Summary of surgical work 1 Looking back on the nursing work of neurosurgery in the past year, I have learned a lot, grown a lot, and my colleagues' work enthusiasm has also been greatly improved. Under the guidance of the director and head nurse, it is common to work at full capacity and work overtime every day. We are sweating for the patient, not tired. In order to save more critically ill patients from death, we are busy, tired and do every job without complaint.
Neurosurgery is a department with more acute, dangerous and severe diseases in surgery, especially on holidays, and there are more coma patients. For such patients, we should closely observe the changes of the condition in time and make nursing records. Timely treatment, oral care, perineal care, q2h turning over and patting the back, timely sputum aspiration for patients with excessive phlegm, atomized inhalation of diluted sputum, etc. In addition, I have to accept emergency patients, so my work is very busy. Let me realize the importance of nursing safety. Under the leadership of the hospital and nursing department, we should actively and conscientiously implement the nursing concept of "patient-centered", proceed from the patient and think for the patient, and strive to ensure nursing safety and prevent nursing errors. The problems in the past year are briefly summarized as follows:
1, the implementation of various rules and regulations is not strict, the implementation is not in place, and the principle of three inspections and seven pairs is not strictly implemented.
2. The doctor's advice was not carefully checked, only the doctor's advice was reviewed, and the doctor's advice execution form was not copied or changed in time, which resulted in copying errors and omission.
3, the sense of responsibility is not strong, can't patrol patients in time, observe the condition is not careful.
4, ward management needs to be improved, patients carry more items, items placed in confusion.
5. Active learning atmosphere is not strong enough.
6. Health education is not deep enough and lacks dynamic continuity.
I will do the following in my future work:
1, strictly implement the system of three checks and seven pairs, strengthen the monitoring of key links, and adhere to the "three cleanups", that is, the written, oral and bedside handover is clear.
2, when the doctor's advice special medication or special treatment, should be written in the nurse dynamic succession, must copy or change the doctor's advice before reviewing the doctor's advice.
3. The intact rate of first-aid articles reaches 100%. First-aid articles shall be managed in succession, and the person in charge shall conduct a comprehensive inspection once a day, and the head nurse shall conduct a weekly inspection and spot check at any time to ensure that first-aid articles are always in an emergency state.
4. Taking patients as the center, strengthening the communication between nurses and patients, improving the service process, and obviously improving the service quality.
5. For patients with mild symptoms and elective surgery, the responsible nurse can warmly receive the patients and send them to the bedside, and actively introduce the ward environment, work and rest time, rules and regulations and attending doctors to the patients or their families to understand the psychological state and needs of the patients after admission.
6. Provide patients with various conveniences in life, and listen to the opinions of patients and caregivers on nursing services extensively, find out the reasons for existing problems, put forward rectification measures, and make timely rectification.
In the ordinary and subtle work of neurosurgical medical staff, the weak patient becomes healthy and leaves with a painful expression. Although busy; Although I lost the opportunity to reunite with my family again and again; Although misunderstood again and again, tears can only be swallowed secretly, but we think of responsibility, we will cheer up and treat every patient with full enthusiasm. This is how we work hard day after day in our ordinary posts, working hard and contributing in obscurity, and I will work harder in the future nursing work!
Summary of Surgical Work 2 This year, with the strong support of the Youth League Committee of our hospital and the care of leaders at all levels, the Red Cross Society of our hospital has been adhering to the spirit of "humanity, fraternity and dedication" and taking "saving lives, respecting the elderly and helping the disabled, and helping others" as its service purpose, and has continuously carried out a series of colorful and meaningful activities inside and outside the school. In the past semester, we achieved good results and were well received by teachers and students. In order to sum up experience, carry forward the past and make some improvements, and at the same time make the following arrangements for the future work:
The first is to hold special activities in recognition of advanced models.
(1) On the afternoon of April 22nd, the commendation meeting for Red Cross work and voluntary blood donation in the XX-XX academic year of Guangdong University of Finance kicked off in Room 402, Building 6. Tang, President of the Red Cross Society of the College and Deputy Secretary of the Party Committee, Wan Hongqing, Vice President of the Red Cross Society of the College and Director of the Student Office, Shao Guangli, Director of the Institute of Medicine, and more than 300 new and old directors, presidents of various departments and member representatives of the Red Cross Society of the College attended the meeting. The meeting was presided over by He Jinjiang, deputy secretary of the Youth League Committee. The topic of ideological report is a meeting held in the critical period of the construction, reform and development of the Red Cross Society in our hospital, which is of great significance to carry forward the past and forge ahead into the future.
