Summary of internal medicine work 1 20xx is the first year of the new century, and it is also a year in which the national health system continues to deepen reform. Under the attention and direct leadership of the dean, all the nursing staff successfully completed all the nursing work assigned by the hospital leaders, and completed more than 90% of the 20xx nursing plan. The work is summarized as follows:
First, seriously implement the rules and regulations.
Strict implementation of rules and regulations is the fundamental guarantee to improve nursing quality and ensure medical safety.
1, the nursing department reiterated the responsibilities of nursing staff at all levels, clarified the post responsibility system and nursing work system for nurses on duty and visiting nurses, and put an end to the bad phenomenon of patients changing infusion bottles and pulling needles by themselves.
2, adhere to the inspection system:
(1) asked the class to check the doctor's advice, and the head nurse participated in the total check 1-2 times a week, and recorded it.
(2) Nursing operation requires three checks and seven pairs.
(3) Insist on filling in the infusion card, and no major nursing mistakes have occurred in the past year.
3, conscientiously implement the orthopedic nursing routine and microsurgical nursing routine, adhere to fill in all kinds of information and data register, equipped with five types of surgical disposal tray.
4, adhere to the bedside shift system and morning care, to prevent the occurrence of complications.
Second, improve the management level of head nurses.
1. Adhere to the record and assessment of the head nurse's handbook: require the head nurse's handbook to be submitted to the nursing department for assessment before the 5th day of each month, and supervise the implementation according to the annual plan, seasonal arrangement and monthly plan formulated by the head nurse, and monitor the implementation effect, and require the head nurse to summarize the monthly work so as to sum up experience and carry out the work.
2. Adhere to the regular meeting system of head nurses: according to the requirements of grade hospitals, hold a regular meeting of head nurses once a week, with the contents as follows: arrange the focus of this week's work, summarize the advantages and disadvantages of last week's work, put forward corresponding rectification measures, feed back the nursing quality control inspection to the head nurses, and learn the relevant materials of head nurses' management.
3, check the quality of nursing every month, and timely feedback, and constantly improve the management level of the head nurse.
4, organize the head nurse to go out to study and visit, learn the advanced experience of brother units, and expand the knowledge.
At the end of May, the head nurse of the third ward was sent to attend the new international nursing progress class, and reported to all nurses after the study.
Third, strengthen the construction of medical ethics of nursing staff.
1, continue to carry out the code of conduct for nurses, and carry out 50 civilized expressions for nurses in daily work.
2. Organize all nurses to attend etiquette training in Wenling Hotel and Wanchang Hotel in June, 165438+ 10 respectively.
3. Continue to carry out health education and issue satisfaction questionnaires to inpatients. The results of satisfaction surveys (regular or irregular evaluations) are all above 95%. In addition, corrective measures were put forward for the problems existing in the satisfaction survey, and the best nurses were selected.
4, the department held a symposium on a regular basis every month, solicit opinions from patients, to meet the demands of patients to the maximum extent.
5. Carry out pre-job professional ethics education, rules and regulations, nurse code of conduct education and basic nursing knowledge, specialist knowledge and nursing technology operation assessment for newly assigned nurses, and those who pass the examination will be given posts.
How time flies! In a blink of an eye, I will soon end my internship in four departments: internal medicine, surgery, gynecology and pediatrics. Looking back on these days, I believe everyone has a taste of their own in their hearts. Practicing in pediatrics for nearly a month, I have benefited a lot, but I am about to leave the department. The teachers in our department attach great importance to our internship. Every week, I practice.
During my internship, I will strictly abide by the rules and regulations of the hospital and all departments, earnestly perform my duties as a nurse, be strict with myself, respect teachers, unite with my classmates, work hard, love children's cause and think of children wholeheartedly. At the same time, it is necessary to understand family members, correctly handle the nurse-patient relationship, do a good job of explanation and comfort, say "I'm sorry" more, let family members understand the work of pediatric nurses, and reduce unnecessary misunderstandings or excessive behaviors.
