Model essay on personal work summary of internal medicine nurses in 2020 (1) Under the leadership of the nursing department, according to the work plan objectives of the nursing department, internal medicine successfully completed various tasks throughout the year. The summary is as follows:
First, strengthen nursing safety management
Supervise the implementation of various core systems in a planned way, find problems in time, analyze and rectify.
(1) Implementation of inspection system: it was found that after the temporary medical orders were issued, the double check was not in place, the active check of infusion was not in place, and the label was not standardized. The problems existing in the inspection have been continuously improved, and the inspection process of each link has been standardized, and the defects in the inspection have been significantly reduced compared with before.
(B) the implementation of the inheritance system
1. There are some problems in the writing of handover report, such as incomplete lintel, no description or specific description on admission, no classification, incomplete nursing measures, and no continuous observation on the next shift. Standardize the handover report through continuous improvement measures such as training, evaluation, continuous inspection and feedback.
2. There are some problems in bedside handover, such as the unclear handover subject, mainly the head nurse's inspection, the responsible nurse can't take the initiative to take charge of the patient, introduce herself and understand the condition, the skin handover of the bedridden patient is not serious, and the night nurse can't tidy up the bed unit of the critically ill patient before handing over the shift. Through training, inspection and guidance, bedside handover is more standardized than before.
Second, the implementation of grading nursing system
(a) the implementation of graded nursing does not patrol according to the level of nursing, especially for chemotherapy patients, do not carefully check the liquid input and local skin conditions during the shift change, and can not record the patrol every hour, especially at noon and afternoon. The content of disease observation is not clear. When carrying out oral medication orders, nurses can't grasp the patient's medication situation, patients can't grasp the function, side effects and medication methods of drugs, nursing guidance such as abdominal circumference measurement of ascites patients and oral care of fasting patients is not in place, and the health education effect is poor. By defining the responsibilities of responsible nurses and responsible team leaders, the implementation of graded nursing system is more standardized than before.
(2) Improve the emergency plan, strengthen the emergency plan drills and positioning rescue drills, and improve the emergency handling ability of nurses. The internal medicine department organized emergency drills for hypoglycemia and anaphylactic shock, and each ward organized corresponding content drills according to the characteristics of the region. Two patients with anaphylactic shock in ward 3 were successfully rescued, and 1 ward 1 patient committed suicide. Nurses can rescue and report in an orderly manner according to the pre-plan, and nurses in all wards can carry out rescue in an orderly manner according to the positioning rescue plan, which improves the success rate of rescue and has been affirmed by doctors.
(three) organize regular safety meetings, timely analysis of defects found in the inspection, serious rectification.
Third, the continuous improvement of nursing quality
All nursing quality evaluation standards.
(1) Writing quality of nursing documents: the format requirements of nursing documents were trained, the observation points of common diseases in various subjects were made, various scoring methods and applications were trained, and the writing template of nursing records of common diseases was made, which improved the writing quality of young nurses.
(2) Management of rescue articles and drugs: the rescue vehicles were changed into sealed management, and the methods of sealed, handed over and inspected were standardized.
(3) Management of head nurses: Young head nurses were trained to write all kinds of notebooks, which standardized the head nurses' work flow, guided the shift inspection and improved their management ability.
(4) Strengthen the evaluation, early warning and follow-up examination of high-risk patients with pressure ulcer, and pay attention to the dynamic observation of pressure ulcer score when the condition changes. Except pressure ulcer, the incidence of pressure ulcer in hospital was 0.
(5) Quality of basic nursing: By standardizing the admission examination and the examination during the shift change, the problems existing in basic nursing can be found in time. For example, whether the nails are trimmed, whether the bed unit is neat, whether the lying position is appropriate, and whether the infusion is standardized. Each group of nurses has a treatment and nursing list, and the problems found by the responsible team leader and head nurse form nursing instructions in time, telling nurses to write them on the treatment and nursing list and implement them in a planned way, and check and urge them in time to improve the quality of basic nursing.
(VI) Nursing quality of critical illness: check and guide every critical case, and focus on cultivating the ability of nurses to evaluate and observe the condition, find nursing problems, correctly implement nursing measures and communicate with patients and their families. List the observation points and nursing points of critically ill patients, explain the changes of nurses' condition that need to be reported to doctors, and carry out predictive training for possible situations, which is convenient for young nurses to implement and improve the level of critical care.
