Hospital endocrinology work summary

2019 is the second year of the start of the second year of the school's "strong connotation, quality, level, and steps". Under the correct leadership of the hospital leadership, all the medical staff of our endocrinology department will strengthen their confidence, passionate entrepreneurship, strengthen their connotation, and accelerate their development. According to the guiding ideology of hospital work in 2019, combined with the actual work of this ward, unite and cooperate, practice according to law, and practice cheaply. In-depth development of nursing quality service work, earnestly completed the various nursing work arranged by the nursing department, and successfully completed the work plan at the beginning of the year. Received the title of “Second National TCM Nursing Advanced Collective”, no care errors and medical accidents occurred in the past year. The work is summarized as follows:

First, political and ideological aspects:

1. Actively echo the call of the department, conscientiously organize the spirit and content of the 2019 hospital work report, and actively echo the spirit of the party committee to carry out the activity of “creating the first to compete for excellence”, establish the awareness of development, the awareness of responsibility, the awareness of the crisis and the overall situation. Consciousness, conscientiously do a good job of unity and cooperation between departments and staff, actively play the team spirit of the department, and actively participate in various activities organized by the department. Actively striving for "the pioneers of the Communist Party members" and "creating the pioneers of excellent workers."

2. Strengthen the construction of medical ethics and medical care for nursing staff, strengthen the study and implementation of party style and clean government and work style construction, practise according to law, practice medicine in an honest manner, vigorously carry forward advanced models and advanced figures, and actively create a clean and harmonious atmosphere, unity and harmony, and strive for development. Team atmosphere. There is no "small treasury" in the department, and there are no violations of laws and regulations such as "red envelopes" and "kickbacks". There is no complaint about service quality.

3. Carefully formulated the human resources allocation plan, emergency plan, scientific and rational flexible scheduling. "People-oriented", humanized management, to ensure the quality of care and care, no mistakes occurred.

4. Strengthening the dedication education, implementing the service concept of “taking patients as the center and quality as the core”, improving the professional ethics and overall quality of nurses, serving the people and contributing to the society, taking patient satisfaction as the standard and wholeheartedly patient service. Many times in the "patients' voice" "satisfaction questionnaire" "post- hospital management return visit" received praise from patients, received a banner and a letter of commendation.

5. Established the “Quality Control Group for Nursing Quality”, which encourages nurses to participate in department management through authorization. Each nurse is directly responsible for a project managed by the department, which stimulates the enthusiasm and initiative of the nurse.

Second, enhance legal awareness:

1. Organize and study the "Regulations on Handling Medical Accidents", "Nursing Regulations", "Administrative Measures for Hospital Infections" and other relevant laws and regulations, and actively participate in various trainings and studies organized by the hospital and the nursing department. Such as hospital knowledge training, occupational protection knowledge training, doctor-patient communication lectures, etc. Improve the legal awareness of each medical staff, enhance the awareness of safety protection, conscientiously implement the nursing grading system, and establish a nurse patrol record.

2. Seriously organize participation in firefighting knowledge lectures, set up departmental fire quality control personnel, organize fire drills and emergency plan assessments, conscientiously implement the hospital 's fire protection system, investigate fire safety hazards in wards, and ensure fire safety in departments and hospitals . There were no fire incidents such as fires throughout the year.

Third, strengthen business learning, and strive to improve the quality of the endocrinology team.

1. Scientifically developed our study plan and system, with monthly business study, monthly technical competition, monthly learning exchange meeting, weekly morning meeting questions, etc. The content is based on basic theoretical knowledge and Specialist knowledge. It has created a strong learning atmosphere, so that members of the Civilization Group can consciously study the business. And do a good job in the registration of credits registration and assessment results.

2. Strengthen the training and assessment of the three-base skills, arrange the scheduling reasonably, and ensure that the low-age nurses can participate in the “three-based training” of the nursing department. Change the traditional teaching mode, adhere to pre-job training for new nurses, complete the new nurse teaching month target plan, adopt a combination of teaching and self-study, and conduct assessments with teachers, scores above 90 points, Otherwise enter the next round of training. This ward has conducted this training for a new comrade this year with good results.

Fourth, strengthen the quality management of nursing and improve the quality and efficiency of nursing services.

1. Strengthen quality control and strictly implement the system. Adhere to the monthly quality control self-examination of the department, and the quality control by the head nurse and the departmental quality control staff. Applying pdca to the problems in quality control to improve quality and improve the quality of care. The nursing department's monthly quality control results were promptly fed back to each nurse and pdca was used to implement continuous quality improvement to continuously improve the quality of care.

2. Do a good job in the management of critically ill patients, and be proficient in the use of nursing first aid technology, rescue procedures and the use of rescue medical devices to improve the success rate of critically ill patients. The first-aid medical equipment has a special person responsible for management, so that "four fixed", "three timely", the rate of first-aid medical equipment is 100%. This year, the department organized “cpr” and “suffocation” emergency drills once, and the effect was good.

3. Strengthen the management of the ward, make the environment of the ward clean and tidy, and strive to create a clean, tidy, quiet and comfortable hospital environment for the patient. The nursing director attends the morning meeting every day and comments on the quality of the morning meeting, emphasizing the focus of safety medical care and day care work.

