Experiences and insights of emergency nurses

Work in the hospital is always hard. It not only requires sufficient knowledge reserves, but also rich practical experience. In emergency work, we will always encounter emergencies, which requires us to Use theoretical and practical experience to deal with it calmly. The following is the "Experiences and Insights of Emergency Nurses" compiled by me for everyone. It is for reference only. You are welcome to read it. The experience and insights of an emergency nurse

In June XX, I came to the emergency department with an uneasy mood, because I didn’t have much work experience when I just entered the hospital, and I was used to the single-service obstetrics and gynecology department. I was unfamiliar with the working environment and procedures, a lot of first aid knowledge, first aid techniques and first aid equipment. I was afraid that it would be difficult for me to take on the responsibility of an emergency department nurse. However, with the patient guidance and help of the head nurse and other sisters, I gradually adapted to and I have been integrated into this urgent, busy and complicated work environment. From the first time I inserted a gastric tube into a patient, my hands were still shaking, to when I was on duty to independently rescue critically ill patients. I saw my growth and progress. Time is like water. Walking quietly amidst the sound of fireworks and firecrackers, I have to carefully summarize my successful experience and failed lessons in the past year. I will continue to carry forward the good aspects and work hard to improve the shortcomings to meet the challenges of the new year. The following is a summary of my work:

In the past year, I feel that the main things I have done well are the following:

First of all, in terms of work style, I consciously abide by Follow the rules and regulations of the hospital and department, obey management, go to and from get off work on time, have a harmonious relationship with colleagues, live in harmony, and work together to ensure the smooth completion of work. Secondly, in terms of nursing work, I serve patients wholeheartedly and everything is patient-centered. I remember Nightingale said: Nursing work requires not only superb technology, but also art.

At work, I learned how to observe. Only through careful observation can I be good at discovering the existence of problems, including observing the patient's condition, psychology, needs and family members. For example: Some family members of patients are picky about the behavior of nurses, but they have no idea that their patients have finished transfusion of fluids. For family members like this, we should patiently remind them every time the fluid is replaced where the nurse should be called when the fluid is transfused. At the same time, we should also patrol the ward on time and observe the progress of the liquid. This can largely avoid conflicts with the patient's family members because the liquid is not replaced in time. At work, I also learned to communicate. Mutual respect and trust between people are based on communication.

For patients who come to the emergency department, we should proactively ask and guide them enthusiastically. For example: for patients with limited mobility, we can support or assist them in transporting them to the clinic on a cart to measure their vital signs. For patients who need to be examined, we can carefully indicate where they need to go to avoid patients running " Wrong way." For patients who have been ill for a long time but are not critical, we can recommend that they go to the outpatient clinic for medical treatment, and patiently and carefully inform them of the location of the outpatient clinic and the time of medical treatment, so as to facilitate the patient's arrangements.

Although a smiling expression or a supporting movement cannot solve the patient's physical pain, it can quickly shorten the distance between nurse and patient, effectively meet the patient's psychological needs of being taken care of, and also reduce the patient's pain. They and their family members are left with the illusion of "not being taken seriously" and "the emergency is not urgent" to ensure the smooth progress of their work. Finally, in terms of professional level, I passed theoretical and operational examinations and continuously improved my level. But I still have many shortcomings in my work. I feel that my work lacks flexibility and integrity, especially when rescuing patients. This requires me to continue to accumulate experience in future work. I also need to strengthen my theoretical knowledge and keep in mind the dose effects and adverse reactions of commonly used rescue drugs. I should also improve my technical skills, such as the use of pediatric scalp acupuncture and various rescue instruments.

