Summary of operating room work 1 20xx, the nursing work in our hospital had a tense and extraordinary year, and the hospital's work priorities and the overall goal of nursing work were successfully completed. Successfully promoted to a tertiary hospital, the operating room has made gratifying progress, which is summarized as follows:
First, the most important thing in operating room is the management of nursing safety.
If safety management is not improved, top management will become empty talk. If the surgical safety management is well grasped, the requirements are strict, the system is effectively implemented, the quality of personnel is good, and the technical level is high, the safety can be ensured without accidents.
1, grasp the tubule strictly. According to the plan at the beginning of the year, the head nurse will study every month, and the responsibilities of nursing system, aseptic operation, laws and regulations, emergency procedures for emergencies, nosocomial infection, intraoperative cooperation, three basics of specialty, basic nursing operation and other related knowledge will be organized by the head nurse in a unified way, and the closed-book examination will be implemented, and the results will be linked to the evaluation and awards, which greatly stimulated the enthusiasm of nurses.
2. Key population management.
(1), new nurses do routine pre-job training, mainly attending classes, and work with a group of nurses with strong sense of responsibility and deep qualifications.
(2), for high-risk, emergency, new surgery with skilled nurses, to ensure the smooth operation.
(3) As many as 95 cases were operated by experts at home and abroad within one year, and their aseptic consciousness and skilled cooperation were praised by experts.
(4) Key time periods. During holidays, shifts and noon when there is heavy work, the personnel on duty should inform the second-line personnel at any time to ensure safety.
Second, strengthen the ideological education of nursing staff, change their concepts and have active consciousness.
1, operating room work should be based on the characteristics and psychological needs of surgical patients with social system changes, from preoperative visit to postoperative follow-up, patients should be given all-round and seamless overall care. The annual interview rate is above 80%, thus improving the quality of work.
2. Send a questionnaire to each department head every month, including the annual satisfaction rate. The opinions put forward by the heads of various departments should be actively adopted, and strengths should be fostered and weaknesses avoided in the work to ensure efficient and safe work.
Third, do a good job in the study of three basics and three strictness and laws and regulations.
1, ask questions 1-2 times in the morning, strengthen theoretical knowledge and improve professional level.
2, specialist questions 3-4, monthly closed-book exam, score registration.
3, the implementation of the reward and punishment system, truly reflect the system constraints, reward the fine to those who have not violated the rules, and stimulate the enthusiasm of nurses to act according to the system.
Fourth, the care of critically ill patients.
1. Visit before operation, communicate with doctors when necessary, and prepare for possible problems during operation.
2. Prepare all kinds of rescue items and medicines.
3, special circumstances, report to the head nurse, stage and stage double cooperation, make the operation smoothly.
4. Nurses should read books before operation, be familiar with the operation steps, and take notes after operation.
5, according to the operating room inspection standard, check once a week, can find problems in time, formulate corrective measures, truly reflect everyone is equal before the system.
6. Conduct an emergency drill once a month, so that nurses can really meet an emergency and deal with it normally.
Five, operating room management.
1, once a month, do a general cleaning, and thoroughly clean those places that are usually neglected.
2, every day before the start of the operation, the nurse with a wet cloth to wipe the equipment and all the tables. (1: 500 chlorine-containing disinfectant)
3. Limit the number of personnel in the operating room. No more than 3 people will visit each operation.
4. It is forbidden to say anything unrelated to the operation during the operation.
5. Keep the operating room clean and tidy during the operation, and don't throw it anywhere.
6. Clean the operating room immediately after the operation and remove the dirt in the fastest way.
Six, improve the legal awareness of nursing staff.
1. Learn the regulations on handling medical accidents.
2. Learn the Regulations on the Management of Medical Expenses.
3. Learn the knowledge of perioperative nursing law.
4. Learn the nurse regulations.
5. Learn the rules of the operation record book to ensure the accuracy and authenticity of the operation record.
Seven, strengthen aseptic operation and disinfection and isolation management.
1, everyone has mastered aseptic technology and aseptic operation principle.
(1), wash your hands.
(2), wear formal surgical gown, masks, hats.
(3) Wear sterile surgical gown, sterile mask, gloves and sterile workbench.
