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Personal summary of nurses in operating room 1
Our occupation is called "angels in white". Perhaps only our colleagues can understand the pain and fatigue behind this angel. This job demands a lot of us. When you put on a white coat, you should throw away all your emotions and troubles. In the smell of hospital disinfectant, we have gone through a period of pure girlhood; From the bloody wound, we walked through the fiery youth; Sent away countless quiet nights in a white atmosphere; In the expectation of my lover and the complaint of my children, I dedicated myself to the injured patient. As we all know, we all work hard and have no hard holidays. There is no fixed rest time. The work is trivial and the responsibility is great. Some nurses also need to deal with leprosy patients, mental patients and infectious diseases. We have paid a lot in obscurity. However, we often encounter grievances and misunderstandings. But we have no regrets. Because we know that customers are patients who need help and sympathy, and they are fighting the disease.
"The doctor's mouth and the nurse's leg", if nothing else, is that one night, all the night nurses in the emergency class walked forty or fifty miles. My leg is swollen from running. You may not believe it, but please look at the varicose veins on the calves of nurses and sisters and you will understand. A real thing happened in the emergency department: it was almost time to get off work in the afternoon, and several flutes sent a dozen trauma patients with accidents by minibus. Day shift nurses took the initiative to stay behind and carry out rescue in an orderly manner. I didn't go home until ten o'clock in the evening. When Xiao Wang was hungry and dragged his tired body, he asked, "Head nurse, we were so busy that the drunk almost hit you!" " "The head nurse said generously," the young couple just got married. The husband was so anxious to see his beloved wife hurt so badly that he drank wine again. Let's leave him alone. "During such a long holiday as May Day, when everyone is missing picturesque scenery and deep affection, this often happens in our emergency department.
Personal summary of nurses in the second operating room
The short four-week internship in the operating room is coming to an end. Looking back on the internship during this period, I am deeply touched.
The operating room is the first department where I came to our hospital for internship. In this department, two teachers took me. They were patient and taught me a lot.
During my internship in the operating room, with the help and guidance of my teacher, I mastered the rules and regulations of the operating room through my own practice, strictly observed the aseptic operation principles required by the operating room, and memorized the common operating process standards. Through my own personal practice, I have learned a lot of practical surgical cooperation experience that is not available in textbooks.
From the preoperative visit to the patient, to the examination and psychological care of the patient on the day of the operation, to the operation preparation, delivery and cooperation of instruments, and the inventory work before the end of the operation, even the accompanying observation of anesthesia patients before awakening, as well as the cleaning and maintenance of surgical instruments, every link can not be ignored. For me, every part is a test and a rare and precious experience.
Through the internship in the operating room during this period, I am especially grateful to the teachers and seniors for their careful guidance. I will keep in mind their excellent work style and cautious and rigorous work attitude. I will constantly push myself, constantly remind myself, strive to improve my own shortcomings, maintain my own advantages, and strive for greater progress in my future work.
Personal summary of nurses in No.3 operating room
The psychological characteristics of surgical patients are nervousness, anxiety, fear, irritability, unresponsiveness, insomnia and depression. Surgery is a special experience for every patient, and most patients are helpless when they enter the operating room. In the process of surgical anesthesia, no matter what anesthesia method, accidents will occur. Cardiac arrest is the most serious anesthesia accident in anesthesia and the most difficult anesthesia accident in rescue. The author reviewed and summarized the preoperative psychological nursing, the preventive nursing of patients before operation and the nursing of anesthesia accidents from 1998 to 65438+February to May. The report is as follows.
First, preoperative psychological care
1, regardless of the size of the operation, patients need to bear certain psychological pressure. When patients enter the operating room, they often have the psychology of "life is in the hands of medical staff", and what medical staff say and do will directly affect the patient's complex. Therefore, the nurses in the operating room must be kind, neat and dignified. Paying attention to all aspects of self-cultivation is an important prerequisite for psychological nursing.
