1, adhere to the check system:
(1) requires the doctor's advice class BANCHA to take part in routine inspection and sign it every day;
(2) Nursing operation requires three checks and seven pairs;
(3) Insist on filling in infusion cards, etc.
2, adhere to the bedside shift system and morning and afternoon care, to prevent complications.
3. I am very grateful to the monthly satisfaction questionnaire, which can be real or anonymous, so that patients can communicate with me without reservation. Although they always say something to me when the head nurse makes rounds every day, sometimes some reasons are not reflected in person. I think there will definitely be these, so I will carefully compare and analyze some data after completing the satisfaction survey, and read some patients' messages to let me know our strengths and weaknesses, and then make comparative improvements. The fifth district of central and western China is an old ward building, and the environment is really different from that of the new ward building. Some days, the patient told me that the ward environment was not good. I carefully checked the nursing care in the morning and at noon every day, and found that I was really not careful enough to sweep the bed, so I would lead everyone to sweep the bed together every day, taking turns in pairs. After using it for a while, I found that the quality of bed sweeping has really improved a lot. I find that sometimes what I think may be different from the actual situation. Although excellent nurses need their own efforts, they also need people's care. Maybe this is what kind of teacher will teach what kind of apprentice, or maybe they just need a spirit of being meticulous about their work.
4. In order to further implement the goal of responsible nursing and quality nursing service, I ask every nurse in the department to keep in mind the goal and connotation of quality nursing service, ask questions at any time, and often urge our nurses to communicate with patients to understand their diet, daily life and emotions. Nurses are a busy profession, and sometimes they may forget to take a second look, but one more look may change life and death. In order to prevent them from rushing, I will take good care of these documents.
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Strictly check the situation, ask patients occasionally when communicating with patients, and formulate reward and punishment measures, so that patients' overall evaluation of nursing quality has improved a lot. Only by forming habits in this way can we better implement the connotation of responsible nursing and quality nursing service.
Second, improve their management level.
1, adhere to the head nurse's regular meeting system, arrange the focus of this week's work, summarize the advantages and disadvantages of last week's work, and put forward corresponding rectification measures, feedback the nursing quality control inspection to the head nurse, and learn the relevant materials of head nurse management.
2, check the quality of nursing every month, and timely feedback, and constantly improve the management level of the head nurse.
As a younger head nurse, I will mingle with our members after work, which is my advantage. My principle is to treat people, not people. I made a mistake, damn it.
4. Being young is my strength and my weakness. I may be inexperienced sometimes, based on.
I will learn their experience from all departments with an open mind, ask leaders for some troubles at work, learn from others' strengths and avoid some unnecessary detours.
Third, improve the professional quality of nursing staff in departments.
1. For junior nurses and new nurses, I will increase the number of exams until they meet the standards. The theoretical and practical training of the nursing department will lay a good foundation for them to become excellent specialist nurses as soon as possible.
2. Pay attention to patients' psychological changes through information feedback, messages in the satisfaction table lookup table and communication with patients. I will ask the nurses in the psychological group to guide the patients with depression in time and strengthen the supervision of the nurses in the psychological group.
3, contact the relevant departments, hire experts to teach, teach pressure ulcers, stoma, psychology and other knowledge, in order to improve professional knowledge.
4. Ask questions 1-2 times a week in the morning, and the content is basic nursing theory knowledge and tumor nursing knowledge.
5, encourage department members to actively innovate and improve their professional level and nursing skills. I encourage them to participate in competitions, publish papers and articles, and give material rewards. This has really improved everyone's enthusiasm and the fighting spirit of the employees in the department.
Fourth, strengthen the management of hospital infection.
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1, strictly implement the disinfection and isolation system formulated by the hospital management leading group.
2, departments adhere to the treatment room, disposal room for air disinfection, and recorded.
3. Regularly check the validity period of various disinfectant concentrations, and insist on one bed and one wet towel nursing in the morning.
4. Wards and treatment rooms insist on mopping the floor with disinfectant twice a day. Wards regularly mop the floor with disinfectant to disinfect the sheets of discharged patients (clean the bedside table and wipe them with disinfectant).
Problems with verbs (abbreviation of verb)
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.
Over the past year, due to the attention, support and help of leaders, nursing work has made some achievements in nursing quality, but there are also some shortcomings. I will continue to work hard to improve the shortcomings.
20 16 year work plan and prospect;
First, strictly implement the overall nursing responsibility system.
(1) Ward implements flexible scheduling, rationally allocates nurse resources, and cultivates the cautious and independent spirit of nurses when they are on duty independently.
(2) 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.
(3) 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, deepen quality nursing service.
(1) The nurse in charge sincerely received the patients and sent them to the hospital bed, taking the initiative to do health education for the discharged patients.
(2) Strengthen the education of service awareness, improve the concept of humanized active service, conduct a patient satisfaction survey at least once a month, analyze and check the satisfaction questionnaire every month, and properly handle the opinions put forward by patients. Each class should always carry out educational guidance and safety precautions.
(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.
Third, strengthen nursing safety management and improve nursing risk prevention measures.
(1) Strengthen the care of key patients: critically ill and elderly patients, take the above patients as the focus of discussion during the shift change at the early meeting or shift change, evaluate the existing and potential risks of patients, reach a * * * understanding, and attract the attention of each shift. 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 departments to investigate the hidden dangers of nursing safety and analyze and discuss the causes of nursing errors and nursing complaints 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, nurses' service attitude, first-aid articles and equipment, disinfection and isolation, etc. , immediately point out the existing problems and give feedback within a time limit, and make a summary at the monthly quality control meeting; Quality control of high quality nursing wards.
Fourth, strengthen the training of hospital infection knowledge to prevent and control the occurrence of hospital infection.
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1, supervise nursing staff to strictly implement aseptic operation technology and correctly implement isolation technology.
2. Improve hand washing compliance and strictly follow the six finger washing signs.
3, in invasive nursing operation, contact with wounds, blood, secretions and special infectious disease patients care must wear gloves.
4, accidental stabbing should do emergency treatment, and report to the hospital infection management department, effective prevention and treatment.
5, nursing staff familiar with all kinds of disinfection methods, disinfectant configuration concentration and use matters needing attention.
Fifth, strengthen the management of first-aid articles and improve the first-aid skills of nursing staff.
1. First-aid articles should be ordered according to the variety, quantity and location, kept by special personnel, and checked and maintained regularly.
2. Regularly train the nursing staff in the department on rescue knowledge, and manage the rescue vehicle in turn, requiring everyone to be familiar with the location of the rescue items and medicines and master the rescue knowledge.
3, familiar with the standard use of rescue vehicle items.
Sixth, strengthen team building and create a learning team atmosphere.
1, strengthen team spirit construction, straighten out internal relations, enhance unity, and work together with Qi Xin around the hospital development goal * * *, and it is strictly forbidden to form cliques.
2. Improve their own quality and management skills, and stimulate nurses' work enthusiasm and team spirit.