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Self-summary and evaluation of emergency department
Emergency department summary 1
In the past 20 years, the hospital has put forward the working concept of "excellent service and developing specialty". Nurses in our department always keep a good mental outlook, stick to their posts, constantly make efforts to rectify according to their own actual situation, adhere to the purpose of taking patients as the center, creating quality services and cultivating specialists, and gradually improve the quality of nursing work. With the guidance of hospital leaders, department directors and the efforts of general nurses, the nursing work plan was successfully completed in the first half of the year. The work is summarized as follows:
First, the annual nursing workload and working standards.
1, workload: emergency person-times. Number of people involved in rescue. Cooperate with emergency surgical cases. Nursing observation of patients. Number of times to deal with emergencies.
2. Work compliance: First-aid articles are in good condition. Qualified rate of sterile goods. Qualified rate of medical record writing. Comprehensive satisfaction of nursing. Qualified rate of nursing technical operation examination
Second, strengthen the service consciousness of nursing staff and provide quality services.
1, strengthen the service concept. General nurses attend quality service training courses organized by the hospital, constantly carry out etiquette and behavior training, standardize common polite expressions and communication expressions in operation, and apply them in practical work. Constantly study and discuss communication skills, cultivate nurses' foresight of disputes, effectively handle various contradictions and differences in their work, establish mutual trust between nurses and patients, realize zero complaints throughout the year, and achieve comprehensive satisfaction of 99% and 1%.
2, people-oriented, fully meet the needs of patients, constantly improve the environment of infusion hall, install TV and other facilities, and provide convenient services such as paper towels, cups and glasses of water at the bedside of unaccompanied patients. Continuously optimize the medical treatment process, timely triage, and take measures such as using emergency priority service card to pay for medicine for critically ill patients to reduce the waiting time for medicine. Improve service quality through environmental health supervision, nursing inspection and health education. Pay attention to illness treatment, basic care, 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 has been praised by patients' families and other patients. Discuss and correct patients' opinions and problems in work, and constantly improve the service image.
Three, scientific and institutionalized nursing management, focusing on the implementation of supervision system.
1, through grouping regional management, continuous grouping and scheduling are carried out, so as to reduce shifts and effectively use human resources. Through dynamic quality control of senior nurses, the work pressure of young nurses is reduced, nursing hidden dangers are reduced, and the nursing quality of each shift is guaranteed.
2, clear quality control division of labor, the specialist is responsible for the management of goods, workflow and other areas, found the problem, timely feedback and discuss the modification, to ensure the quality of care in each area. Effectively implement the performance appraisal system, truthfully feedback the hierarchical ability of personnel, 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. Continuously improve the emergency plan for nursing work, including emergency plan for emergencies.
6. Formulate detailed work guidelines for each region, matters that need to be informed in each region, and matters needing attention for new employees. , systematically guide new recruits and young nurses to better complete nursing work.
Four, emergency professional nurses on-the-job training and continuing education
1. All departments organized business study sessions, medical record discussion sessions and operation training programs throughout the year.
2. In the second quarter, the general practitioners were organized to complete the emergency post skills training as required, and everyone passed the operation assessment, so that the professional skills of general nurses were further improved.
3. The nurses' knowledge of first aid drugs is all qualified within three years after graduation, and the compliance rate is. This year's graduates passed the job skills operation and all reached the standard. Good grades.
4. Basically complete the annual training plan for nurses, arrange nurses to study the care of critically ill patients in ICU, and arrange young nurses to carry out scalp puncture technology in pediatric injection room to improve the technical level of scalp puncture in children. Send many nurses out for short-term study and bring new nursing concepts back to the department. For a whole year, I completed the first aid training for 100 nurses.
5, every quarter, three people, two people cooperate to carry out rescue drills, through drills to continuously strengthen the emergency ability of nurses, and repeatedly strengthen the training of first aid skills.
6. According to the requirements of nursing department for microteaching, train young nurses' proficiency in technical operation and the ability to use first-aid instruments, and ask each group of personnel to use their spare time in class for group case discussion and nursing rounds. The effect is good.
7, formulate emergency post training record book, organize personnel to evaluate the level and ability of department personnel, appoint tutors, and implement one-on-one counseling education. Each person is required to complete a nursing case analysis every quarter to cultivate nurses' critical thinking, improve the quality of nursing staff and ensure the quality of nursing.
Fifth, the teaching work of nursing interns to teach students has been further standardized, and the implementation of small lectures, operation demonstrations, teaching rounds and rescue drills has achieved good results, especially the teaching method of rescue drills has been well received by all interns. This year, I successfully completed the internship teaching task of 1000 person-times.