2. Constantly learn new medical theories and technologies, sum up experience, enrich yourself, carry forward the spirit of dedication, improve the quality of nurses, eliminate the tension and fear of patients, and make patients cooperate with surgery in a psychological state.
Second, preoperative vision care
1, solve the patient. Go to the ward before operation to prevent patients, communicate with patients with their own words and deeds, let patients express their concerns, ask various questions, and patiently answer them with a scientific and honest attitude, so that patients can eliminate their concerns and have confidence in the operation.
2. Most patients are eager to know about anesthesia and surgical methods, so we will check the patients in the ward before operation, introduce the operation and anesthesia methods to the patients, and demonstrate the posture during the operation, so that they can train in the ward bed before operation and actively cooperate after entering the operating room to improve the success rate of anesthesia and ensure the smooth operation.
3. Read the medical records, ask about the medical history, check the general situation of the patient, laboratory documents and other auxiliary examinations, the name of the operation and anesthesia methods, fully grasp the patient's condition, predict possible accidents during the operation, and formulate measures to solve the problem in time.
4, explain the time and importance of preoperative indwelling gastric tube and catheter, fasting, alcohol prohibition, and inform the relevant matters needing attention, to obtain the patient's active cooperation.
Three, intraoperative anesthesia accident with nursing.
1, preparation of standing instruments and drugs, such as anesthesia machine, tracheal intubation, ECG monitor, aspirator, etc. Rescue drugs such as adrenaline, lidocaine, atropine, dopamine, m-hydroxylamine, sodium bicarbonate, etc.
2, closely observe the condition during anesthesia, can be found early, rescue as soon as possible. Keep the respiratory tract unobstructed. If there is a foreign body in the mouth, assist the anesthesiologist to suck it out. If the airway is blocked, prepare a tracheotomy bag and do a tracheotomy if necessary. When the anesthesiologist prepares for tracheal intubation, the nurse should give mouth-to-mouth artificial respiration first to avoid the interruption of patient ventilation. Establish a feasible vein channel to buy time for emergency medication.
3, such as cardiac arrest before anesthesia, the nurse should first chest compressions, at the same time speed up the infusion, according to the doctor's advice accurate application of rescue drugs. In the past, most resuscitated patients were injected directly into the heart, but now intravenous injection and tracheal administration are advocated, with the same onset time and efficacy as intracardiac injection, so as to avoid the unfavorable factors of myocardial injury caused by intracardiac injection, monitor the myocardium as soon as possible and provide accurate data for doctors.
Fourth, experience
1. With the continuous development of medical science, as an operating room nurse, she should not only have certain knowledge and experience of operation cooperation, but also have psychological knowledge, master various psychological states of patients before operation, sum up experience, enrich herself and improve her technical level.
2. Only with rich preoperative nursing experience, the nursing work in the operating room can be changed from passive to active, from indoor to outdoor, and satisfactory answers can be given to patients' various questions, so as to gain patients' trust and do a better job in physical and mental care.
3. With the rapid development of medical science, anesthesia has become a category used in modern medical field. It is often not enough for anesthesia accidents to rely solely on the strength of doctors, but must be closely coordinated by nurses in the operating room. This requires us to study hard, update our knowledge, cooperate with doctors, coordinate our actions and race against time to save patients' lives at the critical moment of saving patients' lives.
Personal summary of nurses in No.4 operating room
Dear leaders, department heads and employee representatives,
Hello everyone!
According to the unified deployment, the work and study in the past year are reported as follows:
I. Basic information
I have been a head nurse since June, 5438+February, 2008. I have always adhered to the tenet of "patient-centered, quality-centered, safety-centered, and provided high-quality and efficient nursing services for surgical patients". With the goal of improving the surgical effect and safety of surgical patients, I have led all nurses in the operating room to meet the needs of every surgical patient with my love, enthusiasm and sincerity, and strive to achieve "social satisfaction, hospital satisfaction and patient satisfaction".
Second, perform your duties.
(1) Improve the quality monitoring system of the department.
