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5 selected cases of outpatient and emergency nurses’ experiences

The emergency department is a very important department in the hospital. It can be said to be a department that competes with death. All staff in the department should improve their professional skills. Below I will bring you some insights about outpatient and emergency nurses, I hope it will be helpful to you.

Outpatient and emergency nurse’s experience 1

I still remember that it was a scorching evening in the sky. The ambulance rushed back to the department. After receiving the notice from the head nurse, I immediately attended the 7.26 nitrite poisoning accident. In rescue, the phone call is the order. When I rushed to the scene, I was shocked by the sight before me. A family of six, old and young, were lying in two rescue rooms in batches. Everyone was cyanotic, their lips were black, and they were foaming at the mouth. One of the children was particularly serious, and his whole body turned purple. The child's mother was lying beside her, feebly crying for us to save her child. The situation was urgent at that time, and the family of six did not have a penny. The head nurse gave an order to immediately activate the green life chain, and the entire rescue was carried out smoothly. Due to the deep poisoning and foreign matter in the respiratory tract, the child had difficulty breathing and was pregnant. Eight-month-old Teacher Wang lay with her belly stretched out beside the emergency bed to provide airbag-assisted breathing for the child. She persisted until the emergency technician arrived to intubate the child's trachea. When she saw that the child's blood oxygen saturation had risen to normal, she stroked her Tears flowed from my stomach.

What is broader than the earth is the ocean, what is broader than the ocean is the sky, and what is broader than the sky is the mind. As a nurse, we must have a broad mind. Even if we are wronged, our There is still a bright smile on the face, and we know: this smile is sunshine, which can relieve the patient's pain; this smile is rain and dew, which can nourish the patient's soul; this smile is wings, carrying the hope of health and safety of millions of families! < /p>

I am a nurse. I start my day by giving injections, dispensing medicines, and doing ward rounds. I still remember that once there was a lonely old man with a very bad temper living in the ward. Because his children were not around, he had no one to accompany him all day long, so his personality was extremely eccentric. He got angry every day when he was given infusions and medicines. Regarding these, I did not complain at all, nor did I ignore him. Instead, I took the initiative to greet him, went to the ward to chat with him, and listened to his stories about the past with relish. He also went from being repulsive to gradually trying to get closer to us. Whenever I see him immersed in memories for a long time, I feel that my heart is closer to him, I understand him better, and he is more actively cooperating with my work. When he was about to be discharged from the hospital, he held my hand tightly and said, "You are like my relatives." At this time, all the grievances and unhappiness suddenly disappeared. Yes! As a nurse, you should use the spring rain and dew to moisten the patient's long-suffering heart, use your strong hands to help the patient walk through the swamp of the soul, and actively build spiritual bridges with the patient so that the patient can actively cooperate. Treatment and speedy recovery.

Wearing work clothes every day, we shuttle between wards and corridors, repeating tedious nursing tasks such as giving injections, dispensing medicine, taking body temperature, and measuring blood pressure, regardless of spring, summer, autumn, and winter, day or night.

When I first graduated, many friends around me asked me why I chose such a hard and humble job as a nurse. I have asked myself thousands of times whether I am willing to do such an ordinary job all my life and let my youth flow away in the ordinary. Two years have passed in the blink of an eye, but these two years of nursing work have changed my heart. I find that ordinary work is full of emotions. Once, I nursed a patient with severe toxic gas burns in the emergency ICU. He was conscious at the time, but he had to be intubated due to severe airway damage. 90% of the skin on his body suffered third-degree burns and there were blisters everywhere. I cared for him patiently. I touched his skin and carefully extracted the pus from the blisters. Because the rollover bed in the ward was relatively short, I lowered my head and slowly performed skin care for him. I was afraid that the blisters would burst and cause skin adhesion. I also applied silver sulfadiazine externally. It took two or three hours to change the dressing, and my back was bent like a bow. The patient who couldn't speak suddenly raised his hands and gestured something in the air with great difficulty. I couldn't understand what he wanted. When I handed the paper and pen to his hand, he wrote two words crookedly on the paper. Friends, do you know what he wrote? I saw it clearly, and the two words were: thank you. My feelings at that time cannot be described in words. A dying patient still never forgets to say thank you to the nurse who takes care of him. As a nurse, no matter how hard it is, it is worth it. This feeling is like the fragrance of flowers penetrating through the cold winter, like the sunshine penetrating the dark night, accompanied by the solemn light reflected by the neat work clothes. This light once again aroused my sense of responsibility and mission. What we do is ordinary things, but we can reflect our own value. The poet Rabindranath Tagore once said: "There are no traces of wings in the sky, but I have flown!" As a nurse, I firmly believe that monuments are speechless and actions speak louder than words. How much the patient is in your heart is how much you are in the hearts of the people!