2, strictly implement the operating room disinfection and isolation system.
(1), clean and clear, to prevent cross infection.
(2) Clean and disinfect the docking car together.
(3), the staff familiar with disinfection and preparation.
(4) Strengthen the management of patients with special infection.
Eight, strengthen the practice and teaching work.
1. Teachers should be clear about their responsibilities, choose competent nurses with strong sense of responsibility, and take theoretical operation exams before leaving the department, requiring everyone to pass the exams.
Nine, to quantify the assessment ability as the goal to make management achievements.
1, and the qualified rate of nursing sheets is ≥90%.
2. The qualified rate of intraoperative monitoring is 100%.
3. The qualified rate of disinfectants and precious drugs is 100%.
4. The qualified rate of rescue drugs is 100%.
5, the operating room preoperative visit rate > 80%.
Ten, open source and reduce expenditure, do not waste.
The number of surgical cases in the whole year of 20xx, with the concerted efforts of all the staff, Qi Xin successfully completed each operation in the operating room, which was well received by hospitals and experts. In the new year, we should guard against arrogance and rashness, take the quality of life first and patient safety first as the goal, and wish tertiary hospitals gratifying results in the evaluation.
20xx65438+February 30th.
Summary of operating room work 2 I came to Chuxiong Hospital with a hope and a loss, and started my internship. Since then, my identity has changed from a student to an intern nurse, my living environment has changed from a school to a hospital, and my contacts have changed from teachers and classmates to doctors, nurses and patients. For these three major changes, how to be a qualified intern nurse, although the teacher has given us thousands of instructions, but my heart is still uneasy, strange, uncomfortable, afraid of being scolded by the teaching teacher, afraid of being worse than others, I don't know where to start ~ ~ ~
Operating room is a horrible and mysterious term. A door of the operating room is divided into two worlds. Let it be covered with a mysterious veil. Of all the departments, the operating room is another department I yearn for most. Because the operating room is mysterious to me, I came to the operating room as an intern with curiosity.
I go to work at eight o'clock every morning, change my shoes, put on my hat and mask, and change my clothes in the operating room before I can enter the restricted area, which further strengthens my aseptic concept. On the first day of entering the operating room, the teacher gave us a general introduction of the operating room environment and equipment, which made me realize the importance of understanding the environment and equipment-let us find what we need in the shortest time, and at the same time let us realize that time is life. We must race against time!
During my internship in the operating room, I was honored to have two operations, especially cesarean section. I just saved the operation time for the aspirator, but I still feel that the opportunity is hard to come by. From every small step, I deeply realized the strict aseptic requirements during the operation. I learned from brushing my hands to wearing scrubs and sterile gloves. Every step is strict with yourself to achieve aseptic requirements. In the operating room, I also learned how to puncture a trocar, pack a big bag and place instruments.
During my internship in the operating room, I strengthened the concept of sterility and increased my understanding of the principle of sterility, which made me have a deep understanding and understanding of the work tasks of hand-washing nurses and visiting nurses, and also made me more aware of the importance of cooperation with nurses and doctors.
The days of internship in the operating room are very short, which makes me understand the steps of washing my hands in the operating room; Understand surgical instruments; Open and package the sterile bag; Put on and take off the surgical gown; Sterile gloves; Supply of sterile materials; Loading and unloading blades; Learn to fill in the operation record sheet; List of instruments before, during and after operation, etc. Every link is a part that cannot be ignored. For me, every part is a test and a rare and precious experience. It turns out that only through practice can we know that "watching is better than practicing"
I feel that I have gained a lot during my internship in the operating room for one month, and I have learned a lot of knowledge, including nursing knowledge and interpersonal relationships.
