Hand surgery nursing work plan 1
20xx, the new year is a year full of challenges, opportunities and pressures, and it is also a very import
Hand surgery nursing work plan 1
20xx, the new year is a year full of challenges, opportunities and pressures, and it is also a very important year for our department. Around the hospital work policy and nursing department work plan, earnestly perform their duties, and formulate our annual nursing work plan as follows:
First, do a good job in the training of department nurses and strengthen the quality training of department nurses.
Ordinary care personnel should realize that "congenital deficiency" has become the driving force rather than the resistance of our continuous learning, and establish the spirit of self-improvement, striving for progress and assiduous study of professional knowledge. Only by studying hard and accumulating knowledge can we improve our own quality and professional ability. Only in this way can the current nursing team with college education as the main body be gradually transformed into an undergraduate nursing team. The nursing department will take various channels to provide learning opportunities for nursing staff.
1. Encourage young and middle-aged nurses to participate in self-study and encourage nursing staff to participate in undergraduate and postgraduate nursing studies. Two years later, there will be five people with bachelor's degrees.
2. Ask the nurse questions during nursing rounds, including basic theoretical knowledge, professional theoretical knowledge and nosocomial infection knowledge. Use the morning meeting to ask questions about the core system of hospital nursing, so that every nurse can master and implement it skillfully.
3, according to the arrangement of the hospital and nursing department, have the opportunity to send nursing backbone to participate in short-term nursing knowledge training courses inside and outside the province, focusing on the progress of management knowledge and specialist knowledge.
4, insist on nursing knowledge, new business and new technology, department professional and technical training every month. There are 1-2 business studies, 1 nursing rounds and 1 operation training every month. The nursing department should focus on standardizing nursing rounds and improving the quality of rounds, so as to improve the level of professional knowledge and practical ability. Senior nurses should strengthen the training of emergency and first aid ability. Set an example for junior nurses at work, set an example and carry forward the fine style of unity and cooperation in neurosurgery.
Two, regular and irregular nursing quality inspection, to maintain the continuous improvement of nursing quality.
1, give full play to the role of nursing quality control team, conduct quality inspection every week, find problems in time, correct and deal with them in time.
2. Hold a nursing quality and safety management meeting once a month. Comprehensively analyze the feedback information of the first-level quality control inspection, the head nurse's quality control inspection, the second-level quality control inspection and the third-level quality control inspection, find out the reasons, formulate feasible rectification measures, and check the implementation of the rectification. Inform the department of the inspection results, criticize and educate comrades who often have problems and give appropriate punishment, and commend and reward those who do well.
3, do a good job in morning and evening care, basic care in place. Keep the sickbed unit clean and tidy and the environment warm and comfortable.
4, strictly implement the bedside handover system, and make a specific report to the off-duty nurse when handing over.
5, strictly implement the responsibilities of personnel at all levels. The head nurse or the responsible team leader shall check the work quality of health workers twice a week to keep the ward clean and tidy; Investigate patient satisfaction once a month to ensure service quality.
6, electronic medical records timely evaluation, the head nurse insisted on weekly inspection 1 time, found the problem in a timely manner to correct and notify the responsible nurse, to prevent similar problems from happening again.
7. Strengthen the control of hospital infection. Strictly abide by disinfection and isolation, and do a good job in environmental health monitoring in the ward, and the results should meet the standards. At the same time, do a good job of disinfection at any time, terminal disinfection and daily disinfection. After use, the articles shall be disinfected according to the principle of treatment, and disposable goods shall manage, use and treat them as required.
Third, organize general nursing staff to seriously study the evaluation standard of nursing quality control revised in 20xx.
Nursing quality control standards include four aspects: nursing management quality control evaluation standards, nursing safety quality control evaluation standards, nursing service quality control evaluation standards, and clinical nursing (basic nursing, graded nursing, specialist nursing, critical care, hospital infection control, etc.). ) quality control evaluation standard.
Fourthly, nursing safety is the focus of nursing management.
The long-term work of nursing safety should be persistent, carry out their duties, check at all levels, do a good job in nursing safety management, reduce medical disputes and hidden dangers, and ensure the safety of patients seeking medical treatment.
