Summary of the work of the emergency department of the hospital in 2019 and the work plan of 2019

In the XX year emergency department under the correct leadership and specific guidance of the department, establish and implement the "people-oriented" scientific development concept, further deepen the "patient-centered, improve the quality of medical services", adhere to the pursuit of social benefits, safeguard the interests of the people, Building a harmonious relationship between doctors and patients is in the first place. Pioneering and innovating, arduous struggle, and implementation, with the close cooperation of the brother departments and the joint efforts of all staff in the emergency department, the social and economic benefits of our department have steadily increased, and we have won many praises.

First, the basic outline of the department:

A total of 18 general medical staff: 2 deputy chief physicians, 4 physicians, 2 nurses, 8 nurses, "120 drivers 2 people; 3 physicians on duty every day, department heads on administrative classes, two other physicians The main class and the sub-class are respectively assigned, and the special nurse and the deputy class physician are responsible for the “120” visit. The main class driver is worth 24 hours to ensure that the ambulance can be taken at any time. The clinic also has a guide desk, and the guide nurse is responsible for Guided to facilitate the public to see a doctor.

The emergency department has 4 warm beds, 17 staying beds, 9 sitting infusion chairs, 1 debridement bed, and 30 infusions for one patient. Each observation room is equipped with a water dispenser, air conditioner, electric blanket. The intimate ward also has yarn hair, TV, tea cabinets, flowers, and napkins, so that patients can feel at home after they enter.

Now that our department has a debridement room, Xiaoqing Chuang, Xiaopenghe, dressing change, suture removal, and small massectomy can all be carried out in our department to reduce the pressure on the surgical ward and facilitate the public to see a doctor.

Second, XX, 9 years of work mainly carried out:

Business work development:

1. At present, our doctors on duty every day are divided into regular classes and deputy classes. The 24-hour duty is implemented. The main class is mainly responsible for the emergency treatment of patients in the emergency department, ensuring that the diagnosis room has doctors at any time.

2, the deputy class physician is mainly responsible for the "120" visit, but also responsible for debridement suture, pumping water and ascites, rapid resection, etc., so that patients come to have a doctor.

3, nurses at least 4 during the day shift, 2 night shifts, to ensure that patients with infusions for a long time, so that patients can get infusion in a timely manner, nurses advocate light makeup, clothing neat, "seven sounds, six hearts" service, all day 24 Nurses are on duty every hour to clear the phenomenon of going to the hospital at night and calling doctors and nurses everywhere.

4, the outpatient hall is equipped with a referral nurse on duty, wearing a "guided nurse" red shoulder strap, specifically responsible for guiding patients, to facilitate people to see a doctor can find a diagnosis room, change the past people can not find a place to see a disease and everywhere phenomenon.

5, the environment of the infusion area is improved, all kinds of warm reminders are posted on the aisle wall. There are water dispensers, electric blankets, new high-grade beds, new quilts and new sheets in the viewing room. After the patients stay in, there is a cool breeze in the summer. There is heating, the mouth is dry and there is water to drink. After the patient enters, there is warmth at home. Every bed in the infusion room is equipped with a computer paging device to ring the bell, so that the patient can lose the liquid or something can directly reach the bell and change. In the past, patients in the old hospital had something to hang up the infusion bottle and called the nurse everywhere. It was convenient for the patient and convenient for the nurse. Even if the patient was busy, it was still busy and not chaotic.

6. After the establishment of the “120” ambulance center, a 24-hour shift will be implemented. The two drivers will be assigned to the sub-class. The main class will be responsible for visiting the clinic. The deputy class will perform auscultation. Every day, there will be fixed doctors, nurses and drivers responsible for visiting the clinic. At the same time, two sub-class drivers were activated during the call for help or public emergencies. The two ambulances were on standby 24 hours a day, ensuring that the ambulance phone ringed three times and someone answered the phone. Within 90 seconds, the doctor, nurse and car visited the hospital. In the past, when there was a patient asking for help, the driver could not find a doctor or wait too long. Since May this year, the management of ambulances has been strengthened. It is now stipulated that ambulances are parked in hospitals. Drivers check the condition of vehicles every day, clean the inside and outside of the vehicle, and keep the ambulance in a good standby state. Re-establishing the new image of "120" first aid, changing the views of ordinary people on "120", and continuously improving social benefits.