In view of the key points of operating room work, that is, nursing quality and nursing safety, all quality indicators in the operating room are managed by a nurse, and the department conducts nursing quality supervision regularly and irregularly, so as to achieve daily inspection, monthly quality control summary, and follow-up monitoring of key issues to maintain continuous improvement of nursing quality.
(two) to formulate and implement the performance appraisal plan, improve the duties and tasks of each class.
1, according to the principles of hospital performance appraisal scheme, combined with the characteristics of undergraduate course, an effective performance appraisal scheme was formulated and the performance appraisal index system was established.
Through the performance appraisal, we have changed the previous practice of eating in the same pot and distributing equally. The distribution according to work has been realized, with more work and more rewards, excellent results and generous rewards. Everyone's work enthusiasm has obviously improved, and their work attitude has obviously improved.
2, according to the daily workload and personnel situation in a timely manner to adjust the responsibilities of each class, the implementation of quantitative assessment, every post is recorded every day, everyone has a monthly workload statistics.
Each class has a clear division of labor, and the responsibility lies with people, including every detail of the work is implemented to specific people, which avoids the situation of mutual shirking, deliberate procrastination and failure to implement specific people when making mistakes, and ensures the normal development of nursing work in the operating room.
(3) Take patients as the center and carry out humanized service.
1, high-quality preoperative and postoperative visits.
Communicate with patients frequently, understand the condition, comfort patients, distribute satisfaction questionnaires to patients undergoing surgery, collect patients' information, gain understanding, trust and support, take corresponding rectification measures in view of the shortcomings in the work, meet all reasonable requirements of patients, and create a warm and comfortable operating environment for patients. The satisfaction rate is over 95%.
2. During the operation, there should be explanations before each operation, encouragement during the operation, arrangements after the operation, gentle movements and gentle words.
Provide suitable temperature and humidity, comfortable environment and surgical position for surgical patients, protect patients' privacy, maintain patients' good image and try to meet all reasonable requirements of patients.
(4) Continuously improve nursing quality and ensure nursing safety.
1, designate a person to be responsible for hospital infection, strictly implement the disinfection and isolation system, and the qualified rate of disinfection and isolation reaches 100%.
Organize general nurses to learn the knowledge of cleaning, maintenance, repair and troubleshooting of laminar flow operating room to ensure the normal use of laminar flow operating room. Strictly implement aseptic technical operation procedures to prevent hospital infection and ensure that the infection rate of clean surgical incision is ≤0.5%. For infectious surgery, personnel, articles and instruments shall be strictly disinfected and isolated according to the disinfection and isolation standards for infectious surgery.
2. Designate a person to be responsible for the management of emergency drugs, and the intact rate of emergency medical devices is 100%.
Strengthen the training of pharmacological action, first aid knowledge, rescue process and emergency plan in operating room, and conduct regular assessment.
3. Improve and standardize the records of various nursing documents, and follow the principle of "objectivity, truthfulness, accuracy, timeliness, completeness and standardization".
4. According to the operating room standard of the second-class first-class hospital, standardize the process and details of picking up and dropping off patients, so that the handover is clear and the responsibility lies with people. Improve the blood transfusion process and precautions to avoid blood transfusion errors and accidents. Seriously implement the handover system of surgical specimens to prevent the loss of specimens.
(5) Budget carefully and save costs.
1, strictly manage the medical and office supplies of the department, use, count, hand over and register high-value and precious consumables, and reduce waste, loss and unauthorized use. Arrange special personnel to be responsible for the cleaning, disinfection and maintenance of medical equipment once a week, accurately record the performance and usage of instruments and equipment, and ensure the normal operation.
2. Correctly record the charging items, take charge of the operation, enter all the expenses, and whoever makes mistakes will be responsible.
Third, study.
(1) Strengthen the "three basics" training, organize technical training for department personnel, and designate special personnel to be responsible for operation training. The training rate reached 100%, and the qualified rate was 100%.
