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Summary of personal work in orthopedics
Time flies and hard work has come to an end. Looking back on your work during this period, I believe you have many feelings. It's time to sum up the work seriously. So, have you mastered the format of work summary? The following is a summary essay (5 summaries) of my personal orthopedic work for you, which is for reference only and I hope it will help you.
Summary of personal work in orthopaedics 1 Looking back on my work and study this year, it is coming to an end. I am deeply grateful to my cardiopulmonary bypass team and all my colleagues and teachers in the operating room for making great progress. Special thanks to my beloved director and teacher X.
1, abide by the operation flow and work system, and carefully complete the work of external auxiliary equipment for each operation from the preparation of articles to the installation of machines. Strict work, focusing on patients' surgical needs and doctors' surgical habits, overcoming difficulties and ensuring smooth and safe transfer.
2. Combine theory with practice, strengthen the professional study of cardiopulmonary bypass and cardiac surgery, summarize it irregularly, consolidate and improve your professional ability irregularly, have a goal and plan for your professional development and progress, and complete it with a brand-new learning attitude.
3. I have finished the job of external host of local surgery. With the guidance and help of the director and Mr. X, in nearly 60 exercises, I recorded every harvest and inspiration, and strictly analyzed my habits and thinking deficiencies that are conducive to professional requirements, so that I could walk steadily every step.
4, the ruler is short, the inch is good, you can learn modestly and gradually improve yourself. Everyone has many good habits and work qualities, whether he is a colleague in cardiac surgery, anesthesiology or cardiopulmonary bypass. They treat patients, majors and problems in different ways. If you are a conscientious person, you will think, compare and make progress.
5. Character determines fate. This is the spiritual harvest of the director working and studying around him. The rigor and details of the director's turn determine success or failure. I was deeply moved and shocked by the lack of eyesight and speed when I visited various operations, and the director's accurate diagnosis and treatment of the reasons when I encountered difficulties, which inspired me to develop the most cautious working attitude. The director doesn't talk much, but example is more important than example.
Sorting out the gains and losses again is like sorting out your luggage and reviewing your work experience this year. Bring wisdom and navigation marks to the new journey.
Summary of Personal Work in Orthopaedics 2 In the past year, under the leadership of the department director, we adhered to the important guiding ideology of "patient-centered, improving the quality of medical services", studied hard and delved into business, so that our own quality and business level reached a higher level.
Ideological and political focus on the theme of hospital honesty and self-discipline, engage in medical activities, keep up with the international and domestic situation, refuse to accept red envelopes and commissions, and strictly abide by hospital rules and regulations; Obey the leadership, unite with colleagues, love their posts and work hard, and have no medical errors and disputes.
In our work, we take the patient as the center, think of the patient wholeheartedly, and choose the treatment plan for the patient based on the principle of "province, province and high efficiency". Under the leadership of the head of the department, I inherited the fine tradition and work style of the past, studied hard, diligently summarized, and published two papers in professional magazines. Strive to improve their own business level, constantly strengthen business theory learning, and enrich their theoretical knowledge by learning the business magazines and books they subscribe to; Through various trainings and professional lectures, I participated in the study of new medical knowledge, new technology and related theories organized by the hospital, which broadened my horizons and broadened my knowledge.
Proficient in the writing and input of electronic medical records and doctor's orders, able to independently complete complex operations in trauma orthopedics and common operations in hand surgery, and assist superior doctors to complete joint replacement and spinal surgery. Strictly implement various work systems, diagnosis and treatment routines and operating procedures, carefully treat every patient, avoid misdiagnosis and mistreatment to a certain extent, and avoid mistakes and accidents as much as possible.
Work attitude is serious and diligent. Unite colleagues and be a good leader of parents. I take it as my duty to do everything possible to eliminate the pain of patients. I hope all patients can recover soon, so every time I enter the ward, I spare no effort to encourage them with limited time, patiently help them understand the disease, establish confidence in overcoming the disease, and silently pray for their early recovery.
