After working as a nurse, as a nurse, you must know how to write the experience of nursing work. Nurses struggle in front of the hospital bed, take care of patients, listen to patients, care for patients, dedicate their youth and give patients strength. The following is my experience as a surgical nurse. I hope you like it.
Working experience of surgical nurses 1
Over the past year, under the correct leadership of the Party Committee and the president of the hospital and with the joint efforts of all colleagues in the department, the general surgery department has basically completed all the tasks of the hospital, and its net income ranks among the best (fourth) in the hospital. No major medical accidents occurred, and many works were well received by the hospital. Comrades are not afraid of difficulties, bravely shoulder heavy burdens and work hard.
20__ years passed in a busy and imperceptible way. Over the past year, under the correct leadership of the Party Committee and the president of the hospital and with the joint efforts of all colleagues in the department, the general surgery department has basically completed all the tasks of the hospital, and its net income ranks among the best (fourth) in the hospital. No major medical accidents occurred, and many works were well received by the hospital. Comrades are not afraid of difficulties in their work, bravely shoulder heavy burdens, work hard and dare to innovate, and have made certain achievements in medical care, scientific research and teaching. Of course, there are also shortcomings. Here, we want to make a summary of the work in the past year, so as to do better in the future. Please correct me, Party Committee and comrades.
First, political and ideological aspects.
Adhere to the leadership of the * * * production party, adhere to the socialist road, seriously study the important theoretical thought of Deng Xiaoping Theory and Jiang Zemin "Theory of Three Represents" and the spirit of the 17th National Congress, and further improve the level of political thought. Conscientiously implement the "four disciplines and eight requirements" proposed by the Central Commission for Discipline Inspection and the "five prohibitions and five regulations" formulated by the Health Bureau. Carry out regular warning education on professional ethics, law-abiding and honesty. Strengthen the construction of professional ethics and implement a prevention and punishment system that pays equal attention to education, system and supervision. In the work, always adhere to the patient as the center, quality as the core, treat patients as relatives, and serve patients wholeheartedly. Establish the concept of practicing medicine in good faith and taking patients as the center, all general practitioners consciously resist unhealthy trends, conscientiously implement democratic centralism, hold scientific affairs meetings on time, and strengthen employees' democratic participation in department management. The main work is as follows.
1, effectively solve the problem of expensive medical treatment: it is the responsibility and obligation of every doctor to reduce medical expenses, reduce the economic burden of patients and use drugs rationally. By strengthening the management of departments, the proportion of drugs decreased obviously, which had a great impact in our hospital, which really benefited patients and reduced their economic burden. Compared with last year, the proportion of drugs continued to decline, and now it has reached 37.8%, which is lower than the proportion of 40% in hospitals. Strict implementation of "one-day settlement" system has increased the transparency of medical expenses.
2. Strengthen the service concept of patient-centered and quality-centered: To do this, we must work hard to improve the level of medical technology and service attitude, work sincerely and earnestly, exchange ideas carefully and patiently, make friends with patients, and make positive publicity for us with patients' mouths. The patient information feedback system is adopted to communicate with discharged patients in time, so that the number of patients coming here to see a doctor is gradually increasing. In the current increasingly fierce competition in the medical market, it is necessary to strengthen situational education for department members, enhance employees' awareness of crisis, competition and responsibility, and establish a new concept of facing the society, patients, actively looking for markets and patients. Put all the patient-centered ideas through the whole process of all the work in the department. Stimulate the positive spirit of department members and enhance the cohesion of the department. Cultivate the spirit of departments and establish the overall image of medical workers, that is, the image of angels in white with first-class service, exquisite technology, dedication and civilized service.
3. Rational drug use, reasonable fees, and effectively reduce the economic burden of patients: Rational drug use is not only manifested in symptomatic drug use, but also in rational drug use. We should not only strengthen the study of all kinds of knowledge about drugs, especially the study of side effects, but also communicate with pharmaceutical experts frequently to truly use drugs rationally. Under the premise of not affecting the treatment effect of patients, careful calculation and obtaining the best medical service at the least cost are also the direction of our general surgery efforts. Strictly implement the one-day settlement system, patiently and meticulously explain the problems raised by patients, so that patients can clearly see the doctor and clearly spend money.
4. Opening the website of general surgery of the Fourth People's Hospital of Changsha: In order to increase the transparency of the department, our department established the website of general surgery of the Fourth People's Hospital of Changsha at its own expense, which was widely publicized, so that patients had already known about the department and their own diseases before coming to the hospital, and achieved certain results.
5. In the form of all departments, strengthen the management of departments, manage departments with various systems, and strengthen the implementation of the three-level rounds system. The implementation of all systems has been recorded, and good results have been achieved in the review of the Director's Manual.
Second, the commercial aspect.