Under the guidance of the teacher, I have basically mastered the nursing of some common diseases in pediatrics and some basic operations. Especially for children's scalp needle puncture technology, I have been learning, and I am also summing up my experience. I can be diligent in observation, be good at observing the condition of children, grasp the changes of the condition in time, and make accurate judgments. In a word, I think I learned a lot in this internship. Although I am only a student, maybe my ability is limited, I use my efforts to enrich my knowledge and skills. I hope to send patients away healthily with my smile, and I am eager to grow up in my study and really be a angels in white who sings silently and flies hard.
1. Before internship, you should master some basic operations of cardiology, such as electrocardiogram, blood pressure measurement, heart physical examination, etc. Don't underestimate these. Take the simplest blood pressure measurement as an example, many people do not have a standardized grasp.
2. Familiar with books and knowledge of common diseases in cardiology, such as hypertension, heart failure, cardiomyopathy, valvular disease and coronary heart disease. ; Then clinically, the diagnosis and treatment plan of the superior doctor corresponds to the book to see how to combine with the individual patient. Ask if you don't understand, and your level will improve quickly.
3. Learn some first aid knowledge, such as hypertension emergency, acute pulmonary edema and arrhythmia. Urgent things will be dealt with, regardless of the slowness, so that you know that everything is under control!
Besides, doctors should not only master superb medical skills, but also have good communication skills. They should learn more communication and conversation methods and skills with patients and colleagues from their superiors at ordinary times, and they will get started quickly when they really work.
The complex taste of this kind of surgical internship experience may only be realized by those who have experienced it personally. Whatever it is, it's worth remembering. Of course, it is more important to know a lot of things that can't be learned in books and meet a few good friends. Maybe this is more valuable than books.
Under the careful guidance of the teacher, through continuous efforts, the internship in the Department of Cardiology soon ended and achieved remarkable results. First of all, in terms of basic theory, reviewing the past has strengthened consolidation and improvement; Secondly, I learned new knowledge and treatment methods in clinical practice. Anyway. After heart practice, I have a new understanding and improvement of the diagnosis and treatment of common diseases and frequently-occurring diseases, and learned the knowledge and skills to deal with sudden diseases. I will definitely apply what I have learned to my future work. I will never forget my teacher's teaching and keep learning and making progress.
Summary of internal medicine work for 20xx years, under the leadership of hospital leaders and nursing departments, with the support and help of brother departments in the hospital, all nursing staff in the first department coordinated, took the initiative to work, were not afraid of hardship and fatigue, established a high sense of professionalism and responsibility, combined with their own work nature, worked hard around the center of the hospital, and achieved good results in various nursing tasks in the undergraduate course, ensuring the steady progress of nursing work in the department, and achieved
First, nurses should establish a correct world outlook, outlook on life and values.
Carry forward the party's fine tradition, firmly establish the concept of "everything serves patients", strengthen communication between doctors and patients, standardize their words and deeds with standards, constantly improve their ideological and moral cultivation, and seriously carry out self-criticism. It is not uncommon to find money without knowing it, and it has been praised by patients many times.
Second, the general nursing staff conscientiously implement the rules and regulations, the core system.
Ordinary care staff can consciously abide by the rules and regulations and labor discipline in the hospital, so as to stress style in minor matters and principles in major matters, never engage in unprincipled disputes, support and understand each other in their work, have a clear division of labor, perform their duties, be United and pragmatic, overcome the problems of manpower shortage and heavy nursing tasks, and ensure the smooth development of normal nursing work. Adhere to the daily check system, check the first-level care of critically ill and seriously ill patients in detail, measure blood pressure, all kinds of care, drugs and treatments, and record and sign; Nursing operation strictly requires three checks and seven pairs; Strict bedside handover was carried out for critically ill patients and bedridden patients, and strict handover was carried out for skin condition and treatment. The implementation of basic nursing, daily morning nursing and evening nursing was strengthened, and the bed unit was arranged and changed for patients in time, creating a clean and warm ward.
Third, pay attention to improving the professional quality of nursing staff, organize study every month and ask questions randomly every week.
Hold regular branch meetings every month, organize business study, insist on nursing rounds and organize nurses to discuss, which not only improves their professional and technical level, but also enhances nurses' confidence in themselves and the development of their departments. Actively organize nursing staff to participate in hospital business study and constantly improve the professional level of nurses!
Fourth, pay attention to service details and improve patient satisfaction.
