of the past year, our hemodialysis department nursing work, with the correct guidance of the hospital leaders and the nursing department and the joint efforts of all the staff, has successfully completed all the responsibilities. This work task has also achieved some results.

But the achievements are like the fruits of the golden autumn. Although they are beautiful, they have fallen quietly. While savoring the success, we should also be clearly aware of the existing shortcomings: we must be bold and innovative in management awareness and persevere; health education has also failed. In terms of form; in terms of the implementation of rules and regulations, there are still a few comrades who are indifferent; in terms of paper writing and nursing research, they are almost blank; the needs of patients are the scope of our services, the patient's satisfaction is the standard of our service, and the patient's touch is our The pursuit of goals and quality service is never-ending. We will continue to sum up experience, study hard, make services more emotional and humane, and make unremitting efforts to bring the hospital's service level to a new level

Work plan for 20xx:

1 , Further strengthen and implement the basic operating procedures of hemodialysis, and conduct various technical operations in strict accordance with the procedures.

2. Strictly implement the infection management regulations, and the number of nursing staff in isolation during dialysis is relatively fixed to further prevent cross-infection.

3. Strive to send more nurses to participate in relevant blood purification technology classes. The department regularly organizes professional learning and various technical operation training for nursing staff to continuously improve the theoretical knowledge and technical evaluation of all nursing staff. .

4. In order to ensure the quality of dialysis for patients and strengthen the allocation and management of dialysis water, the nurses in the dispensing room are relatively fixed and monitor the dialysis water regularly to ensure that the dialysis water allocation is accurate and all monitoring indicators are within the normal range. .

5. Strengthen the quality education of nursing staff, implement humanized services, provide patients with family-like care, and implement a flexible work system to ensure patients' treatment needs. Summary of Nursing Work in the Hemodialysis Room 2

Hemodialysis is the main treatment method for uremia patients. Dialysis patients actually live a very abnormal life. They are largely "tied" to the dialysis machine and rely on medical equipment and medical staff for their entire lives. The financial burden on the patients and their families is very heavy. The influence of long-term pathological factors also makes patients have the characteristics of unstable mood and easy irritation. With the transformation of the medical model, hemodialysis patients must not only be given psychological comfort, but also humanized care, and a people-centered nursing service concept should be promoted to improve the quality of life of dialysis patients. The so-called "small hemodialysis room" actually carries all the hope of survival for dialysis patients, and is also an indispensable treatment method for patients with acute renal failure and various poisonings. Here is a summary of the nursing work experience in the hemodialysis room in 2006:

1. Clarify the job responsibilities, work processes, and operating specifications of the dialysis center, and formulate a dialysis risk plan and emergency response plan Processing plan.

Study carefully so that all hemodialysis nurses can master it proficiently. When problems are encountered at work, they are well documented and can be solved in a timely manner. Rules and regulations are constantly being supplemented and improved at work. Work in strict accordance with the rules, regulations and work processes, and strictly check the system, including the patient's pre-flush line, vascular puncture, dialysis treatment and treatment parameter settings, ensuring that more than 2 nurses must be on duty in each shift to check each other. Including whether there is bleeding at the puncture site, whether the treatment parameters set by the machine are accurate, the dosage of anticoagulants and other drugs, and the patient's vital signs. Actively participate in various business studies and trainings in the hospital, and conduct hemodialysis professional studies once a month. Support and encourage nursing staff to participate in college studies to improve the overall quality of nurses and fully mobilize the enthusiasm of nurses to enrich their knowledge and broaden their horizons.

Improving the quality of nurses is not just about professional skills. It is necessary to pay more attention to humanistic cultivation based on professional theory, including language cultivation, interpersonal cultivation, ethics and moral cultivation, rational thinking cultivation, etc. Care about nurses in life and try your best to solve practical difficulties for them. Let nurses feel the collective warmth and friendship.

Establishing a people-centered nursing service concept requires not only humane care between doctors and patients, but also a working relationship, a colleague relationship, and a friend relationship between nurses. Mutual understanding, trust and Communication can create a good medical and working atmosphere, promote a harmonious nurse-patient relationship, lay a good environmental foundation for further improving the service quality and work efficiency of medical care, and play a multiplier role in the management of hemodialysis rooms. During daily dialysis, the nursing staff cooperate with each other and there is no fight over shifts; during emergency dialysis, they can arrive at the first time. Whether it is an evening emergency or Sunday dialysis, there is never any push-over, and the time is not affected by overtime work. Work normally every day.

2. Establish a people-oriented nursing management model and strengthen service awareness.

After patients start dialysis, they often have a lot of pressure, such as the risks, pain, freedom restrictions of dialysis, the impact of the disease itself on the body, the cost of dialysis, changes in family relationships, etc., and the psychological manifestations are Problems include depression, anxiety, and despair, and some even hate society and medical staff because of this. Friendly and patient verbal communication can make patients feel a sense of security, carefully explain dialysis knowledge, eliminate patients' fear, explain other patients' dialysis effects, and enhance their confidence in treatment. Try to reduce the patient's burden as much as possible, set up a dialysis plan for them, and try to prevent them from being entangled in the pain of the disease and the length of life, but focus on the quality of life and smile at life.

