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 disinfection, destruction and incineration, the infection rate of surgical incision was half a year.
Over the past year, under the leadership, help and guidance of hospital leaders, nursing directors and head nurses, and with the service tenet of "patient-centered, patient-centered", the nursing work assigned by hospital leaders has been well completed, and more than 90% of the 20XX nursing plan has been completed. The work is summarized as follows:
First, preoperative psychological care
Regardless of the size of the operation, patients need to bear the necessary 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.
Constantly understand the new medical theory and technology, sum up experience, enrich themselves, 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
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.
Most patients are anxious to know about anesthesia and surgical methods. Let's go to the ward for preoperative examination, explain 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.
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 the possible accidents during the operation, and formulate measures to solve the problems in time.
Explain the time and importance of indwelling gastric tube, urinary tube, fasting and drinking water before operation, inform relevant precautions, and obtain patients' active cooperation. (Parents' comments and expectations)
Three, intraoperative anesthesia accident with nursing.
Preparation of standing instruments and drugs, such as anesthesia machine, tracheal intubation materials, ECG monitor, aspirator, etc. Rescue drugs such as adrenaline, lidocaine, atropine, dopamine, m-hydroxylamine, sodium bicarbonate, etc.
Close observation of the condition during anesthesia can be found early and rescued 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.
If cardiac arrest occurs during preoperative anesthesia, nurses should first carry out chest compressions and medical education. At the same time, speed up infusion and use rescue drugs accurately according to the doctor's advice. In the past, resuscitation patients were usually injected directly into the heart. Nowadays, intravenous injection and tracheal administration are advocated, and the onset time and efficacy are the same as those of intracardiac injection, so as to avoid the unfavorable factors of myocardial injury caused by intracardiac injection, monitor the myocardium as soon as possible and bring all kinds of data to doctors accurately.
Annual Personal Work Summary of Nurses in No.3 Operating Room 20XX Under the correct guidance of hospital leaders, with the hard training and guidance of department directors, head nurses and department comrades, I have made great progress in my thoughts and work. The summary is as follows:
First, in terms of ideology and politics, actively support hospital policies and regulations, take patients as the center, treat patients as relatives in strict accordance with the standards of an excellent qualified nurse, adhere to quality as the core, take patient satisfaction as the standard, and firmly establish team spirit.
Second, actively learn new technologies and new businesses. As an operating room nurse, she strictly implements various operating procedures, abides by the rules and regulations of various departments in the hospital, always pays attention to maintaining the concept of sterility, treats her work seriously and responsibly, works overtime, establishes a high sense of collective responsibility and honor, unites comrades, and puts work first in everything. Provide patients with all-round quality services, actively cooperate closely with surgeons, unite and cooperate, create a harmonious working atmosphere, and ensure the smooth completion of the operation.
Third, actively participate in the rescue work of critically ill patients organized by departments, cooperate with various departments to do a good job in rescue work, unite colleagues at work, be aggressive, strictly control, be rigorous and meticulous, put an end to mistakes and accidents, complete the operation process with good quality and quantity, continuously improve their own operation level, and actively participate in the development of various new businesses. Since I joined the work for one year, under the guidance of comrades in various departments, I have worked hard and mastered the steps of surgical cooperation in general surgery, orthopedics, thoracic surgery, obstetrics and gynecology, brain surgery and other departments. , and deepened my aseptic concept and operational requirements.
On the first day of entering the operating room, the teacher gave us a detailed introduction to the environment and equipment of the operating room, which made me realize the importance of understanding the environment and equipment-this is not a simple visit, but more importantly, it enables us to get familiar with and master it in the shortest time and find what we need quickly in the environment! At the same time, let us realize that time is life, and we must race against time!
Being a hand-washing nurse for the first time, I felt nervous, but with the patient guidance and encouragement of the teaching teacher, I quickly adjusted my mentality. From coming on stage, to wearing sterile clothes and sterile gloves, to delivering instruments, to blades and needles. In the course of my work, I have a better understanding of the meaning of "watching is better than practicing"! The work experience of visiting nurses made me realize the importance of this job. It seems simple, but it is not. Only with a solid theoretical foundation and rich clinical experience can we complete the work better. At the same time, like hand washing nurses, they bear great responsibility and pressure.