Six, with the development of medical care, adjust the original office to build a simple intensive care unit, and gradually increase the number of observers. In terms of nursing, we should strengthen the implementation of medical record writing, basic nursing and health education for patients under observation, and arrange personnel to go to ICU for further study on nursing of critically ill patients, waist puncture cooperation, closed thoracic drainage and other pipeline nursing.
Although some achievements have been made in nursing work in the first half of 20 years, there are still some shortcomings, such as the failure to successfully complete nursing research projects and the negative attitude of individual personnel in training. In the process of serving patients, the cold and blunt tone of individual personnel is easy to cause patients' dissatisfaction. In the new year, we will face greater difficulties and challenges, with fierce competition in the medical market and less floating population. We will continue to work hard to further strengthen team building, improve the comprehensive quality of nursing staff, train professional nurses, improve service quality and complete the work plan for the new year.
The second summary of emergency department
How time flies! Several years have passed. In a year's time, under the guidance of the hospital, the head nurse and the director of the department, I studied the theory and thought, carried forward the concept of "patient-centered" clinical service, and carried forward the revolutionary humanitarian spirit of saving lives. My post is good at summing up the experience and lessons in my work, and the medical nursing work is well received by patients at all levels and recognized by the head nurse. The tasks of _ _ year are summarized as follows:
Ideological and moral character, political quality: be able to learn the political theory of the party's line, principles and policies in newspapers, magazines and books; Abide by the law and learn legal knowledge; I love my job, have a strong sense of responsibility, be enterprising, learn professional knowledge from nurses, work correctly, and abide by medical ethics in the process of medical practice.
Professional knowledge and working ability: in line with the pioneering and innovative consciousness of "doing work", I successfully completed my job: I assisted the head nurse in ward management and medical document arrangement, received every patient, treated every patient as a friend and relative, and always thought about the sufferings of others. Medical documents need to be written correctly. Clear-headed: I study the writing standards of departmental documents, write nursing records, intensive care records and rescue records, abide by rules and regulations, and keep in mind the three basics (basic theory, knowledge and skills) (earnest, demanding and rigorous methods). Every nurse in the nursing department should be strict in theory, operation and working standards. It is my duty to do everything possible to alleviate the patient's pain. I hope all patients can recover soon. I will spare no effort to encourage them and help them treat their diseases patiently every time I am in the ward.
Nursing is a noble and sacred cause, and I am proud to be a member of the nursing team.
Emergency department 3 summary
With the support of hospital leaders and department directors, and with the mutual cooperation and support of various departments, I successfully completed this year's nursing tasks, which are summarized as follows:
First, provide quality nursing service for patient care.
Adhere to the patient-centered, patient satisfaction as the core and patient requirements as the goal. First of all, we should give patients humanistic care, think from the needs of patients, and establish the concept of caring for and respecting people. Secondly, with warm, cordial and warm words, understand and sympathize with patients' pain, make patients feel cordial and natural, strengthen communication with patients, explain the occurrence and development of diseases in an easy-to-understand way, introduce in detail the purpose of various examinations, matters needing attention in doctor's advice, carefully observe the changes of illness, and cooperate with doctors to rescue critically ill patients.
Grasp the patient's psychological state, formulate humanized and personalized nursing measures, and even evaluate the nursing effect, so that patients can participate in treatment and nursing, eliminate tension and anxiety, and make patients feel safe and satisfied. As long as we persist in taking patients as the center, patient satisfaction as the core and patient needs as the goal, we can provide high-quality personalized services, and patient satisfaction is the core of hospital work. The improvement of patient satisfaction is essentially the honest relationship between patients and hospitals. As long as patients are satisfied, patients can become loyal customers of hospitals.
Second, to ensure nursing safety
1, strengthen system and responsibility education
Reaffirm the responsibilities of nursing staff at all levels, clarify the post responsibility system and nursing work system, and all nurses should perform their duties to prevent patients from changing infusion bottles and pulling out needles themselves.
2. Strengthen learning safety management.
Organize sisters in departments to carry out legal awareness education, improve their awareness and ability to prevent risks, designate nurses with clinical experience, strong sense of responsibility and qualifications as teaching teachers, and cultivate their communication skills and clinical operation skills.
3. Improve the nursing risk plan.
Pay attention to cultivating nurses' emergency ability in their usual work; Improve the risk plan of nursing emergencies, evaluate each emergency work retrospectively, draw lessons from it, and improve the ability of nurses to deal with emergencies.
Third, strengthen nursing quality control.
