Time flies so fast, always passing by inadvertently. Our work will be enriched in busyness and harvested in joy. It’s time to make a work plan for the next stage of work, and write What issues need to be paid attention to in the work plan? The following is a sample work plan for orthopedic specialist nurses in 2022 that I have collected for your reference. I hope it can help friends in need. Work plan for orthopedic specialist nurses 1
1. Study quality control standards
Standards are the basis of quality management and the scientific basis for the implementation of quality control. The head nurse organizes all nurses to study nursing seriously In accordance with the quality control standards of the department, key coaching was given to the five team leaders. Each group then conducts in-depth discussions to achieve the goal of everyone mastering the quality control standards, using the standards as a guide to strictly self-discipline in work, and using the standards as a criterion for objective evaluation during inspections.
2. Implement quality control
Each team leader shall flexibly arrange time according to the shifts of the team members and the actual work of the ward, and conduct inspections of the quality control projects they are responsible for once a week. , there is no scoring during the inspection, only existing problems are recorded in detail. The responsible person exchanges opinions in person during work and corrects them in time; when the responsible person is not on duty, general defects will be corrected by the quality control nurse and then explained to the responsible person, and serious defects will be reported immediately The head nurse and the responsible person will promptly return to the department to resolve the matter on site. Problems that occur more frequently are included in the general nursing quality control meeting for analysis and evaluation, and nurses who make more mistakes are listed as key targets for counseling, and training and assessment are strengthened to improve professional skills. A nursing quality evaluation meeting is held at the beginning of each month. Each quality control team leader reports on their respective inspections last month. The head nurse gives feedback on the quality inspections of the department and nursing department last month. They discuss the existing problems collectively, formulate and implement rectification plans, and then Enter the next round of self-examination and self-correction, and so on.
3. Evaluation of quality control methods
Each quality control member establishes a self-examination book, and the standards for this inspection are recorded on the homepage. Reflect the contents of the weekly inspection. The head nurse gives an evaluation to each quality control personnel, praises the good ones, and includes the unfinished ones in the nurse quality assessment score. The nursing quality inspection scores before and after the implementation of all-staff quality control (before and after April 2012) were significantly improved, and problems were gradually reduced, and the quality of nursing care was continuously improved. Through the participation of all staff, nurses' quality awareness can be enhanced, they can proactively find solutions and methods to problems, and transform passive management into participatory management. Implementing full staff control and full process control has steadily improved the quality of care.
4. Summary
Nurses are directly responsible for the quality of nursing care. All staff participate in nursing quality control. Everyone uses pressure as motivation to consciously learn quality control standards and continuously improve quality control. Skills, pay attention to self-management, self-correction, and self-improvement when performing various nursing operations, so that quality management is in a state of high self-discipline. Work plan for orthopedic specialist nurses 2
1. Resolutely implement the hospital's rules and regulations, clarify management responsibilities, and ensure the effective implementation of various work systems.
1. Based on the current work model of the department, continue to improve the work systems, work processes, job responsibilities and performance appraisal standards for each class of staff at all levels in the department, and implement them conscientiously. A three-level rotation management system of department director-attending physician-resident is implemented in the department to ensure the accurate implementation of hospital systems, responsibilities and procedures, improve medical quality, close the doctor-patient relationship, and ensure medical safety.
2. In accordance with the requirements of the hospital, conscientiously implement the specific contents of comprehensive target management, implement the target management responsibility system, strictly manage and implement strictly, strengthen process management and link control, and successfully complete various work indicators.
2. Strengthen self-learning, strengthen self-management capabilities, improve medical quality, and ensure the smooth development of the department.
1. Under the leadership and guidance of Department Director Chen Jinghui, following the reform of the learning model in 20xx, we will continue to do a good job in business learning after ward rounds every Monday, which will be conducted by the attending physician and resident physician in turn. The director and deputy director provide detailed guidance, discuss difficult cases in the department, understand the condition, formulate surgical plans, and discuss surgical procedures.
