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Hemodialysis room nurse report speech sample

Blood purification is one of the alternative therapies that patients with chronic uremia rely on to survive. Since such patients have severe physiological and psychological dysfunction, nursing work is difficult and it is necessary to do a good job in hemodialysis patients. For nursing work, nurses must have high-quality nursing concepts and specific nursing skills. I have compiled it for everyone, and you are welcome to read it.

Chapter 1

2012, which has special meaning to me, is about to pass. Looking back at this special year, it seems to be vivid in my mind. In this year's work, I will not be late or leave early, abide by various academic rules and regulations, respect leaders, and unite colleagues. Actively and proactively complete the tasks assigned by leaders at all levels. In addition to successfully completing the further studies of "hemodialysis", he also successfully established a hemodialysis room under the leadership of the department director and head nurse, and successfully carried out and maintained hemodialysis work.

It is said that everything is difficult at the beginning. Since the opening of the hemodialysis room, I have assisted the head nurse in formulating the job responsibilities, work processes, operating specifications, account management and emergency plans of the hemodialysis room, so as to be ahead of the curve. thinking, to ensure that when problems are encountered at work, they can be well documented and solved in a timely manner, so as to ensure that the work of the hemodialysis room is carried out smoothly.

In my work, I adhere to the people-oriented service concept, strengthen service awareness, use friendly and patient language communication to enhance the relationship between nurses and patients, carefully explain dialysis knowledge, provide dietary guidance, and eliminate patients' anxiety. Fear and blindness to the disease enhance patients' confidence in treatment. I also often take the initiative to solicit opinions from patients and constantly improve services. During dialysis patients who were not accompanied by their family members during dialysis, I could take on the responsibilities of their family members, delivering water, hot meals, support, changing clothes, assisting with defecation, etc., and never complained about being dirty or tired.

I have a high sense of responsibility for my job, and I am bold and careful. Hemodialysis work has high risks. As a nursing operator, I have risk awareness and can exert my subjective initiative to control and avoid risks to the maximum extent, thereby improving the quality of nursing care. In addition, I also have a high degree of marketing awareness and a high degree of acumen for the hospital's economic benefits, so as to serve every fixed patient well, retain every consulting patient, promote the hospital's software and hardware, and attract More patients. I actively participated in various out-of-hospital studies, constantly enriched myself, and actively participated in the development of "two new technologies" within the department. Since the opening of the hemodialysis room, 410 hemodialysis units have been completed, including: two new technologies of hemodialysis and filtration 20 units, including 2 hemoperfusion units and 11 heparin-free dialysis units. Throughout the year, there were no nursing safety accidents or mistakes.

As the person in charge of hospital safety in the hemodialysis room, in addition to daily dialysis work, I also need to complete regular maintenance of water machines and dialysis machines, as well as regular inspections of dialysis water, dialysate, and dialysis environment. Supervision work, in the end, I was awarded the title of "Excellent Hospital Infectious Disease Quality Controller"; the hemodialysis room I managed was awarded the honorary title of "Excellent Hospital Infectious Disease Department", and this year ended successfully.

Looking back on all this, this is just a small beginning. I will work wholeheartedly to assist the department director and head nurse to make the hemodialysis room of our hospital more distinctive and stronger.

Chapter 2

20xx, which has special meaning to me, is about to pass. Looking back at this special year, it seems to be vivid in my mind. In this year's work, I will not be late or leave early, abide by various academic rules and regulations, respect leaders, and unite colleagues. Actively and proactively complete the tasks assigned by leaders at all levels. In addition to successfully completing the further studies of "hemodialysis", he also successfully established a hemodialysis room under the leadership of the department director and head nurse, and successfully carried out and maintained hemodialysis work.

During dialysis patients who were not accompanied by their family members during dialysis, I could take on the responsibilities of their family members, delivering water, hot meals, support, changing clothes, assisting with defecation, etc., and never complained about being dirty or tired.

Chapter 3

1 Characteristics of nursing work in the hemodialysis room

1.1 The damage to multi-system functions caused by renal failure in patients with high difficulty in nursing, each system The mutual influence is generally based on blood purification treatment, combined with comprehensive treatment of psychological and dietary treatment, which determines the difficulty of caring for hemodialysis patients and the complexity of nursing work.