1, redesignate feasible quality control rules for inspection and assessment, carry out key quality inspection regularly or irregularly, conduct random inspection on the problems found out, give feedback to the quality inspection of nursing department, conduct comprehensive analysis, find out the reasons, analyze the reasons for deficiencies and make timely rectification, check the implementation of rectification, and strengthen the service awareness and quality awareness of nursing staff.
2, constantly modify and improve all kinds of nursing quality standards, and implement all kinds of nursing work according to the standards.
Fourth, the existing problems
1, ward management is not satisfactory, there are many new nurses and lack of experience.
2, due to the shortage of nursing staff, the basic nursing department is not in place, such as first-class nursing patients can not get the service of first-class nurses, which is second only to daily work.
The nursing work in the past year has received the attention, support and help of the hospital leaders, and the construction of professional ethics has made some achievements, but there are also shortcomings, which need to be further improved in the future work.
Emergency department summary 4
In the main theme of the hospital "_", the New Year comes as scheduled. As one of the professional and technical industries, how to find a correct position in opportunities and challenges, avoid passive waiting, take the road of professional construction, and make the "patient-centered" service specific to every detail of nursing behavior is the top priority of hospital nursing work. In order to make the nursing work clear, the following work plan is formulated.
Put the nursing work of "comfortable ward" in place: keep the ward clean and quiet at all times, take the patient as the center and try to meet the needs of patients.
Every nursing staff should have a high sense of responsibility, be patient, patrol wards more, care for and comfort patients, do proper health education for patients, try to meet the needs of patients' lives, and take concrete measures to do discharge education for discharged patients.
Carry out nursing rounds every morning, do morning care for patients, patiently explain patients' various problems and ask patients' basic situation, implement responsibility nursing, implement all basic nursing and psychological nursing for patients in each bed, and do all kinds of health education and in-hospital nursing;
"Comfortable nursing" deepens the connotation of holistic nursing and truly achieves comfortable service. Nurses treat every patient with the five-heart connotation of "enthusiasm, care, carefulness, patience and public welfare", make patients feel comfortable physically and mentally with superb technology and high-quality service, constantly strengthen the construction of emergency nursing stations and improve nurses' emergency ability.
1, deepen the first aid consciousness and group consciousness of nursing staff, regularly carry out planned and organized business target training, and train qualified emergency nurses.
2, constantly establish and improve the rules and regulations of the emergency department, strengthen the study of personnel health administrative laws and regulations, and enhance the legal awareness of personnel.
3. Promote the standardized management of first aid work to improve the success rate of rescue.
Pay attention to the combination of "three basics" training and clinical practice to improve the professional quality of personnel.
1, familiar with the judgment of common diseases, rescue process and nursing points, and regular assessment.
2, master the rescue skills of cardiopulmonary resuscitation.
3, skilled wound treatment and bandage hemostasis technology and psychological care of the wounded.
Proficient in first aid, such as vomiting, enema, injection, oxygen supply and a series of operating techniques and disease monitoring, requiring accurate and timely arrival.
First, strictly manage the emergency room and disposal room to strive for valuable rescue opportunities for patients.
1, master the use of various instruments and ensure their good performance and ready use.
2, all kinds of rescue drugs, equipment by the specialist is responsible for, regular inspection, fixed-point placement, regular disinfection, maintenance of drug stores and cards, strict management of first aid medicine box, to ensure the normal use of first aid outside the hospital.
3. Clean, supplement and record all kinds of first-aid drugs in time after use, and keep them clean and tidy.
Second, strictly implement various work standards to ensure the safety and effectiveness of nursing work and the full implementation of overall nursing work.
1. Strictly implement the system of "three inspections and seven pairs" to prevent errors and accidents.
2. Strictly implement the operating principles and nursing procedures of aseptic technology, carry out holistic nursing with the goal of improving or restoring patients' health, care for patients in physiology, psychology and life, and implement humanized service.
3. Strictly implement the sixteen core systems.
I. Guiding ideology
Under the correct leadership of the superior, under the guidance of the great spirit of the party, with the goal of doing a good job in the new rural cooperative medical system and medical insurance for urban residents, with the aim of maintaining health, caring for life and serving the people wholeheartedly, we have taken solid steps to build our department into a department with people's trust, hospitals' peace of mind, noble medical ethics and superb medical skills.
Second, the main measures
1, medical quality
On the basis of consolidating the achievements of emergency management activities in the previous two years, combined with the review and rectification work of grade hospitals, we will pay close attention to the connotation construction around "quality, safety, service and price". It is necessary to further strengthen the construction of first aid professional team, learn the knowledge of first aid medicine, understand the importance of first aid in the current society, and steadily enter the first aid team. Improve the "green channel" for emergency, admission and operation, so that emergency services are timely, safe, convenient and effective. Improve the 24-hour emergency service catalogue, emergency work flow and management documents, and standardize all kinds of support system services.
