Experience of nurses in disinfection and supply center going to
Publish: 2021-05-20 10:07:14
1. Unknown_Error
2. Hello, just after graation, I stayed in the supply room for three months. Soon after I became a regular, I went to the operating room. After a month in the operating room, the head nurse asked me if I wanted to go to other departments.
of course, I can go.
learn more, come on!!!
of course, I can go.
learn more, come on!!!
3. They have bacteria. If they don't wear masks, the bacteria will pollute the sterile operating room.
4. First of all, the teachers are familiar with my environment. They know where to put the things. They teach us how to put our hands, wear washing clothes, and wear gloves. I'll let the practitioners, one by one. After the teacher taught us, I know some of the basic equipment, knife, wear piece. Line
there are 9 operating rooms in the hospital, which are divided into two floors. Based on the fourth floor, they are the hands of enterology and gynecology in the Department of anus. The basic equipment of each room is the same, for example, the equipment of nursing supervision, the position of the operating table, etc. But according to the root of the hand special, each point between a room also has a variety of colors. The operation room in the fifth room on the fifth floor is mainly used for the patients with eye and hand diseases. Because it is used for some hands, the operation requirements are relatively high. Every morning, the doctor enters the operating room from the nurse's pathway, and there are three pathways in the operating room: the nurse's pathway, the doctor's pathway, the patient's pathway, and the device without pathway. The three passageways lead to different places for doctors and nurses. The passageway leads directly to the dressing room; The human disease channel can directly achieve the hand room operation without bacteria, and the bacteria channel equipment is a special application channel for the mechanical transmission of hand instruments. If you enter the control area, you must wear a hat. If you enter the operating room, you must wear a mask. Wearing an operating room is a place with a strong sense of non bacteria. When you enter the operating room, you have to change your shoes and drag them out. You can't wear your shoes into the operating room. This not only protects the self, but also does not contaminate the patient. At the time of surgery, we should pay special attention not to pollute the unintentional bacteria area. Domain
in the operating room, nurses are divided into two categories. There are two kinds of nurses, one is back to nurses, the other is hand washing nurses. The two kinds of caretakers are different. We all know what to do. In the practice stage, we can all be guided by the teacher in the platoon to do a hand washing "care, and pass the medical instrument to the doctor in the process of the doctor's skill. Therefore, medical equipment is one of the most important nursing operations. In this period, I worked with my teacher twice as a guard patrol. After the patient comes, check the patient's bed number, family name and residence number according to the first page of the medical record card. According to the doctor's instructions, the name of the operation, the opponent, the surgical site, and the items and drugs to be used ring the operation. The most important thing is to check the patient's bed number, surname and location of the patient's hand, history of surgery and past drug allergy. The history of the patient's hand should check the patient's belt: wrist name, surname, bed and hospital. The number checking system is not normal. Strict hand skill and to adjust the light full, meet the needs of surgeons, but also observe the patient's situation. If the operation is in progress, it needs to be frozen for examination, ice checked, good name, hospital number, name and residence of the examination, registration, timely examination, hand delivery, closing the cavity, closing the front body, closing the cavity, closing the back hand, etc.
it is necessary to point the instruments, needle cleaning, thread, gauze, etc. with the washing hands. To resuscitate the patient in the doctor's room, we should not let the patient pull out the child and take care of the fall. Bed
the other day when I go to my supply room, hand instruments, surgical instruments and articles are sterilized, high-pressure poison steam sterilization ring and ethane deoxidation. Different sterilization methods of bacteria are the same. No,
there are many instruments in the operating room, which look like each other, so we need to distinguish them, such as curved middle sea, Kaichang, laijiao straight long forceps, We should go to find out what they have in common, so that we can distinguish them. Each tweezer root has its own name according to its length and appearance. Instruments are also named according to different ways. For example, "holding a needle" is the thread used by the forceps to take and pierce the needle, while "towel" is the hole towel used by the forceps to clamp the door. The placement of surgical instruments has also been paid attention to. It has positioning and fixation. The order is set according to the steps in the operation process. Therefore, the identification and release of the surgical instruments is the key to cooperate with the biomedical operation. However, we have to review the knowledge of anatomy and pathology that we need to understand, so that we can better cooperate with each other and shorten the operation time
the equipment in the operating room is updated very quickly, so we are constantly learning new equipment and knowledge< The second week of internship in the operating room has come to an end. During this week, I have a deep memory of my working experience as a traveling nurse