Dialysis patients have long-term contact with medical staff and have a strong dependence on them. At the same time, he is familiar with the staff, treatment environment, and dialysis procedures and methods. He even regards the hemodialysis room as a second home, and has a clear sense of participation in management. In this regard, we communicate with patients at any time, explain and explain new developments in hemodialysis treatment, and proactively solicit opinions. Take the initiative to contact patients for treatment when other diseases occur, and establish a smooth medical channel. Provide contact information, contact us promptly if you encounter any problems, and strive to solve them as soon as possible. For patients with serious illness, let a family member accompany them so that the patient can feel family affection, increase their sense of security, reduce psychological pressure, and better cooperate with treatment. When there are no family members accompanying us, we also assume the responsibilities of the family members, delivering water, feeding, supporting, and treating patients, and influencing the patients during the long-term treatment process. Patients with bad moods and bad attitudes should report to hospital leaders in a timely manner, and work with multiple departments to formulate practical and relevant measures, striving to gradually dispel their extreme thoughts of retaliating against society.

3. Strive to work seriously and meticulously.

Hemodialysis has high risks. As a nursing operator, you must not only establish a correct and positive awareness of nursing risks, strengthen the legal concept, but also exert your subjective initiative to control and avoid risks to the maximum extent. , thereby improving the quality of care and better serving patients. During dialysis, blood pressure needs to be measured and recorded regularly every hour, and vital signs should be measured and monitored at any time when the condition changes. Some patients, especially those who are prone to hypotension during dialysis, need to be closely observed and have their blood pressure measured every 5 minutes. Dialysis instrument parameters must be adjusted in time, such as temperature, conductivity, ultrafiltration rate, blood flow, etc. Concentrate your attention and energy when working. A slight negligence can cause losses and accidents to patients.

Diabetic patients are prone to hypoglycemia due to sugar-free dialysis. They should pay attention to changes in consciousness, especially when the patient is sleeping, he needs to call frequently. Since the edema is reduced after dialysis and drainage, the skin at the puncture site is loose, and bleeding from the needle hole or needle removal is prone to occur. Especially in winter, when the patient's arm is under the quilt, bleeding often occurs in an instant, and the amount is very large. In addition to diligent observation, you also need to explain to the patient and call if there are any abnormalities. In 2006, more than 600 dialysis sessions were performed, and no medical errors occurred. We have also gained some experience in how to observe blood sugar and prevent hypoglycemic shock in diabetic patients during hemodialysis; analyze hypotension during dialysis and take preventive measures to ensure adequate dialysis.

4. In line with our hospital’s value of “patient first”, we continue to advocate the people-centered nursing service concept and provide patients with humane care.

We have successively provided more than a thousand yuan in subsidies to several self-financed dialysis patients from poor families (because most of the subsidies are personal actions, detailed statistics cannot be collected), and we have provided care and assistance in food and clothing. These are undoubtedly a drop in the bucket for dialysis patients and cannot improve their lives and dialysis conditions at all, but to a certain extent, they express our care and encouragement for the patients.

In addition to our efforts and achievements, we also have certain slacks this year, which are reflected in: poor business technical level, poor management of medical equipment and environment, poor service attitude and communication, imperfect systems, etc. During this period of reflection, I also put forward my opinions and suggestions, and urge the hospital leaders and nursing department to pay attention to them:

1. Professional technical level: First of all, it is the issue of arterial puncture, especially for patients undergoing dialysis for the first time and emergency dialysis. The general condition is poor and the toxins are high, which makes it difficult to puncture the arteries and ensure the blood flow for dialysis. First, there is still a lack of experience in arterial puncture, and they blindly choose to re-puncture when the blood flow is insufficient; second, the overall level of the hospital is not enough to perform deep vein catheterization, which increases the patient's pain and easily causes patient dissatisfaction. Secondly, this year, the medical staff in the hemodialysis room did not have the opportunity to go out for study or further training. The dialysis work basically remained as it was, with no new business or new technology being developed, and no papers published. Because the work in the hemodialysis room is closely related to doctors, such as deep venous catheterization, ascites reinfusion, hemoperfusion, etc., all require the guidance of doctors and the cooperation of medical care, as well as the learning of practical experience, and cannot be done behind closed doors. We hope that the leaders of the hospital can give us certain opportunities to visit and learn, so as to improve our business level, strengthen disinfection and isolation measures, and launch new dialysis projects.

2. Medical equipment: Dialysis patients rely on dialysis equipment for survival, including dialysis equipment, water treatment equipment, complete water and electricity supplies, high-quality dialysis supplies, etc. This year, the conversion from reuse and disinfection of dialyzers and dialysis tubing to disposable use was completed. This conversion is a new trend.