Nursing Work Plan Model of Hemodialysis Room in 2020
First, further improve and standardize the work system in the work, conscientiousl
Nursing Work Plan Model of Hemodialysis Room in 2020
First, further improve and standardize the work system in the work, conscientiously study and strictly implement various rules and regulations and operating procedures to prevent mistakes and accidents.
Second, strengthen nursing management, ensure nursing safety, be familiar with and master the quality evaluation standards and various nursing management levels of dialysis room, and carry out nursing management with goals and priorities.
Third, strengthen business study and improve professional skills. The department organizes business study twice a month to learn new knowledge and improve business ability.
Fourth, strengthen the health education of dialysis patients, make brochures and colorful pages of related knowledge, and strengthen the contents of health education, such as fistula nursing, weight control, diet nursing, etc.
Five, according to the requirements of the specification for the first time dialysis patients with blood-borne disease virus markers routine examination, maintenance dialysis patients for a virus marker detection every six months. The infected patients are dialyzed by special plane to prevent cross-infection and ensure the safety of patients' treatment. Strengthen hospital infection monitoring, measure the water hardness and residual chlorine of reverse osmosis water every week, conduct air culture, reverse osmosis water, dialysate bacteria culture and dialysate solute concentration monitoring every month, detect endotoxin in dialysate and reverse osmosis water every quarter, and determine chemical pollutants in reverse osmosis water once a year.
Six, all dialysis patients are registered in the national blood purification case registration system.
Seven, with the support of hospital leaders and department directors, actively participate in the training and advanced study of hemodialysis related knowledge, so as to grasp the new knowledge and new business in the field of blood purification in time, and take new steps in improving business level, strengthening disinfection and isolation measures and developing new dialysis projects.
Eight, dialysis patients rely on dialysis equipment to survive, including dialysis machines, water treatment equipment, high-quality dialysis supplies, etc. It is hoped that with the support of hospital leaders, the replacement of water treatment equipment can be completed and an online hemodialysis filter can be added.
Nursing Scheduling Mode in Hemodialysis Room in 2020 (Ⅱ)
First, master the working system of hemodialysis room.
Second, master the emergency plan and injury treatment methods
Third, master the infection management system in hemodialysis room
Fourth, grasp the quality control indicators.
Specific arrangements:
The first week: emergency plan for stopping water supply during dialysis. Responsibilities of nurses in hemodialysis room
The second week: emergency plan for power failure during dialysis
The third week: the concept, causes, treatment and prevention of imbalance syndrome.
Week 4: Emergency treatment of membrane rupture of dialyzer
Week 5: Management Work Plan of Hypotension in Dialysis Operating Room
Week 6: Dialyzer reaction
Week 7: Emergency plan for puncture needle hole oozing of arteriovenous fistula
Week 8: Emergency Plan for Deep Venous Indwelling Catheter Infection
Week 9: Emergency Plan for Air Embolism
Week 10: Emergency plan for nausea and vomiting
Week 1 1 Week: Emergency Plan for Muscle Spasm
Week 12: Cardiopulmonary Coagulation Emergency Plan
Week 13: Emergency plan for thrombosis caused by indwelling catheter in deep vein
Week 14: Emergency Plan for Medical Damage in Hemodialysis Room
Week 15: Emergency plan for shock during dialysis
Week 16: medical dispute plan
Week 17: Emergency plan for catheter shedding
Week 18: The air alarm plan appears in the dialyzer.
Week 19: Emergency plan for venous hematoma during dialysis
Week 20: Emergency Plan for Patient Suicide
Week 2 1 week: Emergency Plan for Dialysis Heat Source Reaction
Week 22: Emergency plan for venous fistula thrombosis
Week 23: Emergency Plan for Chest Pain and Back Pain
Week 24: Emergency plan for dialysis pipeline rupture
Week 25: Emergency plan for suicidal tendency of patients.
Week 26: Emergency Plan for Abnormal Water Quality
Week 27: Headache Emergency Plan
Week 28: Nursing routine of internal fistula
Week 29: Hemolysis Emergency Plan
Week 30: Emergency Plan for Dialysis-related Fever
Week 3 1 week: emergency plan for arrhythmia
Week 32: Infection management system in hemodialysis room of Lee Hye-ri Hospital in Ningbo.
Week 33: Hospital Infection Detection and Alarm System
Week 34: Disinfection and isolation system in hemodialysis room
Week 35: Cleaning and disinfection system in hemodialysis disinfection area
Week 36: Hand hygiene system
Week 37: dialysate configuration management system
Week 38: Dialysis Water Management System
Week 39: Equipment and Facilities Management System
Week 40: Disinfection and maintenance system of dialysis machine
Week 4 1 week: management system of disposable medical supplies in dialysis room
Week 42: Medical Waste Management System in Dialysis Room
Week 43: Disposable medical waste treatment process
Week 44: Occupational safety management system of medical staff and treatment process of needle injury
Forty-fifth week: emergency hemodialysis patients handling process
Week 46: Treatment process of long-term hemodialysis patients
Week 47: Management process of blood-borne diseases in hemodialysis patients
Week 48: Handling Process of Hospital Infection Outbreak in Hemodialysis Room
Week 49: patient registration and medical document management system
Week 50: Domestic Waste Sorting Process
Week 5 1 week: Nursing routine of hemodialysis patients
Week 52: Working system of hemodialysis room
Mode 3 of Nursing Work Plan for Hemodialysis Room in 2020
First, seriously study the fifteen core systems and strictly implement various rules and regulations to prevent mistakes and accidents.
Second, strengthen nursing management, ensure nursing safety, and be familiar with and master the quality inspection of dialysis room.
Evaluate standards and various nursing management systems, and carry out targeted and focused nursing management.
Third, strengthen business study and improve professional skills. The department organizes business study twice a month and lectures once a month to learn new knowledge and improve business ability.
Fourth, the dialysis room in the hospital will be expanded in March this year, and the number of machines will increase after the expansion. At the same time, new projects are carried out, such as emergency dialysis and dialysis for infectious patients, hemoperfusion and central venous catheterization. Using the time of this expansion, the nursing staff in Corey will go to the dialysis room of a third-class first-class hospital to learn new technologies such as emergency treatment, management of infected patients and hemoperfusion.
Fifth, strengthen the health education of dialysis patients, such as the nursing of internal fistula, the nursing of central venous catheterization, and the nursing of diet. According to the requirements of the standard, the first dialysis patients routinely check the virus markers of blood-borne diseases, and maintain the dialysis patients to check the virus markers once every six months. The employees were given a physical examination as required. Strengthen hospital infection monitoring, monitor dialysate and dialysate every month, monitor endotoxin every quarter, and disinfect the mainframe every three to six months.
Six, business training and on-the-job education, strive for two nurses to train in three departments of tertiary hospitals for three months, and bring back advanced management experience and knowledge from superior hospitals to improve the nursing work in dialysis room. New nurses strive for on-the-job training this year and obtain employment certificates.
Seven, after the expansion of dialysis room, with the emergency, infectious patients dialysis and the development of new projects, the workload will be greatly increased. I hope the leaders will add two nurses with a strong sense of responsibility to the dialysis room and strengthen the nursing force of the dialysis room.