Working experience in internal medicine 1
Time flies, and it's the end of the year in a blink of an eye. Looking back on my work in the post of head nurse this year, I have many feelings in my heart. The work since 20__ years is summarized as follows:
First, strict management and effective coordination
Over the past year, under the leadership of the nursing department and the director of the department, we have been strict with ourselves from all aspects, taken the lead in doing well the work of the department, especially the nursing work, boldly managed, and conscientiously implemented the work system of the hospital and the department, ensuring the steady progress of the work of the department. Cooperate with the director to do medical cooperation and guide everyone to do medical communication; Find and solve some frictions and contradictions in time, enhance the cohesion of the department, and make the Chinese medicine department a warm family; Let doctors and nurses work in a state of physical and mental pleasure, and also create a warm and harmonious hospitalization environment for patients.
Second, pay close attention to nursing business training
As a comprehensive department of integrated traditional Chinese and western medicine, our department is faced with many miscellaneous diseases, many intractable diseases and weak nursing specialty. Correspondingly, among 12 nurses in Chinese medicine, only 1 graduated from the nursing college of integrated traditional Chinese and western medicine, and the rest graduated from the nursing major of western medicine, and only learned the basic knowledge of Chinese medicine at school; With the continuous development of the training of "specialist nurses" in western medicine, the characteristics and advantages of specialist nurses are becoming more and more obvious. Nurses of traditional Chinese medicine have no specific professional knowledge and development direction, which affects the working intention of this group and the stability of the team to a certain extent, and also has a negative impact on the quality of nursing work in wards.
In view of this reality, I decided decisively: start from me and train all the staff. Through the combination of business lectures and business rounds, department directors and doctors participated in the training of common diseases in internal medicine, including respiration, circulation, digestion and nervous system, systematic training of basic knowledge and common skills of traditional Chinese medicine, and even training of conservative treatment and nursing knowledge of some general surgery and orthopedic diseases. After a year of systematic training, the assessment results show that nurses have a comprehensive understanding of the common diseases of the above systems, which not only improves their professional and technical level, but also greatly enhances their confidence in their own and departmental development. Since then, I have adopted the daily strengthening method, constantly combined with the existing cases in the ward to strengthen the trained knowledge, and finally built a nursing team with excellent skills and Chinese medicine characteristics.
Third, try cultural management and strive to make characteristics.
Years of experience as a head nurse have made me deeply realize that it is important for a team to standardize its behavior, but it is more important to change its thinking and sublimate its inner world, so that the external cause of "head nurse management" can play a role through the internal cause of "personal quality" of nurses. To this end, I have taken a series of measures: on the nurses' shift schedule, I will send them a life and workplace sentiment every week; Hold a small blackboard newspaper of "Angel Heart Talk"; Use the morning meeting to tell them some inspirational, philosophical and other short stories to arouse their thinking about life and career. In a subtle way, the humanistic quality of our Chinese medicine nurses has been greatly improved. Finally, a virtuous chain of "I use humanistic knowledge to change nurses-nurses manage themselves effectively-improve the quality of nursing work" was created. In recent years, not only the construction of TCM nursing culture is flourishing, but also all the work objectives are successfully completed. In the previous provincial and municipal inspections, our Chinese medicine department was famous for its charging standards, and every time we welcomed the charging inspection, we did not lose a point to the hospital. In the evaluation and inspection of professional ethics, Chinese medicine health education and nursing service have been affirmed and praised by participating experts.
Fourth, pay attention to service details and improve patient satisfaction.
For example, in terms of health education for patients, most departments simply rely on oral education by nurses. However, through long-term observation, I found a drawback: nurses talk less, have incomplete information, and talk more. Because time is limited, they will speak quickly and have no focus, which makes patients simply unable to remember. To this end, I made an outline of the information on admission education as the information on oral education for nurses, and input the detailed information into the computer. After the general education, the nurses sent detailed information to the patients, which played a very good role. Similarly, there are "propaganda of nasal feeding knowledge", "retention method of sputum culture specimens" and "precautions for retention of urine culture specimens". This kind of oral and written publicity is not only beneficial for patients to master, but also saves nurses too much time, so it is well received by everyone.
