Endocrinology nurse work summary

The four words of health education believe that everyone is no stranger to it. As a nursing sister in the endocrinology department, it is no stranger. As early as XX years, health education has been established as one of the five horse-drawn carriages for the treatment of diabetic patients. As a professional nurse in the endocrinology department, our director gave us a lot of opportunities to go out to learn and communicate with us. It can be said that the low-year nurses and teachers of the endocrinology department have the ability to give diabetes knowledge lectures with patients. However, in the past, health education was basically undertaken by the responsible team leader. No one came out to do health education independently. Starting in August, we also arranged people to engage in full-time health education in the second ward.

A full-time health education nurse, how sacred and glorious a title, but I listen to the heavy burden, the pressure is greater than the power, usually we have been doing health education, let me do it independently, what should I do! Or do you still do as usual? It must be no, how can I stand up to this glorious and sacred title? Is it true that people in the department say that I am a full-time education nurse? Is that right? Give me the title of a full-time education nurse. Am I? Can I confidently say that I am a full-time health education nurse in front of a patient with a long-term illness? I carefully weighed myself. I was more confident than I couldn’t grasp the blood. Really, I am very grateful to the two head nurses for giving me time and space for growth. Li Hong’s head nurse said: “Bai Lin, believe you, you will be in August. Let's explore it yourself!"

Looking back at our usual health education, we have done one-on-one education in the ward, group education, monthly large-scale multimedia education, and even stratified classification education for patients, and established the Patient Pumping Association, the Patient's Home, and the patients. Clubs, despite their various forms, I think there are still many problems. What we are doing is almost always doing inertia, doing routine business, what is the income? I haven’t seriously evaluated and set up a full-time education nurse. How can I add icing on the basis of the past? I think I must first implement what I have done and what I am responsible for. I would rather let the patient not call me Dr. Yang, call me Yang Education, how can I become a veritable Yang education, I am still exploring and summarizing, I will Let me share the real situation of my return call in August.

As we all know, telephone callbacks can provide recovery guidance and health guidance for patients after discharge, promote hospital improvement services, improve the level, establish a good social image for the hospital , consolidate the harmonious relationship between hospitals and patients, and broaden the service field. While creating good economic benefits and effectively preventing and reducing the occurrence of doctor-patient disputes, the core values ​​of nurses are reflected and the quality is continuously improved. Our department has set the call back to 5 items: 1 to understand the patient's condition after discharge 2 to understand the medication after discharge 3 to give appropriate care guidance 4 to seek advice and advice during the hospitalization period 5 remind patients to follow-up time, now eight Monthly return visit to do a statistical analysis:

In the second and eighth months, a total of 225 people were discharged, including 138 kidney diseases and 87 endocrine diseases. Statistics from the discharge of the disease: 11 patients with snake bites of kidney disease, 14 bee stings, 7 alcoholism, 10 pesticide poisoning, and grass 5 poisoning poisoning, 3 drug overdose, 2 rodent poisoning, 1 co poisoning, 2 poisonous poisoning, 2 food poisoning, 56 poisoning patients, 21 nephrotic syndrome, renal insufficiency and uremia Symptoms 34 people with 20 urinary tract infections, the remaining 7 patients; endocrine discharge disease statistics: 42 people with diabetes, 12 patients with hyperthyroidism, a reduction of 8 people and 25 other diseases, from age statistics: 145 patients over 60 years old, 80 patients under the age of 60, from urban and rural statistics: due to the lack of specific address, estimated that the endocrine patients in the city accounted for 50%, the remaining 50% are outside the urban area, patients with kidney disease may only account for 30% of the city. 70% of the city outside the city, the results of the return visit from the telephone: kidney disease patients: 14 people can not get through the phone, 3 people with phone errors, 9 people without phone, 7 people who have not answered 7 times in a row, 4 people shut down, the phone prompts the number 15 People, 6 deaths; endocrine phone call back Statistics: The phone can't get 6 people, no one answers 5 people, shuts down 4 people, there are 3 people on the phone, 1 person stops, 1 person on the phone, 3 people without phone, 3 people died, statistics from the phone: Endocrine The family members answered 10 people, the family members of the kidney disease answered 96 people, and one neighbor answered the questions. The time of returning from the phone was counted: up to 40 people in one hour, and 225 people spent roughly 56 hours. Statistics from the return visit: 2 people with kidney disease have opinions, endocrine 1 person has an opinion.