Today I am sitting at the table writing this summary. Looking back on the work and life in the emergency department in the past few months, I can’t help but feel a lot of emotion. I was happy for getting a scalp needle, and I was happy for the patients and patients. The family members have been satisfied with a thank you, they have complained about not being able to get off work on time, and they have been sad and shed tears because of the incomprehension of patients and their families. However, whether it is the joy of success or the pain of failure, xx has come to an end. , has also become a memory, and each of us should start with a new self. The experience and insights of emergency nurses 2

Half of the clinical internship has passed, and I have been working in the inpatient ward. I longed to see the emergency scene. This time I came to the emergency department, and I finally got my wish. Of course, I am also frightened in my heart, worried that my knowledge is not comprehensive and I will not be able to deal with emergencies.

Sure enough, I encountered CPR on the first day I came to the department. I was dumbfounded when I saw the teachers busy, quick and cooperative. Looking at the instruments around me, I only know their names but don't know how to use them. I can only mechanically follow the teacher's instructions and do some chores. After several rounds of chest compressions, the doctor also asked me to go on stage for compressions. This was my first time performing compressions on a real person. Although I was a little timid at the time, I did not dare to neglect it at all and was focused on saving lives. I looked at the patient's face while pressing, hoping that he would wake up, but the data on the ECG monitor reminded everyone that the patient was gone...

Emergency care is to save the patient's life and take care of him. The front line for critically ill patients. After experiencing this, I deeply realized the artistry and professionalism of nursing work. During my internship in the emergency department, through the enthusiastic guidance of teachers and patient words and deeds, I became familiar with emergency drugs, learned ECG monitoring, CPR, automatic gastric lavage, defibrillator, ventilator usage procedures, intravenous infusion, skin test, Intramuscular injection and other nursing operations.

In this extremely short four-week period, my biggest experience is the characteristics of emergency room nursing work: urgent, busy, and complicated. The onset of emergency patients is urgent and changes quickly. Therefore, we all must race against time, deal with it quickly, and strive for rescue time. The time, number and criticality of emergency patients are unpredictable, highly random and less controllable. Therefore, it is necessary to have both division of labor and cooperation to keep the work busy but not chaotic.

The four weeks since I came to the emergency room have been too short. I have just become familiar with the environment and structure of the emergency room, and I am about to leave the work responsibilities of each class. I really can’t bear to leave!

In short, I would like to thank my teacher for his careful guidance and the head nurse for his reasonable arrangements. I will use a more proactive work attitude, more solid operational skills, and richer theoretical knowledge to enter all subsequent departments, improve my clinical nursing capabilities, and be dedicated to the nursing cause! Three experiences and insights from emergency nurses

I used to like watching stories about emergency departments in movies and TV shows. I felt that the doctors and nurses in the stories were so decisive, capable and charming, which made me envious. Unexpectedly, many years later, when I grew up and graduated from college, I would be lucky enough to become an emergency department nurse. From being in a hurry at the beginning to gradually finding a routine, I truly realized how easy it is to be a good emergency department nurse!

The emergency department is one of the most important windows in the hospital. The hospital I am located in is one of the top comprehensive tertiary-level hospitals in the province. It not only treats normal emergency and severe patients, but also treats patients from other counties. Critically ill patients who are transferred to hospital are characterized by urgency, busyness and complexity. Faced with the first diagnosis and rescue of critical and emergency patients, emergency patients often have unclear diagnoses, unclear conditions, and rapid changes. If not handled properly, medical disputes may easily occur. Patients and their families are prone to feelings of impatience, worry, and fear. The emergency room is different from the ward. Medical staff have sufficient time to communicate with patients and their families, understand the patient's needs in a timely manner, and establish a good nurse-patient relationship. In the emergency department, patients and their families have not yet established a good sense of trust within a short period of contact with medical staff. They are very sensitive to every detail of medical staff. The words and deeds of medical staff will have a great impact on the patient's psychology. . As a result, the treatment behavior of medical staff is not understood, and patients and their families are left with the illusion that they are "not taken seriously" and that "emergency care is not urgent."