I love my job, can treat every job correctly and seriously, devote myself to work, serve everyone enthusiastically, abide by labor discipline seriously, ensure attendance on time, have a high attendance rate, make effective use of working time, stick to my post, need to work overtime on time, and ensure that the work can be completed on time.
Leading general practitioners to take the lead in implementing integrated management in the province. No matter from the aspect of department construction or technical strength, we are on the road of practicing medicine in the forefront of the city. How many hardships and joys, we sent away a group of patients and ushered in a group of patients, and time gradually disappeared in this welcome and farewell. I want to be a good doctor, not a good doctor. I don't feel the spring scenery coming into the curtain, and I explore the secluded path at the critical position.
I forget things, let myself gallop, and never regret running out of youth. In order to work smoothly in this department, I can unite and cooperate with my colleagues in this department to overcome difficulties. I can cooperate with other departments, in addition to doing my own work, and actively cooperate with other colleagues to do their work well. Whether it's work or rest, as long as something happens, you can be on call and won't delay your work because of rest.
In the future, we should be better at learning and summarizing, keep pace with the times, learn to update and improve medical technology, and improve and enrich our lives while benefiting society and patients.
As a proud osteopath, I will dedicate my actions with sincerity. In the future, I will always follow the hospital spirit of "sincerity and friendship", work harder and solidly, abide by professional ethics with the feeling of "being kind to doctors", study hard and study hard, combine my professional knowledge with specific work practice more closely, be full of enterprising pride, be full of vigor and vitality, consciously exert my intelligence, fulfill my post responsibilities and strive to complete leadership work.
Summary of personal work in orthopaedics for 3-20xx years, with the improvement of hospital environment, higher requirements are put forward for nursing work. Especially through the acceptance of "Dimethyl" in our hospital last year, we know that we are not only facing the honor of the hospital, but also the responsibility and obligation as a member of the hospital. Around the overall goal of the nursing department, under the leadership of the head nurse, I first realized ideologically that the nursing level and service quality of a hospital must be tested and confirmed by the higher authorities. If the hospital wants to survive and develop, it must seize the rare opportunity to pass the audit. The nursing work this year is summarized as follows:
First, in terms of ideology and politics:
Actively support the hospital's policies and regulations, abide by medical ethics and operating norms, adhere to the patient-centered, strictly meet the standards of an excellent qualified nurse, adhere to the quality as the core, take patient satisfaction as the standard, and firmly establish team spirit.
Second, work and study:
Study hard on professional knowledge and overcome business deficiencies. Actively carry out high-quality nursing service, do basic nursing well, and actively participate in it, such as cutting nails and taking a bath for patients, instead of relying on interns for everything, which can play a leading role. Actively learn new technologies and new businesses. Strictly implement the operating procedures in the work, abide by the rules and regulations of hospital departments, always pay attention to maintaining the concept of sterility, treat the work seriously and responsibly, be meticulous, work overtime, establish a high sense of collective responsibility and honor, unite colleagues, overcome various difficulties, and put work first in everything. Do a good job in teaching and strive to train new nurses for the department. In my opinion, to be an excellent nurse, we must first be caring and enterprising, be able to engage in nursing professional work with peace of mind, and have a correct outlook on life, values and good moral character. Therefore, when teaching, I pay attention to the cultivation of freshmen's ideological quality, followed by pre-job professional ethics education, rules and regulations, and nurses' code of conduct education. I have taught six interns this year. In daily nursing work, we should not only be strict with ourselves, but also actively find and solve the problems existing in nursing work, especially for young nurses, so as to promote their growth. Actively participate in the "three basics" operation training organized by the hospital and the nurse operation training and assessment organized by the department. Participate in business rounds and business studies organized by nursing departments and departments every month, and regularly participate in "Walking into the Expert Lecture Hall" organized by hospitals.
Third, the existing problems:
(1) Occasionally, the operation is not standardized and the concept of sterility is not strong.
(2) The work is full of status quo and not active enough.
(3) communication with patients is not in place.
Fourth, the development direction:
(1) Do a good job in theoretical study.