Through the above statistical analysis, the experience is as follows:

First, I further understand the purpose and significance of the telephone return visit:

1, telephone call back can improve the level of hospital services: equivalent to the hospital 's "after-sales service", improve the hospital 's "service ring";

2, hospital information collection: in the follow-up process to collect patients' opinions on the hospital operation link, as one of the basis for the improvement of hospital work.

3, stable patient group: follow-up by telephone, improve the hospital 's service effect, make the patient become a loyal "customer" of the central hospital .

Second, the telephone callback notice:

1. Grasping the medical safety scale: The main purpose of the telephone return visit is to bring the patient 's greetings to the hospital instead of the remote medical care. Answering the patient's medical problems should be cautious and avoid simple judgment and random guidance;

2. The norm of returning visitors: Because the caller represents the hospital , the phone language must be flexible, and the unexpected problems should be calm and generous, leaving a good impression on the patients;

3 Choose the appropriate time and place for return visits. We choose the time period from 15: 00 to 17: 00, respect the patient or the patient's family, have a proper name, decent language, feel compassionate and responsible for the patient, and keep the content of the conversation confidential. Does not expose patient privacy.

Third, the phone language should be standardized:

Telephone return visits are an extension of hospital services. Visitors represent hospitals . Therefore, terms and content and programs must follow certain specifications to reflect the standardization of hospital services. In general, the following rules apply to telephone return visits:

1. After connecting the phone, first confirm the patient's identity, then introduce yourself and explain the purpose of the call.

Example: Hello, are you xxx? I am the health education nurse xxx of the Central Hospital . This time, the call to you is a return visit to your hospital.

2. Ask the patient about the rehabilitation of the disease after discharge from the hospital according to the different conditions of the patient, and give appropriate guidance. If you are unable to confirm or you think it is abnormal when answering a patient's question, it is recommended that the patient see a doctor. Patients who need regular follow-up visits are reminded. Summary of nursing work of intern nurses in 2019 Summary of work of nurses in health education Summary of work of quality nursing services in oncology Summary of nursing work in 2019 Summary of nursing services for ENT services Summary of nursing intern work Summary of internship in operating room Summary of nursing work in obstetrics and gynecology in 2019
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3. After the call is over, ask the patient if there is any opinion or suggestion about the hospitalization, and thank the patient for the treatment.

Example: Do you have any comments or suggestions for us during this hospital stay? Thank you for your cooperation with us, goodbye.

4. Wait for the other party to hang up and then put down the microphone.

V. Discussion on the problems in the telephone return visit and analysis of the reasons:

1. From the analysis of the disease situation, the suicide poisoning patients in the nephrology department are generally reluctant to mention the sadness. Even if the telephone is open to explain the purpose of the visit, if the patient is basically hanged up, the pesticide poisoning patient will only be hospitalized two days before discharge. During the period, people and things have the right judgment. It is worth exploring: Is it necessary for every patient to return to visit, and patients like alcoholism need to return?

2. From the age of the patients, most people over the age of 60, the phone number basically stays with the family's phone, many family members leave the phone and leave, he does not care for the patient, many people during the hospitalization period Unfamiliar, the return visit is not satisfactory, or it is difficult to return to the patient.

3, the data registration is not perfect, such as notifying patients to attend classes, it is certainly easy to come to the city, but from the registration data can not determine where the patient is, but only indicate the disease, do not know the patient's treatment, such as: Diabetes patients cannot distinguish whether the patient is taking medicine or insulin, and whether the uremia patient is hemodialysis. This information cannot be accurately grasped, and the return visit will reduce the patient's trust in the returning visitor.

4. The time for returning to the phone is not appropriate. During the telephone call, many of the calls are family members, some are at work, some are driving, some are in mahjong, some are in the field, these are inappropriate times. Will cause the return visit to be unsatisfactory and even counterproductive.

Telephone return visit is an important measure of our quality care service. It is a convenient way to implement home care. It is very necessary to be perfect and effective. We look forward to more appropriate patient data management methods. Our department will continue to explore and hope. Dear colleagues have more suggestions and methods, thank you!

Summary of nursing work of intern nurses in 2019 Summary of work of nurses in health education Summary of work of quality nursing services in oncology Summary of nursing work in 2019 Summary of nursing services for ENT services Summary of nursing intern work Summary of internship in operating room Summary of nursing work in obstetrics and gynecology in 2019
Go to the hospital work summary section to see more>>