(2) On June 5438+February 1 1, the Red Cross Society of our hospital held the fifth medical knowledge competition with the theme of "showing medical charm and caring for flower of life". There are some links in this competition, such as dressing, answering questions and rushing to answer. The competition greatly improved the personal ability and quality of the Red Cross Society in our hospital, and also improved the medical and health knowledge level of students in our hospital, and publicized the spirit of the Red Cross Society!
Second, carry out daily work to promote the development of the Red Cross.
(1) Clean the medicine cabinet. Assign the Red Cross branch of each department to clean the medicine box regularly, which is convenient for students to use medicine and ensures the emergency needs of students.
(2) Publicity of health tips. Arrange the Red Cross branch of each department to issue health tips regularly, which provides another way for teachers and students to understand health knowledge.
(3) publishing the sixth, seventh and eighth issues of periodicals. The Journal of the Red Cross Society of our college will show the activities of the Red Cross Society, the latest and fastest information and knowledge, and medical care to teachers and students.
(4) It is the traditional work of the Red Cross to do a good job in all kinds of ambulance training and popularize the knowledge of health ambulance. In order to make members of the Red Cross better grasp the knowledge of rescue, we have carried out a series of special activities. On March 26th, Dr. Cui Li from the School Medical Office held on-site fracture fixation and dressing training activities in Room 40 1 of the Sixth Teaching Building. Through this training, the students' knowledge of dressing the fracture site has been greatly improved and good training results have been achieved. 165438+17 October, the Red Cross Society of our hospital sent two representatives to participate in the medical first aid training of the Red Cross Society of our city. 165438+1October 2 1 day, Dr. Cai Yingying from Guangzhou Red Cross Training Center was invited to give a lecture on first aid skills and bandage hemostasis in North Street 103 room.
(5) Recruit new blood and expand the fraternity team.
On June 24th 10, the Red Cross Society of our hospital held three rounds of interview recruitment activities. After careful examination, * * * recruited 20 new officers. According to the specific development needs of the Red Cross, the network information department was added and the website of the Red Cross was established. While recruiting cadres, the Red Cross Society of our hospital also publicized through classes, and 1476 new members joined the Red Cross family, further expanding the fraternity team. I believe that with the joint efforts of all of you, the Red Cross will get better and better!
Third, carry forward the spirit of the Red Cross and carry out love activities.
(1) On the morning of March 7th, the Youth Federation Red Cross Society and Longdong Youth League Working Committee of our college carried out a series of activities of "four-in-one community" in Baolilinhai Mountain Villa with the aim of "serving the community and serving the people". This activity is rich and colorful, including legal publicity, money inspection and identification, insurance consultation, environmental protection community, disease prevention, home safety and so on. The Red Cross Society of our hospital demonstrated a variety of dressing methods such as head dressing and chest dressing to residents on the spot, and actively publicized the knowledge of disease prevention. On the occasion of Arbor Day, we also held a tree planting activity of "Greening the Earth and Beautifying the Home" in the community. This activity not only made the residents know more knowledge, but also established their scientific and healthy concept, which was well received by the residents and showed the good mental outlook of the students in our hospital.
(II) The Red Cross Society of our hospital actively responded to the requirements of the Municipal Red Cross Society and the Municipal Blood Donation Office, and carried out many publicity activities on blood component donation. Let the students know the meaning of blood donation components and know the process of blood donation in detail. This school year, on March 29th 18,1October 23rd 18 and12-23rd, students were organized to donate blood components in Guangzhou Blood Center, and a total of 199 students successfully donated their love.
(3) Large-scale whole blood donation activities were held in the auditorium on April 28th and June165438+1October 9th respectively. With the strong support of hospital leaders and teachers, students were enthusiastic and actively donated blood, and 955 blood bags were collected.
(4) On May 19, the Red Cross Society of our hospital sincerely invited the blood donation vehicle from the blood center to come to the school to carry out blood donation activities in front of seven teaching buildings. With the active participation of teachers and students, * * * 132 people successfully donated blood, and accumulated blood donation 133 bags. This is the first time that the Red Cross Society of our hospital has organized voluntary blood donation in the form of a blood donation car entering the school, which is a good start. The Red Cross Society of our hospital passed a resolution to introduce blood donation vehicles to the campus every month from May. This blood donation activity not only eased the shortage of type O blood in Guangzhou blood bank, but also promoted the routine blood donation work in our hospital.
(5) 10/0/27 -29 October, a fund-raising activity was held in front of seven teaching buildings with the theme of "The disease is heartless" to raise money for Li Huizhen, a leukemia student of the Foreign Languages Department 12 1554.2 yuan. The success of this fund-raising activity reflects the quality of unity and mutual assistance between teachers and students in our school.