In the form of ideological education, we should give full play to the exemplary leading role of outstanding nursing staff in various departments, organize learning in various departments from time to time, strengthen employees' awareness of law, service and quality, and strengthen the comprehensive management of basic nursing quality, link quality and terminal quality. Over the past year, a large number of advanced figures and typical deeds have emerged. XXX XXX two old head nurses can infect and guide employees with their own practical actions and excellent work, forget their work for decades, treat patients as relatives, and hand in a satisfactory answer sheet to the people with high-quality nursing services. Xxxxxx has been diligent and dedicated, practicing angels in white's oath in ordinary posts, and has been well received by patients. In the team of young head nurses, XXX and others can be strict with themselves, strive to do a good job in ward management and logistics support services with their excellent work style and tenacious work spirit, and provide high-quality nursing services for the clinical frontline with love and strong sense of responsibility. The result is positive. Xxxx, two supervisors of outpatient service desk, is rigorous in work and has a strong sense of service attitude. They give sincere smiles to patients, personally send patients to wards for many times, take medicine for patients for countless times, take blood pressure, and provide concise medical procedures for patients. Their warm and thoughtful service has become the most beautiful scenery in the outpatient hall, setting a model for hospital window image service.
We fully feel the warm service of nurses, and in the face of patients' panic, we provide first-class nursing service with a smile to alleviate it; In the face of patients' various conditions, they use patience to influence, and their calm attitude of saving critically ill patients makes us moved and gratified.
In order to meet the needs of medical services, create a high-level service concept and humanistic care, establish a good social image, and promote the sustained and stable development of the hospital, our hospital adheres to patient-centered, provides warm and thoughtful humanized services for patients on the basis of respect, understanding and care for patients, respects patients' personal dignity, attaches importance to patients' personality and psychological needs, meets patients' physical and psychological needs to the maximum extent, and provides convenient, fast and enthusiastic services for patients.
Advocate humanized service, improve the concept of humanized service, start from the characteristics and personality of the clients, carry out nursing service, take respecting patients, serving patients, adapting to the development of the times and the needs of modern life as the starting point, and constantly improve service measures. First of all, the nurse in charge should warmly receive the patients, send them to the bedside, and take the initiative to introduce the ward environment, schedule, rules and regulations, attending doctors, etc. Timely issue nurse-patient contact cards to patients or their families to understand the psychological state and needs of patients after admission. Secondly, explain the special medication, diet, various inspection precautions, operation purpose, general operation process, lying position, catheter placement precautions and extubation time to comfort and encourage patients and try their best to solve their worries. Third, provide standardized services, so as to "deliver the medicine to your hands, manage the entrance well, and then go after eating", implement family service in your work, comfort patients with love and affection, enhance their confidence in overcoming diseases, and promote early recovery.
Strengthening nurse-patient communication is the premise and necessary condition of all nursing work. The application of one-day monitoring card for inpatients in nursing department virtually urged nurses in various departments to take the initiative to observe the condition and increased nurse-patient communication. Shorten the distance between nurses and patients and effectively prevent mistakes and accidents. It has played a very good role in promoting better nursing work. One promotion and three taboos implemented by the nursing department are "say what you see" and three taboos "I don't know, I'm busy, I'll talk about it later". Effectively promoted the language skills of nurse-patient communication. Let the very sensitive topic of dunning no longer be the fuse of unpleasant medical cooperation.
With the development of medicine, the demand of society and the change of people's ideas, higher requirements are put forward for the comprehensive quality of nurses. A qualified nurse should not only be skilled, agile and compassionate, but also play a good role in promoting the development of nursing. So the nursing department focuses on three aspects.
Summary of practice in No.3 operating room
Time, like running water, always slips away inadvertently. In a blink of an eye, the one-month internship in the operating room is coming to an end, which also marks the end of my internship in the operating room. Good times always make people feel short. This month's life is like a dream, but it is so real. Recalling the bits and pieces of the operating room is so clear. ...
It was a fresh morning on the day of registration. Under the warm reception of teacher Zhao, we dressed up and came to the nurse station on the ninth floor. There, head nurse Zhang warmly received us, and personally led us to familiarize ourselves with the environment, introduced several partitions of the operating room in detail, and explained the circulation direction of surgical instruments and air in the operating room, which virtually deepened our concept of sterility. Next, we will study packaging in the packaging room and get familiar with various instruments. In the afternoon, after the operation, the teachers worked overtime to give us intensive training, explaining some basic operations in the operation, such as brushing hands, wearing surgical gowns, wearing gloves and not touching. I am very touched and encouraged to see the tired but patient faces of the teachers! Teacher Gong, in particular, brought a surgical kit as soon as the operation, and concentrated us in an operating room to simulate the whole operation process. From the opening of the operating table to the end of the operation, he explained in detail how to help doctors spread towels, how to set up the operating table, what is tape, what is thread pressing, how to transfer instruments correctly, how to count instruments and so on. Every time he talked about a place, he personally demonstrated it, giving us the feeling of being there, which was very impressive. That day, Mr. Gong talked until seven or eight o'clock in the evening. We benefited a lot, but we worked hard for him. At the end of this day, I have a general understanding of the operating room and the whole process of operation. Although I didn't do anything, I felt very fulfilled and fulfilled.
