Summary of work of nurses in thoracic surgery

Summary of work of nurses in thoracic surgery 1

In the past 20 years, with good service, good quality, good medical ethics and people's satisfaction as the goal, high-quality staff, high-quality service and high management efficiency as the main line, we have strengthened the implementation of various systems and carried out in-depth quality nursing services with three good and one satisfaction. Our department closely focuses on the work plan and key points of the nursing department and departments this year, actively strengthens the work of creating excellence, and basically completes the work plan formulated at the beginning of the year. Now the ward nursing work is reported as follows:

First, standardize ward management and establish a people-oriented hospitalization environment.

Ventilate the ward every day, keep the ward quiet, clean and fresh, implement the post responsibility system, care the patients according to the grading nursing standards, and the responsible nurses work in strict accordance with the weekly schedule and schedule, implement health education, strengthen basic nursing and case nursing for critically ill patients, meet the reasonable needs of patients and their families, earnestly perform the duties and obligations of nurses, and strive to improve the quality of clinical nursing services in hospitals. Let each responsible nurse know the daily work content. The head nurse will also conduct spot checks according to the weekly schedule. We should strictly implement the core system, disease nursing routine and clinical nursing service standard in our work, and standardize clinical nursing practice.

Second, improve the service process, improve the service quality and enhance the image of nurses.

1, the biggest change after the inspection in grade hospitals is to standardize the etiquette and civilized language of nurses. First, every nurse is required to stand in the morning meeting and stand neatly. Through continuous training and management, every nurse has developed good morning etiquette and habits. It embodies what a nurse should look like.

2. In addition, by strengthening the responsibility system for the first visit, standardizing the service process of receiving newly admitted patients, and popularizing the standardized terms in the service process, such as carefully introducing patients when the nurse in charge enters the ward every morning and nursing, and strictly following the handover procedure. At the same time, the head nurse went deep into the ward to listen to the opinions of patients and caregivers on nursing service, find out the causes of existing problems, and put forward rectification measures to continuously improve the service quality. There were no complaints from patients and their families throughout the year.

Third, further provide quality services.

1. Our department emphasizes good nurse-patient communication, attaches importance to the feelings of clients, and conveys our care to patients through specific behaviors, so that patients can truly feel our medical services and taste our high quality. For example, the responsible nurse conducts telephone follow-up within one week after the patient leaves the hospital.

2. Flexible scheduling: According to the specific situation of our department, further optimize the scheduling mode and implement the flexible scheduling system for nursing staff. Ensure the safety and quality of nursing in emergencies during the peak period of treatment and nursing or when the nursing workload increases sharply. The implementation of linking work quality with performance appraisal has aroused nurses' work enthusiasm, discovered nursing safety hazards in time and eliminated them in the bud.

3. Optimize the nursing mode and implement responsible nursing: strengthen ward management, and the head nurse focuses on ward management every day, so that every nurse can pay attention to this work from the heart and clean up the shift. Make the wards of our department as clean and standardized as hospitals should be. The responsible nurse grasps the condition, implements basic nursing measures, and fully understands the needs of patients. On-site management of head nurses, timely picking up and filling vacancies, and optimizing ward order. Attach importance to communication, strengthen communication in key links, and establish a harmonious relationship between doctors and patients and nurses. What are the nurses nominated and praised by patients many times?

Fourth, nursing safety management

There are many patients with indwelling drainage tubes during major chest surgery. Nursing safety management is the focus of work, and detail management permeates every quality standard.

1, to ensure the continuous improvement of nursing quality, and set up a quality control team headed by ten nurses. Record and summarize the problems found in time. The head nurse will summarize this week's work priorities, existing problems and rectification measures at the weekly shift meeting.

2. Vigorously promote wristbands and signs: This year, the nursing department promoted the application of various signs in departments, reminding medical staff and patients' families to pay special attention at all times, which is also conducive to bringing the nurse-patient relationship closer and reflecting humanistic care. As a reliable auxiliary tool for nursing work, patient identification wristband can effectively prevent medical accidents caused by patient identification errors. 3. Pay attention to first aid and emergency training: train and improve nurses' first aid skills, and take various forms to carry out first aid procedures, cardiopulmonary resuscitation, first aid knowledge, first aid equipment use training, etc. Rescue instruments, medicines and emergency equipment should be checked daily by special personnel and maintained in time to ensure that they are in standby state at any time.

Five, strengthen the training of three basic and three strict nurses.

2. Strengthen nurses' on-the-job training, encourage nurses to carry out continuing education or self-study exams, and improve their comprehensive quality. All kinds of personnel at all levels in this department are carried out smoothly according to the training plan.

Sixth, teaching management.