(VI)165438+1October 6, Teacher Cai Qiuhua of the Communist Youth League Committee and representatives of the Red Cross went to Liangkou, Conghua to participate in activities sponsored by the Red Cross to help poor students, bringing care and warmth to poor children.
(7) In XX, I will continue to strengthen the contact with the branches of the Red Cross in various departments, supervise the work flow and community service of the branches of the Red Cross in various departments, and constantly strive to expand new service bases. Good results have been achieved in charity education in the Ministry of Finance, love tour in the Armed Police Hospital in the Ministry of Finance and Accounting, and warm tour in Yulongju in the Ministry of Economy and Trade. The monthly health report of the insurance department, the electronic magazine of the economics department, every bit of life, the Red Cross will accompany you, the psychological consultation of the finance department and the love fund of the mathematics department have penetrated into the daily life of the majority of students, which has had a far-reaching impact.
Fifth, strengthen publicity and promote internal and external exchanges.
(1) This school year, the Red Cross Society of our college actively carried out various publicity activities, further intensified publicity, carried forward the spirit of "humanity, fraternity and dedication" of the Red Cross, and improved students' understanding of the Red Cross.
May 8th is the 62nd World Red Cross Day. The Red Cross Society of our hospital held a commemoration of World Red Cross Day with the theme of "working together for mankind and building harmony together". On May 6-8, a dental vehicle equipped with advanced dental instruments and equipment was stationed in our school, and the professional dentists of Guangdong Dental Association provided professional oral consultation and examination for students free of charge. On the afternoon of May 8th, the Red Cross Society of our hospital held a swearing-in meeting in Youth Culture Square. At the conference, Mr. Cai Qiuhua, Secretary-General of the Red Cross and Communist Youth League Committee, delivered an important speech, and presented the Red Cross member volunteer service certificate to the member representatives. After the ceremony, there will be a series of love garden activities such as "simulation clinic", "acupoint massage", "caring for hepatitis B" and "guessing health riddles". The Red Cross Society of our hospital also recruited volunteers for voluntary blood donation on the spot. In addition, the Red Cross Society of our hospital responded to the Guangzhou Red Cross Society's "Aibo rally" and called on students to actively donate to the Red Cross Disaster Preparedness and Relief Fund and poor cataract patients. Teachers and students gave generously.
65438+February 1 day, a publicity activity on World AIDS Day with the theme of "Accessibility and Human Rights" was held in front of seven teaching buildings, which provided a good platform for students to understand AIDS and participate in AIDS prevention activities.
(2) On the afternoon of April 18, the Red Cross Society of our hospital and the Red Cross Societies of various departments held a big networking event in south china botanical garden. * * * There are 80 participants in this networking activity. The activity further deepened the profound friendship foundation.
(3) On May 9th, at the invitation of the Red Cross Society of Shipai Campus of South China Normal University, the Red Cross cadres of our college went to South China Normal University to attend the Guangzhou Red Cross Volunteer Road Exchange Meeting. Jinan University, Guangdong University of Foreign Studies, Guangzhou University, Guangzhou Institute of Physical Education and Guangzhou Maritime College participated in the exchange. At the meeting, Zhan Huina, the representative of the Red Cross Society of our college, introduced the main work of the Red Cross Society of our college in the XX-XX academic year, and listened carefully to the suggestions and experiences of the representatives of various brother colleges. This exchange meeting not only enhanced the communication and friendship between our Red Cross Society and other brother colleges, but also fully publicized the development of our Red Cross Society.
Summary of surgical work: 31 years is fleeting, 20xx years will soon pass, and xx surgical work is basically on the right track. Summarized as follows. Mentally. This year, xx Surgery has at least eight nurses and at most twelve nurses. Every nurse loves this young group very much. No matter how busy and tired the work is, everyone has no complaints and often works overtime to do the work well. In order to safeguard the collective honor, comrades can sacrifice their personal interests and take care of the overall situation at critical times. Comrades can also carry forward the spirit of unity and friendship, care for each other and help each other.
First, at work, according to the plan at the beginning of the year.
1, earnestly carry out the "100-day defect-free activity", implement the department's plan to prevent nursing defects, enhance the participation consciousness of nursing staff, and improve the quality of nursing through medical teaching and online education.
