First, strengthen the on-the-job education of nurses and improve the comprehensive quality of nursing staff.
(a) in accordance with the standardized training of nurses and nurses in-service continuing education implementation plan, do a good job in the training and assessment of nurses' "three basics" and specialist skills.
1, focusing on strengthening the assessment of new nurses, hired nurses and junior nurses, and strengthening the awareness of learning. The nursing department plans to strengthen basic nursing knowledge in the first half of the year and increase the number of examinations until it reaches the standard.
2. Strengthen the training of specialized skills: each department formulates the assessment plan of specialized theory and skills training within the cycle, and organizes 2-3 examinations every year. Theoretical examination should have examination papers, and the head nurse should organize a closed-book examination, which requires practical results and is not a mere formality, laying a solid foundation for training specialist nurses.
3. Basic skills assessment: Nurses who are standardized training objects must all meet the standards in 16 basic skills during the year, and the assessment needs to be randomly tested in actual work. Nurses at other levels plan to arrange an operation exam and two theoretical exams.
4. Strengthen the study and mastery of relevant knowledge, organize a practical assessment of rules and regulations, combine theoretical assessment with clinical application, and check the compliance of implementation.
(2) Strengthen the study of humanistic knowledge and improve the overall quality of nurses.
1, organize the study of hospital service etiquette culture, strengthen nurses' awareness of modern nursing culture, discuss it at the head nurse level first, and then carry out quality improvement activities in the whole hospital after reaching the knowledge of * * *, and formulate training plans and specific implementation plans.
Arrange lectures in the whole hospital and try to learn nurses' social etiquette and professional service etiquette by sending them out and inviting them in. Carry out a nurse etiquette competition, use the "5. 12" Nurses' Day to set off an activity month of learning etiquette and stressing literacy, and organize an entertaining holiday party.
(3) update professional theoretical knowledge and improve the technical level of specialized nursing.
The development of nursing level and medical technology is unbalanced, and the head nurses in various departments organize to learn professional knowledge. In case of developing new technology projects and special diseases, we can update our knowledge and skills by inviting doctors to give lectures, searching documents, organizing nursing rounds by the nursing department, and discussing nursing consultations. At the same time, some nurses are sent out for further study in a planned way to improve their academic level.
Second, strengthen nursing management and improve the management level of head nurses.
(1) A hospital head nurse management class was held at the beginning of X, mainly to update the management concept, management skills and humanistic spirit in nursing service, the current social demand for nursing service, the prospect of nursing work in the new year and the emotional exchange of head nurses.
(2) Strengthen the assessment of head nurses' target management, combine monthly assessment with year-end assessment, and link the nursing quality of departments with the assessment of head nurses.
(3) Promote the exchange of learning between head nurses and departments, organize mutual inspection of nursing quality every quarter, and hold an exchange meeting of head nurses' work experience to improve the level of nursing management.
Third, strengthen the process control of nursing quality to ensure the safety and effectiveness of nursing work.
(1) Continue to implement the two-level management system of nursing quality, especially to cultivate and improve the head nurse's ability to find and solve problems, and at the same time give play to the quality control role of the quality control team of the department, clarify their respective quality control points, enhance the awareness of all staff to participate in quality management, and improve the quality of nursing.
(2) Establish inspection, evaluation and feedback system and establish traceability mechanism. Nurses often go deep into various departments for inspection, supervision and evaluation. The evaluation method is to evaluate nurses on the spot, check patients, check records, listen to doctors' opinions, find problems in nursing work and put forward rectification measures.
(3) Further standardize the writing of nursing documents, starting from the details, strengthen the three-level evaluation system of quality controller-head nurse-nursing department for each nursing document, regularly analyze and improve the defects of nursing records, increase the weight of deduction points for defects in discharged medical records, and emphasize that unqualified nursing documents will not be filed. At the end of the year, nursing documents were rated as the first, second and third in the group.