Conscientiously implement the practice teaching plan, make the special-grade teachers teach, strictly grasp the details, and regularly carry out the four new courses in junior college to achieve the teaching effect of learning after teaching and improving during learning. Feedback teaching results in time to link teaching quality with performance.

Seven, scientific research management:

Departments subscribe to various nursing magazines, and head nurses and teaching leaders take the lead in encouraging and helping nurses to write papers, so that the publication of papers is linked to performance. This year, the People's Education Edition of Intensive Care edited by the head nurse was published in September. Eight. Existing problems and rectification measures 1. Existing problems:

(1) Nurses have poor self-care ability. On holidays, weekends and when the head nurse is away, the implementation of basic nursing is irregular and not in place. (2) Nurses generally have poor mastery of professional theoretical knowledge. (3) Nurses' health education for patients is not deep enough, the knowledge of introducing functional exercise and pharmacological action is not detailed enough, and the nursing connotation reflected in the nursing record sheet is not enough, so patients can't master it well.

2. The corrective measures are as follows:

(1) Strengthen holiday management. Head nurses and quality control nurses randomly check the quality of nursing in shifts, and the results are linked to the performance of the month.

(2) Strengthen the supervision and management of key nurses.

(3) Set up a health education nursing team, make a specialized functional exercise plan, organize all nurses to study these specialized plans carefully and make an assessment, so that every nurse can master this knowledge, provide effective health guidance for patients, and reflect the nursing connotation on the nursing record sheet.

Summary of the work of nurses in thoracic surgery 2. I have been in cardiothoracic surgery for four weeks and will leave in a blink of an eye. Meet in parting. This sentence is used to say that we are too suitable. Always leave, always meet. Say goodbye to familiar teachers and arrive in a new environment. Maybe we can only meet if we leave! I know this is a kind of growth.

I learned a lot in cardiothoracic surgery. Miss Gao (the teaching teacher) is a particularly diligent, conscientious and responsible teacher. I still remember the first thing he said to me when he came to the department was to let us study together! Cardiothoracic surgery was the first real surgery. Because the last department is gastroenterology, we really feel the difference between internal medicine and surgery through comparison. Most patients with silicosis are conservative in medical treatment, and most of them will undergo surgery in cardiothoracic surgery, while most of them will choose chemotherapy or give up treatment in medical treatment. There are almost no surgical patients in medical digestion. On the contrary, there are many surgical patients in surgery. Cardiothoracic surgery, in particular, is usually a major operation. Usually, I rarely go directly back to the ward after surgery. It is usually sent to ICU for observation, and then sent back to the ward after the condition is stable. Pneumothorax is the most common in cardiothoracic surgery, followed by lung mass, heart disease patients (ventricular septal defect and aortic insufficiency are more common), and then esophageal cancer patients. There is a great difference between patients with esophageal cancer before and after operation. When they see a doctor before surgery, they may not be able to swallow anything at all and find it difficult to swallow. After the operation, patients usually need to fast for a week. This week, patients will feel uncomfortable, because the wound hurts. Esophageal cancer surgery will lift the stomach to the chest, which will make the lungs compressed and prone to atelectasis.

Patients may have symptoms such as irritability, dyspnea, chest tightness and shortness of breath. We should encourage and assist patients to take a deep breath, cough and expectorate effectively, and help them turn over and pat their backs. If the patient's respiratory secretions are sticky, chymotrypsin and ambroxol can be inhaled by ultrasonic atomization to dilute the sputum. Usually, after the patient's condition is stable one week after surgery, he will gradually start eating, and his recovery will be smoother. In addition, the number of infusion drops in surgery is not as strict as that in gastroenterology, because most of them are elderly patients. The heart function is not so good, but in surgery, except for patients with heart disease, the number of drops should be strictly controlled, and the rest patients can basically drop about 70 drops. Thoracic and cardiac surgery has seen many patients with closed thoracic drainage caused by pneumothorax intubation. Although I have seen it in the digestive department before, I have never really treated it.

In cardiothoracic surgery, the teacher not only taught me how to judge whether the catheter is blocked by the fluctuation of water column, but also taught me how to replace the closed drainage bottle of chest cavity, how to replace the drainage bag and so on. Let me learn a lot. Before in other departments, I had no idea what I wanted to do every day. Under the guidance of Mr. Gao, I know my daily work, instead of blindly relying on the teacher as before. Teachers are very strict in their work and strict with me. Although people often say that they are depressed, they are even afraid of their teachers and complain about them. But when I got home, I thought about the teacher's words carefully and gained something. I am very grateful to the teacher for bringing me growth. Although I am not your best student, what you have brought me is really immeasurable wealth! The future is always on the road. I hope I can do better tomorrow. Come on!

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