The next day, head nurse Zhang arranged her own teacher for us. My tutor is Miss Zhang Ping, who is a specialist nurse in orthopedics. She is a very experienced teacher and a very strict teacher. I feel lucky to have such an excellent teacher to guide me. But at the same time, I also have a lot of pressure, because I still don't understand anything, and the gap will always give people a lot of pressure invisibly. On this day, she happened to have surgery. She was a visiting nurse. I'm watching Taiwan Province. This is a plastic surgery. When I went, the operation had already started, so Mr. Zhang patiently explained it to me from the beginning. Every step the teacher takes on the stage, she will explain the reasons and the places that need attention. Keep it in mind while listening. Looking at the calm expression of the teacher on the stage, I suddenly felt a sense of urgency. Can I be so calm? But I can't even recognize the musical instrument now, and there was a sense of fear at that time. But this is the reality. The more you fear, the more you get. Sure enough, the head nurse operated on me on the third day, and I actually wanted to go on stage to be an instrument nurse! Needless to say, I can imagine how embarrassed I was. The doctor on the stage is urging me, and Teacher Zhang under the stage wants to give me something. I was really in a hurry, so I was busy at one end and ignored the other. Fortunately, I didn't violate the aseptic principle. Teacher Zhang patiently guided me. She always tells me in advance what the doctor will do next and what preparations I need to make so as not to keep the doctor waiting. During the operation, I quickly took out the cloth strips and aimed them at the instruments one by one. If I'm not sure, I'll ask the teacher to make up this knowledge. At that time, I really regretted not seizing the opportunity to study hard two days ago. When the operation slowed down, Mr. Zhang taught me to set the stage and explain the operation process. Finally, under the guidance of teacher Zhang, I finally finished the task. After the first operation, I had a strong sense of frustration, feeling that I couldn't keep pace at all. What should I do? I started thinking. ...
In the next few days, I followed the orthopedic surgeon and teacher Zhang in the operating room No.6 every day. Operating room 6 is a relatively high-level operating room, mainly for joint replacement and major spinal surgery. Sterility requirements are particularly strict, and the requirements for operators are higher. In the first few days, I was particularly nervous every time I went on stage, because I knew that all operations were major, and I must not violate the aseptic principle and make any mistakes. At that time, I was not particularly familiar with the instruments and the surgical procedures. My reaction is often slow, and sometimes I take the wrong instrument, which brings a lot of trouble to the doctor. But the doctors are very good and never blame me. Once, on the operating table, Dean Lian personally taught me how to make gauze, which made me feel moved and guilty. What I am most afraid of is that some unfamiliar nouns suddenly pop up from the doctor's mouth and I can't talk to the doctor. This is pathetic. I remember the first time I had a knee replacement, the doctor suddenly asked me for peanuts. I was stunned at that time and had no idea what it was. Teacher Zhang immediately said to me, "Just peel off the gauze. Cut into small pieces and wrap them into peanuts. The raw edges are not exposed. Just clamp it with tissue forceps. " Similar situations often happen in the first few days. On the operating table, every minute is precious. It is the duty of our instrument nurse to deliver the instruments to the doctor in time and accurately. It would be very wrong if I delayed the operation because of my lack of experience. Therefore, in those days, I was always highly focused, fully mobilized my vision and hearing, always paid attention to surgery, and closely cooperated with doctors. Because there is surgery almost every day, and it often ends very late in the afternoon, I seldom go to the packing room and can only take time to study on weekends. So I know a lot of instruments on the operating table, and I also learned a lot of operations on the operating table. The so-called learning now, using now, but learning now and using now also requires speed and quality assurance. So in the first few days, I was nervous, and I was really not used to it at that time. But under the enthusiastic guidance of head nurse Zhang, I understand that being with excellent people will bring great pressure, but progress will be rapid. This is called tempering. Indeed, in those days, I could feel that I was being led by others every day and I could learn a lot. On the first day of the operation, I obviously felt that I was the weakest one in this team, and I couldn't even talk to others. Later, after a few days of training, I was able to talk to the doctor. Sometimes the doctor didn't say anything, and I got all the equipment I needed for the next step. So I think doing anything is a process from unfamiliarity to proficiency. As long as we work hard, we will certainly do better.
