Nurses' self-evaluation of pediatric continuing education

Model essay on self-evaluation of nurses' pediatric continuing education

Part one: Experience of continuing education for pediatric nurses.

First of all, I would like to thank the hospital leaders and the nursing department for providing me with the opportunity to go out for further study and study. Through this study in the department, I have greatly broadened my horizons, enriched my knowledge, enhanced my business ability, defined the future study and development direction, and laid a solid foundation for future study and business skills training.

In these months of further study, I have learned a lot. I haven't done some work before and don't know the nature of pediatrics. Like an intern, I humbly ask the teacher for advice and study and practice by myself. Under the patient guidance of the teacher and the education of the head nurse, I have basically mastered the nursing of some common diseases in pediatrics and some basic operations, such as venipuncture, sputum aspiration, atomization and drug penetration. In a short time, I became familiar with pediatrics and made clear the process and direction of work. In the days of further study, I constantly summed up my experience from the practice of pediatric nursing, summed up my study for one month, and shared the following experiences with you:

First of all, they really "return the nurse to the patient" and spend most of their working time with the patient every day. They assess patients' physical condition, listen to patients' complaints, and carry out health education throughout the treatment and nursing room to help patients solve problems in time. Each nurse is responsible for 8 patients, so that nurses have a lot of time and energy to take good care of patients and achieve quality care.

Looking at their attitude towards patients every day, I am very moved and feel ashamed at the same time. My care for patients is far from enough. I will learn from them and work harder in the future nursing work.

First, the particularity of patients.

The nursing object of pediatrics is children aged 0- 14. Most of them are babies. Children are afraid of nurses and it is not easy to communicate or cooperate, which requires us not only to have a sense of responsibility, but also to have love and patience. Another feature is too many companions. At present, most children are only children. Once sick, parents are particularly nervous and anxious, which puts forward higher requirements for the operation of medical staff. Therefore, communication with parents also needs special attention from pediatric nurses.

Second, the particularity of disease observation

Pediatric children's diseases are characterized by acute onset and rapid change. In addition, the child is too young to describe his illness. Therefore, nurses are required to be extra careful and patrol frequently when observing the condition, and at the same time, they should patiently educate their parents, communicate in time, find out the changes in the condition in time and deal with them in time.

Third, the particularity of nursing operation

Pediatric children's dosage is small, infusion steps are many, and medication is frequent. Nurses are required to calculate and dispense drugs accurately, and the operation should be gentle, accurate, fast and kind.

Fourthly, the particularity of venipuncture.

Pediatrics needs excellent venipuncture technique, especially scalp vein. It is very important to choose the main pulse. The vein of infusion should be thoroughly skinned and the angle of needle insertion should be small. When returning blood, it should be fixed immediately, and no more needles can be inserted.

Verb (abbreviation of verb) Suggestions on developing pediatric work

1. Establish a people-oriented service concept: "patient-centered" is not a slogan, but a manifestation of medical staff's respect for patients' humanity in medical activities. Without good professional ethics and skilled nursing skills, it is difficult to achieve patient, meticulous and thoughtful nursing work.

2. Excellent venipuncture technology and effective communication: venipuncture in children is difficult and parents have higher requirements. I hope that nurses can hit the nail on the head, strengthen the study of nurses' humanized nursing knowledge and strengthen the communication methods and skills between nurses and patients during venipuncture for children. Appellations should be affectionate, actions should be gentle, words should be gentle and considerate, and care and love for children should be reflected in all kinds of subtle actions.

3. Explain in place when doing nursing treatment and strengthen education: give children various treatments, such as explaining to children and parents how many drugs to use today, and explaining the usage of these drugs when adding drugs; It is necessary to explain the purpose and function of atomization, let children participate in their own disease treatment and actively cooperate with doctors. It is necessary to communicate with children and their parents in time and ask about their illness, so that children and their parents can always feel the concern of medical staff. Strengthen publicity and education, so that family members can understand the symptoms, nursing and precautions of common diseases. Most new parents lack parenting knowledge and often nag.

Lack of knowledge, especially when children are ill and in urgent need of help, can make use of publicity and blackboard newspaper for knowledge education.

4. Improve the environment: according to the children's psychological characteristics, draw some cartoon patterns on the walls of the ward, replace the children's beds with colorful sheets and quilts with animal patterns, put a TV in the room and play their favorite programs, so that they can receive treatment in a relaxed and happy environment.