4. Adhere to the handover system and carefully complete the bedside handover classes. The head nurse strengthens the clinical supervision, adheres to the daily in-patient ward, participates in bedside shifts, and conscientiously performs inspecting work to timely handle, coordinate, and solve existing or potential problems in clinical nursing management and quality of care.

5, do morning and evening care, improve the quality of basic care. The basic nursing pass rate is basically 100%, and the incidence of pressure ulcers is zero. Implement a pressure sore reporting system, a fall/fall report system, and implement a pressure ulcer evaluation system and a fall/fall assessment system. Pay attention to pressure ulcers, falls, fall-prevention care measures, and carry out Chinese medicine pressure ulcer prevention and treatment measures. Standardize the labeling of each warning sign.

6, strengthen the quality management of nursing forms, carefully check, the young nurses carefully pass, help, bring, and strive to improve the quality of nursing records, nursing writing pass rate of more than 95%.

7. Strengthen the safety management of nursing, prevent unburned, and carefully organize the discussion of nursing safety once a month. For the shortcomings and hidden dangers of the department, use pdca to implement continuous quality improvement, carefully summarize, analyze, actively find out the causes and implement corrective measures. To prevent the occurrence of mistakes and medical complaints.

V. Give full play to the characteristics of traditional Chinese medicine and actively carry out the special nursing of traditional Chinese medicine

1. Strengthen the study of Chinese medicine culture knowledge and firmly establish the concept of Chinese medicine nursing. Traditional Chinese medicine care is an important part of daily care work. All the 13 nurses in our department participated in the “Western School Nursing Training Class” of the Ministry of Nursing. Among them, 5 nurses have completed 100 hours of study, passed the assessment and successfully obtained the certificate of completion, and the remaining nurses continue to study. Established the TCM Nursing Credit Card, and took the theoretical knowledge of TCM as the necessary content for the monthly business study of the department, invited the TCM experts from our department to give lectures, and combined the basic theoretical knowledge with the specialist nursing to form the TCM nursing norms of our department; Developed a clinical pathway for single-care care in Chinese medicine.

2. Actively carry out Chinese medicine care and strive to improve the efficiency of Chinese medicine care. In the nursing work, the full use of the specialty of Chinese medicine, combined with modern medical knowledge and methods, has formed a set of perfect Chinese medicine nursing norms and operating procedures. Actively apply Chinese medicine nursing characteristics in specific nursing work. Since the new patient was admitted to the hospital, under the guidance of the theory of Chinese medicine nursing, we conducted a comprehensive and meticulous evaluation of the patients through the means of “looking, smelling, asking, and cutting”, and conducted the most basic dialectical analysis of the collected clinical data, symptoms and signs. Analysis, under the premise of establishing its cause, disease, and disease position, give full play to the advantages of traditional Chinese medicine care, and carry out dialectical protection. In the specific TCM nursing operation, each nurse is assessed by means of regular and irregular combination, and each nurse is required to be proficient in the basic operation of TCM nursing. In the field of acupuncture and rehabilitation, we are carrying out a series of standardized rehabilitation exercises according to the characteristics of patients, such as scraping, cupping, water acupuncture, massage, Chinese medicine application, Chinese medicine fumigation, Chinese medicine soaking and other Chinese medicine nursing operations, such as Head and face acupressure exercises, bed bridge exercise, seat and seat balance training, shoulder and shoulder strap activities and lower limb control training exercises. In the endocrine field, there are more patients with diabetes and hyperthyroidism. We have developed Chinese medicine care mainly in the following aspects:

1) For the retinopathy of diabetic patients, the "ear acupuncture buried beans" was carried out, and the "Wang not staying" was attached to the corresponding ear acupuncture, and massage was performed regularly. 2) For the neuropathy of diabetic patients, the traditional Chinese medicine soaking foot is carried out, supplemented by physical therapy such as magic lamp and medium frequency electric therapy device. 3) For vascular lesions in diabetic patients, intravenous infusion is combined with traditional Chinese medicine to protect the veins, prevent complications such as phlebitis, and alleviate the suffering of patients.

3. Conducted patient-centered health education, established the Diabetes Association, and developed and distributed the diabetes health manual, Chinese medicine health prescription, and Chinese medicine diet prescription. Conduct bedside education, familiarize students with their words and deeds, and issue health education manuals to familiarize patients with disease prevention, rehabilitation and related medical care, nursing and self-care. A total of 12 health talks were organized throughout the year, and nearly 600 patients participated in the seminar. There are 24 health knowledge columns. Participated in a free clinic for 5 times. On November 14th, “United Nations Diabetes Day” launched a large-scale clinic and health lectures to monitor blood sugar and blood pressure for patients free of charge, and received nearly 500 patients.

6. Actively carry out nursing research and TCM nursing continuing education projects, and organize participation in the hospital-wide nursing paper exchange and reading report activities. A provincial Chinese Medicine Administration is underway and a hospital-level project is under review. Deliver 3 people to study and train. Two nurses received a certificate from the World Health Foundation's primary diabetes instructor.

Of course, we still have some shortcomings in our work. For example, the business level of the department needs to be further improved; the ward management, first-aid awareness and skills need to be further improved, the characteristics of Chinese medicine need to be further developed, and the nursing research papers should continue to be strengthened. In the future work, our members of the Endocrinology Youth Civilization will continue to work hard under the leadership of the hospital leadership to take it to the next level!

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