(7) TCM nursing quality: training and organizing the implementation according to the diseases of TCM nursing programs in various wards formulated by the nursing department. All designated diseases must have TCM nursing measures and TCM treatment techniques. Nurses can master TCM syndrome differentiation and treatment methods, and the utilization rate of TCM nursing techniques is higher than before.
Fourth, earnestly implement the overall nursing responsibility system and improve the quality of nursing service.
Each ward is equipped with relatively reasonable human resources. Each ward is divided into two major responsibility groups, and each responsibility group is divided into several groups. Each nurse in charge is responsible for a certain number of patients according to the ability level. The responsibilities of the responsible team leader and the responsible nurse are clarified, and the nurses are instructed to plan their working hours reasonably, carry out various treatments and nursing in a planned way, take the initiative to patrol patients, reduce the number of ringing bells, actively communicate with patients and strengthen the relationship with patients. The nurse-patient relationship is more harmonious than before. Strengthen the routine study of specialized diseases, improve the ability of nurses to observe the condition, find and deal with problems, strengthen the operation of basic nursing and the training and on-site guidance of specialized nursing operation, and standardize the operation.
Five, strengthen training and assessment, improve the level of nursing ability.
* * * Organize hospital nursing rounds twice, ordinary care rounds eight times, and specialized nursing training 10 times. Held 30 lectures on nurses' professional learning and training at all levels, assessed nurses' operation 180 times and assessed young nurses' clinical ability 10 times. Instructed nurses to participate in Yancheng first aid technical operation competition and won the third prize of the group.
Sixth, there are shortcomings.
1. The academic atmosphere is not enough, and there is no topic paper.
2. The communication skills of junior nurses are insufficient, and patients' satisfaction needs to be improved.
Summary of personal work of internal medicine nurses in 2020 (II) Time flies, and the days in respiratory medicine will soon end. Working in a humanized hospital has enriched my brain, broadened my horizons, and made me see the human sufferings that I didn't feel before, which really made me understand the value of life! Looking back on the past month, although I was busy every day, it made my life full and meaningful. Although the days are ups and downs, it makes my mind like a free stream, which continuously injects knowledge and growth experience into my brain, and makes me learn what we want to learn at school but can't.
Coming to respiratory medicine can be said to be a turning point for me. Let me feel the warmth of the hospital. There is no generation gap between teachers and students. They treat us like friends. They have something to eat and play together. They ate while playing, and they tirelessly taught us clinical nursing knowledge, which made me feel the warmth of society again after I left home.
After work at 8 o'clock every morning, intravenous drip is our compulsory course, which can also be said to exercise our courage. These patients are very amiable. Even if we accidentally put a needle into a blood vessel once, the patient will smile and say, "It's okay, little girl, it was difficult at first." As long as you practice more, you will be fine. " Life is not everything, everything lies in learning and action. Isn't that the great inventor Edison? Failure is the mother of success. "But we know that nurses are human angels in white, and a small mistake can delay a person's life, so we always tell ourselves that we can't make any mistakes in our work. As nurses, we are destined to be responsible for patients and society. Then my heart will be at ease. Because of this, we have been praised by both teachers and patients.
Although there is an old saying in society that "a doctor's mouth is a nurse's leg", saying that a nurse is just an errand boy, it can't be compared with a doctor at all, and a doctor will always have a higher status than a nurse. Then I told them that you were wrong. After the doctor has written a prescription for us, our nurse will have to check it. Our duty is to check whether the prescription is wrong so as to correct it in time. So I want to learn knowledge well. Nurses are as great as doctors. Every day, we make beds, insert needles and introduce urine for patients. Although we nurses are tired, we are full, happy and comfortable.
