Overview of self-participation in surgery

Through interventional therapy practice, we can know what kind of department intervention is and which patients need interventional therapy or examination. The following is a summary of self-intervention, welcome to read!

Self-summary of interventional operation 1 Through one month's interventional practice, I understand what kind of department interventional operation is and which patients need interventional treatment or examination. Understand a series of minimally invasive operations such as percutaneous biopsy, stent implantation, esophageal dilatation, chemoembolization, perfusion chemoembolization, radiofrequency ablation, angiography, C.A., C.A., C.A., P.P. and PAD. Mastered the method of picking up and dropping off patients, correctly sticking electrode plates, correctly wearing surgical gowns and packaging sterile bags, different sets needed for different operations, the items in sets and the methods and steps of intravenous indwelling needle puncture. Strengthen the concept of sterility and further understand the importance of "three checks and seven pairs" Now teachers' patient teaching has achieved a cautious attitude.

During the internship in this department, all the teachers were amiable and patiently explained the operation to us. It can be said that we are lucky, because we met some such good teachers in the first grade, and we are especially grateful to them for their concern and cultivation around us. Thank you: Mr. Fu, Mr. Wu, Mr. Li, Mr. Liu and Mr. Du.

Under the leadership of hospital leaders and nursing department, we spent another year conscientiously. Over the past year, I have always adhered to Marxism–Leninism's stand, viewpoint and methodology, and adhered to the correct world outlook, outlook on life and values, and used these to guide my study, work and life. I actively responded to the call of the hospital to "establish the spirit of Xinhua". The department insisted on organizing medical staff to seriously study medical laws and regulations, hospital rules and regulations, accept all kinds of medical ethics education such as love and dedication, organize discussions and records, and be honest and self-disciplined. Respond to the call of the Party Committee and Women's Committee of the Hospital, actively participate in all political and social public welfare activities, such as donating money and materials to poverty-stricken areas and disaster areas, caring for the society, adding luster to the department, and mobilizing comrades in the department to participate in hiking, sports meetings and photography activities organized by the hospital to improve cohesion.

Because our department is a large and expensive medical equipment, I pay special attention to fire safety and actively organize staff in the department to participate in consumer knowledge training to prevent problems before they happen. Because of the particularity of interventional surgery, the staff will inevitably absorb a lot of radiation, which will cause irreversible harm to the human body. I actively urged the interventional personnel to replace the new dose monitor and take part in the physical examination of the radiation personnel. All personnel engaged in interventional surgery will participate in the "radiation knowledge training class" organized by health supervision, obtain the certificate of radiation personnel, improve everyone's awareness of protection, strengthen self-protection, standardize the scope of practice, and ensure the sustainable development of interventional career in our hospital.

In this year, we never forget the purpose of "patient-centered", meet the needs of every surgical patient with our love, enthusiasm and sincerity, strive to achieve "social satisfaction, patient satisfaction and self-satisfaction", and put the work style of saving lives through the whole process of nursing work. Receive every surgical patient, do a good job of every patient and care for every patient. When patients enter the operating room, nurses warmly greet them at the door of the operating room, do a good job of appeasement, strengthen communication with patients, reduce patients' fear of unfamiliar environment and enhance patients' confidence in surgical treatment. The medical, nursing and technical personnel in the interventional department are proactive, United, live in harmony, perform their duties, work hard, increase the publicity of interventional knowledge, actively treat interventional patients and treat patients with enthusiasm. We followed the experts' time to work overtime and were on call, rescued many critically ill patients, successfully cooperated with experts to complete difficult operations, and won their unanimous praise.

I actively participated in the prevention and control training of hospital infection, organized department personnel to learn the knowledge of hospital infection, and conducted regular training on gas, hands and things every month. Because of the unreasonable layout of the intervention operating room, it brings difficulties to the management of closing shoes. This year, under the active communication between the director and me, the office area moved out of the operating room, which reduced the phenomenon of people entering and leaving and patients breaking in by mistake. The operating room is in a normally closed state and has achieved ideal management effect. Strictly implement, manage and monitor disinfection, sterilization and isolation measures, and strictly manage disposable medical supplies. The infection rate of surgical incision is zero throughout the year. Strict implementation of the check system and nursing operation procedures, no accidents. I standardized the management of charges according to the requirements of the hospital. Standardize the finance and goods of the management department, fix the weekly collection amount and check it regularly.