Adhere to the purpose of patient-centered, quality-centered, providing quality services for patients, strengthen the construction of medical ethics for nursing staff, implement the code of conduct for nursing staff, and require nursing staff to smile and serve in their daily work, and be civilized in language. The satisfaction questionnaire is distributed to inpatients every month, and the satisfaction survey results are all above 97%. It also received letters of commendation and banners from patients many times. And put forward rectification measures for the problems existing in the satisfaction survey. Every month, the department will hold a symposium on work and rest regularly to solicit the opinions of patients and their families and give maximum satisfaction to the requirements put forward by patients and their families. In-depth patient-centered health education was carried out, and a health education column was formulated. Through the words and deeds of nurses, patients were familiar with the knowledge of disease prevention, rehabilitation and related medical care, nursing and self-care. Arrange treatment and nursing time reasonably, accompany patients to take photos, do B-ultrasound, electrocardiogram, chest X-ray, CT, ECT and other examinations, assist discharged patients to go through admission procedures, and provide disposable paper cups and boiled water for all patients, four times a day. And wash your face, bathe, feed, change the mat and clean up the urine for bedridden patients every day. Regular telephone return visits are well received by patients and their families because of their small but high service.
Five, strengthen the management of hospital infection, strictly implement the disinfection and isolation system formulated by the hospital.
The department insists on regular air culture in the treatment room of the ward every month. We should also insist on disinfecting the treatment room every day and keep records. Disposable articles can be destroyed in time after use, centralized treatment, regular inspection and supervision. The treatment room in the ward can insist on mopping the floor with 84 disinfectant twice a day, and the floor in the ward can be mopped with 84 disinfectant every day. The bed unit of discharged patients is finally disinfected (cleaning the bedside table and wiping it with disinfectant) and disinfected by ultraviolet rays.
Looking back on the past year, it is gratifying, but there are also some shortcomings. Facing my patients and my department, I can frankly say that I have been working hard for you! However, facing myself, I know there are still many shortcomings in my work. Sometimes the requirements are too strict, and I have even seen the tears and helplessness of nurses. Therefore, looking forward to the future, I am full of confidence in my work in the new year, and strive to do my work better, temper justice with mercy, make my management more mature, and better serve patients and society.
Summary of internal medicine work 4 Time flies, time flies. In a blink of an eye, it's the end of 20xx. 20xx is the third year that I worked in the brain department, and it is also the last year that we groped in the old inpatient building. Next year, we will move to the newly-built surgical building. By then, our working environment and conditions will be greatly improved, and the business work of the department will develop faster. Because the function of emergency department in our hospital is not perfect, it undertakes the first aid and nursing tasks of critical patients in most hospitals.
This year, the national health system implemented a new round of medical reform. At the beginning of this year, Vice Minister xx put forward a "quality nursing service demonstration project" in the national health system. Under the attention of the dean and the direct leadership of the nursing department, all the nursing staff, with the service tenet of "all patient-centered, all patient-centered", successfully completed all the nursing work assigned by the hospital leaders under great pressure after the "hepatitis C incident". The nursing work in 20xx years is summarized as follows:
First, seriously implement the rules and regulations:
Strict implementation of rules and regulations is the fundamental guarantee to improve nursing quality and ensure medical safety.
1, the nursing department reiterated the responsibilities of nursing staff at all levels, clarified the post responsibility system and nursing work system for nurses on duty and visiting nurses, and put an end to the bad phenomenon of patients changing infusion bottles and pulling needles by themselves.
2. Adhere to the system of ward rounds: please ask the doctor's class BANCHA to make ward rounds, and the head nurse will attend the general ward rounds 1-2 times a week, and make records; Nursing operation needs three checks and seven pairs; Insist on checking the infusion card with the infusion single core, and no major nursing mistakes have occurred in the past year.
3. Seriously implement the nursing routine of neurosurgery and neurology, and strictly implement the management of acute, critical and severe patients. Carefully write nursing records.
4, adhere to the bedside shift system and morning care, to prevent the occurrence of complications. Strengthen the nursing of critically ill patients.
5, strict implementation of disinfection and isolation system, do a good job in hospital management, the implementation of hand hygiene.