At the end of the year and the beginning of the year, under the direct leadership of the hospital leaders and the nursing department, with the strong support of all departments, all nursing colleagues in the operating room have always implemented the service tenet of "patient-centered", provided high-quality and safe care for surgical patients, and made due contributions to excellent cooperation with surgery. This year's work is summarized as follows:
First, nursing management
1, general practitioners practice according to law, and sign the operating room safety responsibility certificate.
2, the department regularly organize professional knowledge and related laws and regulations of learning, training and assessment.
3. Strengthen the emergency plan for public health emergencies and disasters, ensure the smooth fire exits, and carry out emergency plan drills for emergencies and sudden fires in operating rooms.
4, strict accounting system, do a good job, remember more, don't forget all kinds of expenses. Do a good job in the management of materials, equipment and consumables, and strive to reduce the cost of medical services. Establish and improve the medical equipment registration and maintenance system to ensure that the standby rate of rescue equipment and materials reaches 100%.
5. In the process of medical service, the department always puts patient safety in the first place, fulfills corresponding social responsibility obligations, and actively participates in various medical free clinic activities organized by the hospital.
6.6 165438+ 10 to manage the traceability system of surgical aseptic packages, formulate operation procedures and train department members.
Second, nursing safety
1. Establish a wristband identification system, strictly abide by the procedures for picking up and dropping off surgical patients and the check system for surgical patients, and actively invite patients to participate in the identification, so as to avoid the occurrence of wrong patients, wrong parts and wrong operations.
2, the establishment of surgical items inventory system, equipment nurses and visiting nurses * * * cooperate with inventory, check the names and quantities of various instruments and dressings in the surgical bag, and accurately record the items left in the body without surgery item by item.
3. Establish a work guide for safe transportation of surgical patients to prevent people from falling off the bed. Strictly abide by the principles of pipeline management in the Technical Specification for Clinical Nursing, and do a good job in training the correct fixation of venous access and various drainage tubes to prevent the pipeline from falling off.
4. Blood transfusion, infusion and drug use strictly implement the system of blood transfusion inspection, three inspections and eight inspections, which improves the safety of drug use and blood transfusion.
5, the use of implants in accordance with the "medical devices and drugs access system" and related regulations, the establishment of implants.
Records can be traced back to product name, model, quantity, manufacturer and supplier. Ensure that safety of surgical implant.
6, establish and improve the operating room specimen lien, inspection system and operation process. No errors or missing samples.
7, establish the management system of electrosurgical equipment, safe and correct use of electrosurgical equipment.
Third, the quality of care.
1, strengthen the safety management of nursing quality control, ensure the continuous improvement of nursing quality, make monthly and weekly plans for nursing quality control in departments, conduct quality inspection once a week, and conduct quality summary analysis once a month.
2, the problems existing in the inspection can be timely feedback to the parties and actively rectification. At the morning meeting of the department, it was emphasized that other members of the department should know, thus preventing similar incidents from happening.
3, hold a regular meeting every month, full participation, feedback, analysis, discuss the problems existing in nursing quality control activities, put forward rectification opinions on recurring problems, and put an end to mistakes and accidents. There were no nursing adverse events and medical disputes in 20xx years.
Fourth, medical ethics.
1, strictly implement the code of conduct for nurses and use civilized language in daily work.
2. Take the opportunity of morning meeting and business study to strengthen the education of nurses' service consciousness and service concept, so as to achieve active service, warm reception, careful introduction, do a good job of appeasement, strengthen communication with patients, reduce patients' fear of unfamiliar environment and enhance patients' confidence in surgical treatment.