(four) to strengthen the safety management in the process of nursing:
1, continue to strengthen the three-level monitoring and management of nursing safety. Departments and nursing departments conduct monthly investigation of hidden dangers of nursing safety and do a good job in attribution analysis of nursing errors, defects and nursing complaints, analyze the reasons from the perspective of themselves and departments, analyze the lessons to be learned, and put forward preventive and improvement measures. The management and personal responsibility of the head nurse shall be investigated for the departments and individuals with the same recurring problems.
2. Strictly implement the check system, emphasize the second check in place, strengthen the management of nursing students, clarify the responsibility of teachers' safety management, and put an end to serious mistakes and accidents.
3. Strengthen the head nurse's awareness of routine inspection of the hardware facilities of the department, strengthen the performance and safety inspection at ordinary times, timely find problems and maintain them in time to keep the equipment in good condition.
Fourth, deepen family services and improve service quality.
(1) On the basis of training nurses' daily etiquette, further standardize nursing operation terms and nurse-patient communication skills. Cultivate nurses and establish a good professional image.
(2) Pay attention to the collection of nursing service demand information. The nursing department obtains patients' needs and feedback information by understanding the opinions of return visit cards, talking with outpatients and inpatients, issuing satisfaction questionnaires, etc., and puts forward improvement measures in time, at the same time encouraging nurses to work and mobilizing their work enthusiasm.
Five, do a good job in teaching and scientific research
(1) Designate nurses with the title of nurse or above to be responsible for the teaching of interns, hold regular review meetings, and listen to the opinions of teachers and interns.
(2) The head nurses in all subjects are the general teachers, pay attention to the teaching work, regularly check the teaching attitude, sense of responsibility and professional level of the teachers, arrange small lectures, understand the completion of the internship plan, and do a good job in theoretical and operational examinations.
(3) The nursing department should do a good job in pre-job training for interns, check the teaching quality of the next department from time to time, and organize an excellent teaching teacher selection activity before the end of each internship.
(4) Enhance scientific research awareness and strive to introduce or carry out 1-2 new technology projects during the year.
(5) Plan and make the nursing garden network, upload the nursing trends in our hospital, deliver the nursing learning materials in time, give full play to the spatial advantages of local area network, and enrich the study life of nurses.
extreme
The construction of high-quality nursing in hospitals has basically taken shape. The nursing department sets 20xx as the year of deepening high-quality nursing, takes "patient-centered, improving the connotation of high-quality nursing" as the guiding ideology, highlights the characteristics, builds the brand of high-quality nursing, and takes 20xx as the special construction year of nursing, striving to become the target year of fully realizing the management of various work objectives. The first half year of 20xx has passed. In order to successfully realize the annual nursing trilogy, the work plan for the second half of 20xx is formulated as follows:
First, strengthen the construction of nursing connotation and create characteristic high-quality nursing.
1, fully implement the holistic nursing responsibility system.
Continuously improve the nursing process, realize the responsible holistic nursing with humanistic care as the core, implement the hierarchical management of nursing staff, and form a multi-shift echelon of old, middle and young nurses. The post responsibilities of each shift are clear, and the sense of cooperation is strong. Give full play to the experience and advantages of senior nurses in emergency, critical care, health education, clinical teaching, guidance of junior nurses, etc., and ensure continuous, whole-course and holistic care for patients.
2, around the "patient-centered", customized characteristic quality nursing service.
The items and implementation methods of quality nursing in departments depend on the different needs of patients. Nurses should consider patients' needs from psychological, physiological, social and spiritual factors while mastering patients' "Ten Knows", and follow up life help, psychological nursing, rehabilitation guidance and nutrition guidance from every detail, reflecting the functions and functions of nurses in professional nursing, adjuvant therapy, health guidance, communication and coordination.
3. Gradually improve the ability of nursing specialty, which is reflected in the whole process, whole and special aspects of nursing specialty.
With the development of new business and new technology in the department, the nursing team must keep up with the medical rhythm, use the opportunity of business rounds and case discussions, learn, accumulate, update and integrate knowledge, keep pictures of special cases in time, and be good at summing up nursing experience in the department.
4. Implement the whole course of health education, with the coverage rate of health education reaching 100% and the awareness rate reaching over 95%.
Ensure that patients have adequate health guidance before admission, during admission and after discharge, especially during perioperative period, before and after special examination, when the condition changes, and consciously improve nurses' communication ability and inspection awareness to ensure the effect of health education.