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 attending the clinic has increased day by day. This has enabled us to receive a total of 19,776 person-times throughout the year, and to observe the number of infusions of 11,066 person-times. The number of visits was 466 person-times for "120", 67 people with chest water, 48 times for ascites, and 56 for local closure. The economic and social benefits of our department have steadily increased.

Various systems have been developed and applied to the wall as follows:

1. The first-inpatient responsibility system, the intestinal outpatient system, the responsibilities of doctors at all levels, the infectious disease reporting system, the medical safety system, the rescue room system, the fever clinic system, and the debridement system;

2, improved the rescue plan for several critically ill and severe diseases: upper gastrointestinal bleeding, left heart failure, shock, arrhythmia, organophosphate poisoning, etc.;

3. Formulate a green channel system and rescue flowchart for emergency rescue in critically ill hospitals;

4. Formulated a rescue flow chart and system for critical illness in the front yard of the “120” hospital;

5. Produced the health education propaganda column of the emergency department and the basic situation of the emergency department and the brief introduction of the medical staff;

6. Establish a network hospital for the “120” emergency center to clarify the duties of the network hospital;

7. Establish various referral informed consent forms, improve the referral system, and prevent medical disputes;

Grasp the ideological and political education and create a good medical safety atmosphere;

The general staff carefully studied the spirit of the 17th report in theory, deeply understood the essence of the "xx big" spirit, and learned various medical laws and regulations. At the same time, the general staff members can participate in various cultural activities and donation activities organized by the hospital, so that the general staff should establish a correct world outlook, outlook on life, values, and constantly improve their ideological and moral cultivation, and can consciously abide by various laws and regulations and various regulations outside the hospital. The system operates in accordance with medical rules during the diagnosis and treatment process to avoid medical disputes.

Strengthen business technology training and improve rescue capabilities.

The emergency department is a place for diagnosis and treatment of patients. Therefore, only a good service attitude is far from enough. More importantly, there must be skilled rescue techniques and emergency response capabilities. Diagnosis and treatment should be promptly and accurately made for emergency patients. As soon as possible to alleviate the suffering of patients, this requires each medical staff to seriously study the business, proficient in various rescue instruments and rescue techniques, so the department organizes regular business learning and strengthens the training of various first-aid technologies, for example: I went to Kunming to participate in "XX After the return of the 3rd Annual Meeting of Chinese Emergency and First Aid Doctors, the lectures were given to the medical staff in the department in time. At the same time, the emergency airway treatment of non-narcotic personnel and the transportation of critically ill patients were introduced to the staff in the large conference room. "" Minimally invasive tracheotomy video", and the "Emergency Nursing Management" introduced by the emergency department head nurse Yang Rong after returning to the Provincial People's Hospital, formed a good learning atmosphere in the department, exchanged with each other, and timely understand advanced first aid. Technology to improve first aid capabilities.

Strengthen management and assist the Environmental Protection Department to prevent and control infectious diseases and emergencies.

In recent years, new infectious diseases have occurred from time to time, and old infectious diseases have revived. Strengthening the prevention and treatment of infectious diseases is something that every medical worker should pay attention to. The emergency department is among the first. Therefore, strengthening the training on prevention and treatment of infectious diseases, careful and careful diagnosis and treatment of each patient, especially fever patients, can be timely found, timely report, timely isolation, timely treatment, and detailed records. Therefore, the department has studied the prevention and treatment of infectious diseases many times.

In addition, according to the unified health department and county party committee, the county government's unified department and requirements, in response to the problem of infant milk urinary calculi caused by the problem milk powder, according to the arrangement of the hospital, the urinary urinary tract caused by milk powder in our county Screening diagnosis and treatment of children with calculi, and complete detailed registration.