1, supplement and improve the nursing safety management measures, pay special attention to the pre-job training of nursing staff at all levels, check the safety work regularly and irregularly, and insist on the head nurse or the responsible team leader making rounds at night once a month, as well as the safety inspection before and after the holiday.
2, the head nurse to do micro management. Adhere to the handover of toxic drugs, rescue drugs and materials, keep the rescue instruments in a functional state, and keep the intact rate of rescue materials at 100%. Pay special attention to the monitoring of nursing staff, patients, time and nursing operation.
(1) link monitoring of nursing staff: strengthen the management of newly transferred nurses, newly graduated nurses, practical nurses and nurses with thoughts and emotions, so as to focus on explanation, follow-up nurses and rounds.
(2) Link monitoring of patients: focus on supervision, inspection and monitoring of critically ill patients newly admitted to hospital, newly transferred to hospital, after major surgery, and patients with potential risks of medical disputes.
(3) Time link monitoring: during holidays, weekends, busy work, fatigue time and night shift, supervision and management should be strengthened.
(4) link monitoring of nursing operation: transfusion, blood transfusion, various allergy tests, preoperative preparation, etc. Although it is daily work, if there is a problem, it is a matter of life and death and should be the focus of monitoring in nursing management.
Fifth, strengthen nursing management and make rational use of human resources.
1, the proportion of nurses in our department does not meet the requirements, and there are few nurses. The work is heavy, and the head nurse should allocate human resources reasonably and flexibly according to the patient's situation and the nursing workload of the department.
Schedule shifts, increase the number of people who go to work during peak hours, and general nurses can be on call when they need to work, ensuring quality and quantity to provide patients with satisfactory nursing services.
2, nursing managers should enhance management awareness, the head nurse and director of * * * to think together, to find a way to change the income structure of the department. To carry out department cost accounting, head nurses are both decision makers and participants. She wants to make detailed and accurate statistics on the material cost accounting of the department, so that planning and control, accounting and analysis coexist, and gradually explore the law of department cost consumption, so that the medical cost of the department is reasonable, scientific, low-cost and effective. It not only reduces the burden of patients, but also increases social benefits, economic benefits and personal income.
Sixth, strengthen scientific research consciousness and improve nursing scientific research ability.
1, actively create conditions for senior nurses, create a good academic atmosphere, and strive for a higher degree of paper publication. Try to publish at least one article at cn level this year.
2, the use of incentive mechanism, for nurses who have academic papers published in magazines or exchanged at meetings, in the selection of outstanding nurses and year-end awards, priority is given.
Hand surgery nursing work plan II
On the basis of last year's "quality nursing service" activity, the quality nursing service in xx year further deepened the connotation of "quality nursing service", with the theme of "improving professional quality and optimizing nursing service" and the opportunity of "dimethyl evaluation" to improve service level and continuously improve nursing quality, and to grasp the whole process quality management of various nursing work with a rigorous attitude, that is, basic quality, link quality and terminal quality.
First, the guiding ideology:
Guided by Scientific Outlook on Development, our department will deepen the service concept of "patient-centered", take the opportunity of "second evaluation" and take "improving professional quality and optimizing nursing service" as the theme, and strive to provide seamless, continuous, safe, high-quality and satisfactory nursing service for patients.
Second, the work goal is patient satisfaction as the overall goal.
Consolidate the foundation, consolidate the achievements, take the patient's requirements as the starting point and the patient's satisfaction as the foothold, and comprehensively implement the patient-centered nursing work. Further deepen high-quality nursing service, enhance service connotation and continuously improve nursing quality.
Third, the work measures
1. Revise various systems and standards, and continuously improve and revise various rules and regulations, job responsibilities, workflow, disease care routine, and clinical nursing service norms and standards in our hospital. Continue to improve and revise the standards and methods of quality control inspection, improve the reporting and supervision system of nursing adverse events, and strengthen the management of critically ill patients.