I assisted the director of the department to do a good job in department management, conscientiously implemented the thirteen core systems and surgical grading management system in our hospital, cooperated with the hospital to inspect the supervision of clinical departments, and immediately rectified the suggestions put forward by the inspection team to promote the healthy development of the department. The hospital started the activity of establishing tertiary hospitals in an all-round way, which is a major event related to the vital interests of every employee. Around the deployment of activities, our department has started the self-examination of medical records, standardized and supplemented relevant materials, compiled clinical pathways and routine diagnosis and treatment, and summarized the main points of medical record writing. With the implementation of the peripheral access system in the whole country, we are also actively preparing for the review according to the requirements of the specification.

We will constantly sum up experience, study hard and make unremitting efforts for the overall level of the hospital to a new level!

In 20xx, under the correct leadership and specific guidance of the hospital, the emergency department established and implemented the "people-oriented" Scientific Outlook on Development, further deepened the "patient-centered, improved the quality of medical services", and insisted on putting the pursuit of social benefits, safeguarding the interests of the masses and building a harmonious doctor-patient relationship in the first place. Pioneering and innovating, struggling hard, and paying close attention to implementation, with the close cooperation of brother departments and the joint efforts of all employees in the emergency department, the social and economic benefits of our department have been steadily improved, winning praise in many aspects.

First, the basic situation of the department:

General medical staff ***22 people: 2 doctors, 2 assistants and 3 people without professional titles; Nurse 1 person, nurse 10 person, 4 people without professional title; 2 drivers of "120"; 2 Cleaners: 1 recruiters, 1 temporary workers. This year, I obtained medical practitioners 1 person and nurses 1 person; Qualified nurse 1 person. There are 28 beds in the second ward on the second floor, 4 rescue beds and 6 observation beds in the emergency department on the first floor. Now our department has a debridement room, where we can perform debridement, suture, dressing change, suture removal and small resection, which can reduce the pressure on the surgical ward, ensure the basic needs of emergency patients and facilitate the masses to see a doctor.

Second, the main work:

(1) Business work:

1. At present, the doctors on duty in our department are divided into day shift and night shift, and are on duty 24 hours a day. The main shift is mainly responsible for the treatment of hospitalized patients during the day, and the night shift is mainly responsible for the critical patients at night to ensure that doctors can see a doctor at any time. The deputy physician is mainly responsible for the "120" house call, and is also responsible for debridement and suture (in the absence of the deputy physician, the main shift is responsible).

2. Nurses have at least four shifts during the day and two shifts at night to ensure that patients can stay under observation for infusion for a long time, so that patients can be infused in time. Nurses require light makeup, neat clothes, "seven voices and six hearts" service, and nurses are on duty 24 hours a day, putting an end to the phenomenon of seeing a doctor at night and calling doctors and nurses everywhere.

3. When the emergency building is relocated, there are fixed doctors, nurses and drivers who are responsible for home visits every day, and two ambulances are on standby at the hospital 24 hours a day to ensure that the ambulance phone rings three times and someone answers the phone at any time. Put an end to the phenomenon that patients can't find a driver or wait too long for help in the past. Since May this year, the management of ambulance vehicles has been strengthened. Now it is stipulated that ambulances should be parked in hospitals, and drivers should check the condition of vehicles every day, clean the sanitation inside and outside the vehicles, so as to keep ambulances in a good standby state. Re-establishing the new image of "120" first aid has changed people's views on "120" and the social benefits have been continuously improved.

Based on the above factors, with the joint efforts of all medical staff, the emergency department has been recognized by the society, and the number of patients is increasing day by day, making our department treat 856 inpatients and 806 discharged patients throughout the year; Emergency 1264 person-times, gastric lavage in 20 cases, rescue of critically ill patients in 5 cases, and "120" treatment in 242 cases. The economic and social benefits of our department have increased steadily.

(2) Formulate various systems and post them on the wall, as follows:

1, first consultation responsibility system, responsibilities of doctors at all levels, infectious disease reporting system, medical safety system, emergency room system, gastric lavage room system, debridement room system, etc.

2. Improve the rescue charts of several critical diseases, such as upper gastrointestinal bleeding, left heart failure, shock, arrhythmia, organophosphorus poisoning, etc.