Mobilization of the whole hospital for study. The hospital held a mobilization meeting for cadres of the whole hospital, and the department held a general mobilization meeting, calling on every employee to carry forward the spirit of hard work and dedication, and consciously participate in the "Top 3A re-evaluation" standard activities. The whole hospital quickly set off a climax of standard meeting activities. Scientifically decompose responsibilities. Under the premise of a deep understanding of the standards, the director and head nurse led the backbone of our department and the department formulated practical plans and measures to meet the standards. Establish working groups in each department to clarify tasks and assign responsibilities to people. Focusing on strengthening basic management, quality management, medical safety, three basic training, improving doctor-patient relationship, and improving service quality, we will compare standards one by one and strictly implement them. For those parts that have reached the standard, it is required to maintain normal operation, especially the core system of medical quality management, job responsibilities of various personnel at all levels, diagnosis and treatment operating procedures, medical ethics standards, etc., so as to make unremitting efforts to form an inertial operation; the standard should be reached but not yet For the improved parts, we will carefully check for deficiencies and fill them up, implement rectification measures in a timely manner, and strive to achieve excellence in standards; for difficult indicators, we will report them to hospital leaders in a timely manner, actively create conditions, formulate practical plans, gradually improve and improve, and ensure that standards are fully met before re-evaluation. .

We are facing new hospital grade accreditation standards. Compared with the past, no matter in terms of standard formulation, project design, connotation quality, and professional requirements, they are not only more stringent, but also more scientific and practical, and the form is stricter. Finished. However, the "Top Three" review will play a huge role in promoting the development of our hospital and have far-reaching historical impact. The tertiary office held multiple meetings with various types of personnel at all levels to study and deploy the preparations for meeting the tertiary standards. My emergency department liaison officer actively coordinates, compares standards, looks for gaps, formulates plans, mobilizes the power of the whole hospital, and tries his best to solve the problem, and strives for every 0.1 point. All the static data contained a lot of content, and it took several years to prepare the data, and the specifications were constantly revised and time was tight. The medical staff in our department worked overtime day and night, and no one complained, which gave full play to the strong team strength of the department. Ensured that all rectification work was completed smoothly and on time. After passing the first pre-examination, the whole hospital entered the countdown to the "Top Three" inspection. The experts' rigorous work attitude, the depth of systematic thinking on the problem, and the targeted guidance they provided to our department made general medical staff feel the pressure.

For every question raised by the experts during the pre-trial, we drew inferences from one example, sorted out and digested it, came up with solutions, identified responsible persons, set a time limit for completion, and tried our best to do the job perfectly. We worked hard for a month with the spirit of "no distinction between day and night". We actively carried out business studies until 10 o'clock every night. We all came to class during the break. Those on duty ensured the normal order of emergency work, did not shirk patients, and ensured normal medical visits. , normal rescue and hospitalization. Through the hard work of all the medical staff in our department, when the expert group conducted on-site assessments of our department, our medical staff performed very well, with accurate operation specifications and fluent answer questions, and successfully passed the assessments of each expert group. I don’t know how much hard work and sweat of the comrades are behind these achievements. It is precisely because of these comrades who work selflessly that we have the foundation for a long-lasting career. It is precisely because of this spirit of unity and hard work that we have the morale of the hospital's long-term stability. This is the most precious wealth and powerful spiritual power accumulated by the hospital after being forged by the "Top 3A Review". Regularly hold internal medical quality and safety meetings to promptly discover adverse medical safety events in the department, summarize experiences and lessons, focus on prevention, and nip risks in the bud.

Finally, after the hard work in the previous stage, we successfully passed the tertiary review. This achievement was hard-won. The spirit and righteousness of working hard, working hard, regardless of gains and losses, and going all out, and at the same time summarizing the work experience of comparing standards, conscientiously rectifying, identifying deficiencies, and standardizing management, so as to continue to carry forward in future work and promote the development of various tasks.

I hope our emergency department will grow stronger and stronger.