Stars are passing, winter comes and summer comes, two years of nursing work, more than 700 days and nights, but in this silent night I searched carefully, but couldn't find any trace of my past. Yes! The job of a nurse is too ordinary. Many ordinary people have forgotten this profession. The job of a nurse is too trivial, as if they have done nothing. Nurses work so hard that many people don't want to take up this profession.

But it is ordinary people like us who silently dedicate our care, sweat, and true feelings in return for the happiness of thousands of families and the peace of healthy owners.

Experience of an outpatient and emergency nurse 2

Experience of working as an emergency department nurse 20__ is my fifth year working in the emergency department, and it is also the time when we are struggling in the small emergency building. This is the last year of fighting. Next year, we will move to the outpatient building specially vacated for the emergency department. By then, our working environment and conditions will have been greatly improved, and the business work of the department will have faster progress. develop.

As an emergency department nurse, we are responsible for the tasks of "120" pre-hospital first aid, transfer, and in-hospital first aid. We fully guarantee the "120" within our jurisdiction with fast, efficient, and high-quality emergency medical services. "The smooth development of pre-hospital first aid and in-hospital emergency first aid work ensures the smooth flow of the "green life channel" of our hospital's "120" first aid station and the normal progress of outpatient and emergency work. Thanks to our joint efforts, the emergency department's annual outpatient and emergency volume, cumulative number of hospitalizations, and emergency rescues have all increased significantly compared with the same period in previous years. It has transported a large number of disease sources to various wards and auxiliary examination departments of the hospital, effectively It promotes the growth of the "two benefits" of various departments in the hospital and improves the work enthusiasm of the medical staff in the hospital.

1. Strengthen ideological and political education and create an atmosphere of unity and harmony

In 20__, all nursing staff in the emergency department conscientiously studied various medical laws and regulations, and consciously abide by the various regulations of the hospital and departments. According to the rules and regulations, we firmly establish the "patient-centered" service concept, constantly improve ideological and moral education, strive to practice medicine in a civilized manner, provide high-quality services, and achieve style in small matters and principles in big matters. They support each other and understand each other at work. The personnel have a clear division of labor, perform their duties and responsibilities, are united and pragmatic, live in harmony, and successfully complete various tasks of the hospital.

2. Strengthen professional and technical training and improve emergency rescue capabilities

Emergency department nurses use the "Annual Quality Management Standards" and the "National Medical Miles" inspection standards as criteria to strengthen emergency response The department's medical care quality construction focuses on the core system of medical care, and carefully implements various operating procedures and rescue work procedures to prevent errors, doctor-patient disputes and other adverse medical care events from occurring. In accordance with the training and assessment plans of the hospital and department systems, emergency team members are regularly trained in business studies and first aid techniques. A good learning atmosphere has been formed in the department. They study the business seriously, communicate with each other, and promote each other, so that the department staff are proficient in various aspects. A variety of rescue equipment and rescue technologies, such as cardiopulmonary resuscitation, mechanical ventilation, endotracheal intubation, electric defibrillation, electric gastric lavage, ECG monitoring and other operating technologies, further improve the emergency first aid capabilities of the emergency team members, and have a positive impact on the department's medical and nursing care. We carry out quality inspection, quality control, training, assessment and supervision, strictly follow the writing standards of medical nursing documents, and carry out emergency rescue work in strict accordance with relevant laws, regulations and medical behavior standards formulated by the Ministry of Health, so as to prevent medical errors and medical accidents. Otherwise, put an end to paralysis and carelessness in the process of medical treatment.