2. In line with the service idea of ??"taking patients as the center and improving the quality of medical services", treat patients with a kind attitude and correct style at work, be careful in receiving patients, be patient in treating patients, and be patient with patients. Explain, be more comforting, more understanding, more warm, and more helpful to improve the service quality of the department, close the doctor-patient relationship, and promote the quality of medical care.
3. The department establishes a quality control team and establishes a practical quality control plan and regular effect evaluation system, so that the department’s three-level ward rounds, consultations, difficult case discussions and other tasks can be implemented, so that all tasks can be implemented Medical quality is fully guaranteed.
4. Educate medical staff to clarify the importance of the job responsibility system, improve the department's rules and regulations, and inspect various medical conditions and the implementation of the job responsibility system from time to time. Establish medical defect prevention measures based on continuous improvement and treatment of existing problems at work, implement a medical defect accountability system, and educate medical staff to put medical safety first.
5. Strengthen the management of medical documents and standardize, standardize and detail medical documents. Regular spot checks will be conducted, and deficiencies will be reported promptly in morning meetings. With the development of electronic medical records, the writing quality will be timely, accurate, and timely to ensure the integrity of medical records.
3. Strengthen your own learning, improve your professional level, and do continuing education.
1. With the deepening of the aging society, osteoporosis has gradually become one of the important goals that plagues the quality of life of the elderly population. Continue to treat osteoporotic bone disease and establish follow-up files to provide scientific research Do a good job of collecting information.
2. In order to improve the quality of medical care, it is planned to continue to send 1 to 2 key personnel from the department to Zhengzhou, Nanchang and other hospitals for further study in 20xx, focusing on acupuncture, rehabilitation, and massage.
3. Implement hierarchical training according to the structural level of the department’s existing staff. Resident doctors should combine their own positions to cultivate professional technical knowledge and skills, master professional skills, participate in scientific research projects, and be able to solve more complex problems. Complex and difficult diseases; attending physicians must closely integrate their own majors and increase new theories, new technologies, and new methods in their professional skills through self-study, off-the-job learning, and hospital training. The deputy directors and chief physicians must strictly control quality. We should guide the overall development of junior technical personnel and find ways to improve the professional quality of professional teams.
4. Pay attention to scientific research training, increase scientific research strength, instill scientific research awareness, continue to do a good job in applying for scientific research projects and writing papers, so that orthopedics can be at the forefront of the hospital and win honors for the department and individuals.
4. Strict teaching management.
1. Composition of teaching staff: In 20xx, with the strong support of the hospital leaders, our department currently has 8 physicians, including 1 deputy chief physician, 1 attending physician, and 3 resident physicians. name.
2. Based on the composition of the department team and professional titles, set up a teaching team and a chief teacher. The department director will personally check and complete the teaching tasks in a serious and responsible manner.
5. Lead by example and do a good job in medical safety management.
1. Conduct medical safety education and relevant laws and regulations for general medical staff, standardize the practice of medicine in accordance with the law, strictly implement personnel access and technical access, and regularly organize lectures, training, and training on the prevention and handling of medical disputes. take an exam.
2. Strengthen medical safety precautions, start with controlling medical defects, strictly implement the "Medical Disputes, Medical Accident Handling and Liability Accountability System", sum up experience from medical accidents and disputes that have occurred in other hospitals, and continue to make progress .
3. Starting from the control of medical defects, patients with difficult problems, iatrogenic injuries, special, critical, serious complications, and potential disputes should be reported to the department director at any time.
4. The department holds regular medical safety meetings to report potential safety hazards in the department, summarize experiences, and prevent medical disputes and accidents.
6. Work assumptions.
1. Carry out minimally invasive treatment and research on the spine.
2. Establish an orthopedic rehabilitation center to train professional orthopedic rehabilitation exercisers.
3. Continue to send key staff of the department to Zhengzhou, Nanchang and other hospitals for further study;
4. Explore effective methods of osteoporosis treatment, do a good job in comprehensive management, and innovate osteoporosis Exercise, do a good job in patient diagnosis, treatment and follow-up, and lay the foundation for scientific research;