Coordinate the cooperation of clinical departments in emergency work. There are procedures for classified management of a large number of patients. On the basis of emergency observation, patients can be safely admitted to hospital after being diagnosed clearly and their condition is stable within 24 hours. Strengthen the first-aid guidance of superior doctors, strengthen the third-level consultation, and strengthen cooperation with other specialties, so that the success rate of emergency rescue of critically ill patients can be improved to over 98%.
2. Quality management
Grasp the "three basics and three strictness", strengthen special training such as medical history inquiry and standardized physical examination, standardized writing of large medical records, and rational use of antibiotics. Conscientiously implement the responsibility system for the first diagnosis, the shift system, the rescue system for critically ill patients, and the responsibilities of all kinds of personnel at all levels, and give priority to the diagnosis and treatment procedures according to the condition. Strengthen the evaluation of surgical medical records, focus on the contents related to medical quality and patient safety, improve the quality control system of regular inspection, evaluation, feedback and summary, adhere to weekly inspection and monthly inspection, focus on monitoring link management, difficult medical records discussion, and third-level doctors' rounds to deal with the changes in the condition, so as to promote the continuous improvement and improvement of basic quality.
3. Equipment management
It is necessary to strengthen the regular maintenance, monitoring and special management of emergency equipment, and troubleshoot in time when problems are found, so that the intact rate of rescue equipment can reach 100%. Strengthen standardized use training, so that medical staff can master and use it correctly, ensure safe operation and meet the first-aid needs of patients. Strict nosocomial infection. Strengthen the training of cardiopulmonary resuscitation skills, so that cardiopulmonary resuscitation skills can reach an advanced level.
4. Service attitude
We should pay attention to quality service. Adhere to the patient-centered, carry out in-depth activities to create a "quality service demonstration post", standardize service behavior, innovate service content, pay attention to service skills, implement the system of doctor-patient communication and informed notification, properly handle all kinds of disputes in time, analyze and summarize regularly, strengthen safety measures, and prevent medical accidents. Extend the service scope, ensure the service quality, comprehensively improve the medical service level, improve the patient satisfaction rate, and build a harmonious doctor-patient relationship.
5. Training plan
It is necessary to formulate training and assessment plans for all kinds of personnel at all levels, increase on-the-job training, and carry out continuing education projects of Chinese medicine in a planned way. Strengthen the assessment of the training effect of doctors at all levels. Take various forms to train all employees in professional quality, professional quality and management quality in a hierarchical and focused manner, and strengthen their sense of professional responsibility. In _ With the support of the hospital, I hope to send doctors and nurses to higher-level hospitals to study cardiovascular medicine, neurology, icu or ccu and other related majors, so as to better carry out business. At the same time, establish a number of advanced models of medical ethics and promote the all-round development of talents.
6. Construction of TCM characteristics
It is necessary to implement the policy of "taking Chinese medicine as the body and western medicine as the use", highlight advantages and objectives, and strengthen the construction of Chinese medicine characteristics. Formulate the training plan of TCM theory and technology for TCM practitioners and personnel of integrated traditional Chinese and western medicine, and increase the training and continuing education of basic knowledge of TCM.
According to the requirements of the construction of emergency department in the Second Hospital of Traditional Chinese Medicine, it is necessary to have the diagnosis and treatment norms of common diseases and characteristic diseases and the operating rules of characteristic technologies, so that the normative documents of undergraduates are equivalent to three kinds. Improve the utilization rate of Chinese medicine in emergency treatment, emergency medical professionals master the knowledge and skills of Chinese and Western medicine, improve the utilization rate of Chinese medicine in critical cases, and make the participation rate of Chinese medicine reach more than x%.
7. Promote the reform of medical insurance.
We should do a good job in the steady progress of medical insurance reform and make all aspects of the new rural cooperative medical system more detailed. At the same time, carry out targeted publicity for special groups, improve service quality and level, and strive to create a win-win situation for the benefit of the people and the development of medical care.
8. Key research topics
This year, we should focus on the study of multiple organ dysfunction syndrome, resuscitation and cardiovascular emergency, infection and rational use of antibiotics, noninvasive and invasive positive pressure ventilation, severe trauma and shock, acute respiratory distress syndrome, disseminated intravascular coagulation and other topics, so as to raise the emergency level of the emergency department in our hospital to a higher level.