During the practice in the operating room, I strengthened my aseptic concept and increased my understanding of aseptic principles. Let me have a deeper understanding and understanding of the tasks of hand-washing nurses and visiting nurses, and let me understand the importance of mutual cooperation between posts. The work in the operating room made me realize the preciousness and fragility of life, and also made me more aware of the importance of nursing work.
The new year is coming. Looking back on the past year, I am filled with emotion. Looking forward to 20xx, full of confidence. In the new year's work, I will overcome all my shortcomings in 20xx, learn from each other's strong points, guard against arrogance and rashness, constantly improve myself and improve my business level, and strive to achieve brilliant results in by going up one flight of stairs in all aspects in the new year.
Summary of nurses' annual personal work in No.4 operating room With the approach of the new year, we have worked hard for another year. With the close cooperation and support of all departments, and in line with the service tenet of "patient-centered, building a hospital that people are satisfied with and improving patients' feelings of seeking medical treatment", I finally completed this year's work safely. In the past year, although I didn't make any big mistakes, I still have many shortcomings, which are summarized as follows:
First of all, in assisting the head nurse in management.
I am responsible for the management and supervision of nursing routine, emergency plan, commonly used drugs and rescue drugs, and department personnel training.
1, nursing routine: some new nurses are not fully prepared for underdeveloped surgical materials, unfamiliar with posture, unskilled in process and unable to implement them in place.
2. Emergency plan: the emergency plan drill was not carried out with the cooperation of many departments, the safe passage was occasionally blocked by articles, the emergency water, electricity and electric suction devices were checked in good condition every week, and the fire-fighting articles were in good condition 100% (unified inspection by professional hospitals).
3. Drug management: Although the hospital case investigation did not find out the problems, it did not actually check and count the actual monthly drug consumption and the monthly drug collection, and there was a hidden danger of drug loss.
4. Personnel training: After one month's theoretical study, the qualified rate of new nurses 100%, operation assessment 100%, intern teaching assessment 100%, and new equipment training/70%. Despite the above assessment data, there are still some staff who do not follow the standard operating procedures at ordinary times, so the assessment is out of the work area.
Second, my own work.
1, implement the hospital policy: tripartite surgical safety verification is a mere formality, without timely reminder and supervision. Garbage occasionally mixed, operating room personnel management and environmental management occasionally not in place, not timely reminder and supervision.
2. Business study: When I first entered the orthopedic surgery group, the biggest defect was that I was not very familiar with the operation process of orthopedic surgical instruments, and I was still a little unfamiliar with the operation. I still need to consult teachers, but I will try my best to strengthen my business study and strive to do my best.
Three. 20XX work plan
Assist the head nurse to do a good job in the management of employees in this department.
1, nursing routine: strengthen the training of new nurses and conduct spot checks and supervision; 2. Emergency plan: check emergency items every week to ensure that all emergency items are in a good standby state.
3. Drug management: remind drug administrators to make statistics on the monthly drug use, to ensure that the actual usage is consistent with the received usage, and to reduce drug losses.
4. Personnel training: new nurses should not only have an assessment, but also supervise and spot check their daily work to ensure that the assessment content can be combined with actual work.
Work alone
1, seriously implement the hospital policy.
2, strengthen the study of professional knowledge, improve business level, and strive to lose crutches next month and move on.
In the future work, I will, as always, do my job well, strengthen my professional study, improve my sense of responsibility, keep in mind the spirit of "being cautious and independent" and be a qualified operating room nurse.
