Disease screening nurse work summary

In the first half of 2024, I was responsible for the special work of two cancer screenings and chronic disease screening for the elderly over 65 years old in 3 communities under my jurisdiction. A total of 2,137 screenings were completed, and 127 positive cases were all closed-loop referrals, with a missed diagnosis rate of 0 .12% is far lower than the 0.5% threshold required by the hospital. The public satisfaction survey score is 96.8 points, which is overall up to standard. However, it also exposes two core problems that need to be solved: insufficient screening adaptation for special groups and significant differences in compliance among different age groups.

When I first took this job, I was quite confident. I thought it was just registration, sample books, and missionary work. Only after I got started did I realize that increasing the coverage of screening is much more difficult than getting acupuncture in the ward. The newly printed propaganda manuals were all standardized academic statements, such as "cervical squamous intraepithelial lesions" and "HPV persistent infection risk". Many aunts took them and used them as grocery shopping paper without even looking at them.

Corey had previously held a discussion meeting to educate people about standards. Senior sister Li felt that we as medical workers must be rigorous in our speech and not exaggerate the risks just to get everyone to come for screening - after all, 80% of HPV infections are transient. If we only mention the risk of cancer, it is purely It creates unnecessary anxiety; but several of our young nurses who often travel to the community feel that if we talk about "transient infection" and "tumor grade" to middle-aged and elderly people who have little medical knowledge, they will not understand it at all. Instead, they will come to the conclusion that "most people are fine anyway" and simply not check it. The two groups argued for almost half a month, and finally came up with a compromise plan: first talk about the worst possibility to attract attention, and then add "most cases are fine, just check it for peace of mind", and also match it with real cases in the community, such as Aunt Wang in Building 3 last year who cured cervical cancer through early screening and early intervention. Don't tell me, with this change, the number of appointments for two cancer screenings that month increased by 40%.

When I was doing the screening last month, I met a 47-year-old Sister Liu, who works as a cook at a nearby construction site. She usually feels that she is in great health. If we hadn’t gone to the construction site to set up free blood pressure tests and forced her to do free cancer screening, she would never have thought about it. As a result, the breast B-ultrasound showed Category 4a nodules, and we sent her through the green channel for referral on the same day. The postoperative pathology was carcinoma in situ, and she did not even need to undergo chemotherapy. Last week, she specially brought a bagful of pickled sugar garlic and said that she now advises her co-workers to get screened whenever she meets someone, saying that we are her lifesavers. At times like this, I really feel that no matter how many miles I travel and no matter how many glares I receive, it’s all worth it.

But there are many problems. For example, among the 32 disabled elderly people living alone in our area, only 19 completed door-to-door screening in the first half of the year. The rest either could not contact their guardians and could not sign informed consent forms, or they lived in deep alleys in the old city. We only have three nurses who are responsible for regular screening, and we cannot keep up with them even if they take turns. The hospital office had previously mentioned whether to outsource part of the door-to-door screening tasks to a third party. We on the front lines all disagreed: the people in the third party were not familiar with the elderly, and many elderly people living alone were particularly resistant to strangers. Last month, a third-party worker came to the door, and was kicked out with a broom by the hard-of-hearing Uncle Zhang. In the end, I followed the community grid staff there, and after coaxing for a long time that I was Xiao Zhou who had delivered antihypertensive drugs to him, the elderly were willing to cooperate with the examination.

Speaking of it, we as screening nurses are not the same as clinical nurses. In clinical practice, we treat people who are already sick, but we "find problems" in people who look completely healthy. Many people don't understand and think that I have to get an injection and draw two tubes of blood for no reason. When I meet someone with a bad temper, they will scold us for trying to make money from him. This kind of grievance is really hard to bear. But there are also many heart-warming moments. Last week, we were doing missionary work in the pavilion of the community. Uncle Zhang, who had been diagnosed with high blood pressure before, took the initiative to move a small stool and sit next to us, and gave some personal advice to other elderly people walking: "If you are diagnosed early, take medicine early. They diagnosed me last time. My blood pressure is very stable now, otherwise the last cerebral hemorrhage might have disappeared." It is more effective than ten professional terms we can say.

I don’t have any grand plans for the second half of the year. I just want to complete the screening of the remaining 13 disabled elderly people, and then open two more special screenings for workers at two nearby construction sites. It would be better if I can apply for a few college student volunteers from medical schools to help. After all, if we take one more step forward and persuade one more person to come for examination, we might be able to prevent one more serious illness, right?