9. Pre-hospital first aid
Increase pre-hospital first aid facilities, strengthen pre-hospital first aid knowledge and skills training, and improve the level of pre-hospital first aid. Such as on-board ECG monitoring defibrillators, ventilators, etc.
Emergency department summary 5
Last August, I was lucky enough to be assigned to the emergency department, which greatly helped me grow up during my one-year work in the emergency department. Here are some of my feelings at work. Everyone knows what the emergency room is for. Race against time, fight against death. The patient's condition is heavier, more complicated and changing rapidly. When I was first assigned to the emergency room, I often stood there like a log, and the teachers were all in contact with male colleagues for the first time. This state is also very subtle, but through the patient and meticulous teaching of teachers and my humble study, I quickly mastered the first aid skills of some common diseases.
I remember that the doctor on duty in our emergency room was a slim woman who just entered the department at noon. 120 sent a broad-bodied patient. When she arrived, her breathing and heartbeat stopped, and she needed immediate rescue. But the most difficult problem before us is not rescue, but how to move the patient to bed. At this time, the advantages of our male colleagues are obvious. However, when doing chest compressions, the problem is also in front of us. The female doctor's pressing is essentially ineffective for such a wide and fat patient. I have only seen the rescue skills of chest compression before, and I have no actual combat experience at all. I'm not allowed to think too much at this time. While thinking about the steps in the book, I carried out rescue. With such confidence, through our joint efforts, the patient was finally rescued successfully.
When washing their hands, the teachers said, "It's a good thing that our little Liu is here today, otherwise we can't save him today. Our little Liu's movements are very standard." For a male colleague, I think this is the best affirmation of my career, and it also makes me more confident in myself. I want to say to the male colleagues sitting here that we should not only master solid theoretical knowledge in our work, but also have confidence in doing better nursing work! At work, I have been affirmed by teachers. For patients and their families, I can get their affirmation, which is not something I can do casually: many patients and their families look at me with one word when I first started working: strange, three words: strange, as if I saw a "devil", haha! However, these feelings change every day in my work: once a person was sent from 120, and the rehydration was ready. When I wanted to give this patient a venipuncture, the man looked at my badge and said, "Ah! Male nurse, Wu Laisai! Wuleser! Let your teacher come. I've never seen a male nurse. Men are not as careful as women ... There is a male nurse in Ruijin Hospital ... ". I can't leave silently for the sake of patients like the noodle team. I want to find that confidence. Through my persuasion, I finally agreed to give him a venipuncture. When I carefully exhausted the gas for him, eliminated the poison and succeeded in hitting the nail on the head, he said, "Ah! It's over. Not bad. It doesn't hurt at all. This is much better than a little girl's skill and care ... ".
Finally, I also replied to this gentleman: "Yes, this is our Ruijin Hospital! Male nurse of Ruijin Hospital! " . This gentleman can't help sticking out his thumb! Just when I was transferred to the infusion room, I was about to give a middle-aged female patient intravenous infusion. The patient said, "Let your master come, that man can't …". Neither I nor my teacher persuaded her. About four days later, after I gave a patient a venipuncture, suddenly a middle-aged female patient took my arm and said, "Little brother, do you still remember me?" I didn't ask you to give me an injection the other day. I'm sorry, I've observed that you had a good injection these days. I apologize for the injection. Today is my last injection. " Occasionally I meet some people who greet me on the road. "You are not a male nurse in Ruijin Hospital? Remember me? Last time, you changed the medicine for my dad's bedsore. You are the most careful one to change medicine. " "The last time my mother was ill, you helped my mother get an intravenous drip. No one else got it, thank you. " Hearing this, I think it is not only a compliment, but also a spur. Male nurses are a new force in nursing, and perhaps a small step can bring a big leap to nursing. As the only teacher Zhu said: As a nurse, you must be careful, patient, caring, open-minded, bold and cautious, do your own job well according to the routine of medical care, and you will certainly become a qualified nurse and realize your career ideal.
At this time last year, I was a new employee, and now the newcomer has changed to the old one. Last year, the three of us were like a boat, but now, I see many male colleagues like us sitting below. I once read an article saying, "A wise man once asked his disciples: How can a drop of water not dry up? Disciple shook his head, and the wise man said, "Get into the sea. ".Yes, a person's strength is limited. He can't go far and fly far, just like a small canal. If it doesn't flow into the river, it will never surge. Therefore, we gay men should unite, play our collective role, contribute to our Ruijin Hospital, and contribute our meager strength. "The past has passed, but the future can be traced back. "In the new year, I look forward to walking with you all the way, sharing the most joy and the least pain.
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