My harvest and feelings:

(1) Good working environment and adequate staffing.

From the first day I entered Changning Women and Children's Hospital, my first impression was that the environment of this hospital was very clean and tidy, with orderly items, eye-catching signs, good ward conditions, reasonable air conditioning layout, hardware in place, sufficient nursing staff, convenient nursing work and timely cleaning of the ward, which ensured the cleanliness of the ward environment.

(2) Careful and thoughtful health education

After the pregnant woman is admitted to the hospital, the nurse in charge will greet her politely and introduce herself briefly, and then give her first education after admission. The contents mainly include ward environment, hospital rules and regulations, dining room ordering, nurse in charge and bed doctor in charge. Especially before, after and after obstetric examination, the nurse in charge will explain the relevant precautions to the patients in detail and teach them the correct breastfeeding posture. Before leaving the hospital, the nurse will organize the patients to have a group education again, so that every parturient can truly master the knowledge of postpartum recovery and newborn care.

(3) Humanized quality service

The day before the operation, patients will receive preoperative visits from nurses and anesthesiologists in the operating room to let them eliminate their nervousness and fear. In order to alleviate the patient's pain, the patient enters the operating room and inserts the catheter into the patient after anesthesia. On the first day after operation, the nurse in charge will replace a set of clean sheets and quilts for the parturient. At lunch, all nurses cooperate with the midwife to distribute lunch, to find out whether each patient can eat in time and to care whether they need help. The patients are very grateful to our nurses.

(4) The advanced computer system lightens the burden of medical staff.

Chapter two: Experience of continuing nursing education in neonatal department.

First of all, I would like to thank the hospital leaders and the nursing department for providing me with the opportunity to go out for further study. Through this study in the neonatal department of Chongqing Children's Hospital, I not only broadened my horizons, but also greatly improved my ability to care for critically ill newborns, enriched my knowledge and improved my professional ability and technical operation level. During the six months of study, I learned a lot. I have constantly summed up my experience in my work practice, and I would like to share with you the gains of my six-month study here, so as to draw a satisfactory conclusion to this rare training experience.

First, humanized management.

1. First of all, there is good teamwork and diverse nursing staff echelon. The neonatal department of the Children's Hospital of Heavy Medical Care implements the duty management scheduling mode and grouping management to improve work efficiency. The ward is divided into four nursing groups. Each nursing group consists of three nurses with different working years, with a team leader in charge, who takes turns to rest at noon (11:00-13: 00, 12: 00). 13:00- 15:00), so that the responsible nurse can effectively ensure the seamless care of children and the quality care can be effectively guaranteed. Everyone cooperates with each other while completing their own work to ensure the nursing quality of the ward. In addition, in order to improve work efficiency, there is a special dispensing class, which is responsible for preparing drugs at 7: 30 in the morning to ensure that children take drugs in time, and in the afternoon, it is responsible for touching children after dispensing work to promote the recovery of children's brains. There is also a sorting class, which is responsible for the daily management, debugging, cleaning and maintenance of the instrument to ensure its normal use.

2. Each division of the neonatal ward is very clear. All kinds of articles used in the ward are identified by the five-routine method (regular sorting, regular cleaning, regular rectification, regular standardization and regular self-discipline). Every child is equipped with a first aid kit, an injection pump and an ECG monitor for fixed use before going to bed. You are not allowed to move around at will, and you must be disinfected at last after discharge. All instruments are marked with upper limit, lower limit, listing mark, switch mark and operation flow.

3. Advanced equipment and scientific and effective instruments are set up with the sickbed as the center. The bedside is a hanging tower with built-in negative pressure aspirator, oxygen source, compressed air, power supply and other devices. The resuscitation emergency tube is placed in a fixed position on the instrument rack, which is clear at a glance and convenient to use. In addition, there are experienced doctors and nurses in the neonatal ward, who have advanced medical standards, such as the application of curosurf, arterial blood pressure monitoring, umbilical artery and vein intubation, picc and so on.

Second, warm and meticulous nursing service

When CPAP is used, an artificial protective film will be placed between the nose and the stuffy nose to prevent crush injury. The head is covered with absorbent cotton, and the pipeline is fixed with elastic bandage to avoid indentation. When tearing off the adhesive tape on your face, lubricate it with paraffin oil before tearing it off. When taking a bath every day, the skin wrinkles all over the body will be cleaned with paraffin oil, which is very gentle. Film gloves are placed on each incubator. Wear gloves to check children before touching, avoid cross infection, and apply "developmental care" mode to each child to promote their physical and mental development. 1 all have nests to simulate the uterine environment. 2 keep the ward environment quiet and reduce noise. All incubators will have a cartoon cover, mainly to reduce light and external stimuli. 4 Try to reduce unnecessary operations and concentrate necessary operations. Make every child feel comfortable.