5, the implementation of patient satisfaction survey and return visit system, to achieve more than 98% of the department zero complaints.
A questionnaire survey was conducted to investigate the satisfaction of inpatients in departments and hospitals, and a return visit was conducted to discharged patients, with a return visit rate of 100%. The head nurse makes full use of the succession and five rounds to guide the nursing work, and at the same time consciously solicits the opinions of patients and their caregivers to improve the nursing work, so that the coverage rate of patient satisfaction survey in the department can reach 100%.
The second is to pay close attention to the construction of nursing team and conduct targeted management and business training.
1. Pay special attention to the team of head nurses and promote the improvement of management ability.
The nursing department organizes the head nurses to study a series of professional management courses, guides the head nurses to position correctly, and shifts the focus of work from burying their heads in work to raising their heads to train nurses to improve their management ability; Follow up the daily work of the head nurse by checking the department, following the class and checking the head nurse's log to ensure the efficient workflow; Strengthen the assessment of head nurses' moral ability and diligence, publish it every month and summarize it every quarter, so as to encourage head nurses to do their duty and improve their ability.
Give full play to the guidance, cohesion and encouragement of hospital culture, create a harmonious development department, care about the growth of nurses, and the nursing department is in the "5? 12 "Nurses' Day holds fun sports meeting, which enriches nursing life, enhances the sense of unity and cooperation, and also helps to establish a harmonious nurse-patient relationship and enhance nursing value.
2. In terms of training and business learning, the nursing department focuses on the training quality of teaching staff and lecturers in combination with the annual training plan.
Strengthen the training of teachers' educational ability and methods to ensure the effectiveness of teaching; Cultivate teachers' ability through external learning and self-evaluation.
Nursing operation skills This year, we will focus on training clinical necessity, * * and common nursing techniques, and regularly carry out patient rescue simulation drills and various emergency drills. And advocate all departments to actively practice according to needs. The nursing department should count the utilization rate of classrooms in various departments.
The department will check the paper files every month and upload them to the nursing department before the end of the month. The nursing department will conduct spot checks on the departments according to the assessment results and review the learning effect. Evaluate the items and theories of hospital operation competition once every quarter, rank hospitals and ensure the effectiveness of training.
3. Improve the professional and general nursing ability of nurses.
Improve the nursing consultation system, implement cross-departmental consultation and out-of-hospital consultation, especially for critically ill patients with strong cross-disciplinary comprehensiveness, ensure the quality of nursing and improve the general nursing ability; According to the needs of hospital development, the nursing department trains specialized nurses and reserves specialized talents; On the basis of the original pressure sore, static therapy and etiquette group, a news group was added to report the nursing situation of the department in time. Each specialist group should perform their duties, implement the annual plan, and be audited by the nursing department at the end of the year.
Three, a comprehensive refinement of quality control standards, to ensure the effectiveness of inspection.
1, and continuously implement the three-level management system of nursing quality.
The nursing department organizes a nursing quality control team to inspect the nursing quality of the nursing unit in the whole hospital every month, analyzes the inspection results and gives feedback at the head nurse's regular meeting, puts forward improvement measures and arranges their implementation, so as to gradually improve the standardization of clinical nursing quality management. For the departments and individuals with the same recurring problems, the head nurse's relevant responsibilities shall be investigated.
2. According to the 20xx quality control inspection, the checklist was revised, and the item of "quality nursing" was added, which scientifically quantified the nursing service. This year, the examination will be carried out in a more flexible and clinical form in strict accordance with the requirements of the detailed rules of each form, and the nursing department will organize a comprehensive examination every quarter. Pay attention to the effect of first-class quality control, give full play to the role of quality controllers in departments, cultivate strict work habits and sense of ownership of quality control nurses, closely combine quality control with daily work, make norms routine and promote the improvement of nursing quality in departments.
3. Strictly guard against errors and improve the reporting system of adverse events.
Prevent adverse events such as falls, bed falls, pressure sores and surgical complications (deep vein thrombosis, lung infection) in the hospital in advance. Analyze the reasons in time, find out the shortcomings, formulate improvement measures and fully implement them. The head nurse should check the operating standards and norms to prevent nursing errors and responsible persons.