Second, strengthen the training of three basics and three strictness, and improve the level of nursing service.
1. Organize business study regularly every month, and conduct business study for more than 20 times throughout the year. And constantly improve the nursing routine of the department. Broaden nurses' knowledge and improve their theoretical level. In the health education for patients, it reflects the high level of knowledge of nurses and is welcomed by patients, family members and doctors.
2. Organize nurses to study the core nursing system and various emergency plans, and assess the emergency plans of each core system in a planned way every month. The research on the core system and emergency plan has become a normal work of this department. Through the study of the core system, nurses consciously apply the core system to their daily work, develop good working habits and ensure the safety of ward nursing.
3. The quality control team of the department plans to assess the nursing skills of the nurses in the department every month, especially to strengthen the assessment of abnormal nursing operations in the department, find problems and correct them in time. Through the "three basics and three strictness" training in the past year, the professional level of nurses has been continuously improved to provide better services for patients.
Third, strengthen the quality education of nurses and improve the quality of nursing service.
1. As the main force, young nurses in the department not only add vitality and fresh blood to our department, but also put forward higher requirements for ward management. In order to get reasonable and planned training for personnel at all levels, at the beginning of the year, the department re-formulated the training plan for personnel at all levels. Make a new rotation nurse training plan, with a rotation period of two months, so that the new rotation nurse will have a strong goal in the first month of entering the department and integrate into the department as soon as possible.
2. Give full play to the role of the nursing quality control team, find nursing hidden dangers and nursing errors at the nurses' meeting or early meeting, summarize the shortcomings and deficiencies in the work, give timely correction, carefully analyze the causes of the errors, and discuss corrective measures to avoid similar incidents from happening again.
3. In view of the fact that there are many young nurses in the ward and the experience in dealing with emergencies such as disputes is relatively insufficient, more attention is paid to the cultivation of nurses' communication skills. Using difficult cases to discuss time and life will encourage nurses to participate in the discussion and cultivate their communication skills. And according to specific cases, specific analysis, organization discussion, teach young nurses to learn to deal with problems.
Fourth, actively carry out humanized services.
1, on the basis of training nurses' daily etiquette, further standardize nursing operation terms and nurse-patient communication skills. Cultivate nurses and establish a good professional image.
2. Pay attention to the collection of nursing service demand information, obtain patients' demand and feedback information, put forward improvement measures in time, actively carry out the selection activity of "nurses who are most satisfied with patients", and at the same time encourage nurses to mobilize their work enthusiasm. .
Fifth, do a good job in teaching and scientific research.
1, the head nurse of the department is the general teaching teacher, and attaches great importance to the teaching work. She often checks the teaching attitude, sense of responsibility and professional level of the teaching teacher, arranges small lectures, understands the completion of the internship plan, and completes the theoretical and operational examinations. Arrange senior nurses as teaching teachers and strengthen the teaching of new nurses, especially the knowledge of nursing routine, various rules and regulations, operating procedures and common diseases and frequently-occurring diseases.
2. Encourage undergraduate nurses to actively collect information and write papers. This year xx published a summary article in Contemporary Nurses.
Achievements and shortcomings of intransitive verbs.
(1) Work results.
* * * The total number of patients admitted is 1885 person-times, including 1650 person-times of primary care and about 400 critically ill patients. Hundreds of patients were successfully rescued, with infusion 1.90, and at least 30,000 infusion bottles were accumulated throughout the year. Perioperative nursing reached 150 people, and hundreds of patients used ventilators. It has won good economic and social benefits for the hospital.
In the face of heavy nursing work, brain nurses worked hard and conscientiously, successfully completed the nursing plan at the beginning of the year, and gave full play to the spirit of selfless dedication regardless of personal gains and losses. During the Nurses' Day in May this year 12, two nurses in the brain department, xx, were rated as "excellent nurses" and xx as "excellent head nurses". Nurse xx also won the title of "Top Ten Nurses" in the county. Xx was rated as "the most satisfied nurse for patients".
(2) Existing problems:
1. Nursing managers lack management experience and their management level needs to be improved.
2. Some nurses have insufficient experience in first aid and their first aid skills need to be improved. Attention should be paid to mastering the instruments and equipment in the emergency room, such as ventilators and electronic cooling devices, and follow up in time at critical moments. It is also necessary to strengthen specialist training, further study and improve the overall rescue level.
