The summary of obstetricians' work is brief (article 1). After three months of study, under the careful guidance of all teachers, I have learned a lot, and my professional level and communication skills have been qualitatively improved.
In the process of further study, while I am relearning the theoretical knowledge, I humbly ask the teaching teacher for advice, and have a deeper understanding of the handling of various key periods in natural childbirth. For example, in the first stage of labor, we have a combination of theory and practice in the reflection of labor charts; In the second stage of labor, I will be more clear about the method and opportunity of perineal protection after the fetal head is exposed and pushed out, and the treatment methods before and after the fetal head is delivered, so that the umbilical cord can be tied in an orderly way and the newborn's respiratory tract can be cleaned, and the delivery experience can be recorded in time; Perineal suture can be performed lightly, quickly and accurately after placental abruption in the third stage of labor.
In the process of my further study, I realized the importance of mental health care for pregnant women during childbirth. In the process of labor and delivery, I can observe the parturient with a calm and objective attitude, guide and help in a scientific and effective way, and encourage with warm words and deeds to make the delivery complete smoothly. Establish mutual trust with the parturient, meet the needs of the parturient for independence and dependence during delivery, make them feel comfortable and relaxed, and generate self-confidence. Only in this way can we ensure and promote the safety and health of mother and baby.
Generally speaking, in this rare study, I have benefited a lot from my own efforts and the selfless help of my teachers. In the future work, I will use my proficient business level and people-oriented communication skills to serve more pregnant women and truly apply what I have learned! "
Continuing study and evaluation of obstetricians and gynecologists
Brief introduction of diagnosis and treatment expertise Zhang Honghui, female, deputy chief physician, part-time associate professor of Yunnan College of Traditional Chinese Medicine. He is a member of the technical guidance group of mother-to-child transmission of AIDS in Yuxi City and a member of the expert database of the medical malpractice technical appraisal Committee of Yuxi Medical Association. Obtained Yuxi Health Bureau and Xinping. ......
Continuing study and evaluation of obstetricians and gynecologists
Introduction to the professional knowledge of further study and identification of obstetricians and gynecologists Zhang Honghui, female, deputy chief physician, part-time associate professor of Yunnan College of Traditional Chinese Medicine, further study and identification of obstetricians and gynecologists. He is a member of the technical steering group of mother-to-child transmission of AIDS in Yuxi City and a member of the technical appraisal committee of medical accidents in Yuxi City. ......
Summary of the work of obstetricians and gynecologists
Summary of the work of obstetricians and gynecologists: I worked as an intern in gynecology at Jianguo Gynecology Hospital in Hangzhou this month. I was deeply touched to see all kinds of people and things in the ward two weeks ago and in the outpatient clinic two weeks later. Even if I don't choose to be a gynecologist in the future, I am a girl and have many female friends. ......
Summary of the work of obstetricians and gynecologists
Summary of Gynecology and Obstetrics (Selected Text) Part I: Summary of Gynecology and Obstetrics: In political thought, we always adhere to the party's line, principles and policies, and earnestly study Marxism-Leninism, Mao Zedong Thought, Deng Xiaoping Theory and General Secretary Jiang's xxxx. ......
Summary of the work of obstetricians and gynecologists
The busy and substantial personal work summary of obstetricians and gynecologists in xx years has passed by in a hurry. It is time to take stock of the gains and sum up the lessons, leaving a down-to-earth step; Sedimentation and accumulation, moving and inspiring, a good start is after the end of success. A new year is coming, in order to make the past xx a perfect year. ......
Summary of Obstetrician's Work (Part II) Starting from this week, I officially entered the obstetrics and gynecology internship.
Yesterday, the first day of work, when I finished my day's work, I was not excited to transfer to a new department, but I looked depressed. Why? Let me tell you slowly.
At 8 o'clock yesterday morning, we came to the department on time, handing over shifts and making rounds. Then, I have been sitting on the stool reading the teacher's book, very busy. Very noisy, very noisy. I saw it in obstetrics and gynecology. A room full of women's heads are going to explode! I don't know when the teacher prescribed a prescription for me to give to the patient, so I did. I don't know how long it took, but I opened another test sheet, which was rejected by the patient's family after it was sent. One last thing, put a B-ultrasound sheet in the medical record folder.
This is my work all morning. Shit!