Fourthly, implement jci evaluation standard of 3A hospitals to improve nursing quality.
1. Fully implement the Detailed Rules for the Implementation of Assessment Standards for Level-III General Hospitals, make detailed decomposition one by one according to the nursing clauses involved in the Detailed Rules, check and fill gaps, formulate and implement measures, focus on nursing management and continuous quality improvement, continue to revise and improve the system, quality standards and assessment methods that match the quality of nursing, and regularly check the implementation of plans and various management standards and measures.
2. Establish nursing paths, improve various processes, and ensure that all nursing behaviors have processes and standards.
Under the guidance of the dean, combined with the clinical pathway of the department, the establishment of nursing pathway was completed. Ensure that nursing behavior is standardized, scientific and comprehensive. On the basis of the original routine operation, focusing on the specialized operation process, improve the nursing process of diseases. Strictly investigate guerrilla habits and bad habits, and never let go of any detail in the work.
Continue to consolidate the quality and effect of shift change and ensure the writing quality of the class newspaper. This year, we will continue to start from every link of the head nurse's daily work, refine and guide every work, supervise the daily nursing work pragmatically and realistically, and improve the quality of nursing.
3. Ensure nursing safety and realize error-free nursing.
Nursing safety is the focus of 20xx, so it is necessary to strengthen the monitoring of all links to avoid nursing errors. Strengthen the link monitoring of nurses. Nursing errors and defects mostly occur in new nurses. We must strengthen the management of new nurses and thoughtful and emotional nurses, focus on teaching and supervision, arrange work in strict accordance with the access system, assign the responsibility of teaching and supervision to people, do a good job in the management of new nurses in the risk stage, and reduce nursing disputes and hidden dangers of nursing accidents. Strengthen the monitoring of patients, focus on monitoring and evaluation of key patients, strictly hand over high-risk patients and take measures to prevent accidents; Ensure the safety of the ward from the aspects of theft prevention, fire prevention, water, electricity, doors and windows safety, and ensure that everyone is proficient in emergency plans, be cautious in words and deeds, and pay special attention to weak and risky links.
The year of 20xx is not only a transitional year connecting the past with the future, but also the beginning year of the three-year plan. We must keep up with the development of the hospital, actively learn the cutting-edge nursing knowledge, constantly update and accumulate according to the development of departments, lead the nursing team to achieve the overall goal of "zero errors", strive for perfection in nursing work, and become the brand influence of the hospital.
Tisso
In the new half 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, the work plan is as follows:
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 formulate functional exercises for common orthopedic diseases in the second half of the year, and make a book with color pictures, so that patients can better understand the significance and methods of functional exercises.
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 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, find out 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.
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.
Article 4
In order to further improve the quality of medical care and the professional and technical level of nursing staff. In the second half of 20xx, nursing work should focus on nursing quality, around the hospital development plan, adhere to the service concepts of "patient-centered" and "service, quality and safety", innovate management methods, and continuously improve social satisfaction. After discussion by all nurses, the work plan of nursing department in the second half of 20xx year is as follows:
First, 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. Put all rules and regulations in place, check them regularly and irregularly, 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.
Second, 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, the establishment of inspection, evaluation, feedback system, establish a traceability system.
The head nurse and quality control team 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.
Fourth, strengthen the "three basics" training plan to improve the overall quality of nursing staff.
1. Ask questions twice a week in the morning, including basic theoretical knowledge, specialized theoretical knowledge, nosocomial infection knowledge, etc.
2. Conduct CPR demonstration every quarter, and be familiar with the use of first-aid equipment and instruments.
3. The weekly morning meeting is a small classroom of nursing pharmacology knowledge, and the treatment class collects the instructions of undergraduate current medication and explains the pharmacological effects and precautions for everyone. And ask questions about the core system of the hospital, so that every nurse can master it skillfully and implement it carefully.
4. Review the nursing emergency risk plan regularly and make a simulation demonstration to improve the emergency ability of nurses.