Model essay on nurses' debriefing report in hemodialysis room

Blood purification is one of the alternative therapies for the survival of patients with chronic uremia. Because such patients have serious physiological and psychological dysfunction, nursing work is difficult. To do a good job in nursing hemodialysis patients, nurses must have high-quality nursing concepts and specific nursing skills. I've arranged it for everyone. Welcome to reading.

Article 1

20 12, a year of special significance to me, is coming to an end. Looking back on this special year, it seems vivid. In this year's work, I will not be late and leave early, and I can abide by all the regulations of the hospital, respect the leaders and unite my colleagues. Actively complete the tasks assigned by leaders at all levels. In addition to successfully completing the advanced study of "hemodialysis", we also successfully established a hemodialysis room under the leadership of the department director and head nurse, and carried out and maintained hemodialysis work well.

People say that everything is difficult at the beginning. Since the opening of the hemodialysis room, assist the head nurse to formulate the post responsibilities, work flow, operation specifications, ledger management, emergency plan, etc. of the hemodialysis room, so as to plan ahead, ensure that the problems encountered in the work can be well documented and solved in time, and ensure the smooth development of the hemodialysis room.

At work, I adhere to the people-oriented service concept, strengthen service awareness, enhance the feelings between nurses and patients with friendly and patient language communication, carefully explain dialysis knowledge, give dietary guidance, eliminate patients' fear and blindness of diseases, and enhance patients' confidence in treatment. I also often take the initiative to seek the opinions of patients and constantly improve my service. During the dialysis process of dialysis patients without family members, I can assume the responsibilities of family members, such as delivering water, heating meals, helping others, changing clothes, assisting defecation, etc., and never complain that I am dirty and tired.

I have a high sense of responsibility for my work. I am bold and cautious. Hemodialysis is risky. As a nursing operator, I have both risk awareness and subjective initiative to control and avoid risks to the maximum extent, thus improving the quality of nursing. In addition, I also have a high degree of marketing awareness and sensitivity to the economic benefits of the hospital, so as to serve every fixed patient well, retain every consulting patient, promote the software and hardware of the hospital and attract more patients. Actively participate in various off-campus studies, constantly enrich themselves, and actively participate in the development of "two new technologies" in the department. Since the opening of the hemodialysis room, * * * has completed 465,438+00 hemodialysis units, including 20 hemodialysis and filtration units, 2 hemoperfusion units and 65,438+065,438+0 heparin-free dialysis units. No nursing safety accidents and errors occurred throughout the year.

As the person in charge of hospital infection in hemodialysis room, besides the daily dialysis work, I have to complete the regular maintenance of water dispenser and dialysis machine, and the regular supervision of dialysis water, dialysate and dialysis environment. Finally, I was named "excellent hospital infection quality controller"; The hemodialysis room managed by me won the honorary title of "excellent hospital sensory department" and ended successfully this year.

Looking back on all this, this is only a small beginning. I will wholeheartedly assist the director and head nurse to make the hemodialysis room in our hospital more distinctive and stronger.

the second

20xx, which means a lot to me, is about to pass. Looking back on this special year, it seems vivid. In this year's work, I will not be late and leave early, and I can abide by all the regulations of the hospital, respect the leaders and unite my colleagues. Actively complete the tasks assigned by leaders at all levels. In addition to successfully completing the advanced study of "hemodialysis", we also successfully established a hemodialysis room under the leadership of the department director and head nurse, and carried out and maintained hemodialysis work well.

People say that everything is difficult at the beginning. Since the opening of the hemodialysis room, assist the head nurse to formulate the post responsibilities, work flow, operation specifications, ledger management, emergency plan, etc. of the hemodialysis room, so as to plan ahead, ensure that the problems encountered in the work can be well documented and solved in time, and ensure the smooth development of the hemodialysis room.

At work, I adhere to the people-oriented service concept, strengthen service awareness, enhance the feelings between nurses and patients with friendly and patient language communication, carefully explain dialysis knowledge, give dietary guidance, eliminate patients' fear and blindness of diseases, and enhance patients' confidence in treatment. I often take the initiative to seek the opinions of patients and constantly improve my service. During the dialysis process of dialysis patients without family members, I can assume the responsibilities of family members, such as delivering water, heating meals, helping others, changing clothes, assisting defecation, etc., and never complain that I am dirty and tired.

I have a high sense of responsibility for my work. I am bold and cautious. Hemodialysis is risky. As a nursing operator, I have both risk awareness and subjective initiative to control and avoid risks to the maximum extent, thus improving the quality of nursing. In addition, I also have a high degree of marketing awareness and sensitivity to the economic benefits of the hospital, so as to serve every fixed patient well, retain every consulting patient, promote the software and hardware of the hospital and attract more patients. Actively participate in various off-campus studies, constantly enrich themselves, and actively participate in the development of "two new technologies" in the department. Since the opening of the hemodialysis room, * * * has completed 465,438+00 hemodialysis units, including 20 hemodialysis and filtration units, 2 hemoperfusion units and 65,438+065,438+0 heparin-free dialysis units. No nursing safety accidents and errors occurred throughout the year.