(2) Strengthen the study of basic theoretical knowledge. Actively participate in the business study organized by the nursing department, and study once a month in a department, mainly learning the professional knowledge of operating room. Department assessment for one month 1 time, and the qualified rate is 100%.
(three) to strengthen continuing education and learning, and actively participate in the business study organized by the medical department.
(4) Strengthen professional knowledge training, do a good job in health education, and the coverage rate of health education in perioperative period will reach 1.000%.
(5) Serious and strict teaching. Referring to the teaching plan drawn up by the nursing department, the teaching plan of the department is made, and then each teaching teacher is required to make specific teaching plans and teaching contents, and check the teaching situation of the teaching teacher and the students' mastery at any time every day.
Fourth, unity.
In the hospital, I respect leaders, unite with comrades, actively cooperate with other departments, stress principles on major issues, stress style on minor issues, and trust and support each other.
I can set an example in the department. As a department manager, because there are few people in the department, I often work overtime every day besides doing my own management work, and often miss the meal time to complete the operation tasks with other comrades, leading the comrades in the department to share joys and sorrows and work happily, so that the work team is full of vigor and the employees are full of _
As the head nurse in the operating room, I tried my best to put myself in a correct position and work actively. Within the scope of their duties, take the initiative to attack, dare to take responsibility, not say anything that is not conducive to unity, and do things that are not conducive to unity. Leaders' decisions can be carried out to the letter, and more important issues can be reported in time.
Verb (abbreviation of verb) honesty and self-discipline
As a head nurse, I have managed to control my mouth and not eat anything I shouldn't eat in my daily work and life. Hold your hand, don't take what you shouldn't; Take care of your heart, and you must not have a trace of corrupt and illegal thoughts.
Problems in intransitive verbs
First, the study is not deep enough and the theory is not very solid; Second, there are many specific tasks and great work pressure. Some tasks are not carried out clearly, and there is still a certain gap between them and the requirements of the leaders.
In a word, with the support of hospital leaders, under the guidance of nursing department and the efforts of department staff, I have made certain achievements. In the future, I will work harder, start from myself, establish the master idea of "prospering the hospital and humiliating the hospital", change the service concept and strengthen the service consciousness. Maintain good medical ethics, abide by the law, be strict with yourself, care about the sufferings of every surgical patient, and solve problems for surgical patients in time. Always put yourself in the other's shoes, always keep the word "conscience" in your heart and set an example.
Be honest and respectful. I firmly believe that with the strong support of leaders at all levels and the joint efforts of medical staff in the hospital, we will be able to complete all tasks and make patients and their families truly feel at ease and satisfied.
Personal summary of nurses in No.5 operating room
_ _ Hospital operating room is a team full of vitality, courage and dedication. With the vigorous development of the new inpatient building, we have worked hard for another year. In this year, we never forget the purpose of "patient-centered", meet the needs of every surgical patient with our love, enthusiasm and sincerity, strive to achieve "social satisfaction, patient satisfaction and self-satisfaction", and put the work style of saving lives through the whole process of nursing work. Under the leadership of the hospital and the nursing department, with the close cooperation and support of various departments, all medical staff paid close attention to implementation, earnestly implemented and made unremitting efforts, successfully completed various tasks and achieved double harvests of social and economic benefits.
First, create departmental culture and build team spirit.
Actively responding to the call of "building hospital culture and establishing team spirit", the department insisted on organizing medical staff to learn medical laws and regulations, hospital rules and regulations, accept various medical ethics education such as loving their posts and being dedicated, and recorded discussions. Adhere to the concept of patient-centered and quality-centered nursing service, adapt to the new situation of health reform and social development, actively participate in various political activities, take serving the people and contributing to society as the purpose, take patient satisfaction as the standard, and serve the people wholeheartedly. Actively participate in various social welfare activities and do practical things for the people. Organize "science, technology, culture and health" activities to go to the countryside, free clinic, medical delivery, physical examination, donation, etc. For Hanshou people, there are still many people who donate blood many times. Love contributes to society and adds luster to the department.