Annual Personal Work Summary of Nurses in Operating Room Under the guidance of hospital leaders, the guidance of nursing department and the close cooperation and support of various departments, I have always adhered to the purpose of "patient-centered, quality-centered, safety-centered, providing high-quality and efficient nursing services for surgical patients" to improve the surgical effect and the safety of surgical patients. With their love, enthusiasm and sincerity, they lead all nurses in the operating room to meet the needs of every surgical patient, and strive to create a department with "social satisfaction, hospital satisfaction, patient satisfaction and self-satisfaction". According to the target plan made at the beginning of the year, through the unremitting efforts of general nurses, all tasks were successfully completed.
I. Performing duties
1. The quality monitoring system of the Ministry has been improved. According to the focus of the department, that is, nursing quality and nursing safety, each quality index in the department is managed by a nurse, and the department conducts regular and irregular nursing quality supervision, so as to achieve monthly inspection, weekly summary and feedback, and monthly quality control summary. Follow-up and monitor the key problems to keep the nursing quality improving continuously.
2. Formulate and implement a performance appraisal scheme, improve the duties and tasks of each class, establish a performance appraisal index system, realize distribution according to work, get more for more work, and improve everyone's work enthusiasm.
Second, take the patient as the center and carry out humanized service.
1, high-quality preoperative and postoperative visits and frequent communication with patients; Understand the condition, comfort patients, and issue satisfaction questionnaires to surgical patients, collect patient information, and gain understanding, trust and support. In view of the shortcomings in the work, corresponding rectification measures were taken to meet all reasonable requirements and create a warm and comfortable operating environment for patients, with a satisfaction rate of over 95%.
2. There are explanations before operation, encouragement during operation, arrangements after 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.
Third, continuously improve the quality of nursing and ensure the safety of nursing.
1, designate a person to be responsible for medical infection, strictly implement the disinfection and isolation system, the qualified rate of disinfection and isolation reaches xx%, strictly implement the technical regulations of aseptic operation, prevent nosocomial infection, ensure that the infection rate of clean surgical incision is ≤xx%, and strictly disinfect and isolate infectious surgical personnel, articles and instruments according to the disinfection and isolation standard of infectious surgery.
2. Designate a person to be responsible for the management of emergency drugs, and the intact rate of emergency medical devices reaches xx%. Strengthen the training of pharmacological action, first-aid knowledge, rescue process and emergency plan of first-aid drugs in operating room, conduct regular assessment, improve rescue drugs and rescue process, organize general practitioners to learn and master them, and ensure the successful completion of surgical rescue work.
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 matters needing attention, avoid blood transfusion errors and accidents, and conscientiously implement the handover system of surgical specimens to prevent the loss of specimens.
5, careful calculation, save costs
Strictly manage the medical and office supplies in the department, use, count and register high-value and valuable consumables, reduce waste, loss and unauthorized use, and regularly check the performance and use of instruments and equipment to ensure the normal operation.
Fourth, 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 xx%, and the qualified rate reached xx%.
2. Strengthen the study of basic theoretical knowledge, actively participate in the business study organized by the nursing department, and study once a week in the department, mainly studying the professional knowledge of the operating room. Department assessment every quarter 1 time, the qualified rate of xx%.
3. Strengthen continuing education and study, and actively participate in business study organized by the Medical Department.
4. Strengthen professional knowledge training, do a solid job in health education, work closely with various departments, complete nearly 10,000 operations with high quality, and the coverage rate of health education during perioperative period reaches xx%.
5. Strictly standardize teaching. Participate in the teaching plan drawn up by the nursing department, make the teaching plan of this department, and then ask each teaching teacher to make specific teaching plan and teaching content, and check the teaching situation of the teaching teacher and the mastery of the students from time to time every day.
Verb (short for verb) unite as one.
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. In the department, I can set an example. As a department manager, due to the small number of staff in the department, I often work overtime every day besides doing my own management work, often missing dinner time, completing homework tasks with other comrades, leading comrades in the department to share joys and sorrows and work happily, making the work team full of vitality and employees full of passion.
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.
Sixth, 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.
Seven. existing problems
First, the study is not deep enough and the theoretical foundation 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 short, in the past year, with the support of hospital leaders 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, failing the hospital and humiliating me", 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.