In the afternoon, I accompanied the patient to do B-ultrasound and electrocardiogram, and I didn't catch my breath when I came back. The teacher found that a patient who was going to have surgery tomorrow didn't have a routine blood test sheet, but the results could be found on the computer, so he told me to call the laboratory and ask them to call another one, do it and report back. I didn't expect others to be more powerful. Say, go and get it! Your legs are long! Laughing flowers are shaking! Shit! Helpless, I ran up and down again to get the test paper back. Tired to death!
This is my first day of "work". What a free labor force!
The next day, I was fine. I saw two upper ring operations and two abortion operations. There was a personal flow in the morning, a little girl, the word 2 1 year old. I don't think it is that big. Entering the operating room, the teacher asked, "How many days have you been menopausal?" A: "More than 40 days." Ask again: "What was your last period?" A: "The 9th of last month." "oh! It has been more than 50 days! " In this process, the little girl has always seemed very relaxed, as if she had come to visit and study. After signing the consent form for the operation, she began to prepare. Because she chose painless abortion, the first step is to inject anesthetic, and then disinfect the towel, OK! The operation begins. (I won't repeat the specific process). As the operation progressed, her expression began to change. At first it was a painful expression, then she began to sob. The reason why she didn't cry was because the anesthetic worked, otherwise I thought her screams would make me give up halfway.
Of course I feel distressed to see her suffer, but I am cursing, "Don't you dare again?" ! Young! "But on second thought, maybe she is also a victim. Alas, young people now!
Summary of Obstetricians' Work (Chapter III) The next 20xx years are of great significance to us. This year, under the leadership and support of the leaders of the hospital, our team entered a brand-new field and carried out its work smoothly; With the care and help of hospital leaders, it has been perfected and matured; With the support and cooperation of relevant departments, through our treatment, the parturient has been actively recovered and created value ... Therefore, at the end of the year and the beginning of the year, our hearts are full of gratitude, gratitude and infinite motivation.
First, ideological style. Strict requirements, basis; All for the patient, all for the patient; The purpose. Cultivate team consciousness and advocate the spirit of cooperation.
Second, strengthen the awareness of learning and work hard on talent training. Nurses mature as soon as possible through various studies and become technical backbones.
1. If problems are found in the work, summarize and discuss them in time, put forward rectification plans and learn lessons.
2. Take the exam once a month.
3. Organize business study every week and keep learning records.
Third, cooperate with the hospital work, increase external publicity, and infiltrate the concept of postpartum rehabilitation into all walks of life.
1. Outpatient prenatal examination, timely guidance, early infiltration.
2. Provide lectures and distribute brochures for pregnant women's schools.
3. During hospitalization, notify the outpatient clinic for reexamination 42 days after delivery during treatment. Women who think that they have not recovered well are treated in time and fully recovered.
4. Complete 1000 copies of postpartum rehabilitation guidance materials in cooperation with the women's health care department; The questionnaire of postpartum rehabilitation service items was improved.
5. Actively participate in various activities organized by the hospital. In; Expectant mother style; In large-scale activities, timely launch; Lottery to send bodybuilding; 、; I am confident in fitness; Activities have improved transparency.
Fourth, pay attention to communication and friendly exchanges. At work, keep abreast of patients' needs and psychology. Do a good job in their psychological counseling in physical pain, psychological suffering and social role transformation. Help them build up their self-confidence and adjust in time, effectively avoid the occurrence of postpartum depression, and improve the quality of life of women and their families.
Summary of Obstetricians' Work (IV) In the past 20 ×××× years, with the correct leadership of hospital leaders and the joint efforts of the majority of medical staff, taking the standardized management and quality service of the hospital as an opportunity, according to the standards of delivery quality management and continuous improvement in "Dimethyl" specialized hospitals, obstetrics and gynecology has comprehensively promoted and improved the overall level of medical care. The work of our department in the past year is summarized as follows:
First, standardized management and departmental management:
This year, our department has improved various rules and regulations and emergency rescue procedures around the requirements of obstetric standardization construction, greatly strengthened the quality control management of departments, and more effectively guaranteed medical safety, with no mistakes and accidents throughout the year. Specifically, the following work has been completed:
1, according to the standardized requirements and expert guidance, implement the delivery quality management requirements one by one and formulate various rectification measures, and establish and improve the delivery risk early warning system, pre-cesarean section evaluation system, emergency cesarean section grading management system, mother-to-child blocking system, newborn safety system, placenta handling system, etc.