Under the leadership of so many excellent teachers, I deeply realized that nurses should not only take injections and take medicine, but also have a sense of love and thinking ability. We should use our mother's heart, scientific brain and dexterous hands to bring safety and comfort to our children and be a good temporary mother. In addition, the replacement room of the department is equipped with related knowledge and nursing videos of various neonatal diseases, and there are medical knowledge pamphlets of various diseases for people to consult for free. A hotline has also been set up for discharged patients, which is responsible for providing all kinds of consulting services 24 hours a day, so that patients can keep in touch with the hospital through the hotline and get professional guidance on medical services at any time.

Third, the integrity and infinite expansibility of the service system.

In children's hospital, many newborn patients who see a doctor in the outpatient department make an appointment, and the discharged newborn directly makes an appointment with the outpatient department before discharge. If a premature baby is discharged from the hospital, he will contact the parents of the child who is preparing to leave the hospital to learn nursing knowledge in the reception room of the department, such as bathing, feeding and changing diapers. Nurses will demonstrate on the spot until their parents fully grasp the baby before they can safely give it to them. This naturally extends the nursing work to the family.

Fourth, standardize training.

During the study period, the teacher's requirements are very strict and the concept of sterility is particularly strong. Be sure to wash your hands before starting work, wear gloves to look after the children before touching them, take off your gloves and wash your hands and close the door. The newly assigned students and senior nurses should be taught by specialized nurses. First of all, they should understand the environment of the ward and the storage places of various items, learn the use and precautions of various equipment, and various nursing techniques applied to clinical work. Only by passing the exam can they be appointed as teaching teachers. Arrange nursing rounds and nursing lectures every month, and study together in the form of slides. There will be nursing questions every Monday morning, and nursing operation will be tested once a month.

Through this study, I feel the rapid development of nursing field now. I am so young and have a lot to learn. In the future work, I will apply what I have learned to our clinic, make contributions to the hospital, contribute to the nursing cause of our hospital, and spare no effort for the well-being of patients. Finally, thank you again for giving me this precious learning opportunity, which made me think more about my life and work. I hope it can penetrate into my mind and give me new ideas in life.

Neonatal Department: Wang Ping

Part III: Model essay on self-evaluation of pediatric nurses.

As an on-the-job nurse in general pediatrics, I gradually realize that I need to accumulate my own nursing experience in my work in order to be handy in my daily nursing work. In fact, nurses, as helpers, have the responsibility to make their own nursing work achieve positive and constructive results and play a therapeutic role, so the nurse-patient relationship becomes a therapeutic relationship.

It is often said that nursing work is hard and tiring, yes, but it will also bring a lot of happiness, and only by personal input can we have a profound experience. In pediatric nursing, every child affects our hearts. Psychological care is very important when you meet older children. As soon as he entered the ward, the newly admitted child began to cry. We try to be good friends with them, gain their trust and let them cooperate with the treatment.

When facing children, no matter from puncture and injection to various drugs, it is very different from adults! The nurse-patient relationship has also changed. Children are the darling of parents, so we will communicate with parents well every time we treat them! Let them rest assured, and they will rest assured!

In pediatrics, it is impossible without excellent puncture technique. "Hit the nail on the head" is more prominent and particularly important in pediatrics, because children are the pride of parents, and hitting children is to hurt their parents' hearts! So we study hard, practice hard, sum up more and explore more, and the truth that "practice makes perfect" is also reflected here. We work hard, learn more, see more and practice more, scalp puncture is easy to succeed at one time, and it is much easier to do pediatric nursing work.

In the course of work, I will strictly abide by the rules and regulations of the hospital and all departments, earnestly perform my duties as a nurse, be strict with myself, respect teachers, unite with colleagues, work hard, love children's cause and think of children wholeheartedly. At the same time, understanding family members and correctly handling the relationship between nurses and patients can do a good job of explanation and comfort. Everything is child-centered, thinking of children everywhere, and not doing anything harmful to children. I love the cause of caring for children from the bottom of my heart, and I will not get tired of tedious work and serve the children wholeheartedly.

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