in the first week of internship, I have seen the work of itinerant nurses, so I am not unfamiliar with it. As a traveling nurse, before the operation, we should check the patient's information, count and check the surgical instruments, and closely observe the condition ring the operation, so as to ensure the normal infusion and blood transfusion. At the same time, we should also make preparations for first aid and actively cooperate with the rescue. After the operation, the operating room should be cleaned and sorted out, and the materials should be returned to the original place. The ty of itinerant nurses is to prepare for the operation; To be fully responsible for the safety of patients in and out of the operating room; Cooperate closely with the operation group and anesthesiologists to complete the operation task efficiently and safely. The requirements of itinerant nurses are as follows: 1) create the best operation environment and conditions for patients, make a good nursing plan, and take care of patients; 2) ensure that patients are comfortable and safe, so that patients can receive operation treatment in a calm state of mind, and prevent accidents; ③ Adhere to the concept of asepsis, be the "Guardian" of aseptic technology, guard against the violation of aseptic operation, and correct it in time; ④ Master the condition, operation name and operation mode, and actively cooperate with the operation team and anesthesia work in a planned and step-by-step manner; ⑤ Be familiar with all kinds of preoperative preparation, intraoperative posture and use of instruments
itinerant nurse is a very important post in surgery< The third week of my internship in the operating room is coming to an end. Work is as busy as ever to forget the time, but the daily harvest can always make me forget the unhappiness in my work
there is not much change in my work this week, and the most important thing I pay attention to in my work is the placement of surgical position. Generally speaking, the patient's position ring operation should be convenient for operation and comfortable for the patient, so as to cooperate with the smooth operation. There are some points for attention in the placement of surgical position. First, choose the right position according to the need of surgery, such as the patients undergoing lumbar surgery are placed on a special bridge frame; For patients undergoing neck surgery, put a small soft pillow under the shoulder. Second, fixed position to avoid side effects. Third, the children's surgical position should be carefully placed, and carefully observed ring the operation, check at any time, in order to ensure the safety of children ring the operation, no accidents
with the growth of internship time in the operating room, I graally understand some other small things that I need to pay attention to when working in this department, so that I can better adapt to the work. For example: usually pay more attention to each doctor's operation habits, and the action must be fast, especially when taking the instrument, fast and accurate delivery of the instrument can make the operation more smoothly and avoid unnecessary trouble; Don't be too nervous when cooperating with the doctor for the operation. The operating room is also a place where practice makes perfect.
there are 9 operating rooms in the hospital, which are divided into two floors. Based on the fourth floor, they are the hands of enterology and gynecology in the Department of anus. The basic equipment of each room is the same, for example, the equipment of nursing supervision, the position of the operating table, etc. But according to the root of the hand special, each point between a room also has a variety of colors. The operation room in the fifth room on the fifth floor is mainly used for the patients with eye and hand diseases. Because it is used for some hands, the operation requirements are relatively high. Every morning, the doctor enters the operating room from the nurse's pathway, and there are three pathways in the operating room: the nurse's pathway, the doctor's pathway, the patient's pathway, and the device without pathway. The three passageways lead to different places for doctors and nurses. The passageway leads directly to the dressing room; The human disease channel can directly achieve the hand room operation without bacteria, and the bacteria channel equipment is a special application channel for the mechanical transmission of hand instruments. If you enter the control area, you must wear a hat. If you enter the operating room, you must wear a mask. Wearing an operating room is a place with a strong sense of non bacteria. When you enter the operating room, you have to change your shoes and drag them out. You can't wear your shoes into the operating room. This not only protects the self, but also does not contaminate the patient. At the time of surgery, we should pay special attention not to pollute the unintentional bacteria area. Domain
in the operating room, nurses are divided into two categories. There are two kinds of nurses, one is back to nurses, the other is hand washing nurses. The two kinds of caretakers are different. We all know what to do. In the practice stage, we can all be guided by the teacher in the platoon to do a hand washing "care, and pass the medical instrument to the doctor in the process of the doctor's skill. Therefore, medical equipment is one of the most important nursing operations. In this period, I worked with my teacher twice as a guard patrol. After the patient comes, check the patient's bed number, family name and residence number according to the first page of the medical record card. According to the doctor's instructions, the name of the operation, the opponent, the surgical site, and the items and drugs to be used ring the operation. The most important thing is to check the patient's bed number, surname and location of the patient's hand, history of surgery and past drug allergy. The history of the patient's hand should check the patient's belt: wrist name, surname, bed and hospital. The number checking system is not normal. Strict hand skill and to adjust the light full, meet the needs of surgeons, but also observe the patient's situation. If the operation is in progress, it needs to be frozen for examination, ice checked, good name, hospital number, name and residence of the examination, registration, timely examination, hand delivery, closing the cavity, closing the front body, closing the cavity, closing the back hand, etc.