3. Formulate the green channel system and rescue flow chart for hospital rescue of critically ill patients;

4. Formulated the "120" hospital emergency rescue flow chart and system;

5. The health bulletin board of emergency department, the basic situation of emergency department and the introduction of medical staff were made.

(3) Pay attention to ideological and political education and create a good medical safety atmosphere;

Theoretically, general practitioners have carefully studied the report spirit of the Eighth Plenary Session of the Party Committee of the Autonomous Region and the Ninth Congress of Zhou Ke, and written reading notes and experiences. They deeply understood the speech of Secretary Zeng Cun: "Carry forward the spirit of Zhou Ke, create the efficiency of Zhou Ke, and realize the leap-forward development and long-term stability", and studied various medical laws and regulations (such as the Law on Medical Practitioners, the Law on Nurses, the Law on Infectious Diseases and the Law on Blood Transfusion). At the same time, general practitioners should establish a correct world outlook, outlook on life and values by participating in various cultural and sports activities and voluntary blood donation activities organized by the hospital, constantly improve their ideological and moral cultivation, consciously abide by various laws, regulations and rules outside the hospital, and operate according to medical rules in the process of diagnosis and treatment to avoid medical disputes.

(four) to strengthen business technical training, improve the rescue ability.

The emergency department is a place to diagnose and rescue patients, and it is not enough to have a good service attitude. More importantly, it is necessary to have skilled rescue techniques and emergency response capabilities, make rapid and accurate diagnosis and treatment for emergency patients, and relieve their suffering as soon as possible. This requires every medical staff to study business seriously and master all kinds of rescue equipment and rescue techniques. Therefore, the department regularly organizes business study, strengthens the training of various first-aid techniques, and forms a good learning atmosphere and mutual communication in the department.

(five) to strengthen management, do a good job in the prevention and control of infectious diseases and emergencies.

In recent years, new infectious diseases have occurred from time to time, and old infectious diseases have resurfaced. Strengthening the prevention and treatment of infectious diseases is something that every medical worker should attach importance to, and the emergency department bears the brunt. Therefore, only by strengthening the training of infectious disease prevention knowledge and seriously treating every patient, especially those with fever, can we truly find, report, isolate and treat in time and make detailed records. Therefore, the department has repeatedly studied the prevention and treatment of infectious diseases. In addition, according to the unified arrangements and requirements of the health administrative department at a higher level and the county party committee and government, all kinds of adverse vaccine reactions should be registered in detail and dealt with.

(six) improve service attitude, improve service quality and enhance social benefits:

The medical staff in our department establish the idea of "patient-centered", take the satisfaction of patients as the criterion of medical service, and do a good job of "service". Always take patients' wishes as the first signal, patients' satisfaction as the first pursuit, patients' interests as the first goal, always think about patients' thoughts and urgent needs, constantly strengthen service awareness, fully respect patients' requirements for service convenience and humanized communication, carry out "family-friendly" and "humanized" services, and achieve "six hearts and seven voices" smiling service. Before infusion, nurses should give health education to patients and their families, and introduce the hospital environment (such as toilets, safe passages, water dispensers, etc.). If anything happens during the infusion, please ring the bell. After the improvement of environment and the change of service concept, patients are satisfied with the service of emergency department. Now there are more and more patients in our department who come to see a doctor every day, which shows that our service has been recognized by the people of the county and the social benefits of the emergency department have been continuously improved.

Three. Existing deficiencies and rectification measures:

1, the environment of the ward, emergency room and observation room is not clean and tidy, especially after the patient leaves after infusion and needle removal, the bedding and ground garbage are not cleaned in time, resulting in messy rooms. Supervise the responsible nurses and cleaners to patrol the ward at least 3 ~ 4 times a day to ensure that the ward is always in a clean and tidy state;

2. Sometimes doctors' prescriptions are not standardized and the logs are omitted;

3. The intensive care unit is not fully utilized;

4. The nurses in emergency room are too young and lack of first aid experience, so it is difficult to complete the first aid task. The quality of individual nurses is not high, and the concept of sterility is not strong.

5, due to the shortage of nursing staff, basic nursing is not in place, such as first-class nursing patients can not get the service of first-class nurses, second only to daily work.

6. Ward management is not satisfactory.

Over the past year, due to the dean's attention, support and help, nursing work has made some achievements in nursing quality and professional ethics construction, but there are also some shortcomings that need to be further improved.