2. Comprehensively improve professional quality and optimize nursing service.
(1) Strengthen the training of basic theoretical knowledge and improve the comprehensive quality and professional ability of nursing staff. Starting from the "three basics and three strictness", we should organize business training once a month, including basic theories of Chinese and Western medicine, specialist nursing, laws and regulations, service awareness, etc., strengthen the implementation of basic nursing and graded nursing, and ensure the quality.
(2) Improve the practical working ability of clinical nurses and cultivate the backbone of specialized nursing.
(3) Strengthen nursing professional technical operation training. Firmly master basic nursing skills, lay a solid foundation, organize nurse skill operation competition, further strengthen training, improve clinical nursing skill operation level, and thus improve nursing service level.
(4) Strengthen the study of nurses' etiquette.
(5) Take various forms of learning and training to improve the professional quality of nursing staff in the hospital, and improve the ability of nurses to observe the condition, implement nursing measures and record nursing documents.
3. Strengthen management to ensure nursing safety.
(1) Strengthen the management of key links of patients, such as patient transport, handover and ulcer. , and establish and improve the nursing process and management evaluation procedures. Grasp the key links such as nurse shift change and monthly nursing ward round, strengthen nursing management and ensure the realization of the goal.
(2) Strengthen the monitoring and management of nursing safety, organize the departments to investigate the hidden dangers of nursing safety and analyze and discuss the causes of nursing errors and nursing input every month, analyze the reasons and lessons to be learned, and put forward preventive measures and improvement measures.
(3) Strengthen departmental management. Conduct irregular spot checks on ward management, basic nursing, nursing safety, medical record writing, nurse equipment, disinfection and isolation every week, immediately point out the existing problems and give feedback within a time limit, and summarize them at the monthly nurse work meeting; Quality control of high-quality nursing ward
4. Consolidate basic nursing care
Doing basic nursing well makes nursing work more standardized. Keep the sickbed clean and tidy, free of peculiar smell and stains, the articles are placed neatly and regularly, and the number of infusion drops conforms to the doctor's advice. Visit infusion patients frequently, be good at observing patients and solve problems in time.
The third part of the nursing work plan of hand surgery
One. Strengthen nursing safety management, improve nursing risk prevention measures, effectively avoid nursing risks, and provide patients with high-quality, safe and orderly nursing services.
1. Constantly strengthen nursing safety education, regard safety nursing as one of the routine topics of nurses' regular meeting every Friday, promptly remind unsafe factors in work, and put forward rectification measures, taking nursing errors inside and outside the hospital as an example to discuss and learn from, so that nurses can fully understand the error factors, new situations and new characteristics, learn from them, and make the safety alarm ring constantly.
2. Implement various rules and regulations, conduct regular and irregular inspections, supervise the collection and arrangement of medical and educational networks, and have supervision and inspection records.
3. Strengthen the risk management of key links such as night shift, middle shift and holidays. Apn scheduling and flexible scheduling system should be implemented to reduce shift frequency, reduce work loopholes, reasonably match young nurses and old nurses on duty, and pay attention to cultivating nurses' cautious and independent spirit when they are on duty independently.
4. Strengthen key management: such as the handover of severe patients, the prevention of pressure ulcers, blood transfusion, special medication, patient pipeline management, and the assessment of existing and potential risks of patients.
5. Strengthen the care of key patients: such as surgical patients, critically ill patients and elderly patients, take these patients as the focus of discussion at the early meeting or shift change, evaluate the existing and potential risks of patients, reach a * * * understanding, and attract the attention of each class.
6. Management of key employees: such as internship nurses, rotation nurses, new nurses, etc. Educate them in legal awareness, improve their awareness of prevention and ability to resist risks, and make students clear that they can only care for patients under the guidance or supervision of the teaching teacher. At the same time, nurses with clinical experience, strong sense of responsibility and nurse qualifications are employed as teaching teachers to cultivate students' communication skills and clinical operation skills.
7. Further standardize the writing of nursing documents, reduce potential safety hazards, pay attention to the problems existing in nursing documents at this stage, and make records "objective, true, accurate, timely and complete" to avoid irregular writing, such as typos, unclear alterations, inconsistencies with doctors' records, etc., so as to standardize and standardize nursing documents.