it is necessary to point the instruments, needle cleaning, thread, gauze, etc. with the washing hands. To resuscitate the patient in the doctor's room, we should not let the patient pull out the child and take care of the fall. Bed
the other day when I go to my supply room, hand instruments, surgical instruments and articles are sterilized, high-pressure poison steam sterilization ring and ethane deoxidation. Different sterilization methods of bacteria are the same. No,
there are many instruments in the operating room, which look like each other, so we need to distinguish them, such as curved middle sea, Kaichang, laijiao straight long forceps, We should go to find out what they have in common, so that we can distinguish them. Each tweezer root has its own name according to its length and appearance. Instruments are also named according to different ways. For example, "holding a needle" is the thread used by the forceps to take and pierce the needle, while "towel" is the hole towel used by the forceps to clamp the door. The placement of surgical instruments has also been paid attention to. It has positioning and fixation. The order is set according to the steps in the operation process. Therefore, the identification and release of the surgical instruments is the key to cooperate with the biomedical operation. However, we have to review the knowledge of anatomy and pathology that we need to understand, so that we can better cooperate with each other and shorten the operation time
the equipment in the operating room is updated very quickly, so we are constantly learning new equipment and knowledge< The second week of internship in the operating room has come to an end. During this week, I have a deep memory of my working experience as a traveling nurse
in the first week of internship, I have seen the work of itinerant nurses, so I am not unfamiliar with it. As a traveling nurse, before the operation, we should check the patient's information, count and check the surgical instruments, and closely observe the condition ring the operation, so as to ensure the normal infusion and blood transfusion. At the same time, we should also make preparations for first aid and actively cooperate with the rescue. After the operation, the operating room should be cleaned and sorted out, and the materials should be returned to the original place. The ty of itinerant nurses is to prepare for the operation; To be fully responsible for the safety of patients in and out of the operating room; Cooperate closely with the operation group and anesthesiologists to complete the operation task efficiently and safely. The requirements of itinerant nurses are as follows: 1) create the best operation environment and conditions for patients, make a good nursing plan, and take care of patients; 2) ensure that patients are comfortable and safe, so that patients can receive operation treatment in a calm state of mind, and prevent accidents; ③ Adhere to the concept of asepsis, be the "Guardian" of aseptic technology, guard against the violation of aseptic operation, and correct it in time; ④ Master the condition, operation name and operation mode, and actively cooperate with the operation team and anesthesia work in a planned and step-by-step manner; ⑤ Be familiar with all kinds of preoperative preparation, intraoperative posture and use of instruments
itinerant nurse is a very important post in surgery< The third week of my internship in the operating room is coming to an end. Work is as busy as ever to forget the time, but the daily harvest can always make me forget the unhappiness in my work
there is not much change in my work this week, and the most important thing I pay attention to in my work is the placement of surgical position. Generally speaking, the patient's position ring operation should be convenient for operation and comfortable for the patient, so as to cooperate with the smooth operation. There are some points for attention in the placement of surgical position. First, choose the right position according to the need of surgery, such as the patients undergoing lumbar surgery are placed on a special bridge frame; For patients undergoing neck surgery, put a small soft pillow under the shoulder. Second, fixed position to avoid side effects. Third, the children's surgical position should be carefully placed, and carefully observed ring the operation, check at any time, in order to ensure the safety of children ring the operation, no accidents
with the growth of internship time in the operating room, I graally understand some other small things that I need to pay attention to when working in this department, so that I can better adapt to the work. For example: usually pay more attention to each doctor's operation habits, and the action must be fast, especially when taking the instrument, fast and accurate delivery of the instrument can make the operation more smoothly and avoid unnecessary trouble; Don't be too nervous when cooperating with the doctor for the operation. The operating room is also a place where practice makes perfect.
5. Self evaluation report of surgical instruments training in the operating room
6. Supply room, although there is no busy ward, and do not deal with patients, but it is the disinfection and sterilization center of the hospital. On the first day, the teacher told us to be "cautious", even when we are alone, we should consciously and carefully abide by the medical ethics and strictly follow the operating proceres. At the same time, every time we clean things, the teacher will tell us not to let the needle hurt ourselves. The teacher said that only by protecting ourselves can we better serve others. Although most of the teachers in the supply room are old employees, they still work conscientiously and conscientiously to ensure the timely supply of sterile materials. Although the supply room does not provide direct care for patients, through its own practical work, the time is returned to the nurses and the nurses are returned to the patients, which promotes the whole medical and nursing service quality. Add two words of patriotism and dedication
7.