In the "120" first aid work, we resolutely obey the dispatch of the "120" command center, so that we can visit the doctor at any time, quickly dispatch the vehicle, and be ready to arrive at the emergency site in time. We always ensure the integrity of emergency medicines and items. 100%, the rescue equipment is in emergency standby functional state. During the "120" pre-hospital first aid and in-hospital first aid rescue process, from condition assessment, pre-examination, triage, triage to safe and correct transfer to the department. Every link can be seamlessly connected, effectively ensuring the life safety of residents in the jurisdiction.

3. Strengthen department nursing management and do a good job in hospital infection management in emergency work

In emergency rescue work, strengthen hospital infection management, effectively prevent and control hospital infections, and improve The quality of medical care and ensuring the safety of care. Implement hospital infection management regulations and work standards, strictly implement operating procedures and work standards, prevent the spread of infectious diseases, do a good job in self-protection, disinfection and isolation, and medical waste management, and strictly prevent cross-infection in the hospital.

Outpatient and emergency nurse experience 3

1. Strengthen the service awareness of nursing staff

With the smooth development of high-quality services, we truly understand the importance of high-quality services from the bottom of our hearts It is important to regard quality service as the bounden duty and duty of nurses, be grateful, and treat every patient with a repaying attitude. "Invite" system commitments from the wall, let high-quality services "come out" from documents, change passive service to active service, go deep into the ward, use a variety of education methods, and nurses take the initiative to say hello to patients when entering the ward, and adopt The affectionate address can greatly improve the nurse-patient relationship. Through the development of high-quality nursing services, it has strengthened the nurse's sense of responsibility towards patients. As long as they go deep into the ward, they can find any problems that need to be solved in the patient's life or care. , will deal with the patient in a timely manner and solve the problem in place. Even though there were many patients and few nurses, we still strengthened morning and evening care, improved service quality, and greatly improved patient satisfaction.

2. Strengthen the service concept

General nurses actively participate in various learning activities organized by the Nursing Department, continue to conduct etiquette training, standardize commonly used polite expressions and communication terms during operations , and use

in actual work. Continuously study and discuss communication skills issues, cultivate nursing staff's foresight of disputes, effectively handle various conflicts and disagreements that arise at work, and jointly build a sense of mutual trust between nurses and patients, and smooth the emergency green channel , improving the success rate of rescue. For various emergency, critical, and severe patients, the rational use of green channels has won valuable time for rescue. There have been 0 complaints throughout the year, and the overall satisfaction rate has reached 100%.

3. People-oriented, fully meet patients’ medical needs

Continuously improve the ward environment and increase patient education content. Continuously optimize the medical treatment process, conduct timely triage, and adopt measures such as using emergency priority services to treat patients first and pay later for critical and critical patients, so as to reduce the waiting time for medicine. We also improve service quality through environmental hygiene supervision, nursing inspections and health education. Paying attention to the condition management, basic care and diet of the three-no people, keeping abreast of their conditions, and helping to contact family members or friends, this initiative has been praised by the patients' families and other patients. Discuss and rectify patients' opinions and problems that arise at work to continuously improve the service image; continuously improve the emergency plans for nursing work, including emergency plans for emergencies.

3. Department nursing management, do a good job in hospital infection management in emergency work, increase the learning and assessment of department nursing management and hospital infection knowledge, and increase hospital infection management in emergency rescue work, Effectively prevent and control hospital infections, improve the quality of medical care, and ensure the safety of care. Implement hospital infection management regulations and work standards, strictly implement operating procedures and work standards, prevent the spread of infectious diseases, do a good job in self-protection, disinfection and isolation, and medical waste management, strictly prevent cross-infection in the hospital, ensure quality and quantity, and cooperate with hospital infection management Public relations and health project work such as epidemic reporting, vaccination distribution and registration.

Although certain results have been achieved in nursing work in 20__, there are also shortcomings. The nursing research project was not successfully completed, and individual personnel had a negative and passive attitude at work. In the process of serving patients, some personnel's tone of voice is cold and blunt, which can easily cause dissatisfaction among patients.