Improve service attitude, improve service quality and enhance social benefits:

Our medical staff set up a "patient-centered" thinking, regard patient satisfaction as the criterion for medical services, and earnestly do a good job of "service". Always take the patient's wishes as the first signal, take the patient's satisfaction as the first pursuit, take the patient's interests as the first goal, always think about the patient's thoughts everywhere, urgently urgency, constantly strengthen the service consciousness, fully respect the patient's right The requirements of service convenience, humanized communication, etc., carry out "family-friendly" and "humanized" services, and achieve a "six-hearted, seven-sound" smile service. Before the nurses infuse the patients, first give the patients and their families health education, introduce the hospital's environment, if there is something in the infusion process, please ring the bell, hot air conditioning and cooling, winter air conditioning and electric blanket heating. After the improvement of the environment and the change of service concept, the patients are satisfied with the service of the emergency department. Now, the number of patients infusion in our department is increasing every day, indicating that our service has been recognized by the people of the county, and the social benefits of the emergency department are continuously improved. .

Standardize the writing of medical files to prevent the occurrence of medical accidents:

Since the emergency doctors and nurses in charge of the clinic in May, we have standardized the referral informed consent form and the emergency department medical record. Before the patient is transferred, the family must sign the referral consent form. When the patient is handed over, the patient's ward must be received. The doctor's signature, medical records and referrals are kept on file. In October, the doctors were registered to register. The first-time doctors should write the main symptoms, signs, main auxiliary results, diagnosis and treatment opinions in the outpatient medical records, standardize the treatment procedures, enhance self-protection awareness and legal concept, so as to avoid medical treatment. Suffering from disputes and reducing unnecessary disputes.

Third, the existing deficiencies and corrective measures:

1. The environmental sanitation of the observation room is not clean and tidy. Especially after the patient has finished infusion, the bedding and the ground garbage are not cleaned up in time. It seems that the room is very messy. Compared with the hospital we visited around, our hospital Environmental sanitation is still very poor, so it is necessary to strengthen the management of cleaners, and urge cleaners to patrol wards three or four times a day to ensure that the wards are always clean and tidy;

2. The management of the "120" car is not in place. The driver of the main class has a drinking phenomenon. The car interior is not ideal. The "120" car has nothing to do with the street. Strengthen the management of drivers and implement a punishment system;

3. Physicians are not standardized on the treatment of outpatient diseases. When individual doctors use drugs for patients, it is necessary to strengthen the standard treatment of common diseases in the future to ensure medical safety;

4, when the doctor's prescription is not standardized and the outpatients are missing;

5. The rescue room has not been fully utilized;

6. The emergency room doctor should turn to the ward to go to work, especially the young doctors. Because the diseases faced by the emergency department are wide and complex, it is necessary to have certain first-aid techniques;

7. The nurses in the emergency room are too young, and the emergency first aid experience is insufficient. It is difficult to complete the emergency rescue tasks. After the trial, they must go to the study and training in batches to strengthen the team's business training and improve the overall rescue level.

Fourth, the work plan for XX:

1. Strengthen business learning, especially the review of common diseases. The treatment of common diseases should be standardized and used. It should be used according to the principle, and it should not be surrounded by drugs or experimental drugs. At the same time, for some difficult cases, it is necessary to organize general staff to conduct a big discussion to improve the level of diagnosis and treatment of the department.

2. Strengthen political study, especially the study of laws and regulations related to medical safety, strengthen the medical safety awareness of medical staff; strengthen communication between doctors and patients, and promote harmonious doctor-patient relationship.

3. Grasp the door and emergency patient service. Under the spirit of “patient-centered” guiding ideology, the general medical staff continuously improve the “smile service” and “deepen” humanized service, in order to build a good hospital service window. .

4. When conditions permit, arrange a doctor and a nurse to go to the higher level hospital to study emergency first aid, and return to the department to class, in order to drive the overall emergency level of the department.

5. Encourage department staff to learn computers and apply computer information to promote business development.

6. Continue to manage the “120” emergency team, strengthen the training of first-aid technology, and use the human body model to organize the personnel of the department to conduct physical training to improve the first-aid level.

7. Manage the first-aid substances in the “120” ambulance to ensure that the first-aid substances are in good standby condition.

8. Strengthen the management of environmental sanitation in the emergency department so that the environment is always clean and free of garbage.

9. Strengthen the coordination and cooperation between the emergency department and various clinical departments and auxiliary departments to ensure the smooth flow of green channels for emergency critically ill patients.

10. The income of departmental business for next year will increase by more than 25% compared with this year.