Article 1:
With the care, support and attention of hospital leaders and the joint efforts of nurses in our hospital, the nursing work in our hospital has basically completed the task for half a year, which is summarized as follows:
First of all, let me review the main points in the work plan formulated by the nursing department at the beginning of the year:
1, and gradually increase the proportion of personnel;
2. Implement TCM nursing plan; Increase appropriate technical projects;
3. Developing high-quality nursing service in internal medicine;
4. Strengthen training;
5. Improve service quality;
6. Strengthen safety management;
According to the work plan formulated by the nursing department of our hospital at the beginning of the year, the completion of nursing work in our hospital is now reported to you as follows:
1. According to the overall planning of hospital work, the nursing team is gradually expanding. In the first half of the year, we recruited nursing staff 14 (4 of them have been employed) and consulted 10. Gradually increase the bed-to-nurse ratio from the original 1:0.36 to 1:0.38 (this value is calculated according to the actual open beds in the Second Hospital, including orthopedic ward nurses 1 person and internal medicine nurses).
2, need to carry out new business, has applied to the hospital leadership step by step, the hospital decided that the Chinese medicine nursing plan, appropriate technology, excellent nursing unit suspended.
3. Business training; After accepting dimethyl ether at 1, we readjusted the training plan and content according to the requirements of TCM nursing guidelines. At the same time, in order to improve the basic nursing level as soon as possible, the basic nursing examination is added once a month. For head nurses, lectures are improved into courseware teaching. At the beginning of June, the Standardized Training Manual for Pre-service Nurses and Internship Nurses was formulated. 4. Improve the service quality, starting with the service; At the beginning of the year, temporary work tasks were added, language and behavior service standards for nurses were formulated, and training was conducted through department training and centralized training of nursing department. From the business level; Intensify training and assessment, and truly implement grading assessment as planned.
5. Take safety management as the goal; Under the leadership of Deputy Secretary Li, the financial ledger of the department was established to maintain and repair articles, instruments and equipment as required. Check and register emergency vehicles and standing medicines, and be supervised by pharmacy department and nursing department; The weak link of personnel requires targeted training for head nurses; Organize regular discussions on potential safety hazards.
6. Improve and perfect the deficiencies in dimethyl acceptance. Complete the arrangement of nursing emergency plan and procedure before the end of June. (Project 1 18 Re-adjust and improve the emergency plan)
7. Nursing staff training: one hemodialysis nurse and four operating room nurses. As expected, after moving into the new building, a new echelon will be cultivated, about 6-8 people. At present, 5 people have been trained, and about 3 people are needed. The next step will continue to be completed as planned.
8, the implementation of nursing staff last elimination system. The scheme has been distributed to the head nurses of relevant departments and requires to be carefully conveyed to every nurse.
9. Develop standardized training manuals, practice manuals and nurse manuals for nursing staff. Now the first two manuals have been completed, and the nurses' manual is being perfected.
Completion of nursing workload for half a year
Within half a year, there were 98 10 blood transfusions, 4/kloc-0 blood transfusions, intramuscular injections 1455 times, 980 times of skin tests, 748 times of venous blood collection (excluding outpatient service), first-class and critically ill patients 14 times, 34 times of enema and 465438 times of oral care.
1), and the qualified rate of basic nursing reached 94.5%.
2) The qualified rate of special and first-class (critical) patients is 92.3%; 3) The intact rate of first aid articles and medicines is 100%.
4) The qualified rate of writing nursing documents was 9 1.7%, and the qualified rate of nursing records of traditional Chinese medicine was 93.5%.
6), disinfection and isolation qualified rate reached 93%7), ward management 88.9% problems:
1, the level of nursing management is low. The head nurse is not careful in her daily work and her management is lax.
2. The training of nursing staff is not standardized enough to achieve the training purpose, and the training of departments is a mere formality, which can not achieve practical results. Teaching is not standardized.
3. Nurses' communication skills are low, and health education is not in place.
4. The quality and professional level of individual nurses are low, and the knowledge of traditional Chinese medicine is seriously lacking.
5. The writing content of nursing documents lacks connotation, and the nursing records of traditional Chinese medicine lack TCM dialectical nursing.
6. The work system is not strictly implemented. In nursing work, nursing document writing, ward management, disinfection and isolation are not up to standard.
6. The appropriate technology of traditional Chinese medicine is underdeveloped and becomes a mere formality. Future work ideas:
1, as planned, the nursing work will be implemented.
2. Correct deficiencies and defects and take effective measures.
3. Continue to strengthen training and assessment.
4. Prepare for the new building.
3. Grasp safety management. Improve everyone's awareness of law and self-protection.
4. Pay attention to the quality of nursing. Constantly improve the quality assessment standards, understand the weak links in nursing through assessment, master the working status of nursing staff at all levels, and train relevant knowledge and skills in a planned way.
In the future work, we should work hard, implement all kinds of nursing work and lead the nursing team in our hospital to a new level.