4. On-the-job training and continuing education for professional emergency nurses

1. Throughout the year, the department organized 12 business learning sessions, 12 medical record discussions, 12 operational trainings, and 12 nursing adverse event learning sessions. times, 12 nursing rounds, 12 work break symposiums, and 12 hospital awareness knowledge learning sessions.

2. Regularly organized general practice staff to complete job skills training as required. Everyone passed the operational assessment, and the professional skills of general practice nurses were further improved.

3. According to the work arrangement of the hospital, 5 nursing staff were selected to study in higher-level hospitals, which improved the nursing level and further promoted the nursing work of the general department. Accepted 8 interns from various health schools arranged by the Nursing Department, and arranged dedicated personnel to guide the training and teaching of the interns, conduct regular assessments, and pass exams.

4. Cooperate with the learning, business assessment, and technical operation training arranged by the Nursing Department; conduct comprehensive theoretical assessment and operational skills examination for nursing staff, which are directly linked to performance appraisal.

5. Focusing on the core system of medical care, we have carefully implemented various operating procedures and rescue work procedures, so that department staff are proficient in various rescue instruments and rescue techniques, such as the use of ventilators and cardiopulmonary resuscitation. Surgery, electric gastric lavage, ECG monitoring and other operating technologies have further improved the emergency first aid capabilities of the emergency team members. Strict medical care document

writing standards are strictly in accordance with relevant laws, regulations and regulations formulated by the Ministry of Health. Carry out emergency rescue work in accordance with medical behavior standards to prevent medical errors and medical accidents before they occur, and to eliminate carelessness in the process of medical behavior. In the first aid work, we always ensure that the emergency medicines and items are 100% intact, and the rescue equipment is in emergency standby state. During the emergency rescue process in the hospital, from condition assessment, pre-examination, triage, triage to safe and correct transfer to the department. Every link can be seamlessly connected, effectively ensuring the life safety of residents.

The summary is as follows: 1. Most young nurses in the emergency department have insufficient emergency first aid experience and their first aid skills need to be improved. They also need to strengthen specialist training and further studies to improve the overall rescue level. 2. There is a lack of flexibility in emergency first aid work, and communication skills training needs to be strengthened in the future. 3. Be proficient in monitoring and rescuing procedures for emergency critical illness, focus on the key points, and avoid rushing around. 4. Master the usage and dosage of commonly used emergency rescue drugs, strictly implement the oral doctor's order system during the rescue process, and pay attention to medication safety. 5. When encountering a public emergency or receiving a large number of patients, report to superiors in a timely manner, organize rescue, resolve crises, do a good job in emergency consultation, and ensure the safety of medical care. .

In the new year, we will face greater difficulties and challenges, and the fierce competition in the medical market. We will continue to work hard to improve the comprehensive quality of nursing staff, cultivate professional nurses, improve service quality, and better serve patients. Provide patients with satisfactory services.

Outpatient and emergency nurse experience 4

__ is my fifth year of work. Over the years, I have grown from a confused intern to a professional with rich experience. Work experience as a nurse.

Patients have been changing from round to round, and Corey has also left many old colleagues in the past few years, and many new colleagues have come! However, during the years of getting along, the coordination and cooperation of work have remained the same. Then it's still in order. The Chinese New Year is coming soon again, and I can’t help feeling from the bottom of my heart like a projected movie, showing one thing after another that happened in this year!

The most meaningful thing: this year we are divided into groups. Maybe it can be regarded as the top priority? Our department was divided into two groups, and I was assigned to the front group. Although there are many differences from the previous unchanging work mode, each of us bravely tried new work priorities. . This is not a good thing. Maybe changing the method will make our department more powerful and stronger! Under the leadership of team leader Sun Ying, every member of our group is closely united! Maybe unity is strength In the past, I was procrastinating on some things and didn’t want to do some things! However, since we were divided into groups, everyone is willing to rush to do it, which fully mobilizes everyone’s enthusiasm. The feedback from patients and family members is very good. , so that the time we spend patrolling the wards and communicating with patients has also increased accordingly. As a result, our efforts were finally satisfied by the patients and affirmed by the leaders. Therefore, under the leadership of the head nurse and through the joint efforts of our entire department, we gloriously won the first place in the hospital's third quarter nursing quality evaluation (it is also the happiest thing this year!)