8. Improve the emergency risk plan of nursing, pay attention to the cultivation of nurses' emergency ability at ordinary times, and make a retrospective evaluation of various emergency work, such as blood transfusion, transfusion reaction, special liquid, drug leakage, sudden power failure, etc. So as to learn from it and improve the ability of nurses to deal with emergencies.
Two. Take patients as the center, advocate humanized service, strengthen nurse-patient communication, improve patient satisfaction and avoid nursing disputes.
1. The nurse in charge sincerely received the patients, sent them to the bedside, and took the initiative to do health education for the discharged patients.
2. Strengthen the education of service awareness, improve the concept of humanized active service, increase the health education day on Tuesday's basic nursing day, and make education guidance and safety precautions at any time in each class.
3. Establish health education prescriptions, issue nurse-patient contact cards, hold monthly forums to solicit opinions from patients and their families, and praise and criticize nurses with good or bad service quality.
Three. Establish inspection, evaluation, feedback system, traceability system, head nurse and quality control team, and often go deep into the ward for inspection, supervision and evaluation. The evaluation method is to evaluate nurses on the spot, check patients, check records and listen to doctors' opinions, find problems in nursing work and improve rectification measures.
The fourth part of hand surgery nursing work plan
First, strictly implement the overall nursing responsibility system.
(1) Wards are arranged flexibly, such as night shift, middle shift and holidays. Reduce shift frequency, reduce work loopholes, reasonably match young nurses and old nurses on duty, and pay attention to cultivate the spirit of caution and independence when nurses are on duty independently.
(2) According to the concept of high-quality nursing service, there are 2 responsible group leaders and 2-3 bed nurses in the ward, and each nurse cares for 10 patients. The responsible nurse provides patients with continuous and complete work from admission to discharge, including various treatments, medication, observation of illness, basic nursing and health education, so as to effectively provide high-quality nursing services. Critical patients, high-risk patients after major surgery and complications are implemented by senior responsible nurses.
(3) fully perform the duties of nurses. It integrates basic nursing, disease observation, treatment, communication and health guidance to provide patients with comprehensive, whole-course and continuous nursing services. Close observation of patients' condition, timely communication with doctors, communication with patients, health education and rehabilitation guidance for patients, and psychological care.
(4) Clinical nursing service fully embodies the characteristics of specialties, enriches the service connotation according to the characteristics of departments, provides humanized nursing service for patients, ensures the safety of patients and promotes their rehabilitation.
Second, strengthen nursing safety management and improve nursing risk prevention measures.
(1) Strengthen the care of key patients: for example, surgical patients, critically ill patients and elderly patients, take these patients as the focus of discussion at the early meeting or shift change, evaluate the existing and potential risks of patients, reach a * * * understanding, and attract the attention of each class. Do a good job in the handover of critically ill patients, pressure ulcer prevention, blood transfusion, special medication, patient pipeline management and patient existing and potential risk assessment.
(2) further standardize the writing of nursing documents, reduce potential safety hazards, pay attention to the problems existing in nursing documents at this stage, and make the records "objective, true, accurate, timely and complete" to avoid irregular writing, such as typos, unclear alterations, inconsistencies with doctors' records, etc., so as to standardize and standardize nursing documents.
(3) Improve the emergency risk plan of nursing, pay attention to cultivating nurses' emergency ability at ordinary times, and make a retrospective evaluation of various emergency work, such as blood transfusion, transfusion reaction, special liquid, drug leakage, sudden power failure, etc. So as to learn from it and improve the ability of nurses to deal with emergencies.
(4) Strengthen the monitoring and management of nursing safety, organize the departments to investigate the hidden dangers of nursing safety and analyze and discuss the causes of nursing errors and nursing input every month, analyze the reasons and lessons to be learned, and put forward preventive measures and improvement measures.
(5) Strengthen departmental management. Conduct irregular spot checks on ward management, basic nursing, nursing safety, medical record writing, nurse equipment, disinfection and isolation every week, immediately point out the existing problems and give feedback within a time limit, and make a summary at the monthly nurse work meeting; Quality control of high quality nursing wards. Third, comprehensively improve professional quality and optimize nursing service.
(1) Strengthen the "three basics" training plan to improve the comprehensive quality and professional ability of nursing staff.