5. Create a pain-free ward, achieve pain-free management, and create a good medical atmosphere.
In the hard work, we have gone through 20xx. In the spirit of "patient-centered", we have brought light to patients and brought the gospel of life. At the same time, in 20xx, we have given a positive attitude to all orthopedics departments. For medical staff, the greater joy is that while ensuring the quality of medical care, they have successfully completed the comprehensive goals for 20xx. I hope that in 20xx, our Department of Orthopedics and Traumatology will improve scientific education and research under the management of medical quality and medical safety. ability, strengthen the "three basics" training, and continue to exceed the target and successfully complete various comprehensive target management tasks. Work plan 3 for orthopedic specialist nurses
1. Strengthen the construction of nursing services
(1) Optimize the service concept
Cultivate nursing staff to establish "patient-centered" The concept of the patient's needs as the first need, the patient's interests as the first consideration, and the patient's satisfaction as the first criterion. Strengthen proactive service awareness, quality awareness and safety awareness, and improve nurse-patient communication skills on the basis of further standardizing nursing operations, thereby improving the quality of nursing care and ensuring the safety and effectiveness of nursing work. Pay attention to collecting information on nursing service needs, obtain patient needs and feedback information, often listen to doctors' opinions, promptly propose improvement measures, motivate nurses to work, mobilize their enthusiasm for work, and provide truly proactive services both in thought and in action. Apply the service concept of "Serve with Heart, Create Touch" into actual work.
(2) Optimizing service measures
1. Taking three good and one satisfaction as the starting point, in order to facilitate patients' medical treatment, nursing staff are required to come to work fifteen minutes in advance, which facilitates patients' medical treatment and shortens the time patient waiting time.
2. Carefully carry out daily management of general outpatient clinics and specialist outpatient clinics, and guide nurses to coordinate and properly handle idiopathic situations in a timely manner.
3. Resolve conflicts between doctors and patients in a timely manner, find ways to provide convenience to patients in need, and resolutely achieve zero complaints.
4. Carefully maintain the indoor and outdoor environmental sanitation of the outpatient clinic, and actively create a clean and comfortable treatment environment for patients.
5. Provide family services to patients, strengthen communication with patients, and try our best to meet the special needs of patients with special requirements; provide green channels for patients who miss their appointment time due to force majeure reasons to ensure Let every patient feel the high-quality nursing services of the orthopedic clinic.
2. Strengthen the construction of nursing management
(1) Nursing human resources management
1. Establish an emergency nursing human resources allocation system and strengthen the management of vacation and rotation personnel Management, trial the rotational shift preparation model, that is, rotational staff shoulder the duty of duty preparation, which can be used as supplementary medical force to deal with emergencies.
2. Implement on-the-job continuing education, training and evaluation of nursing staff, encourage on-the-job staff to further their studies, ensure the study time of on-the-job staff, and continuously improve the overall nursing level of the department.
3. Manage key employees, such as rotating nurses and newly admitted nurses, educate them on legal awareness, improve their awareness and ability to resist risks, and designate employees with clinical experience and strong sense of responsibility. Nurses with nurse qualifications serve as teachers to develop communication skills, clinical operation skills, etc.
(2) Nursing quality management
1. Standardize nursing behavior according to the hospital system documents and "Basic Nursing Service Work Standards", "Common Clinical Nursing Technical Service Standards", etc., and ensure high quality Nursing services are implemented in place. Patient and medical staff satisfaction is high. Nursing staff understand the goals and connotation of high-quality nursing services, and the mastery rate reaches 100%.
2. There are routine care for critically ill patients, close observation of the patient's vital signs and changes in condition, nursing measures in place, effective patient safety measures, and standardized records.
3. Implement the check-up system, correctly provide nursing services in accordance with doctor's orders, and observe and understand patient reactions in a timely manner.
4. Ensure the effective use of instruments, equipment and rescue items. Nursing staff skillfully use infusion pumps, syringe pumps, monitors, electrocardiographs, aspirators and other commonly used instruments and rescue equipment in accordance with the usage system and operating procedures. There are plans and measures to deal with unexpected situations that may occur during use.
(3) Nursing safety management
1. Establish a verification system to identify patients. In diagnosis and treatment activities, the "checking system" is strictly implemented, and at least the patient's name and patient number are used to check the patient's identity to ensure that the correct diagnosis, treatment and operation are performed on the correct patient.
