The hospital has set up a nursing quality management committee composed of the director in charge, the director of nursing department and the head nurse, which is responsible for setting the hospital nursing quality management objectives and standards, and implementing nursing quality control and management.
Second, the ward management system:
Ward under the leadership of the director, the head nurse is responsible for the management, ward staff to assist in the management. Keep the ward clean, comfortable and safe, avoid noise, and the staff should walk lightly, close the door lightly, talk lightly and operate lightly.
Third, the rescue work system:
The rescue work of critically ill patients is generally organized and presided over by department directors and chief physicians. In the absence of the director, the doctor with the highest professional title shall preside over the rescue work, and special patients or patients who are rescued by interdisciplinary cooperation shall report to the medical department in time so as to organize relevant departments to jointly carry out the rescue work.
Four, grading nursing system:
Graded nursing refers to the different nursing levels determined and implemented by medical staff according to the patient's condition and self-care ability during hospitalization, which are divided into four levels: super nursing, first-class nursing, second-class nursing and third-class nursing, and marked.
Five, nursing succession system:
Medical staff must dress neatly, hand in shifts on time, and it is forbidden to be late, leave early or leave their posts without permission. On-the-job time must perform their duties to ensure that all treatment and nursing work are carried out accurately and timely.
Six, check the system:
Office nurses and responsible nurses check the doctor's orders every afternoon, check all kinds of treatment cards with the doctor's orders, and record the check results in the check register and sign it.
Seven, drug delivery system:
Any treatment should be carried out according to the doctor's advice. Generally speaking, verbal orders should not be carried out. Dispensing and administration should be carried out at the time specified by the doctor's advice, and the administration should not exceed 30 minutes in advance or later, so as not to affect the curative effect.
Eight, nursing rounds system:
Presided over by the director of nursing department, attended by the head nurse and the director of nursing department more than once a month, with special topics, focusing on the quality of nursing management, the implementation of post responsibility system, rules and regulations, service attitude, the implementation of nursing work plan and nursing teaching.
Nine, patient health education system:
Nurses should give health education to each hospitalized patient. Health education should run through the nursing process and carry out patient education in strict accordance with the procedures of health education. According to the classification of health education, outpatient education, inpatient education, discharge education and community education are given respectively, and the skills of health education, including nurse-patient relationship skills, nurse-patient communication skills and behavior training skills, are mastered and correctly used.
Ten, nursing consultation system:
In case of nursing problems that cannot be solved by this major, wards or departments should organize cross-ward and multi-professional nursing consultation. The nursing department is responsible for coordination when necessary.
Eleven, ward disinfection and isolation system:
Wash your hands before and after all kinds of diagnosis, treatment, nursing and disposal, and it is necessary to soak them with disinfectant. During aseptic operation, aseptic operation specifications should be strictly implemented.
Twelve, nursing safety management system:
Smoking is prohibited in the ward, and all electrical equipment, alcohol lamps and open flames are prohibited to prevent fire.
Thirteen, nursing errors, accident reporting system:
Each ward should establish a register of errors and accidents. I will fill in the registration form of errors and accidents in time. The head nurse organizes discussion and summary in time. The parties concerned shall report the process, causes and consequences of the accident to the head nurse and nursing department within the specified time, and register them.
Fourteen, patient identification system:
Before blood collection, drug administration or blood transfusion, the patient identity check system must be strictly implemented, and at least two identification methods (bedside card, wristband and two-way check) must be used.
Fifteen, to prevent patients from falling, falling bed management system:
Patients who are weak and need help to walk or sit in wheelchairs; Life can not be completely self-care and there is no special person to take care of patients; Old people and babies are unconstrained or invalid bound patients.
Sixteen, to prevent patients from falling out of bed plan and processing flow:
According to the standards of nursing department, when new patients are admitted to the hospital, the high-risk patients with risk factors of falling and falling out of bed are evaluated according to the Evaluation Form of Accident Risk Factors for Inpatients, and corresponding preventive measures are taken.
Seventeen, pressure sore prevention system:
Protect the skin, avoid local long-term oppression, establish a turn-over card, and encourage and assist patients to turn over within Q2h; Protect the carina and support the body gap; Avoid dragging, pulling and pushing when patients turn over and carry, and prevent skin damage; For patients who stay in bed for a long time, the bedside should be raised < 30 degrees to reduce the occurrence of shear force. For patients who use plaster, splint and traction, the padding should be flat and soft.
Eighteen, pressure sore prediction management system:
In the process of nursing, nurses in high-risk groups such as old age, emaciation, edema, paralysis, incontinence, coma and long-term bed rest should strengthen nursing measures to prevent pressure ulcers, establish turn-over cards, and carry out key nursing and monitoring.