There are many emergencies in general surgery, and the turnover is fast. The utilization rate of hospital beds was 86.72%, slightly higher than last year. Compared with last year, the number of people discharged from hospital this year was 852, and last year was 885, which was 33 times less than last year. The reason is related to the separation of the two glands and the shunt of patients. Business income was the same as last year, with gross income ranking ninth in the hospital (557 1 153 yuan this year and 4,835,376 yuan last year, an increase of 15.22% over last year) and net income ranking sixth (this year1954,266 yuan, last year/kloc-). The benefit (balance) ranks sixth. The proportion of drugs decreased from 38.8% last year to 37.8%, which was lower than the 40% proportion stipulated by the hospital. Average length of stay 10.55 days, 0.63 days more than last year. Basically complete the indicators issued by the hospital. Actively carry out business learning, and the pass rate of the three basic training assessment reaches 100%. 96% patients were satisfied with the service of medical staff. Departments and teams strengthen the management of medical quality, so that the coincidence rate of admission and discharge, the coincidence rate of diagnosis before and after operation, the rate of Grade A medical records and the qualified rate of basic nursing are all indicators issued by the hospital. Put an end to the occurrence of medical accidents, the incidence rate is 0. Major rescues were completed in 4 cases (multiple rupture of small intestine, urethral rupture, cervical fracture 1 case, spleen rupture 1 case, hemorrhagic shock, rib fracture and left fibula fracture), and the rescue success rate of critically ill patients reached 100%. Actively carry out quality and cost control of single diseases. The utilization rate of component transfusion is 100%.
Experience of surgical nurses II.
Starting from July, I began to rotate from the first department of surgery. Through more than one month's work, I have a deeper understanding of nursing work.
First, the concern and support of leaders and teachers is the key to lay a good foundation for my work.
From accepting my report to the hospital to arranging my work, the leaders of the hospital and nursing department gave me great concern and took turns in another department. The director of the department, the head nurse and the teachers have given the greatest support at work and the greatest care in life, and the teaching teachers have given me a lot of guidance and help in nursing work. I met many thorny problems and difficulties in my work. The teachers of the first foreign language department gave me guidance, helped me find and analyze the existing problems, put forward guiding opinions, encouraged and cared for me, and increased my confidence in doing a good job, so that I could find a breakthrough in my work in a short time and straighten out the work of the department in time.
Second, continuous learning and improvement is the basis of doing a good job in nursing.
During one year's internship and more than one month's nursing work, I realized that as a nurse, I should not only be familiar with my own work, but also constantly strengthen my study, including learning professional knowledge, communicating with patients, cooperating with colleagues and adjusting my family life. In mid-August, the nursing department first arranged for us to carry out pre-job education and operation demonstration drills, which further improved my understanding of nursing work, enriched my theoretical knowledge and greatly improved my practical operation ability. I made full use of this rotation in another department, and another department received patients with tumor burns in general surgery. On the one hand, I strengthened the study of relevant disease knowledge, on the other hand, I never missed any opportunity to learn the working experience of head nurses and teachers and manage the patients I was in charge of. When there is a problem, reorganize the work in time, find the problem, find the gap, improve the working ability, communication ability and operation ability in a very short time, and strive for perfection in the work.
Third, firm confidence and courage are the driving force to do a good job in nursing.
I always face the work of the department with full enthusiasm and determination to overcome difficulties. Even in the most difficult times, I never give up. Especially when I first arrived in another department, because there are many patients in the department and I am not familiar with the environment of the department, it takes some time to adapt and adjust. At this stage, I don't know how to do this job better, and I feel that there is no breakthrough between the roles of rotation students and nurses. Teacher Fan of the department said to me earnestly, "You should start to play the role of a nurse, try to communicate with doctors and nurses, and start to integrate into our department. In fact, you have put it down. " After listening to Teacher Fan's words, I found that the teachers and doctors in the department are actually very concerned about me. From then on, I began to try to communicate with teachers and doctors. When I ask them what they don't understand or have questions, they will give me patient and meticulous answers. Teachers and doctors will also point out what I did wrong or did badly, so that I won't make such mistakes again next time and do things better. Now I have more and more communication with patients. The patients I manage are very appreciative of my work, trust me and give fruit to eat from time to time. I refused in a friendly way. Handover records have gradually begun to be written independently. In fact, this also verified an old saying of China: "Everything is difficult at the beginning". The hardest part is actually in the beginning When you dare to take the first step to try, then the next thing will be solved.
In the more than one month since I came to work in the Foreign Affairs Department, my work experience and my life have been greatly improved. These are inseparable from the help of department leaders and teachers, who ignited my love for this profession and made me understand how proud and proud I am as a nursing staff!
Working experience of surgical nurses 3
In a blink of an eye, more than a month's surgical internship life is over. During my surgical practice, I have a comprehensive understanding of external nursing work and mastered common surgical nursing techniques.
In surgical practice, strictly abide by the department system, attend nursing rounds on time, and be familiar with the patient's condition. Be able to correctly answer the questions raised by teachers, standardize and skillfully implement basic nursing operations and specialist nursing operations, accurately implement doctor's orders, strictly implement three checks and seven pairs, and complete the handover records in time.
Under the guidance of the teacher, we can do a good job in preoperative preparation and guidance, complete postoperative care and observation, and complete the learning tasks assigned by the surgical teacher.
Can seriously analyze and solve the invention problems in time at work, and be skilled in nursing operation. For the acute, dangerous, old and serious patients in the department, they can be agile and familiar with the condition and respond.
When you encounter the operation and doctor's advice that you don't understand, you should actively and humbly ask the teacher to answer questions, then carefully compare the contents of the book after work, try to integrate the theoretical knowledge and basic skills you have learned, and constantly sum up your learning methods and clinical experience.
Through study, my theoretical level and practical level have been improved. In the future work, I will continue to work hard, keep in mind the responsibilities of nurses, constantly strengthen ideological and professional study, comprehensively improve my comprehensive level, and be a qualified nurse!