英语四级历年作文真题范例(推选【精彩4篇】

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历年英语四级作文【第一篇】

Your Sleeping Position and Your Personality

Everyone has got two personalities — the one that is shown to the world and →←the other that is secret and don’t show your secret personality when you’re awake because you can control your behavior,but when you’re asleep,your sleeping position shows the real a normal night,of course,people frequently change their important position is the one that you go to sleep in.

If you go to sleep on your back,you’re a very open normally trust people and you are easily influenced by fashion or new don’t like to upset people,so you never express your real ’re quite shy and you aren’t very confident.

If you sleep on your stomach,you are a rather secretive worry a lot and you’re always easily ’re very stubborn,but you aren’t very usually live for today but not means that you enjoy having a good time.

If you sleep curled up,you are probably a very nervous have a low opinion of yourself and so You’re often ’re shy and you don’t normally like meeting prefer to be on your ’re easily hurt.

If you sleep on your side,you have usually got a well-balanced know your strengths and ’re usually have a confident sometimes feel anxious,but you don’t often get always say what you think even if it annoys people

历年英语四级作文【第二篇】

As the proverb goes,constant drops wear out the habits help pave our way to the cultivation of good habits we are frequently bewildered and baffled by temptations from the world around when we are alert and determined enough to resist these temptations can we take a right and unswerving road to success.

In our daily life,it is essential for us to be healthy lifestyle,which may consist of regular exercise and balanced diet,is what most people are pursuing in contemporary many people cannot resist the coziness of staying in and temptation of tasty but fatty food,thus giving up half way cultivating healthy habits and getting decreasingly addition,our progress in academic performance depends on good must restrain ourselves from endless and indulged,we can never maintain a good learning habit,let alone achieve academic excellence.

In summary,good habits rely on strong hearts that are not disturbed by persistence and perseverance,we are heading to success.

历年英语四级作文【第三篇】

As can be seen clearly from the graph,the difference in the numbers of people working in thethree major employment sectors in the in the early 1980s was relatively small,with about 4 million workers in engineering,5 million in agriculture and million in theservice industries.

However,the period 1980-1990 saw significant changes in the relative sizes of these threeemployment was a rapid decline in employment in agriculture,with the numberof workers dropping by more than 80%.On the other,employment oppor tunities in the serviceindustries increased sharply,especially after 1986,whereas the engineering sectorexperienced a gradual but constant decline.

Trends in the above graph clearly indicate that the service industries will continue to employthe largest number of people at least for the next few years,while the engineering sector willneed somewhat fewer workers in the next the whole,the total number ofemployment offered in these three sectors was much smaller than ten years before and theredoesn't seem to be any likelihood for improvement in the near who aregoing to graduate soon may need to prepare to seek employment elsewhere.

历年四级作文【第四篇】

1方法

建立健全护理质量四级质控网护理文书作为对患者病情过程的观察记录是医疗机构护理质量及管理水平的重要体现，而健全的管理机构是保证护理质量及护理质量持续提高的基础冈，医院于2011年3月建立健全了护理质量四级质控网，护士为一级质控科室护士长为二级质控，医院质控小组由护理部主任任组长剧主任和2名业务知识丰富的护士长组成质控办公室主任任组长成员为专职的副主任护师，负责全院归档病历的护理文书质控。制定完善护理文书质量考核标准根据《河北省医疗护理文书书写规范》制定了护理文书书写质控考核标准包括体温单、医嘱单、一般患者护理记录单I和11、危重患者护理记录单、cHA手术安全核对表、cHA手术风险评估表、手术护理记录单等考核细则标准。对护理文书书写格式及内容进行了量化细化。总考核分值100分运行病历占50分，归档病历占50分考核结果由护理部汇总与医院当月绩效考核挂钩。严格实施落实四级质控网的环节管理和终末管理护士作为护理文书书写的第一责任人要熟练掌握、严格执行护理文书规范及格式写你所做的做你所写的[3]。护理文书是记录患者从入院到出院治疗及护理的全过程反映了护士在观察、诊疗护理过程的执业行为，以及护理工作质量具体化的记录，是衡量工作责任心、技术水平和工作好坏的依据[’o]科室质控为二级质控护士长每天对危重、手术及新入院患者的护理记录进行检查晨会进行点评。一旦发现问题从真分析原因指导护士进行修改，tl绝隐患肪止发生医疗纠纷。院质控小组对全院运行病历进行检查，院质控小组为三级质控质控小组每月对5个科室的病历进行抽查，每科抽查5份病历体温记录单书写绘制是否符合要求护理记录是否客观、真实、准确、及时、完整等，每月记录考核。对出现的问题在护士长例会提出指导解决共性问题制定整改措施规范护理文书书写。院质控办公室对全院归档病历进行检查院质控办为四级质控对护理病历的检查在医院质控办公室设一名质控护士，每天把病案室收回的全院出院病历检查一遍对有缺陷的护理病历立即通知科室进行修改确保病历合格归档并记录考核，每月工作通报予以反馈。

2讨论

四级质控网是提高护理文书书写质量的有力保障四级质控网涵盖了运行病历和归档病历充分发挥了护士本人、科护士长、院质控小组和质控办公室多环节、多层次的管理作用加强了护理病历的各个环节控制从而提高了护理病历质量。一级质控以人为本，发挥各级护士管理职能。由于在质控过程中强调了护士的自查、自评，能及时发现问题随时改正，把问题和隐患消灭在萌芽状态。二级质控护士长把护理病历质量管理纳入护理管理的重要日程海日对新入院、手术前后、危重、一级护理、特殊检查治疗等患者的护理病历作重点检查对象从而督促护士长深入病房，做好与患者和医生的沟通着于细致观察病情变化，了解掌握护理工作和护理文书做得不到位的地方在晨会上作重点点评，有利于提高护理质量减少医疗护理纠纷的发生。三级质控护理部和各科室护士长对全院各科室护理文书书写进行全面检查及时纠正书写中的缺陷注巴各种隐患遏制在护理记录形成的过程中达到了持续提高护理质量保障医疗护理安全减少医疗纠纷的作用。通过护士长例会的反馈分析护理记录书写中存在的问题及制定相应的对策共同探讨护理文书中有分歧和争议的地方从真听取其他科室好的做法互相学习，取长补短并逐渐规范使各科室护理文书书写质量得到不断提压习。四级质控质控办公室对所有出院病历进行检查为病历归档质量管理奠定了良好的基础保证了不合格病历不归档，每月把各科室出院病历中出现的共性和个性问题对可能造成的安全隐患和医疗纠纷进行分析、总结在全院下发工作通报中予以反馈。四级质控网有利于护理文书质量的持续改进保证护理文书质量的稳定性和持续性。通过督导检查、考核、反馈、改进从而保证了护理文书书写内容客观、真实、准确、完整。每督导检查反馈一次质量就提高一个层次从而保证了护理质量的持续改进。通过四级质控网的认真实施环环相扣在不断的循环往复中海次赋予新的内容及时发现问题及时改进在原有的质量基础上不断提高阎应用了PDcA循环管理形成强有力的自控、互控网络逐步规范了病历书写应用四级质控网后病历缺陷在逐年减少而合格率在逐年增加应用四级质控网对护理工作的质量管理和安全管理具有重要的意义。

作者：王俊红 单永宏 曹丽红 沈月霞 王青然 李素莉 单位：河北省冀中能源峰峰集团邯郸医院