1.2 Effective psychological care should be provided to patients. Patients with long-term blood purification have serious psychological disorders. Patients with maintenance blood purification are tightly bound to the machine, 3 times a week, 5 hours each time, for a long time. Time for blood purification and unable to participate in normal life. Patients face many work and life problems and are under various pressures. Due to being troubled and tortured by the disease for a long time, the patient's emotions and will have become fragile, his self-control has declined, and he has various psychological disorders.

1.3 Reasonable dietary guidance Hemodialysis patients often suffer from malnutrition and weight loss. Inadequate dialysis can easily lead to anorexia, fullness, nausea and vomiting. This is caused by the loss of nutrients during dialysis and the inability to replenish them in time. Therefore, it is particularly important to implement reasonable dietary guidance for hemodialysis patients.

2 Basic nursing skills of hemodialysis nurses

2.1 Must have a high sense of responsibility and keen insight. Because the condition of hemodialysis patients is complex, changes rapidly, and has many complications, nurses Must have a high theoretical foundation in nursing and proficient operational skills. 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.

2.2 To improve professional skills, you should understand and be familiar with the structure and working principles of various dialysis machines, memorize the operating procedures, and closely monitor and observe whether the various parameters are within the normal range after starting up. Correctly estimate dry body weight, educate patients on the significance of weight control, and obtain patient cooperation. If the patient's water restriction is not strict and the body weight exceeds 5% during dialysis, the blood pressure changes greatly during dialysis, making it difficult to control the dry weight. It should be avoided that chronic heart failure caused by insufficient dehydration each time and overloading of cardiac capacity will increase the burden on the heart. Use heparin correctly and individualize its dosage to avoid various bleeding caused by improper dosage.

2.3 Establish a good nurse-patient relationship. Necessary communication should be carried out with the patient before and during dialysis, and the patient's psychological and ideological work should be done in a timely manner so that the patient can cooperate well. This is the key to successful dialysis. The important foundation is to help patients and their families manage themselves, master common disease prevention knowledge, and do a good job in health education. Eliminating the anxiety of patients and their families, allowing them to recuperate with peace of mind, and regularly holding cultural and sports activities such as exchange meetings for kidney friends to truly involve patients, are effective measures for patients to improve their quality of life and quality of life.

2.4 Do a good job in dietary management. Determine the daily water intake based on the patient's daily urine output, number of dialysis sessions, dialysis time, blood pressure, edema, etc. A certain amount of protein will be lost during dialysis, so appropriate supplements should be provided and attention should be paid to the high quality of the protein. Provide a certain amount of calories and adjust the diet structure according to blood sodium, potassium, calcium and other ion concentrations. The patient's diet should follow the following principles: 1. Protein requirements: Dietary principles should be relaxed, and the daily protein intake is 1.0 to 1.2g/kg. This nutritional standard is reasonable for maintaining steady-state hemodialysis. But it is not enough to alleviate pre-dialysis malnutrition and post-dialysis infections and gastrointestinal diseases. Additional nutrients such as essential amino acids also need to be supplemented. 2 Calories and requirements: With sufficient caloric intake, the body can effectively utilize protein and maintain adequate nutrient storage. The usual daily requirement is 138.07~144kJ/kg. 3. Supplement vitamins in time, such as vitamin C, vitamin B1, vitamin B6 and folic acid. 4. Water intake: Daily water intake is daily urine output + 500ml.

2.5 Combining artistry and versatility in nursing work. Nurses must have a deep understanding of the major responsibilities they bear. Be highly responsible for your job and be patient, meticulous and thoughtful in your work. The operation is quick and capable, eliminating the occurrence of errors and accidents. At the same time, it is necessary to master various work skills and arts in nursing work, such as the ability to regulate one's own emotions, establish a sense of responsibility for work, understand the psychological changes of patients, eliminate patients' bad psychology in a timely manner, master language communication skills, and increase communication with others. Communication effects between patients and their families, etc. Improve the overall level of nursing care through comprehensive, high-quality nursing skills.

High-quality nursing work in the hemodialysis room depends largely on the nurse's own professional level and nursing skills, and the nurse's nursing skills directly affect the quality of nursing care. This requires us to conscientiously abide by medical ethics standards in our daily lives, continue to learn, summarize, and accumulate, so that our nursing experience can penetrate into our roles and behaviors at all times, so that we can truly become angels in white in the hearts of patients.