2. Various processes have been established and improved, such as the rescue process of neonatal resuscitation, postpartum hemorrhage, eclampsia, amniotic fluid embolism, labor intervention process, mother-to-child blocking process, etc.
3. Further strengthen the implementation of the fifteen core systems; Do service standardization, operation standardization and quality standardization. Obstetrics and gynecology is a high-risk medical clinical department, and the sense of responsibility and professional skills of medical staff are related to the health and life safety of two generations. Therefore, it is necessary to establish a medical safety responsibility system in departments, from department directors to head nurses. The department set up a quality management team headed by the director of the department to strictly implement the rules and regulations, operating procedures and quality control standards of medical care management. Conduct a comprehensive inspection of medical quality once a month, pay attention to medical safety every day, insist on training professional knowledge, first aid knowledge and technical operation every week, and strengthen the sense of responsibility and first aid. Ensure the safety of patients seeking medical treatment and prevent medical disputes.
And in view of the existing problems, continuous improvement, continuous improvement of medical quality, and promote the standardization of medical quality. In addition to standardizing the writing of medical documents and improving the three-level ward round system, the three-level doctor rounds 65,438+000% and the first-level medical record rate 65,438+000%, the application of antibacterial drugs is more reasonable and standardized, especially the standardized application of antibacterial drugs before operation meets the requirements, especially for the quality management and holistic nursing of delivery room, constantly improving the standardized operating procedures of delivery room, and training and assessing the standardized operating procedures. All kinds of information in the department are managed in an orderly manner and the information is complete. All equipment and instruments are maintained by special personnel and checked regularly.
On the other hand, it is necessary to improve the first-aid training of obstetrics, strengthen the level of medical operation skills, strengthen the professional strength and hardware facilities construction of obstetrics and gynecology, make the layout of departments more reasonable, and complete the first-aid articles, drugs and functions, especially the application of tracheal intubation and simple ventilator, which effectively improves the comprehensive strength of obstetrics.
In addition to participating in the study organized by the hospital, our department also focuses on obstetric first aid, such as obstetric hemorrhage, pregnancy-induced hypertension, pregnancy complicated with heart disease, amniotic fluid embolism, neonatal asphyxia resuscitation, cardiopulmonary resuscitation and other skills, so as to comprehensively improve the coordination ability of first aid, ensure the safe delivery of high-risk pregnant women, effectively reduce maternal death and neonatal death, and ensure medical safety. In addition, the indications, preoperative evaluation, postoperative monitoring and health guidance of cesarean section were specially studied. The non-medical indications of cesarean section were zero, and no complications occurred. In particular, the diagnosis of AIDS, syphilis and hepatitis B in pregnant women and the work of mother-to-child blocking have been strengthened, the process of mother-to-child blocking has been improved, and the blocking level of our department has been greatly improved.
Another important task is to do a good job in grading management of surgery, unify standardized operation, strengthen postoperative monitoring, reduce surgical complications, improve the quality of surgery, and have no surgical complications all year round. Especially this year, the hospital infection work in our department has been greatly improved. According to the requirements of standardization, we regularly learn the knowledge of hospital infection, and the directors of various departments interview the relevant contents of hospital infection. Especially the mother-to-child isolation of pregnant women with AIDS, syphilis and hepatitis B, the disinfection and isolation of blood pollutants and surgical instruments. At the same time, do a good job in aseptic operation of delivery room and operation, do a good job in disinfection and isolation training of infectious diseases, find problems at any time, solve problems at any time, put an end to the possibility of medical errors and accidents in the bud, and no medical accidents and errors will occur all year round.
Second, the baby-friendly hospital work
This year, the city reviewed baby-friendly hospitals. As one of the evaluation units, Dean Huang, the Medical Department and the Propaganda Department attached great importance to this work and gave strong support. According to the evaluation criteria, the department has made a lot of preparations, and many comrades work overtime without pay. The department not only improved various breastfeeding systems, established and improved various breastfeeding routines and processes, but also organized learning, training and assessment of updated breastfeeding knowledge and skills for many times. We also cooperated with the infrastructure department to repair the doors, windows and floors of the delivery room and ward, thoroughly cleaned the sanitation of all rooms, and the environment was completely new. We have also replaced new breast-feeding publicity materials and distributed various brochures to pregnant women free of charge, which greatly improved the breast-feeding rate. Our hospital not only passed the evaluation smoothly, but also the inspection team fully affirmed the breastfeeding work in our hospital.