(2) Under the care and guidance of the hospital leaders and department directors, successfully complete the medical and nursing tasks, earnestly perform their duties, love their jobs, and actively write papers.
(3) Take the department as the home, work actively, treat patients with enthusiasm and patience, and meet patients' needs.
Nursing is an ordinary job, however, we use sincere love to heal the trauma of patients' hearts and ignite the courage of patients to overcome diseases with fire-like enthusiasm.
Summary of personal work in orthopedics 4 20xx years passed quickly, and another year slipped away behind our busy schedule. Over the past year, under the correct leadership of leaders at all levels of orthopedics and major surgery, with the care and support of colleagues in relevant departments of the whole hospital, and with the concerted efforts and unity of all orthopedic personnel, we have successfully completed all the tasks assigned to us by orthopedics, which are summarized as follows:
First of all, all medical staff in orthopedics actively carry out various tasks. 1- 10 month, orthopedic patients admitted 1865 people, an increase of 3.4% over the previous year. The number of discharged patients 185 1 person increased by 2.8% over the previous year. 857 cases of orthopedic surgery were performed in the whole year, an increase of 65438 0.8% over the previous year. This year, 1 1 Four-level orthopedic operations, such as open reduction and internal fixation of thoracolumbar fractures, total hip replacement and open reduction and internal fixation of ankle fractures, passed the evaluation of experts in Nanjing, and were rated as key specialties of Nanjing Health Bureau in the same year. Actively carry out various new technologies and projects, such as percutaneous vertebroplasty in the treatment of osteoporotic thoracolumbar vertebrae in 6 cases, Gamma nail in the treatment of femoral intertrochanteric fracture 19 cases, autologous red bone marrow transplantation in 3 cases, and arthroscopic treatment of knee joint injury 13 cases. Total hip replacement: a report of 26 cases. Total knee arthroplasty in 5 cases. More than 30 cases of hand surgery were actively carried out, of which 1 thumb amputation successfully anastomosed with blood vessels and nerves, and 1 severe crush injury of the back of hand was successfully preserved. There were no major medical errors in orthopedics throughout the year, and 5 papers were published in orthopedics throughout the year, including 2 core journals.
Secondly, actively strengthen personnel training and construction: in 20 1 year, orthopedics enrolled two orthopedic graduate students, one of whom is studying for a doctoral degree part-time. Orthopedic graduate students 14, accounting for 60.8% of the total number of orthopedic doctors. In the whole year, 1 physician was promoted to chief physician and 2 to attending physician. At present, there are 3 chief physicians and 4 deputy chief physicians in orthopedics. Throughout the year, two doctors were sent to major hospitals in Nanjing for further study for half a year and one year. In the same year, we arranged 18 orthopedic surgeons to go out to participate in various short-term orthopedic classes, and actively organized orthopedic surgeons to go out to municipal hospitals to watch surgery and orthopedic film reading salons, so as to comprehensively improve the professional and technical level of orthopedics.
Third, strengthen the construction of medical ethics in an all-round way and create orthopedic individuals. In order to meet the growing personal health needs of the people, the General Department regularly organizes all staff to seriously study all kinds of medical documents and regulations at all levels, carefully study the documents of hospital departments and the spirit of various meetings, strengthen the quality education of all staff, strengthen the education of medical ethics, standardize medical behavior, especially strictly implement the norms of rational use of antibiotics, organize doctors to study and participate in the assessment organized by hospital departments. The service attitude improved obviously throughout the year, and the monthly satisfaction reached over 98%. There was no vicious complaint throughout the year. Orthopedics received 65,438+00 letters of commendation and 5 banners.
Fourth, strengthen the work of orthopedic outpatient service: continue to implement the annual holiday-free outpatient service. Every Monday to Saturday, two orthopedic clinics are opened every day, and a deputy chief physician of orthopedics is arranged to make house calls every day, so as to effectively strengthen the work of orthopedic clinics and continue to carry out online pre-diagnosis. Orthopedic clinics are open all day on holidays to facilitate people to see a doctor.