Sometimes when we are not busy or after work, we chat with old people. Most of them are children. They usually work outside and are busy. They can't take care of the elderly every day, which will make them feel lonely. That will aggravate the patient's condition, which is not conducive to the patient's condition. Then we nurses should care about him and love him. Old people are sometimes naive. As the saying goes, old people are the epitome of children. Therefore, we sincerely tell the elderly that they will regard us as the closest relatives in their hearts, so that their unhappiness will gradually disappear, so that their mood will gradually get better, which is also a kind of help to their illness and is conducive to their recovery and rehabilitation. The profession of nurse is sacred, and no one can replace it. Without professional knowledge and skilled skills, it will lead to a series of consequences, so I will study better, work harder and be a real nurse. For the sake of human health, I will make my lifelong contribution to the nursing cause like Nightingale!
Personal Work of Internal Medicine Nurses in 2020 (III) With the support and help of the leaders, all internal medicine nurses have successfully completed all the nursing tasks assigned by the leaders with the service tenet of "all patient-centered, all patient-centered", and completed more than 905% of this year's nursing plan. The work in 20xx years is summarized as follows:
First, seriously implement the rules and regulations.
1, our department reiterated the responsibilities of nursing staff at all levels, defined the post responsibility system and nursing work system, and ensured that nursing work was carried out in accordance with operating procedures.
2, adhere to the inspection system:
(1) It is required to check the doctor's advice every day and make records.
(2) Nursing operation requires three checks and eight pairs.
(3) Insist on filling in infusion cards, and no nursing mistakes occurred in the past year.
3. Conscientiously implement routine internal medicine and specialized nursing, and insist on filling in all kinds of information and data registers.
Second, strengthen the construction of medical ethics of nursing staff.
1, continue to implement the code of conduct for nurses and implement the civilized language of nurses in daily work.
2. Conduct medical ethics and professional ethics training for all nurses to improve the doctor-patient relationship. Our nursing work is well received by patients and their families.
3. Medical ethics satisfaction questionnaire was distributed to inpatients, and the satisfaction survey results were above 95%.
4, the department held a regular public holiday symposium every month, solicit opinions from patients, to meet the demands of patients to the maximum extent.
5. Conduct pre-job professional ethics education, rules and regulations, nurse code of conduct education, basic nursing knowledge, specialized disease knowledge and nursing technology operation assessment for new nurses, and those who pass the examination will be given posts.
Third, strengthen the management of hospital infection.
1, strictly implement the disinfection and isolation system.
2. Insist on air culture in the disposal room every month.
3. Insist on ultraviolet disinfection of the disposal room every day, and make records. Dust the ultraviolet lamp with anhydrous alcohol every half month, and make records.
4, disposable goods can be destroyed in time after use, centralized processing, and regular inspection and supervision, record.
5, ward adhere to ultraviolet disinfection every day, ventilation for half an hour in the afternoon.
6, medical waste according to the process of transshipment, and recorded.
Four, the successful completion of the special inspection of key diseases
1, improve traditional Chinese medicine nursing routine and syndrome differentiation nursing.
2. Carry out rehabilitation health education and guidance with Chinese medicine characteristics, which has been well received by patients.
3. Carry out the inspirational network of TCM nursing skill operation training based on cupping and scraping.
4. Make continuous improvement measures of TCM nursing quality, actively improve and record, and the effect is good.
Fifth, improve the professional quality of nursing staff.
1. Conduct three basics and three strictness training for on-the-job personnel and organize theoretical assessment.
2, the department organizes business study every week, the content is the basic theoretical knowledge of nursing, professional knowledge.
3. Insist on nursing rounds once a month, discuss nursing diagnosis and nursing measures, and improve professional quality.
4. Pay attention to the collection of nursing service demand, obtain hot demand and feedback information by issuing nursing job satisfaction questionnaire, and put forward improvement measures in time to motivate nurses to work and mobilize their enthusiasm.
5. Strengthen the study of nurses' etiquette culture, strengthen nurses' awareness of modern nursing culture, standardize nursing operation terms and nurse-patient communication skills, cultivate nurses to establish good professional ethics and improve the quality of nursing staff.
Summary of Personal Work of Internal Medicine Nurses in 2020 (4) Time flies, and it's the end of the year in a blink of an eye. Looking back on my work as a head nurse for a year, I have many feelings in my heart; The work since 20xx 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 departments, and make Chinese medicine departments become 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. 20xx took the psychological counselor exam in May, hoping to get the third-level psychological counselor certificate 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, striving for a breakthrough in nursing scientific research; 2. Combine leniency with severity to make your management style more mature.