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 the head nurses to go out to study and visit, learn from the advanced experience of brother units, collect and sort out, and expand their knowledge: At the end of May, send the head nurses from three wards to participate in the new international nursing progress class, and report 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 distribute 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.
4, the department held a symposium on a regular basis every month, solicit opinions from patients, meet the requirements of patients.
5. Carry out pre-job professional ethics education, rules and regulations, nurse code of conduct education and basic nursing knowledge, specialist knowledge and nursing technology operation assessment for newly assigned nurses, and those who pass the examination will be given posts.
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 technical operation competition (aseptic operation) was held on March 8th Women's Day, and the first prize (Wu xx), the second prize (Li xx and Tang xx) and the third prize (Zhou xx) were selected and rewarded respectively.
5.65438+At the beginning of February, the nursing department conducted a nursing technical operation examination for the nurses in the whole hospital:
Examination of nurses in ward: intravenous infusion and oxygen inhalation; Examination of nurses in emergency room: cardiopulmonary resuscitation, oxygen inhalation and gastric lavage; Examination of nurses in operating room: intravenous infusion and aseptic operation.
6, strengthen the nursing of critically ill patients, adhere to the bedside succession system and morning care.
7. Insist on nursing rounds: conduct nursing rounds in three wards in turn every month to discuss nursing diagnosis and nursing measures to improve professional quality.
8.165438+1October 9-June, 9 nurses who entered the hospital this year were given pre-job training on basic nursing and specialized nursing knowledge, and each head nurse was organized to have a class to improve their teaching ability.
9. There are 5 nurses in the whole hospital who take the self-taught examination for nursing specialty and 3 nurses who take the correspondence course for nursing specialty.
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.
4. After the disposable articles are used, all wards, operating rooms and emergency rooms can be damaged, soaked, concentrated and inspected regularly. Regularly detect and check the concentration of various disinfectants, and insist on one bed, one middle school, one morning and one wet sweep.
5. The treatment room and dressing room in each ward can insist on mopping the floor with disinfectant (1: 400 disinfectant) twice a day, and regularly mop the floor with disinfectant (1: 400 disinfectant) for final disinfection (clean the bedside table and wipe it with disinfectant).
6, operating room, strict implementation of hospital dyeing management requirements, aseptic package with chemical indicators.
7. The supply room has established a disinfection project monitoring record book, and regularly monitors each disinfection project.
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.
In February and August, the holistic nursing mode was carried out in the third ward. Nurses in the third ward not only taught patients the knowledge of disease prevention and rehabilitation, but also went deep into the ward to talk with patients.
3. 2357 cases were hospitalized, 25 cases were observed/kloc-0, and 2380 cases were operated in operating room. Emergency nurses provide full service for emergency patients, including escorting patients to take photos, doing B-ultrasound, doing electrocardiogram, accompanying patients to go through admission procedures, and sending them to the operating room. There are fixed nurses on duty and visiting nurses in all three wards, so that patients can get thoughtful service.
4. The nursing staff in the whole hospital wrote 30 nursing papers, including the xx National Orthopedic Nursing Academic Exchange 1 article, 3 academic exchanges in Taizhou, and 2 academic exchanges in the 2nd National Contemporary Nurses1article.
Seven. 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.
Article 2 Training Plan for Orthopedic Nursing Staff
20xx Orthopedic Nursing Work Plan The arrival of the New Year and the improvement of department conditions also put forward higher requirements for our nursing work. We should take this opportunity to pay close attention to the quality of nursing service, strictly implement rules and regulations, strengthen professional and technical training and build a high-quality nursing team.
Focusing on the overall goal of the nursing department, the orthopedics department formulates the nursing work plan as follows:
First, highlight professional characteristics and build a nursing brand.
As a professional and technical industry, nursing should find a suitable position in the opportunities and challenges, and take the road of professional construction is the top priority of orthopedic nursing work.
The department will focus on training two responsible nurses to publicize health knowledge and guide functional exercise for patients, further improve the means and methods of health education and functional exercise guidance, adopt various forms of publicity and education in order to achieve results, and prepare to gradually formulate functional exercises for common orthopedic diseases, with color pictures, and make a book to let patients better understand the significance and methods of functional exercise.
Second, do a good job in quality management.
1, in view of the difficulties and key issues in nursing work, set the work focus, and insist on integrating the humanistic nursing concept of "patient-centered" into more practical and specific work details.
2. Carry out, permeate, run through and implement standardized nursing quality standards in the whole work of each nurse, so as to make nursing quality management rule-based and form a virtuous circle. Evaluate the quality of nursing from the patient's point of view, and take the patient's satisfaction as an important index to evaluate the quality of nursing, so that patients can really benefit from quality management.
Third, conduct standardized training.
1, cooperate with the nursing department to establish standardized training for nurses. Nurses with different seniority and ability have different training, so that everyone can develop the habit of active learning.
2. Continue to pay special attention to the training of professional knowledge, improve the professional quality of nurses, adopt effective learning methods, such as nursing business rounds and bedside demonstrations, and improve the form of business rounds. Let experienced old nurses give lectures to new nurses and impart nursing experience. When the concept is vague, let's discuss and solve the problem together.
3, in view of the common and frequently-occurring diseases of the department, organize business study regularly every month, and organize business study and innovation of the department.
Nurses of different levels have different learning plans, organize regular assessment of nursing skills every month, organize analysis meeting of nursing quality every month, make nursing rounds once, and make continuous rectification. At the same time, focus on checking the three basics learning situation of junior nurses every month, and urge junior nurses to strengthen specialist learning.