Article 2:
In the first half of 20xx, all the nursing staff, under the attention and direct leadership of the dean, well completed all the nursing tasks assigned by the hospital leaders and completed more than 90% of the 20 17 year nursing plan based on the patient-centered and patient-centered service principle. The work is summarized as follows:
First, seriously implement the rules and regulations.
Strict implementation of rules and regulations is the fundamental guarantee to improve nursing quality and ensure medical safety.
1, the nursing department reiterated the responsibilities of nursing staff at all levels, clarified the post responsibility system and nursing work system for nurses on duty and visiting nurses, and put an end to the bad phenomenon of patients changing infusion bottles and pulling needles by themselves.
2, adhere to the inspection system:
(1) requires the class to check the doctor's advice, and the head nurse participates in the total check 1-2 times a week and records it;
(2) Nursing operation requires three checks and seven pairs;
(3) Insist on filling in the infusion card, and no major nursing mistakes have occurred in the past year.
3, conscientiously implement the orthopedic nursing routine and microsurgical nursing routine, adhere to fill in all kinds of information and data register, equipped with five types of surgical disposal tray.
4, adhere to the bedside shift system and morning care, to prevent the occurrence of complications.
Second, improve the management level of head nurses.
1. Adhere to the record and assessment of the head nurse's handbook: require the head nurse's handbook to be submitted to the nursing department for assessment before the 5th day of each month, and supervise the implementation according to the annual plan, seasonal arrangement and monthly plan formulated by the head nurse, and monitor the implementation effect, and require the head nurse to summarize the monthly work so as to sum up experience and carry out the work.
2. Adhere to the regular meeting system of head nurses: according to the requirements of grade hospitals, hold a regular meeting of head nurses once a week, with the contents as follows: arrange the focus of this week's work, summarize the advantages and disadvantages of last week's work, put forward corresponding rectification measures, feed back the nursing quality control inspection to the head nurses, and learn the relevant materials of head nurses' management. 3, check the quality of nursing every month, and timely feedback, and constantly improve the management level of the head nurse.
4. Organize head nurses to study abroad, learn from the advanced experience of brother units, and expand their knowledge: at the end of May, head nurses from three wards were selected to participate in the new international nursing progress class, and reported to all nurses after the study.
Third, strengthen the construction of medical ethics of nursing staff.
1, continue to carry out the code of conduct for nurses, and carry out 50 civilized expressions for nurses in daily work.
2. Organize all nurses to attend etiquette training in Wenling Hotel and Wanchang Hotel in June, 165438+ 10 respectively.
3. Continue to carry out health education and issue satisfaction questionnaires to inpatients. The results of satisfaction surveys (regular or irregular evaluations) are all above 95%. In addition, corrective measures were put forward for the problems existing in the satisfaction survey, and nurses were selected.
Fourth, improve the professional quality of nursing staff.
1. Conduct "three basics" training for on-the-job personnel and organize theoretical examinations.
2, cooperate with the medical department, hire experts to teach, teach orthopedics, internal medicine, surgery knowledge, in order to improve professional knowledge.
3. Each department asks questions 1-2 times a week in the morning, and the content is basic theoretical knowledge and orthopedic knowledge.
4. A nursing skill operation competition (aseptic operation) was held on March 8th Women's Day, and the first prize (,second prize (,Tang,) and third prize () were selected respectively.
Five, strengthen the management of hospital infection.
1, strictly implement the disinfection and isolation system formulated by the hospital management leading group.
2. Each department insists on monthly air culture in the ward treatment room and dressing room, and secondary air culture in summer in high-risk departments such as operating room and outpatient operating room, which ensures the good effect of aseptic incision without infection.
3. The department insists on ultraviolet disinfection of the treatment room and locker room every month, and make records. The ultraviolet lamp tube is dusted with anhydrous alcohol every week, and recorded, and the ultraviolet intensity is monitored every two months.
Six, nursing staff to better complete the nursing work.
1, adhere to the patient-centered, quality-centered, and provide quality services for patients, and carry out patient-centered health education in depth. Through the distribution of health education manuals and the words and deeds of nurses, patients are familiar with the knowledge of disease prevention, rehabilitation and related medical care, nursing and self-care.
2. In the first half of the year, * * * admitted 2357 inpatients, 25 cases were under observation/kloc-0, and 2380 cases were operated in the operating room. Emergency nurses provide full service for emergency patients, including escorting patients to take photos, doing B-ultrasound, doing electrocardiogram, accompanying patients to the hospital and sending them to the operating room. There are fixed nurses on duty and visiting nurses in all three wards, so that patients get thoughtful service.
Seven, the existing problems:
1, the quality of individual nurses is not high, and the concept of sterility is not strong.
2. Holistic nursing is still in the exploratory stage, and nursing writing is not standardized.
3, due to the shortage of nursing staff, basic nursing is not in place, such as first-class nursing patients can not get the service of first-class nurses, second only to daily work. 4. Ward management is not satisfactory.
In the past six months, due to the attention, support and help of the dean, nursing work has made some achievements in nursing quality and professional ethics construction, but there are also some shortcomings that need further improvement.