< p> The most disturbing thing: "The rehabilitation department is going to move and the nurses are going to be merged." This matter has touched our hearts for a long time. With the merger of the gastroenterology department of the first ward into a new building, and the relocation of the hematology department and brain surgery department, each of us has more or less thoughts in our hearts. "What will happen to our department? Will I be kicked out?" I think whether this matter is more or less affects everyone! I deeply felt this sentence during the 20 days of supporting the first ward: If you are a Good nurse, no one is willing to give up on you! Standing at your position is more important than anything else! So I have to work harder and more seriously!

The new year is coming soon, and I sincerely wish you all the best. In the new year, I wish you good health and smooth work. I also wish that our department work will reach a new level and our business will open up a new situation! The above is a summary of the work of 20__ emergency department nurses compiled for everyone. If you find it useful, please Stay tuned.

Outpatient and emergency nurse experience 5

First week (5.29--6.3)

It has been several days since I ended my school life and came to Hengyang for internship. Slowly Slowly, I began to become familiar with the unfamiliar environment. When I went to the hospital for internship, the first department I was assigned to was the emergency department. I started to worry before I started working, thinking that the emergency department usually treats those who are in danger. Patient, time must be very urgent, but I don’t know anything. Will some teachers scold me if I don’t know how to do it? I was very reserved when I went to work on the first day, but after getting along for a day, I found that the teachers are actually very good. , and easy to get along with. The teacher would teach me what to do while caring for the patient. At the same time, he would also tell me some things to pay attention to during the care, all of which were very detailed and clear.

I was very happy to see the teacher being so kind and approachable. At the same time, the fear slowly disappeared. I think I will learn a lot under the leadership of such a good teacher.

Second week (6.4---6.10)

I have been an intern in the emergency department for two weeks. During these two weeks, I have also gained some understanding of the department. I saw some things. Once at work, I saw a very fierce family member scolding the nurse, making no sense at all, and even smashed the phone in our department. However, most of the family members in the ward were very good. You are very polite to them, with a good tone and attitude, and they will also say thank you. I think it is human nature. Some people will inevitably have some impulses to treat different things. As medical staff, what we have to do is not to communicate with patients. Instead of arguing with family members, explain it clearly to them first, convince the patient, and avoid unnecessary disputes. Of course, if you are good to others, others will be good to you. In school, teachers often teach us to be patient with patients and their families. Now that we have begun clinical practice, we must truly understand the patients and be enthusiastic. Serving them is not only our responsibility, but also a sign of responsibility to the patients.

Week 3 (6.11-6.17)

In clinical practice, we will meet all kinds of people. Some people will be very reasonable and polite, but some people will be very reasonable and polite. However, some people have a very hot temper and will say some unpleasant things if they have the slightest bad thing. Most of the people who come to the emergency department are in a hurry. If it is too slow, the patient's family will have objections, so in the emergency department The nurses in the department are generally very nimble and very fast. In emergency clinics, some patients will not ask you to give them injections or draw blood when they see that you are new here. I have also encountered many such patients. When they see that I am new here, they will say Get me a more skilled nurse.

Patients can see your technical level from how you do things, so if you want patients to trust you, the most important thing is to learn the skills. Only when you are proficient in movements will you no longer be nervous when facing patients, and patients will not dislike you. Your technique is not good. Therefore, it is important to learn nursing skills well.

The fourth week (6.18-6.24)

Time flies so fast. The one-month internship is over. I learned a lot in the emergency department. I am very grateful. My instructor taught me a lot. Looking back, I not only made many friends with everything that happened in the emergency department, but I also felt that it was a kind of training for me, especially my heart. I am afraid of slowly becoming proficient little by little. Although I know that I still don’t learn enough, I will continue to learn, continue to hone myself, and master various nursing operation techniques.

There is no end to learning. Only by continuous learning can you improve your abilities.