Second, take patients as the center and strive for first-class quality service.
In daily work, nurses always keep in mind the service tenet of "patient-centered", put themselves in the patient's shoes and start from the perspective of "if I am a patient". Actively carry out the "one-on-one full service" planned at the beginning of the year, receive every surgical patient well, provide good service and care for every patient. When patients enter the operating room, nurses warmly greet them at the door of the operating room, introduce themselves, do a good job of appeasement, strengthen communication with patients, reduce patients' fear of unfamiliar environment and enhance patients' confidence in surgical treatment. Head nurses often ask colleagues about their work skills, attitudes and patients' requirements, attach importance to patients' opinions and suggestions and solve them in time.
Third, standardize holistic nursing and strive for first-class management
Good management is the basis and premise of quality service. In order to make the management more standardized and professional, we insist on planning every week and summarizing every month. Establish and improve the service object, and consciously accept the supervision of the illness and society. Carry out holistic nursing, give full play to the subjective initiative of responsible nurses, especially strengthen intraoperative nursing, postoperative guidance, implementation of nursing measures and satisfaction survey of nurses in operating room, thus greatly enhancing nurses' sense of responsibility. In order to make holistic nursing more perfect, our department organized all nurses to learn the relevant knowledge of holistic nursing and new theories such as humanized nursing, evidence-based nursing and comfortable nursing. Strict implementation of the check system and nursing operation procedures, no mistakes and accidents. Strictly implement, manage and monitor disinfection, sterilization and isolation measures. Pay close attention to the aseptic technical operation of nursing staff and inject one person, one needle, one tube and one towel. Strict management of disposable medical supplies, disposable sterile syringes, blood transfusions, infusion sets, etc. After use, they were disinfected, destroyed and burned, and the infection rate of surgical incision was observed for half a year.
Fourth, improve the quality of nurses and cultivate first-class talents.
With the continuous progress and development of society, we deeply realize that comprehensively improving the comprehensive quality of nursing staff is an important link in the development of departments. Strive to cultivate a team with high cultural quality, good professional ethics and excellent professional skills. First of all, through continuous learning, improve the theoretical level of nursing specialty, so as to carry out business study every month, conduct operation assessment and "three basics" theoretical examination every quarter. Moreover, in order to raise their cultural level to a higher level, nurses actively signed up for various self-study and adult exams in spite of their busy schedules, which subtly improved everyone's thinking mode, manners and temperament. In the "July 1" organized by the hospital, _ _ _ was named "excellent nurse in the county". We believe that only by constantly improving the cultural quality, professional ethics and professional skills of all nurses can we better serve and contribute to society.
Verb (abbreviation for verb) job performance
Many major and minor operations have been completed, and many critically ill patients have been rescued. Lobectomy has been carried out in cooperation with cardiothoracic surgery, and new technologies such as laparoscopic ovarian tumor resection and turp have been developed, as well as radio frequency internal fixation of spinal fractures and other difficult operations. * * * received five groups of ophthalmologists in our department for cataract intraocular lens implantation, and all of them were well received. With the improvement of nursing conditions, nursing level and service quality, our department has achieved a "win-win" effect. The economic income of the department ranks among the best, and the nursing quality management has won the first place in the hospital for many times.
Achievements are like the fruits of autumn. Although they are happy, they have all quietly fallen. While tasting success, we should also clearly see the shortcomings: be bold and innovative in management consciousness and persevere; In the aspect of humanized nursing, the visit of surgical patients and health education are still a mere formality; There are still a few comrades who are indifferent to the implementation of rules and regulations; Thesis writing and nursing research are almost absent; Especially in the service attitude and patient satisfaction, it is still obviously insufficient. The demand of patients is the scope of our service, the satisfaction of patients is the standard of our service, the touch of patients is the goal we pursue, and the quality service is endless. We will constantly sum up experience, study hard, make the service more emotional and humanized, and make unremitting efforts for the hospital's service level to a new level.
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