(2) To learn basic nursing service items, basic nursing service standards and common clinical nursing technical service standards for inpatients.
(3) Organize all nurses to conduct business study, nursing discussion of critically ill patients, case rounds, education rounds and other forms of learning and training every month, so as to improve the professional quality of nursing staff in the hospital and their ability to observe the illness, implement nursing measures and record nursing documents.
(4) Improve the practical working ability of clinical nurses and cultivate the backbone of specialized nursing.
(5) Simplify the morning group shift and strengthen the bedside shift. Using the time of bedside shift change, head nurses and senior nurses explain the theoretical knowledge of bedside specialty and take effective intervention measures on the first-class nursing and nursing problems of critically ill patients.
(6) Supervise the nursing staff to seriously implement the nursing routine, nursing system, nursing operation rules and condition observation, and conduct regular first-aid technical drills, so that every nurse can master the use of first-aid drugs and instruments. Fourth, deepen the quality of nursing service with the overall goal of patient satisfaction.
Take patients as the center, advocate humanized service, strengthen nurse-patient communication, improve patient satisfaction and avoid nursing disputes.
(1) The nurse in charge sincerely received the patients, sent them to the bedside, and actively provided health education for the discharged patients.
(2) Strengthen service awareness education, improve the concept of humanized active service, increase health education days on basic nursing days every Wednesday and Sunday, and make education guidance and safety precautions at any time in each class.
(3) hold a symposium every month to solicit opinions from patients and their families, and praise, criticize and educate nurses with good or bad service quality.
Five, strengthen the training of hospital infection knowledge, prevent and control the occurrence of hospital infection.
1, learn the knowledge of hospital sense once a month.
2. Sterile articles should be placed separately from non-sterile articles, and the used sterile articles should be marked with the opening time in time and disinfected regularly; Every day, the nurse in charge of the treatment class will check and disinfect the items.
3, the medical waste placed separately, every day before coming off work by the nurse on duty to check, and urge the nursing staff to do a good job of garbage Nissan Nissin; Nurses with disinfection monitoring regularly carry out publicity and education work in the department.
4, disinfectant concentration monitoring, air culture, surface culture, etc. , by the disinfection monitoring nurse is responsible for, and timely record. The head nurse will monitor and check the results irregularly, and formulate relevant nursing measures in time for unqualified results to ensure nursing safety.
The fifth chapter of hand surgery nursing work plan
A, under the leadership of the director and nursing department, fully responsible for delivery room administration and nursing quality management.
Second, according to the requirements of the nursing department and obstetric quality management, responsible for the formulation and implementation of nursing work, regularly or irregularly supervise and inspect the implementation of various rules and regulations, job responsibilities of each class and various nursing technical operation specifications, summarize and comment in time, and continuously improve the quality of nursing.
Third, according to the work tasks of delivery room and the specific situation of midwives, optimize the combination of nursing forces, conduct scientific and reasonable scheduling, and formulate the post responsibilities of each class.
Four, organize business learning and professional skills training, regular questions or other forms of assessment, and do a good job in reward and punishment assessment.
Five, supervise and urge the subordinate personnel to strictly carry out disinfection and isolation and aseptic operation, and regularly carry out bacterial culture on the air, articles and staff hands in the sterile area of the delivery room as planned and required, and identify the disinfection effect.
Six, timely convey the work requirements of the nursing department, supervise and guide the delivery room work, preside over the morning meeting, understand the night shift work, and do not regularly check the night shift and holiday work.
Seven, to participate in and organize the rescue work of critically ill patients and the discussion of difficult critical cases, to understand the requirements of doctors at all levels for nursing work.
Eight, do a good job in the management of all kinds of articles, equipment and first aid supplies in the delivery room, designate a person to be responsible, ensure the supply and check it regularly, and make records.
Nine, coordinate the working relationship between undergraduate staff and doctors, ground staff and other departments, communicate with each other, and get timely support and cooperation.
Ten, do a good job of monthly business statistics, accurately fill in and check the report. Major problems in the work should be analyzed, discovered and summarized in time, and effective preventive measures should be put forward.