Five, continuous learning and summary, improve their own quality.
As the saying goes, it takes hard work to strike while the iron is hot. While doing a good job in nursing management in departments, we should persist in learning new knowledge, constantly sum up clinical nursing experience and improve our comprehensive quality. In May, 2000, I took the examination of psychological counselor, hoping to get the certificate of third-level psychological counselor in August. Over the past year, he has published 3 academic papers, 1 poem 1 in provincial and provincial magazines, and 2 papers in the journal of our college.
Shortcomings and efforts of intransitive verbs
Dealing with my patients and my department, I can frankly say that I have been working hard for you! However, in response to myself, I know there are still many shortcomings in my work. For example, scientific research is an important driving force for the progress and development of nursing work, but the nursing scientific research projects in our Chinese medicine department are still blank; For another example, 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 the work of head nurses in the new year. As a head nurse, my efforts are:
1, strive for a breakthrough in nursing scientific research.
2. Combine leniency with severity to make your management style more mature.
Experience in internal medicine II
At the moment of welcoming the new year at the end of this year, I served as the head nurse of neurology for two years and made the following summary:
A, under the leadership of the director and nursing department, fully responsible for delivery room administration and nursing quality management.
Second, according to the requirements of the nursing department and obstetric quality management, responsible for making nursing work plans and organizing their implementation, regularly or irregularly supervising and inspecting the implementation of various rules and regulations, job responsibilities of each class and various nursing technical operation specifications, summarizing and commenting in time, and constantly improving the quality of nursing.
Third, according to the work tasks of delivery room and the specific situation of midwives, optimize the combination of nursing forces, conduct scientific and reasonable scheduling, and formulate the post responsibilities of each class.
Four, organize business learning and professional skills training, regular questions or other forms of assessment, and do a good job in reward and punishment assessment.
Five, supervise and urge the subordinate personnel to strictly carry out disinfection and isolation and aseptic operation, and regularly enter the air, articles and staff hands in the sterile area of the delivery room for bacterial culture as planned and required, and identify the disinfection effect.
Six, timely convey the work requirements of the nursing department, supervise and guide the delivery room work, preside over the morning meeting, understand the night shift work, and do not regularly check the night shift and holiday work.
Seven, to participate in and organize the rescue work of critically ill patients and the discussion of difficult critical cases, to understand the requirements of doctors at all levels for nursing work.
Eight, do a good job in the management of all kinds of articles, equipment and first aid supplies in the delivery room, designate a person to be responsible, ensure the supply and check it regularly, and make records.
Nine, coordinate the working relationship between undergraduate staff and doctors, ground staff and other departments, communicate with each other, and get timely support and cooperation.
Ten, do a good job of monthly business statistics, accurately fill in and check the report. Major problems in the work should be analyzed, discovered and summarized in time, and effective preventive measures should be put forward.
How time flies! I have been working in the hospital for almost three months. When I first came here, I felt strange about everything here. Because I didn't practice in this hospital, I lacked skills and initiative in communicating with teachers, colleagues, patients and their families, which may be related to my introverted personality! When I first came, Teacher Chen said that I was not very talkative. I can only laugh for my colleagues and patients. I just know this truth now. No matter what we do, communication with others is very important. Good communication with leaders, teachers, colleagues, patients and their families will avoid many misunderstandings and mistakes.
Communicating with colleagues in place can save a lot of time and avoid many unnecessary mistakes and accidents; Good communication with patients and their families can avoid some quarrels and complaints. Good communication between nurses and patients can also make our work smoother. The good cooperation of patients is beneficial to their own condition and makes our work more convenient. ...