Five, in response to the call of the Ministry of Health to carry out the "quality nursing service demonstration project", with the joint efforts of everyone, this work has been carried out vividly, and the quality of basic nursing and life nursing has been significantly improved. "Bed wrapping to nursing" is no longer a mere formality, but really embodies the connotation. It is truly realized that all nurses have bed tubes, and all patients have nursing tubes, medical tubes and sometimes cross tubes. In the past, nurses were busy with treatment and neglected health education and functional exercise guidance. Now patients are guided from admission to discharge, the sequelae are obviously reduced, and the nurse-patient relationship is more harmonious. The suggestion book became a book of commendatory words, and we opened the suggestion book with commendatory words.
The sixth deficiency: individual medical staff still lack the consciousness of actively serving patients in their work. When there are many patients and the work is busy, the service attitude is not in place, the communication skills with patients are lacking, and the tone, intonation, expression and body movements are not paid attention to. Some orthopedic outpatient medical records are not standardized, complete and meticulous, and some doctors still have big prescriptions, which leads to patients' dissatisfaction and complaints to service centers, and health management is not in place. In the future work, we need to overcome these shortcomings, so that we can do our work better and more carefully, and make patients more comfortable and satisfied.
Summary of Personal Work in Orthopedics In the last year of 5-20xx years, with the improvement of hospital environment, higher requirements were put forward for nursing work. Especially through the preparation and acceptance of the "three-second evaluation" in our hospital this year, we can understand that we are not only facing the honor of the hospital, but more importantly, our responsibilities and obligations as a member of the hospital. The orthopedic nursing team in our hospital took this opportunity to pay close attention to the quality of nursing service, strictly implement rules and regulations, and strengthen business and services. Around the overall goal of the nursing department, under the unified deployment of the nursing department, we first unified our understanding ideologically: the nursing level, service quality and management system of a hospital must be tested and confirmed by the higher authorities. If the hospital wants to survive and develop, it must seize this rare opportunity to pass the audit. "Now the nursing work in our department is summarized as follows:
First, seriously implement the rules and regulations.
1, reaffirmed the responsibilities of nursing staff at all levels, and defined the post responsibility system and nursing work system.
2, the implementation of 15 core nursing system, various emergency plans, work quality standards, etc. For example, check the system:
(1) It is required to check the doctor's advice every day, once a day, and the head nurse will take part in the general check 1 ~ 2 times a week and make records.
(2) The nursing operation should be checked by two people at the bedside, and two or more patient identification methods should be used. (3)
Surgery patients and operating room nurses should hand over patients. Prevention of nursing adverse events.
3. Conscientiously implement the nursing routine of orthopaedics and hand surgery, the ten safety goals, and the safety guide of specialized nursing, continuously improve and improve the quality of nursing, strengthen the management of nursing risks, unify the thinking of general nurses, raise awareness, comprehensively and effectively improve the quality of nursing services, and provide innovative and humanized services for patients, which has been well received by patients.
4. Carry out the activity of "quality nursing service", implement the methods and measures of striving for high-quality demonstration wards formulated by the nursing department, implement humanized flexible shift scheduling, simplify nursing workflow and let nurses return to patients.
Second, improve the professional quality of nursing staff.
1. Take a three-level first-class hospital as a wedge machine to train nurses in various knowledge, professional theories and professional skills, and organize theoretical and operational examinations.
2, to participate in the business study organized by the hospital, in order to improve professional knowledge.
3. Implement the system of nursing rounds. Departments carry out three-level nursing rounds 1-2 times a week, and discuss nursing diagnosis and nursing measures based on basic theoretical knowledge and orthopedic knowledge to improve the professional quality of nurses.
4. Strengthen the care of critically ill patients, adhere to the bedside shift system and morning care.
5. Implement graded training, and implement different training plans for nurses with different length of service.
Third, do a good job in quality management.
1, in view of the difficulties and key issues in nursing work, set the work focus, and insist on integrating the humanistic nursing concept of "patient-centered" into more practical and specific work details.