4. Encourage all nurses to participate in training inside and outside the hospital, exchange experiences and learn new technologies and knowledge.
Fourth, sort out the nursing process and inform.
1. A reasonable nursing workflow is the basis for the smooth implementation of daily work. We should have a reasonable workflow in basic nursing, specialized nursing and health education to guide the daily work of nurses. It is planned to refine each link on the basis of the existing workflow of undergraduate course, which is truly in line with the actual clinical work and feasible.
2. Effective nursing notification is necessary for patients to cooperate. We will improve admission notice, posture, treatment, special precautions and specialist rehabilitation.
Five, earnestly implement the "patient-centered" service.
1, complete the change of nurses' concept, and change the past "I want to serve" into "I want to serve". Improve nurses' etiquette and build their own nursing brand.
2, "patient-centered" service, specific to every detail of nursing behavior. Establish standards for every work link from admission to discharge.
Sixth, attach importance to echelon construction and cultivate excellent teams.
1, find the advantages of nursing staff in the department, use their advantages, guide their work and give play to their personal specialties.
2. Establish team spirit, let them make achievements in collaborative work and give full play to their personal strength. Let everyone participate in management to enhance their sense of responsibility and ownership.
Seven, do a good job of information transmission and file arrangement.
As head nurses, we should play a connecting role. Every time I attend the morning meeting on the second day of the hospital meeting, I will convey the content and the department staff will sign in. Classify and store the distributed documents for easy reference.
The general practitioner's thoughts are synchronized with the hospital and actively integrated into the hospital culture construction.
Eight, to carry out the cost-benefit study of nursing.
Article 3 Training Plan for Orthopedic Nursing Staff
In the new year, with the improvement of department conditions, higher requirements are put forward for nursing work. We should take this opportunity to pay close attention to the quality of nursing service, strictly implement rules and regulations, strengthen professional and technical training and build a high-quality nursing team. Around the overall goal of the nursing department, orthopedics has formulated the following work plan:
First, highlight professional characteristics and build a nursing brand.
As a professional and technical industry, it is the top priority of orthopedic nursing to find a correct position in opportunities and challenges and take the road of professional construction. The department focuses on training two responsible nurses to guide patients to carry out functional exercise. Further improve the means and methods of functional exercise guidance and adopt various forms of education to achieve results. It is planned to spend XX years on functional exercise for common orthopedic diseases, and make a book with color pictures to let patients better understand the significance and methods of functional exercise.
Second, do a good job in quality management.
1, in view of the difficulties and key issues in nursing work, set the work focus, and insist on integrating the humanistic nursing concept of "patient-centered" into more practical and specific work details.
2. Carry out, permeate, run through and implement standardized nursing quality standards in the whole work of each nurse, so as to make nursing quality management rule-based and form a virtuous circle.
3. Evaluate the nursing quality from the patient's point of view, and take the patient's satisfaction as an important index to evaluate the nursing quality, so that patients can really benefit from quality management.
Third, conduct standardized training.
1, cooperate with the nursing department to establish standardized training for nurses. Nurses with different seniority and ability have different training, so that everyone can develop the habit of active learning.
2. Continue to pay special attention to specialized knowledge training, improve nurses' professional quality, adopt effective learning methods such as nursing business rounds and bedside demonstrations, and improve the form of business rounds. Let experienced old nurses give lectures to new nurses and impart nursing experience. When the concept is vague, let's discuss and solve the problem together.
3. Conduct bedside nursing rounds every day, conduct secondary business study every month, conduct nursing operation demonstration and assessment once a month, and conduct teaching rounds once a month.
4. Encourage all nurses to participate in training inside and outside the hospital, exchange experiences and learn new technologies and knowledge.
Fourth, sort out the nursing process and inform.
1, a reasonable nursing workflow is the basis for the smooth development of daily work. There should be a reasonable workflow to guide the daily work of nurses in basic nursing, specialist nursing and health education. It is planned to refine each link on the basis of the existing workflow of undergraduate course, which is truly in line with the actual clinical work and feasible.
2. Effective nursing notification is necessary for patients to cooperate. We will improve admission notice, posture, treatment, special precautions and specialist rehabilitation.
Five, earnestly implement the "patient-centered" service.
1, complete the change of nurses' concept, and change the past "I want to serve" into "I want to serve". Improve the etiquette and accomplishment of nurses and create their own nursing.
2, "patient-centered" service, specific to every detail of nursing behavior. Establish standards for every work link from admission to discharge.
Sixth, cultivate excellent teams.
1, the advantages of nursing staff in hair department, using advantages to guide their work and give full play to their personal specialties.
2. Establish team spirit, let them make achievements in collaborative work and give full play to their personal strength.
3. Let everyone participate in management to enhance the sense of responsibility and ownership.
Seventh, do a good job in information transmission and document arrangement.
Every time I attend the morning meeting on the second day of the hospital meeting, I will convey the original content, and the department staff will convey and sign in. Store the distributed documents in categories for reference. It is planned to designate a special person to manage these documents. Strive to keep pace with hospital thought and actively integrate into hospital culture construction.
Eight, to carry out the cost-benefit study of nursing.
Avoid the idleness and waste of resources, improve the utilization rate of resources and rationally allocate nursing resources.
Quantitative analysis can provide more health services suitable for social needs with as little manpower and material resources as possible, and achieve better economic and social benefits.