Communication is really important. No matter what line of work you are engaged in, you can't avoid contact with people, but communicate with them. In fact, as long as I have good nurse-patient communication with patients and their families, I can avoid patients constantly urging infusion, injection, fluid change and needle removal every morning, and even patients who have been hospitalized for a long time don't know who their doctors are, what they look like and what medicine they lost today. What role do these drugs play? Is the condition getting better or worse? I think there must be such a situation. There are also some unnecessary medical disputes, or mistakes in handover. I think these are all caused by poor communication, and the incidents caused by poor communication are more than these. ...
Therefore, I think each of us should learn more communication skills and methods. We nurses mainly have to communicate with patients and their families. When you are not busy, you can go to the ward more often and chat with patients. You can do anything, but you must remember not to miss something that the patient can't know. Actually, I think I did well in a department when I was an intern. Every morning, the teacher either goes to do morning care as soon as he gets to work, or the so-called professional teacher in our hospital will patrol his ward and say hello to the patients during the period before handover, every morning. I think it's not intentional to say something to the patient, just a smile and a greeting. ...
Communication doesn't have to be spoken, it can be a smile, a greeting, a listening, etc. As long as we can achieve harmony with all relationships, no matter which way we use it, it should be possible.
The above is just my own opinion, and I am slowly learning to change now. I hope everyone can do a good job of communication, so that we can save trouble! Isn't our nurse's signature move a smile? Giving patients a smile every day is also the best communication. Come on, angels.
Working experience in internal medicine 3
In terms of professional ethics, I consciously abide by the rules and regulations of the unit, work hard, and don't be late or leave early; Respect leaders and unite comrades; Love their jobs, correct professional ethics, abide by the professional ethics of doctors, and serve the health of the people wholeheartedly.
In business study, I can study hard and keep improving. With the continuous development of social economy, people's health requirements are constantly improving; With the continuous progress of science and technology, new theories, technologies and methods are constantly emerging. I deeply realize that only by constantly learning and enriching myself can I be better qualified for my work and constantly meet new challenges. Therefore, I actively participate in various academic exchanges and medical continuing education activities, constantly enrich my knowledge, broaden my horizons and improve my professional quality by using newspapers, magazines, books and the Internet, so as to meet the needs of the times and lay a solid foundation for future work.
In daily work, do a good job, obey the arrangement of the section chief, obey the leadership scheduling, do a good job in the prevention and control of endemic diseases such as schistosomiasis, iodine deficiency disorders, malaria and filariasis, and assist in handling the affairs of the government schistosomiasis control office. Work actively, be good at thinking, be enterprising and innovative, and make suggestions for prevention and control work. I insist on working at the grassroots level, and I am not afraid of hardship and fatigue. I devote myself wholeheartedly to grassroots work and serve the health of the people wholeheartedly. I have also been responsible for the collection, collation, statistics and reporting of schistosomiasis information, assisting the section chief in making work plans and writing work summaries.
Politically, we always adhere to the party's line, principles and policies, and always adhere to the leading ideology of serving the people wholeheartedly. Actively participate in various political activities and political studies organized by units and departments, persist in reading books and newspapers, and constantly improve their political theory level. As a young comrade, I actively pursued the advanced, demanded progress, actively moved closer to the party organization, and gloriously submitted the Application for Joining the Party to the party organization.
In the future work, I will, as always, strive to be in the front line of health and disease prevention, be responsible for myself and people's health!
Internal medicine work experience 4
This is a gratifying year, a bumper harvest year, and a vibrant 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 then, a "high-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 of Liuxue 86, and ensured the care from beds. Bedside nurses evaluate each patient's self-care ability, provide personalized nursing service on the basis of * * * *, wash their hair and feet for patients, and close the distance with their families. 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 our department. In the past, our department treated 1 106 patients, 73 patients underwent surgery, and 1 18 patients were critically ill, which 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 greater and stronger development goals!
Working experience in internal medicine 5
First, in terms of ideology and politics.