2. Carry out, permeate, run through and implement standardized nursing quality standards in the whole work of each nurse, so as to make nursing quality management rule-based and form a virtuous circle. Evaluate the quality of nursing from the patient's point of view, and take the patient's satisfaction as an important index to evaluate the quality of nursing, so that patients can really get benefits from quality management.
3, the nurse's responsibility to carry out, patients from admission to discharge by the nurse is responsible for the whole process, into the quality management. Make a feasible assessment plan, and conduct assessment in strict accordance with the plan every week, so that everyone can pass the test and fully mobilize the initiative and enthusiasm of each nurse.
4, the head nurse, quality control team members every day according to the quality control of new patients, key patients, critically ill patients' nursing records, in view of the quality control link and the problems found in the final quality control timely communication with all parties, timely rectification, standardize the writing of nursing documents. Analyze and improve nursing quality defects regularly, and strengthen the quality control of nursing work by responsible nurses.
5. The head nurse's on-site management has achieved remarkable results.
① Early rounds: focus on the quality of night shift nursing after work; After the morning meeting, attend bedside handover rounds; Ward rounds after medical orders are issued: focus on checking the implementation of medical orders and nursing measures.
(2) After-work rounds in the afternoon: check the continuous work and completion, go deep into the ward to solicit patients' opinions, and rectify the nursing work in time.
③ Night rounds: check the handover records of critically ill patients, surgery, blood transfusion and other patients before going to work in the afternoon. Through the "three-wheel" field management mode of "patient-centered, problem-solving", supervise the implementation and implementation of nursing work in each shift, collect and fill vacancies in time, and pay attention to patients, environment, equipment, doctor's advice and other issues.
6, according to the requirements of the nursing department regularly collect patients' opinions on nursing work, and in the nurse station publicity grading nursing standards. Implement the core system, establish and improve the ward safety warning signs. Attach importance to the first communication, strengthen the communication in key links, and establish a harmonious relationship between doctors and patients and nurses.
7. Pay attention to the training of emergency first aid and emergencies: According to the emergency plans of various emergencies formulated by the nursing department, every nurse is strictly required to carefully simulate drills. Through real drills, our emergency ability and skills have been greatly improved, and various forms of first-aid procedures, cardiopulmonary resuscitation, first-aid knowledge and first-aid equipment use training have been carried out. 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.
8. Focus on the management of new nurses, nurses with poor working ability and practical nurse; Nurses with high seniority and low seniority, strong working ability and weak working ability are on duty, so as to improve nurses' cautious and independent spirit when they are on duty independently, make irregular rounds in key periods, strengthen supervision and management in all aspects, improve nursing quality and ensure nursing safety.
Fourth, sort out the nursing process and inform.
1, a reasonable nursing workflow is the basis for the smooth development of daily work. There should be a reasonable workflow to guide the daily work of nurses in basic nursing, specialist nursing and health education.
2. Effective nursing notification is necessary for patients to cooperate. We will improve admission notice, posture, treatment, special precautions and specialist rehabilitation.
Five, nursing safety management
1, in order to ensure the continuous improvement of nursing quality, the department set up quality management groups such as health education, nursing medical record writing, disinfection and isolation, and basic nursing, with ten head nurses as the team leader. Record and summarize the problems found in time.
2, at least twice a week to accept the strict inspection of the nursing department, the head nurse on duty every night, no rules, no Fiona Fang, in the environment of high-density inspection and supervision of the nursing department, so that every nurse has developed a good spirit of careful work. Everyone attaches great importance to the test results. The head nurse and the attendant went deep into the ward for examination, and held a nursing quality and safety analysis meeting in time for a series of problems found in the examination. In view of nursing defects and errors, analyze the reasons, formulate rectification measures and supervise their implementation to ensure the continuous improvement of nursing quality.
3. The management of key periods, key links, key personnel and special patients refers to shift change time, afternoon shift, night shift, rest days and holidays. There are very few employees these days. Nurses are prone to mistakes. Patients are prone to dissatisfaction. The key links are busy and intensive links such as preoperative, postoperative, severe illness and rescue. Key personnel refer to critically ill patients, surgical patients, patients with special changes in their condition, as well as new nurses, senior nurses and nurses who often make mistakes; Special patients refer to patients who have changed their major and transferred to other hospitals, patients who have medical disputes or opinions, patients who are taken care of by leaders, and patients who are known by our hospital staff. Practice has proved that these people often have unsafe factors. Head nurses should strengthen follow-up inspection, rationally allocate nursing human resources and ensure the quality of work in all links.