III. Work of the Medical Services Department
1, 164 inpatients and 434 outpatients; There were 46 hospital operations, 59 hospital deliveries and 68 painless abortions.
2. In the aspect of systematic management of pregnant women, we should implement the responsibility system of tracking pregnant women all the time, realize early detection, early diagnosis and early card building of pregnant women, conduct regular prenatal examination, manage projects for high-risk pregnant women and make records. Timely report the monthly report, quarterly report and year-end summary of maternal system management, with complete items and accurate figures. There were 59 hospitalized parturients and 59 live births. No perinatal death, puerperal infection, uterine rupture, third degree perineal laceration, maternal death and neonatal tetanus occurred.
3. In the work of maternal and child health care, health education and a general survey of gynecological diseases were conducted for women in the area under their jurisdiction. This year, more than 1000 people were surveyed, which is 30% more than last year. Data and information reports are timely and accurate.
Fourth, the construction of medical ethics.
Over the past year, we have strengthened the construction of spiritual civilization and medical ethics in our departments, conscientiously studied and implemented the provisions on clean medical practice, earnestly studied various legal knowledge, and educated everyone to love their jobs, stick to their posts and not be afraid of infection. After the patients with hepatitis B and syphilis were rejected by other hospitals, they did not shirk their responsibilities, regardless of personal gains and losses, and completed the mother-to-child blocking work and other medical work of pregnant women with infectious diseases with high quality; And sympathize with, care for and be considerate of pregnant women suffering from infectious diseases, patiently explain the illness and related precautions for patients and their families, and relieve the pain for patients with the best treatment plan. Department personnel repeatedly refused to open all kinds of false certificates and false inspection results. Adhere to strict requirements, strict organization and strict working attitude, and implement them in daily work.
Over the past year, through the joint efforts of general practitioners, all the tasks of the department have been successfully completed, but there is still a big gap between the quality of work and the requirements of the hospital. In the new year, we should change our concepts, increase the study of professional TCM theory and appropriate technology, give full play to the advantages of TCM, unite as one, work in a down-to-earth manner, and complete undergraduate tasks and mandatory tasks temporarily assigned by leaders with high standards.
Shortcomings and Countermeasures in verb (abbreviation of verb)
Patients' requirements for medical quality and the quality of medical staff are constantly improving. Facing our customers, both department management and service quality are urgent problems to be solved. Obstetric pregnancy complications and pregnancy complications are increasing gradually, which makes medical risks and diagnosis and treatment difficult. It is particularly important to prevent medical hidden dangers and improve medical level.
In the future, we need to further improve the working environment. The doctors and nurses in our department are relatively young and lack work experience. When dealing with critically ill patients, it is necessary to strengthen professional study, organize discussions on relevant critically ill cases, including cases in other hospitals, sum up experience, improve various diagnosis and treatment routines, clarify the standardized use of commonly used rescue drugs, and gradually form their own mature rescue process and common management and diagnosis and treatment routines for critically ill patients, pregnancy complications and pregnancy complications. Medical staff are required to engage in clinical work with high professional level, moral cultivation and social responsibility.
Sixth, pay attention to communication and friendly exchanges.
At work, keep abreast of patients' needs and psychology. Do a good job in their psychological counseling in physical pain, psychological suffering and social role transformation. Help them build up their self-confidence and adjust in time, effectively avoid the occurrence of postpartum depression, and improve the quality of life of women and their families.
Seven, actively promote and guide breastfeeding.
Do a good job in postpartum breastfeeding and breast dredging. Successfully treated dozens of cases of postpartum mammary duct obstruction. It was well received by patients and their families and sent a thank-you letter. At the same time, it also effectively shared the work of clinical nurses and enhanced our friendship.
Eight, strengthen the awareness of learning, and work hard on talent training. Nurses mature as soon as possible through various studies and become technical backbones.
1. Organize business study every week and keep learning records.
2. Take the exam once a month.
3. When problems are found in the work, summarize and discuss them in time, put forward rectification plans and learn lessons.