3. Respect and safeguard the legitimate rights and interests of patients, do a good job of preoperative and postoperative visits, strengthen communication with doctors, strive to improve the professional level, and have a harmonious relationship between doctors and patients. Listen to the opinions of patients and their families in time and correct them, and establish a service process. It is highly praised by patients and their families.
4, the department staff work attitude is rigorous and serious, study hard, service enthusiasm, don't shuffle patients, never ask patients and their families for red envelopes. Everything is patient-centered, hospital development is the most important, the overall situation is taken care of, regardless of personal gains and losses, willing to contribute.
Verb (abbreviation for verb) Hospital infection
1, strictly abide by the "hospital infection management norms" and conscientiously implement the "disinfection and isolation system". Strictly implement the technical principle of aseptic operation in operating room, and promptly criticize and correct people and things that violate the aseptic principle.
2. Every morning, the nurse on duty will carefully check all kinds of sterile sets, tidy them up and check them again when using them. The qualified rate of disinfection and sterilization of conventional instruments is 100%.
3. Regularly organize department personnel to learn relevant knowledge about hospital infection, and actively participate in lectures and training on hospital infection knowledge. Hospital infection knowledge examination qualified, urge operators to strictly implement the aseptic principle, strengthen the concept of aseptic, hand hygiene compliance, limit the number of visitors, standardize clothing.
Ideological and political, actively support the principles and rules and regulations of the hospital, take patients as the center, strictly demand themselves according to the standards of an excellent qualified nurse, treat patients as relatives, adhere to the patient as the core and take patient satisfaction as the standard.
Second, actively learn new technologies and new businesses. As an operating room nurse, she strictly carries out 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 colleagues, and puts work first in everything. Provide patients with all-round quality services, online medical collection and management, actively cooperate closely with surgeons and anesthesiologists, 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 proactive, strictly control, be rigorous and meticulous, and prevent mistakes and accidents. While completing the operation process with good quality and quantity, we should constantly improve the operation level and actively participate in the development of various new businesses. Over the past two years, under the guidance of comrades in various departments, I have worked hard and made continuous progress, mastered the operation coordination steps of obstetrics and gynecology, urology, general surgery, hepatobiliary and other departments, and deepened the concept of sterility and operational requirements.
Summary of operating room work Article 5 The operating room is an obscure and conscientious group. It is this team spirit of unity and cooperation that can achieve such good results today. With the development of the department, we have been busy for a year. This year, we carried forward the spirit of "hard work, dedication and cooperation" and never forgot the needs of patients. With the cooperation and support of hospital leaders and doctors at all levels, aiming at the goal at the beginning of the year, all medical staff in the operating room United as one and worked together to successfully complete various tasks in the operating room.
In daily work, the operating room staff love their posts and dedication, meet the needs of every surgical patient with their love and sincerity, and put the work style of saving lives through the whole process of nursing and anesthesia. Strengthen the concept of aseptic technology operation of medical staff, and no mistakes and accidents have occurred in the past year. No wound infection caused by operating room was found this year.
The operating room can regularly check the safety (oxygen, water, electricity, etc.) during the operation. ), timely report to the leadership of the danger, and effective rectification. The toxic and narcotic drugs shall be registered by a special person, a special counter and a special person, so that they can be counted daily, properly kept, and the first-aid drugs are fully prepared to reduce the risk of surgery to zero.
The patient can be checked timely and accurately, and the medication during operation can be checked three times. Check all kinds of disinfection items daily and supply them in time, and check and check the items before operation to create good conditions for the safety of operation. All the staff in the operating room can conscientiously implement the post system, so that the succession is clear and know fairly well.
Over the past year, nearly 100 cases of major and minor operations have been completed in the operating room, all of which have been successfully completed and achieved certain results. While enjoying the success, we also see the shortcomings. We are still relatively passive in our work, and there is still a certain distance from the leadership requirements in management. In the future work, I will constantly sum up experience, study hard, and make unremitting efforts for the hospital's service level and economic income to a new level, and strive to do a better job next year!
20xx- 12-26