2. Organize nursing staff to study the two books "Details Decide Success or Failure" and "No Excuses", and implement the quality control measures of nursing details in this department;
3. A detailed quality control management system for surgical skin preparation was established, which can be implemented by every nurse, effectively improving the quality of skin preparation and controlling infection;
4. Standardize the department's admission guidance, hospitalization guidance and perioperative guidance, and bind them into pamphlets to facilitate the consultation of inpatients and the guidance of nurses, and effectively improve the quality of nursing;
5. All the staff participated in the etiquette training organized by the nursing department, actively participated in the evaluation of etiquette sitcoms to show their elegance, and strived to win glory for the department;
6, according to the requirements of the nursing department, standardize the implementation of "bedside handover" etiquette and "reception etiquette";
7. We have basically managed the detailed laboratory sheets throughout the year, ensuring that every patient can keep the required laboratory sheets in time during hospitalization, thus truly putting people first; In terms of management. Medical education network closely follows the reform of hospitals and nursing departments;
1, learn to promote the use of HIS system. Organize all staff to study, teach every comrade to audit accounts, and communicate with you in time after finding the reasons for the problems found in the use process.
2. Nursing quality management has been gradually improved. With the cancellation of quarterly physical examination by the nursing department and the change to random daily physical examination, each nurse has his own duties, and strives to manage his patients and do his own work well.
3. According to the post changes, adjust the job responsibilities in time, add auxiliary classes in the general ward, and re-formulate the daily key work of each class to make the key work more prominent and the work of comrades more clear.
4. Set up a "Notepad" to record what every nurse should know and pay attention to, and fix it at the nurse station, signed by the reader to ensure effective communication.
5. Establish the register of discharged patients and consultation register to ensure that the discharge certificate can be sent to the discharge office and consultation office accurately and timely, but it can be sent to the consultant in time.
Second, in learning.
1, in order to improve the quality of nursing staff and encourage self-study, ask a small question of professional knowledge every morning and study together.
2. Learn a medical English word and an English sentence every day, write it down in a notebook, put it in a nurse station, and ask questions, check, medical teaching and education the next morning, but it didn't persist.
3. Every nurse can consciously study scientific and cultural knowledge in her spare time, update her major and undergraduate course, and constantly improve her cultural quality.
In the past year, there were successes, failures, happiness and bitterness. All the nurses in xx Surgery, led by the head nurse, came together. In the new year, there are still many things that need to be worked together: establishing a quantitative and effective performance evaluation table for nursing staff with departmental characteristics, and objectively evaluating the work quality of nursing staff based on this; Cultivate comrades' scientific research ability and strive to publish more meaningful papers; Insist on learning English every day and so on.
Let's all contribute to building a young surgical department in xx.
Summary of surgical work 4 New medical neurosurgery is the leader of neurosurgery in Xinjiang, with 5 chief physicians and professors, 4 deputy chief physicians and 6 attending physicians. At the same time, there are about 10 department doctors and 16 nurses, with 30 beds. The diagnosis, treatment and operation of intracranial tumors, skull base diseases, vascular diseases and spinal cord diseases are very mature, and patients are in an endless stream all over Xinjiang. Up to 70 people are hospitalized at the same time, and there are extra beds in every corner. More than half of the patients are in critical condition, with an average of more than 2 operations per day. After I was familiar with the working environment for a short time, I took part in separate duty and took care of patients, and saw many diseases that I only saw in textbooks before. Ask the teacher modestly when encountering problems, read books and materials to consolidate knowledge after work, and often read books while waiting for emergency surgery in the department after work. Emergency surgery is a good opportunity to improve our hands-on ability. Through the study, I have a better understanding of neurosurgical diseases, a new understanding of common diseases in our hospital before, and a great improvement in the diagnosis and treatment of common craniocerebral trauma and the refinement, proficiency and humanization of surgery in our hospital. Through weekly lectures by department teachers, the anatomy of nervous system and the reading of CT, CT-A, DSA, MRI, MRA and MRV have also been improved to some extent.
I also completed the training course of neuromicroscope with limited study time. After graduation examination, I will complete 30g end-to-end anastomosis of abdominal aorta, end-to-side anastomosis of internal jugular vein and common carotid artery, and more difficult kidney transplantation in mice. For this course, it is stipulated that the training certificate of medical college neuromicroscope can be issued after completing the first two exams, and the training certificate signed by yasgil of Beijing Tiantan Hospital can be obtained after being able to complete three exams. The operation is to suture the broken ends of blood vessels with a diameter less than 1 mm with 6 ~ 10 stitches under the microscope, and ensure the anatomical and functional integrity. Since the training, the pass rate of the three items is less than 50%. In fact, kidney transplantation is still relatively difficult. It takes at least 4 hours to do an operation. These four hours need to be absorbed. Sometimes the needle end is not handled well, or the hand strength is broken or stuck. May be completely abandoned. In the first few days, a kidney transplant was unsuccessful, and sometimes I wanted to give up, but I thought this learning opportunity was not easy. And with the concern of the leaders, I can't be sorry for myself, and I can't be sorry for those who failed to help me. I often worked overtime for training, completed a three-month training course in two months, and successfully passed the exam, obtaining the training certificate issued by Tiantan Hospital.