4, strengthen the system construction, to ensure patient safety:
(1) according to the patient safety objectives, further improve the patient identification system, special drug management system, adverse reaction observation system and procedures and other patient safety systems and norms, improve the accuracy of patient identification by nursing staff, improve drug safety and ensure patient care safety.
(2) Supervise the implementation of various nursing safety systems: for example, supervise the storage, use, limited quantity and regular inspection of drugs in medicine cabinets in wards, strictly distinguish between drugs for injection, drugs for internal use and drugs for external use, strictly check the procedures and signatures when copying and executing doctor's orders, and control the drip rate of intravenous infusion.
③ Strengthen the management of executing doctor's orders: strengthen the accuracy of executing doctor's orders, check with doctors in time when in doubt, implement dual-core alignment for intravenous infusion, use therapeutic vehicles and medication books when dispensing medicines, and actively explain to patients or their families during various operations to strive for understanding and cooperation. When conducting operations such as catheterization and venous indwelling needle, the matters needing attention should be clearly stated to prevent the pipeline from slipping.
5. Improve nursing documents and records to reduce potential safety hazards. Pay attention to the problems existing in nursing documents at this stage, standardize nursing document records, and avoid irregular writing, such as missing words, inconsistency, inconsistency with doctors' records, etc. It not only reflects the comprehensive record of nursing problems, but also reflects the particularity of specialized symptoms, thus making nursing documents standardized and standardized.
6. Implement flexible scheduling and improve performance appraisal. In order to tap the potential of human resources and meet the needs of practical work and patients, a flexible scheduling system for nursing staff was implemented. When the treatment and nursing peak hours or the nursing workload increases sharply, the head nurse starts the "emergency nurse deployment plan" to adjust the nurse shifts to ensure the safety and quality of nursing in emergencies.
Six, steadily promote the quality of nursing service.
1, the key work of implementing quality nursing service:
(1) Advocate active service and provide humanized care. It is far from enough for quality service to stay on the surface of "easy entrance, good face and good words". We should emphasize good nurse-patient communication, attach importance to the feelings of clients, convey your welcome, respect and enthusiasm to patients through specific behaviors, so that patients can truly feel our medical services, taste our quality and deepen the reform of nursing work mode. According to the principles and requirements of graded nursing, we should make clear the connotation and work norms of clinical nursing, conscientiously implement basic nursing, establish and improve nursing routines and operating procedures, and provide patients with all-round and whole-course nursing.
(2) fully mobilize the enthusiasm of nurses, advocate everyone to participate in department management, encourage nurses to improve the quality of nursing in departments, promote high-quality nursing services, and make suggestions for departments with the goal of "three good and one satisfaction", and finally realize the goal of creating a tertiary hospital.
2, according to their own reality, actively take a variety of measures, and constantly strengthen the connotation construction, solidly and steadily promote quality nursing service:
(1) Clinical nursing service fully embodies the characteristics of specialty, strengthens the consciousness of humanistic care, advocates humanized service, and continuously promotes the warm service of specialty.
(2) Conduct daily etiquette training for nurses, such as service specification, telephone etiquette, knocking etiquette, bedside handover, etc. Every day, when the head nurse leads the nurses to shift shifts at the bedside, the responsible nurses should introduce themselves, and at the same time, each ward should hang the responsibility protection card designed by our department, which is convenient for patients to supervise the work of nurses in their wards and improve the service quality of nursing staff.
(3) In the training of nurses' job skills, we should further standardize and focus on training nursing operation terms and nurse-patient communication skills, so as to cultivate nurses to establish a good professional image. The development of high-quality nursing activities has strengthened the sense of responsibility of nurses and improved the communication between nurses and patients.
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