The work summary of obstetricians is very brief (Chapter 5). 1. Keep learning and improve your own quality.
Since taking office, I have participated in various short-term training courses X and continuing medical education X. I have written 2 papers independently and 3 papers jointly. Practical skills were guided and helped by experts from provinces and cities, and the score of practical skills test was 62, which improved academic theory and practical ability. In 20xx, he was hired as a member of the professional committee of psychosomatic medicine of Gansu Traditional Chinese Medicine Association, the first committee of the Obstetrics and Gynecology Branch of Gansu Medical Association, and the perinatal nutrition branch of Gansu Nutrition Society.
Second, work hard and develop innovative business.
In the past five years, I have been working in the clinical front line, and my attendance has exceeded 1.650 days. I have treated more than 7,600 patients, 7,000 patients, 20xx inpatients, and 7 10 operations, including 64 large and medium-sized operations, 99% of which are Grade A cases. Do a good job in clinical medical work such as consultation and ward round, and lead the department team to make ward rounds every day to discuss difficult and critical cases in the department. At the same time, actively carry out innovative business: at the beginning of 20xx, he presided over the opening of the only pregnant women's school in Zhenyuan and trained 2500 pregnant women; In July, 20xx, 23 cases of postpartum hemorrhage were treated by combined Forley catheter balloon intrauterine packing. In September, 20xx, under the guidance of Tianjin experts, hysteroscopy was carried out to treat more than 50 patients. At the beginning of 20xx, conization of uterine cavity was carried out for the first time, and 16 cases were treated. In July, 20xx, under the guidance of experts from Qingyang People's Hospital, laparoscopy and laparoscopy were performed, and 7 patients were treated. This department has been rated as a technical innovation department for 20xx years. In the past five years, he has participated in 26 special lectures or training lectures, including 5 in the hospital, 5 in the department 10, 5 in the maternal and child health care plan service center, and 6 in the continuing medical education program.
Third, do a good job in teaching and strengthen echelon construction.
According to the arrangement of Document No.36 issued by Zhen Yi Fa (20xx), I taught two junior doctors in the department from 20xx to 20xx in order to improve the comprehensive diagnosis and treatment level of medical staff in the department and speed up the construction of talent echelon. During the teaching period, set an example, patiently guide and take the lead in setting an example. The two teachers have made rapid progress in theory and practice, both of whom have obtained doctor qualification certificates and won many awards such as maternal and child health care skills at city and county levels. Can independently diagnose and treat common diseases, frequently-occurring diseases, some difficult cases and operations in obstetrics and gynecology.
Fourth, participate in helping to get rid of poverty accurately.
Over the past five years, we have actively participated in various assistance activities organized by hospitals and health systems to help poor patients get rid of poverty. In 20xx, he participated in multi-point practice activities in Pingquan Town Health Center for four times, for a total of 25 days; Participate in family doctor contract service activities for 20xx years; In 20xx, he participated in the three-year "group-style" health assistance work organized by the hospital and the "one person, one policy" health assistance work for poor households due to illness. In 20xx, he was transferred to the leading group of the medical department of the hospital and helped the Lin Jing Town Health Center. During this period, 65,438+07 patients were examined, 65,438+08 women were mobilized to participate in the "two cancers" screening, and 65,438+00 women were examined for 65,438+0 times each.
Five, perform their duties, consciously abide by the law.
Since joining the work, I have been conscientious, conscientious and honest, and there have been no accidents that violate medical ethics and medical responsibility. Over the past five years, we have worked hard and won a total of 12 awards from our superiors. Among them, 20xx was awarded "Qingyang Technical Model" by Qingyang Skills and Quality Promotion Committee and Qingyang Health and Family Planning Commission in August. In May, 20xx won the second prize in the knowledge contest of 20xx magazine of Chinese Medical Association, "Training for hysteroscopy diagnosis and treatment of uterine cavity diseases for grass-roots doctors"; Won the first place in medical record review within three years; Or other county awards 7 times. In the annual assessment, 20xx is excellent, and all other years are qualified.
Although some achievements have been made in the work, the theoretical level is still relatively low, and there is still a certain gap in learning new technologies. If I can be promoted successfully, it will be affirmation and encouragement for my work. In my future work, I will continue to strive to overcome my own shortcomings and create new and better achievements.