Ward management includes not only the organization and implementation of medical and nursing technical work, as well as administrative and life management, which is a subtle and complex work. The purpose of strengthening the management of the ward, mainly in the ward to maintain a normal order and a good environment conducive to medical, nursing, research and teaching. The content of ward management mainly includes: the patient's hospitalization management, visiting and accompanying management, meal preparation management, health isolation management, ward material and equipment management, medical and nursing technology management, medical staff's work organization and management, ward environment management, and so on.
1. Ward staff management. In order to make the ward work can be normal operation, first of all must be the ward medical, nursing, labor all kinds of personnel for reasonable division of labor and scheduling, so that the work closely cooperate with each other, there is a division of labor, there is cooperation. Nursing staff to strengthen business learning and training, regular inspection, assessment and evaluation.
2. Ward management. Ward nurses should take the initiative to warmly receive patients, introduce to patients the rules of hospitalization and the relevant wards, and assist patients to familiarize themselves with the environment. Nurses should take the initiative to understand the condition of the patient and the patient's psychological state, close the nurse-patient relationship, and encourage patients to establish confidence in the fight against disease. The head nurse is responsible for soliciting patients' or family members' opinions on medical treatment, nursing care, diet and service attitude. In order to ensure the normal progress of medical and nursing work, and to enable the patient to get sufficient rest and timely treatment, the strict implementation of the escort system, educate family members and relatives to comply with the visiting time and requirements.
3. Management of goods, equipment and medicines. In order to adapt to the management of medical and nursing operations, the ward should always maintain a certain number of items, such as precision instruments, equipment, medicines, furniture, bedding, tableware, medical forms and general living supplies. Requirements for the supply of timely, convenient medical rescue, reduce busyness and waste, should establish a sound management system.
(1) goods management. Items should be planned to receive, that is, to ensure that the need to do not backlog, no waste, no loss, no damage, the custodian to master the management of items, strengthen the management of the warehouse, the establishment of a register of entry and exit, the items placed neatly, to prevent insects and rodents to bite bad.
(2) medical equipment management. Instruments and equipment should be kept by specialized personnel, because placed in a fixed location, regular maintenance, and has a file of instruments, often to maintain the performance intact to adapt to the emergency needs.
(3) drug management. Ward standing drugs and highly toxic drugs to be managed separately, special custody, fixed quantity and location, with marking, accounts, the issuance of drugs to establish a checking system, accurate.
4. Nursing technology management. Nursing technology management is an important symbol to measure the level of hospital management, the core of which is the quality of nursing business. The quality of nursing business directly affects the medical effect. With good nursing technology management to ensure the quality of care, improve work efficiency. Nursing technology management includes: the development of nursing standards, technical operation procedures, disease care routine, rules and regulations, new business, new technology management methods and measures to prevent cross-infection. As well as the management of nursing information files.
The method of ward management
1. institutionalized management. It is a method of management using various ward systems. Ward management system is the medical care of medical staff behavior of the provisions of the medical care; the requirements of patients and their families; diagnosis and treatment of the whole process of prevention of medical events may occur, as well as to clarify the responsibilities of all levels and types of personnel positions, etc., on the key system, such as medical record writing, emergency rescue, pre-operative discussion, room visits, consultation, check, shift handover, difficult cases discussion, death case discussion, disinfection, isolation system, etc., and should often check the implementation of the system to make sure that the implementation of the system is strictly enforced. And should often check the implementation, so that the management system plays a role in maintaining the normal operation of medical work and regulating the behavior of personnel. Institutionalized management of the basic requirements to strengthen the educational work: so that medical personnel fully understand the importance of the implementation of the system, the need; rewards and punishments, persistent: the nursing work should be done in accordance with the rules, according to the rules of the work, meticulous, strict management. And should often carry out inspection and evaluation, to achieve clear rewards and penalties; relative stability, can not be changed from one day to the next: any system is only relatively stable, people get used to it, in order to give full play to the role of frequent changes, even if it is a reasonable system, but also can not achieve the desired results. If after a period of practice, with the change of circumstances, the emergence of imperfections or should be modified.
2. Specification management. Good diagnosis and treatment environment, facilitate the work of a variety of settings, so that health care, patients **** in the mediation of both sides of the emotions, conducive to the diagnosis and treatment of the atmosphere is an important condition for the smooth progress of diagnosis and treatment. Specification management is the ward room layout, equipment, beds and indoor goods and appliances are in accordance with uniform specifications, uniform furnishing requirements set and arranged to achieve the equipment, goods four fixed (fixed specifications, quantity, location, person in charge), with a neat and tidy, easy to work, reduce the affairs, eliminate waste, health care coordination and improve efficiency and other advantages. Specification to focus on three aspects of work:
(1) architectural design unity: doctors' offices, nurses' stations, disposable rooms, changing rooms, specialized instrumentation examination rooms, isolation rooms, laboratories, with meals, bathrooms, washrooms, goods stores, toilets and so on should be unified specifications. New hospitals should be in the architectural design is to carry out integrated planning, has been built in the hospital to set up aspects of the transformation.
(2) ward equipment unification: ward equipment required for the number of instrument cabinets, medicine cabinets, disposal table, medication carts, medication carts, treatment carts, case carts, desks, chairs and other equipment, style, specifications should be unified, the location should be fixed.
(3) ward items uniform: ward beds, bedside cabinets, small stools, curtains, call lights, kettles, drinking cups, basins, slippers, spittoons, and other items of equipment number, style, specifications to be uniform, furnishings placement location to be uniform, bedside cards and number to be uniform.
3. Procedural management. Hospitalization diagnosis and treatment process is the implementation of diagnosis and treatment of the human body, its own invasive, in lifting the patient's illness and disease at the same time also bring injury, treatment at the same time there are some side effects, individual diagnostic and treatment behaviors vary greatly, some diagnostic and treatment measures have blind, diagnosis and treatment of judgment standard mastery also has arbitrariness, so we must standardize the standard of medical technology, to reduce the arbitrariness, to improve the conscientiousness, to ensure the quality of health care, and to achieve health care safety. Procedural management is in accordance with the medical and nursing procedures for ward management. Special is to ensure the normal operation of clinical medical care work, reduce random scheduling, improve the quality of medical and nursing care is one of the effective methods.
Medical technology method standards are mostly principle provisions, such as the diagnostic standards of various diseases, treatment principles ......, medical technology operation standards, is the actual technical operation of the procedural requirements and quality requirements, such as the general technical operation routines of the various sections, the specialties diagnosis and treatment technology operation routines. Medical technology specifications should be combined with the actual hospital and the operation of the key links to make clear and clear program provisions. The development of work procedures should include from the chief physician to interns, from the head nurse to intern nurses, nursing and hygienists and other different levels of personnel weekly and daily work procedures. For example, clinical nursing procedures include: collecting information, assessing nursing needs, setting nursing goals, implementing nursing plans, and evaluating the effectiveness of nursing activities. Centralized patient resuscitation if you can follow the procedure, it can reduce the busyness and improve the efficiency of resuscitation.
4. Ward standardization management. Medical and nursing work should have a scientific standard, according to the standard work can reduce randomness, ensure medical and nursing quality, improve efficiency. Such as the development of a variety of disease diagnosis, treatment, care standards, discharge standards, transfer standards, surgical grading standards, nursing level standards.