The nurse in this position is mainly responsible for the distribution of drugs, medical equipment and other materials, and also responsible for the disinfection of equipment. Because this kind of occupation rarely has the opportunity to contact with patients, the probability of being infected is very low, but because of long-term engaged in equipment disinfection, the stimulation of various chemicals will be a test
The hospital supply room is the supply unit of all kinds of aseptic materials in the hospital, and it is an important department to ensure the smooth progress of medical and nursing work and prevent iatrogenic nosocomial infection The nurses in the supply room are responsible for the recovery, cleaning, packing, disinfection, and distribution of all kinds of examination, treatment and surgical dressings used in all departments of the hospital. The nature of the supply room determines that the supply room is not only a place to distribute sterile items, but also a place to recycle contaminated items3, China is a high incidence of hepatitis B, the total infection rate of hepatitis B is as high as 60%, and the epidemic of AIDS has entered a rapid growth period in China. Nurses in the supply room are often exposed to all kinds of pollutants, and the conditions for iatrogenic exposure have been met. At the same time, the supply room nurses often use various methods of disinfection, sterilization, and most of the disinfection factors are harmful to the human body
8. Nursing work has the closest contact with patients. No matter how difficult or big the operation is, nursing staff can not be separated from escorting patients into the operating room to assist in the operation, from injection and infusion treatment, laboratory examination, psychological counseling, functional training, health ecation to rehabilitation and discharge. Whether patients are satisfied or not depends on the quality of nursing work to a great extent 2 To develop the concept and key requirements of "high quality nursing service demonstration project", nursing concept is the purpose and goal of nursing staff to serve patients, and is the behavior guide of nursing staff. Our idea is to learn from Bethune and Nightingale and keep improving our technology; Treat every patient with sincerity, love, responsibility and care, and do good and practical things for patients; In terms of management, technology, service and link quality, we should strive for zero complaints in nursing technology and service. The key requirement is to pay close attention to management, innovate service and improve quality. Adhere to the "three close", that is, close to patients with love, to provide efficient, safe, convenient and warm service for patients; To ensure the quality of terminal nursing, we should pay close attention to the clinic and focus on the quality of links; In order to simplify the process, facilitate medical treatment, benefit the people, extend the nursing service, standardize the charging behavior, and implement the one-day list system 3 We should integrate "patient-centered" into nursing services, strengthen communication with patients while providing basic nursing services and professional technical services, meet patients' informed needs (such as environment, treatment, medication, etc.), and promote clinical nursing work to be close to patients, close to the clinic, and close to the society. For example, in the ward, warm signs are pasted, work photos of general practitioners are hung, personal titles and specialty profiles are attached, and disease health ecation boards with pictures and texts are displayed in the corridor 4 We formulated and improved the management system, strictly implemented the operation specifications, established the nursing quality supervision group, formulated the quality inspection standards, safety management rules and regulations, formulated the emergency plan for emergency time, the emergency plan for hospitalized patients, the nursing consultation system, and the prevention and management system of bedsore, so as to standardize and institutionalize the nursing work. It is required to implement strictly according to the standards, strengthen supervision, supervise the prevention network of nursing errors and accidents, form a self-control, mutual control and hospital control system, actively inspect the nursing safety quality supervision group of the nursing department, and carry out the quality supervision of general nursing once a month; The head nurse should carry out self-examination, self-control and self correction in strict accordance with the quality standard and the specific situation of the undergraate; The departments should organize cross examination to cooperate with the irregular spot check of the nursing department. The problems found were analyzed, discussed and summarized comprehensively, and the perfect and feasible rectification measures were formulated to make the nursing work more institutionalized and standardized. 2、 Conclusion (1) carrying out the "high quality nursing service demonstration project" can improve the quality of nursing staff, and carrying out the "high quality nursing service demonstration project" is concive to establishing a harmonious and friendly relationship between nurses and patients, improving nursing service, improving nursing quality and ensuring nursing safety. Patient satisfaction is the gold standard of nursing quality in hospital. To carry out the "high quality nursing service demonstration project" is an important measure to implement the "management year activity" to achieve efficiency and quality of management, and an effective method to ensure the nursing quality of key links, key groups and key departments. The quality management of key links can make all nursing staff pay attention to every detail affecting the quality of nursing, so as to ensure the safety of nursing 2 Carrying out "high quality nursing service demonstration project" has improved the work enthusiasm of nurses. Some studies have shown that work autonomy is an important influencing factor of nurses' job satisfaction. The greater the degree of work autonomy is, the higher the nurses' job satisfaction is. Since the "high quality nursing service demonstration project" was carried out, the Department has formulated a series of rules and regulations, so that nurses have rules to follow in their work, and enhance the autonomy, independence and self-confidence of nursing work. The satisfaction rate of nursing service increased from 87.86% in 2009 to 98.12% in 2010; The number of dissatisfaction complaints of patients was greatly reced, and the number of general nursing and serious nursing defects also decreased significantly 3 Carrying out the "high quality nursing service demonstration project" has improved the service brand of the hospital. Carrying out the "high quality nursing service demonstration project" is concive to nursing work close to the society, recing nursing complaints, establishing a harmonious medical environment, winning the attention of the society, and achieving the satisfaction of patients, society and nurses. The implementation of "high quality nursing service demonstration project" is an important way to enhance nurses' awareness of responsibility, service, quality and safety, establish a new image of nursing team, and alleviate the problem of "difficult and expensive to see a doctor".
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