As the person in charge of hospital infection in hemodialysis room, besides the daily dialysis work, I have to complete the regular maintenance of water dispenser and dialysis machine, and the regular supervision of dialysis water, dialysate and dialysis environment. Finally, I was named "excellent hospital infection quality controller"; The hemodialysis room managed by me won the honorary title of "excellent hospital sensory department" and ended successfully this year.

Looking back on all this, this is only a small beginning. I will wholeheartedly assist the director and head nurse to make the hemodialysis room in our hospital more distinctive and stronger.

Article

1 characteristics of nursing work in hemodialysis room

1. 1 Multi-system function damage caused by renal failure in patients with great nursing difficulty, and each system affects each other. Generally, blood purification treatment is the main treatment, combined with psychological and dietary treatment, which determines the nursing difficulty and complexity of hemodialysis patients.

1.2 patients should be given effective psychological care. Patients with long-term blood purification have serious psychological obstacles. Patients with maintenance blood purification are tightly bound by machines, three times a week, five hours each time, and cannot participate in normal life for a long time. Patients face many work and life problems and bear various pressures. Suffering from the disease for a long time, patients' emotional will becomes fragile, their self-control ability declines, and various psychological obstacles appear.

1.3 reasonable dietary guidance hemodialysis patients are often malnourished and emaciated. Insufficient dialysis is prone to anorexia, satiety and nausea and vomiting. This is caused by nutrient loss during dialysis and cannot be replenished in time. Therefore, it is particularly important to give reasonable dietary guidance to hemodialysis patients.

2 basic nursing skills of hemodialysis nurses

2. 1 Must have a high sense of responsibility and keen insight. Because the condition of hemodialysis patients is complex, changes rapidly and has many complications, nurses must have a high theoretical basis of nursing and skilled operating skills. Develop a rigorous, agile and decisive work style. Closely observe the changes of patients' vital signs, do not ignore any symptoms, do not relax any hemodialysis links, and do not miss any rescue opportunity.

2.2 to improve the professional and technical level, we should know and be familiar with the structure and working principle of various dialyzers at ordinary times, memorize the operating procedures, and closely monitor and observe whether the parameters are within the normal range after starting. Accurately estimate the dry weight, publicize the significance of weight control to patients, and obtain the cooperation of patients. If the patient's drinking water restriction is not strict, his body weight exceeds 5% during dialysis, and his blood pressure changes greatly during dialysis, it is difficult to master his dry weight. To avoid chronic heart failure caused by insufficient dehydration every time, overload of heart capacity will increase the burden on the heart. Use heparin correctly, make its dosage individualized, and avoid all kinds of bleeding caused by improper dosage.

2.3 Establish a good nurse-patient relationship. It is necessary to communicate with patients before and during dialysis, do a good job in patients' psychological and ideological work in time, and let patients cooperate well. This is an important foundation for successful dialysis, helping patients and their families to manage themselves well, master common sense of disease prevention and do a good job in health education. Eliminating the anxiety of patients and their families, holding regular cultural and sports activities such as kidney-friends exchange meetings, and really involving patients are effective measures to improve the quality of life of patients.

2.4 Do a good job in diet management. According to the patient's daily urine volume, dialysis times, dialysis time, blood pressure, edema and so on, the daily drinking water quantity is determined. Dialysis will lose a certain amount of protein, so we should supplement it appropriately and pay attention to the quality of protein. According to the plasma concentrations of sodium, potassium and calcium in the blood, provide a certain amount of calories and adjust the diet structure. The patients' diet should follow the following principles: 1 protein requirement; the dietary principle should be relaxed, and the daily protein intake should be 1.0 ~ 1.2g/kg, which is reasonable for maintaining the stability of hemodialysis. But it is not enough to alleviate malnutrition before dialysis and infection and gastrointestinal diseases after dialysis. Need extra nutrients, such as essential amino acids. 2. Calories and requirements: Only by consuming enough calories can the body make effective use of protein and maintain adequate nutrient storage. The daily requirement is usually 138.07 ~ 144 kJ/kg. Timely supplement vitamins, such as vitamin C, vitamin B 1, vitamin B6, folic acid, etc. 4 Water consumption: the daily water consumption is daily urine consumption +500ml.

2.5 Combining the artistry and versatility of nursing work, nurses should have a deep understanding of their main responsibilities. Highly responsible for work, patient and thoughtful. The operation is fast and powerful, preventing mistakes and accidents. At the same time, we should master all kinds of skills and arts in nursing work, such as the ability to adjust our emotions, establish a sense of responsibility, gain insight into patients' psychological changes, eliminate patients' bad psychology in time, master language communication skills, and increase the communication effect with patients and their families. Improve the overall nursing level through all-round and high-quality nursing skills.

High-quality nursing work in hemodialysis room largely depends on the professional level and nursing skills of nurses, and how the nursing skills of nurses directly affect the quality of nursing. This requires us to seriously follow the medical ethics norms in our daily life, constantly learn, summarize and accumulate, so that our nursing experience can permeate our roles and behaviors all the time, and we can truly become the angels in white in patients' hearts.

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