3. Lack of initiative and flexibility in work. Always pay attention to communication with patients and their families, and timely understand the psychology, emotions and reasons of patients, which is conducive to improving the relationship between doctors and patients and ensuring medical safety. It is necessary to strengthen the training of communication skills in the future.
Looking back on the past and looking forward to the future, I hope that in the new year, nursing sisters can work together in Qi Xin and Qi Xin, and work hard with their own practical actions to keep pace with the times and create a harmonious and beautiful tomorrow for the hospital.
Summary of internal medicine work for 5 20xx years is a gratifying year, a harvest year and a vigorous year! Under the correct leadership of hospital leaders and the joint efforts of all medical staff, tanghe county People's Hospital has gradually standardized its management system, further improved its working procedures, meticulously promoted academic research, and steadily broadened its business field. All the staff in each department do their duty in their respective posts, which makes the hospital as a whole show a good development trend of gradual and healthy progress!
Thanks to the trust of hospital leaders and nursing department in my work, I was entrusted with the important task of head nurse in the second ward of neurology. With the help of all the leaders and colleagues, I quickly entered the role and devoted myself to my work. In order to make the work detailed, practical and practical, I further observed every member of the nursing team in our department, explored their temper and personality, grasped the advantages and disadvantages of their work, made targeted work plans according to their different characteristics, and achieved the scheduled work goals in an orderly manner. However, because I haven't been a head nurse for a long time, and I am a young man with special lack of work experience, I realize that if I want to do a good job, I must try my best to care for everyone in my life, be close to every heart in my mind, and resolve every possible stumbling block in my work. I don't play with fake condoms, and I don't play with immediate interests. I am strict with myself, lead by example, drive general nurses, improve myself ideologically and forge myself professionally.
Through one year's work practice, I have a deeper understanding of the responsibilities of a head nurse. I will work harder to bring this nursing team, assist the work of various departments, successfully complete the nursing task, communicate with doctors in various departments and master the situation of each patient in detail, so as to better complete the nursing task, better serve the patients and establish a brand for the hospital! Since 20xx, a "quality nursing service demonstration project" has been established in the whole city, which has changed the original functional division of clinical nursing, implemented the overall nursing responsibility system, and ensured the bed to nursing. Bedside nurses evaluate each patient's self-care ability, provide personalized nursing services on the basis of * * * *, wash their hair and feet, and narrow the distance between them, so that patients can feel the warmth of home. Group and partition, relatively fixed nurses to manage patients, clear the responsibilities of each class: emphasize the participation of all staff in basic nursing work "-self-care patients."
Since the implementation of quality nursing service in our department, initial results have been achieved. It has been well received by hospital leaders, all walks of life and patients, and the patient satisfaction has been significantly improved. Not only patients who have been hospitalized in our department will choose to stay in six departments when they are hospitalized again, but also introduce relatives and friends to stay in our department when they are sick. The Ministry has established a fixed source network for one year, and this network is still expanding. These are inseparable from the hard work of doctors and nurses in the department. In the past 20xx years, our department has treated 1 106 cases, 73 cases of surgical patients and 1 18 cases of critically ill patients, and successfully completed this year's work tasks. Of course, there are still some shortcomings in the work, such as the low quality of individual nurses, the weak concept of sterility, and the inadequate management of wards. Due to the lack of nursing staff, basic nursing is not in place, such as first-class nursing patients can not get first-class nursing services. High-quality nursing service is still in the exploratory stage, and the writing of nursing documents is not standardized and the connotation is poor. In the future, we will redouble our efforts to do better quality nursing work.
We know that the development and progress of the hospital can not be separated from a united leading group, the concerted efforts of Qi Xin, the medical staff, and the unremitting pursuit of this cause! There is a dream in the heart, and there is a direction for action. In the new year's work, I will further clarify my work goals: to be a good instructor in thought, to be a good counselor in business, to study hard and work hard, and to strive to make the professional level of nursing staff in the whole hospital go up a step, so that every nursing staff can realize their own value in their own jobs and lay a solid foundation for our hospital to achieve bigger and stronger development goals!