During my further study, I also contacted the Continuing Education Office of New Medical College and the Nursing Department, so that a nurse in our department could study and cooperate smoothly, which laid the foundation for coming back to improve the work of the department and strengthen the cooperation between doctors and nurses. He also brought back many books, surgical videos and the latest nervous system anatomy CDs from the further education hospital, which provided rich materials for the medical staff in our department to learn.
However, due to the short time and too much knowledge to learn, I have seen fewer diseases in our hospital before, so I feel that the gains are not as great as I thought, and I feel that there are still many things to master. After coming back, I will continue to consolidate what I have learned, study hard and improve myself even more. Through this study, my theoretical knowledge, diagnosis and treatment of neurosurgical diseases and surgical skills have been significantly improved. More importantly, I have broadened my horizons, broadened my thinking and changed my ideas.
Summary of surgical work 5 20xx years is my first year of work. Under the care and direct leadership of hospital leaders and head nurses, with the service tenet of "patient-centered, patient-centered", we successfully completed all the nursing work assigned by hospital leaders and mastered all the clinical operation skills. The work is summarized as follows:
First, practical learning.
Since I joined our hospital in May this year, after less than a year of practical study, I feel that if I want to combine the theoretical knowledge I have learned before with the actual clinical work, on the one hand, I should be strict with myself in my usual work and consult more teachers, on the other hand, I should study hard in my spare time and understand the essentials.
There are relatively many surgical patients, and they have also learned relevant knowledge before and after operation. Preoperative preparation includes psychological counseling, intestinal preparation and dietary guidance. Postoperative vital signs monitoring, incision observation, assistance in coughing and expectoration, observation of infusion volume and infusion speed, nursing of various drainage tubes, nursing of catheter, diet nursing, observation and nursing of postoperative complications, etc. In our daily work, we are required to communicate with them more patiently. Only in this way can we better improve the quality of nursing and make patients trust our work. Because the pace of surgery is faster, work is busier than talking on the phone. Trivial.
I remember when I first arrived in surgery, I was not used to it. In order to do a good job and obey the arrangement of the leader, I am not afraid of trouble. I asked the teacher, learned from my colleagues and groped for it myself, and soon I became familiar with the work of surgery. Understand the responsibilities of each class, clarify the working procedures and direction, improve the working ability, form clear working ideas in specific work, and be able to carry out the work smoothly and complete the work skillfully and smoothly.
Summary of general surgery nurses' work: After nearly a year's study, I am familiar with the professional knowledge of the department and pay great attention to the professional image of nurses. I pay attention to civilized and polite service in my daily work, adhere to civilized language, have a dignified appearance, dress neatly, do not wear heavy makeup, do not wear high heels, do not ring shoes, have a polite attitude and have a standardized language. Seriously study laws and regulations, actively participate in the learning activities of medical accident handling regulations organized by hospitals, enrich legal knowledge and enhance safety awareness. Under the active and serious guidance of the head nurse, I have made great progress and improvement in many aspects. Usually, I insist on participating in the business study of the department and the three-basic training of nursing staff every Friday. In the past year's work, I have always adhered to the service concept of "patient-centered, quality-centered" and improved my quality and emergency response ability.
Second, shortcomings need to be improved.
Of course, I still have some shortcomings to improve. For example, in study, sometimes I feel impetuous, I feel that I have too much to learn, and I am impetuous, especially when I encounter setbacks, and I can't handle it calmly. At work, sometimes the standard is low. Although I can basically perform my duties and obligations, my initiative needs to be further improved, which is what I need to improve and improve in the future.
In the coming year, I would like to thank the hospital leaders, head nurses and teachers for their education, guidance, criticism and help, and my colleagues for their concern and support. Looking back on the past, there have been many advances and improvements, but there are also some shortcomings; Looking forward to the future, we should carry forward our own advantages and overcome our own shortcomings. In the coming 20xx year, I will continue to carry forward the spirit of the past year, do my job well, be anxious about the patient's urgency, be responsible for the patient, and never make the patient's condition worse because of my reasons. I will be absolutely responsible for my work. This is the minimum work that a good nurse should do to save lives.