Often organize general practitioners to seriously study health laws and regulations, organize general practitioners to convey the rules and regulations of the hospital, maintain a high degree of consistency with the hospital, and make government decrees unblocked and forbidden. Strengthen the medical ethics education of employees, so that the majority of employees have a greater improvement in professional ethics, work responsibility, law-abiding awareness and so on. There were no medical disputes and complaints throughout the year. The work of the Department of Public Information is also progressing steadily and nervously.
Second, business work.
The annual outpatient volume is 3 1 17, and the number of inpatients reaches 4 1 1. The annual business income exceeded 8 million, 655 million more than the previous year's 7.2 million. These achievements were made under the current medical reform environment and the correct decision and guidance of hospital leaders. Of course, this is inseparable from the hard work and silent dedication of all my colleagues. In _ _ _ years, we treated 100 critically ill patients, and the success rate of rescue reached 99%. It is their selfless dedication that ensures the smooth progress and normal operation of the department.
Third, in business study.
We pay attention to the study of basic knowledge and skills, especially for young doctors. Actively organize department doctors to participate in hospital academic lectures and domestic academic conferences. Pay attention to the cultivation of personal specialties, so that people have specialties on the basis of specialties. Departments carry out business study 2-3 times a month, including first aid knowledge, diagnosis and treatment of critical diseases and difficult cases. It also includes the current development status and hot issues of this major, earnestly learning new knowledge and new therapies, and actively applying them to clinical work. Everyone worked hard and made a serious summary. * * * Published 4 books and wrote more than 10 papers.
Fourth, in department management.
We know that medical quality is the core content of department management, the lifeline of the hospital and the key to management effectiveness. Always tighten the string of medical safety, so that medical staff can strictly implement various medical rules and regulations and technical operating procedures in clinical work, especially the system of ward round and graded nursing. Ward nurses carry out the patient responsibility system, and the responsible nurses perform their nursing duties, providing comprehensive, whole-course and continuous nursing services for patients. The system of first consultation, three-level rounds and medical record writing has been put in place, especially the three-level rounds. Carefully check, carefully check, closely observe the changes of the disease, and take decisive measures, not just in form, not superficial. Make the department form a rigorous, serious and solid discipline.
Fifth, there are problems and shortcomings.
1, the overall business level of department employees still needs to be improved. 2. Scientific research needs to be further strengthened. 3. Need to develop new technologies. 4. Department management, and some systems need to be further refined. Looking back on the past year, through everyone's efforts, the total income increased by 10% compared with last year, which was hard-won. This is the result of the correct decision and guidance of hospital leaders and the joint efforts of all staff in our department. Thank you very much for the support of hospital leaders, the cooperation of functional departments and the close cooperation and support of all colleagues. After entering _ _ _ years, our department should keep pace with the times, boldly reform, constantly innovate and forge ahead, and push our work to a new level. "
Work plan for _ _ year: In _ _, our department will continue to strive for the development of the hospital in accordance with the principles of laying a solid foundation, cultivating talents and expanding business. Further study plan: It is planned to send young and middle-aged backbone doctors and nurses to take turns to study in domestic and provincial hospitals. Objective: Cardiac interventional technique. The application has been submitted. Scientific research plan: further improve the quality of medical care and strive to improve the overall level of general medical technology. Strive to develop new technologies and new therapies and do a good job in scientific research; Actively write academic papers. The third is to further refine the management of departments, especially the control of all aspects of medical quality, and conscientiously implement the 14 core system to improve medical quality and medical safety; It is necessary to strengthen the quality management of medical records, starting with strengthening the management responsibilities at all levels, and formulating various practical measures to improve the quality level of medical records; Avoid the occurrence of medical accidents. Fourth, we should insist on rational examination, rational drug use, control drug ratio, treat diseases, standardize admission, and gradually implement the trial work of clinical pathway. Follow-up education: continue to do a good job in teaching and attending classes in our hospital. Academic exchange: Do a good job in academic exchange with major hospitals at the provincial level, and actively participate in academic activities of this major and related majors at home and in the province.
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