2. For common emergencies and complications in clinical care of customers, nursing operations and handling specifications must be formulated to ensure safety through systems and prevent medical accidents.
3. A system for actively reporting nursing safety (adverse) events and hidden danger information, and improvement measures in place. The nursing staff's grasp of the nursing safety (adverse) event reporting system reaches 100%.
(4) Continuously improve the professional quality of nursing staff
1. Strengthen specialty construction, improve the professional quality of nursing staff, organize specialist theoretical and operational assessments on a regular basis, and improve nurses' ability to deal with problems.
2. Encourage and lead nurses to write papers, actively participate in various academic activities, master cutting-edge information in the medical field, learn new technologies and projects, and continuously improve professional theoretical levels.
3. Cooperate with the Nursing Department to establish a standardized training system for nurses. Nurses with different seniority and abilities are provided with different trainings, allowing everyone to develop the habit of active learning and continuously add value to themselves, thereby overall improving the overall professional level of orthopedics.
3. Strengthen the construction of hospital infection management
(1) Require nursing staff to strictly follow the relevant requirements of hand hygiene in clinical diagnosis and treatment activities, with an accuracy rate of 100% and hand hygiene compliance ≥95, hand washing accuracy ≥90.
(2) Gloves must be worn when coming into contact with blood, body fluids, secretions, excreta and other substances as well as items contaminated by them. The mastery rate of medical staff on occupational protection and occupational exposure management has reached 100%.
(3) Organize general nurses to study the "Guiding Principles for Occupational Exposure Protection of HIV for Medical Workers" and the "Regulations on AIDS Protection", and formulate an occupational exposure reporting system, occupational exposure prevention measures and specific measures after occupational exposure. Handling measures and procedures. Work plan for orthopedic specialist nurses 4
1. Conscientiously implement various rules and regulations
Strict implementation of rules and regulations is the fundamental guarantee for improving the quality of nursing and ensuring safe medical treatment.
1. The Nursing Department reiterated the responsibilities of nursing staff at all levels and clarified the responsibility system and nursing work system for various positions. For example, responsible nurses and circulating nurses should perform their duties to prevent patients from changing their own sling bottles. The undesirable phenomenon of self-pulling needles.
2. Adhere to the check-up system:
(1) Require medical orders to be checked every shift, and the head nurse will participate in the total check 1-2 times a week and keep records;
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(2) Three checks and seven pairs are required during nursing operations;
(3) Persistence in filling in the infusion card, no major nursing errors have occurred in the past year.
3. Conscientiously implement orthopedic nursing routines and microsurgery nursing routines, insist on filling in various information data registration books, and equip five operation trays.
4. Adhere to the bedside handover system and morning care to prevent complications.
2. Improve the management level of the head nurse
1. Adhere to the recording and assessment of the head nurse's handbook: The head nurse's handbook is required to be submitted to the nursing department for assessment before the 5th of each month, and the head nurse's handbook shall be submitted to the nursing department for assessment according to the nurse's manual. The annual plan, quarterly arrangement, and monthly plan that are suitable for the department are specially formulated to focus on supervising the implementation and monitoring the implementation effect. The head nurse is required to make a brief summary of the monthly work to facilitate summarizing experience and carrying out work.
2. Adhere to the head nurse regular meeting system: According to the requirements of the graded hospital, a regular meeting of the head nurse is held once a week. The content is: arrange the focus of this week’s work, summarize the advantages and disadvantages of last week’s work, and propose corresponding rectification measures, feedback on the nursing quality control inspection situation to each head nurse, and learn relevant information about head nurse management.
3. Check the quality of nursing care every month and provide timely feedback to continuously improve the management level of the head nurse.
4. Organize head nurses to go out to study and visit, learn from the advanced experience of brother units, and expand their knowledge: At the end of May, the head nurses of the three wards were sent to participate in the international nursing new progress study class. After the study, they The nurse reported.
3. Strengthen the construction of medical ethics and medical style among nursing staff
1. Continue to implement the nurses’ behavioral norms and implement 50 sentences of nurses’ civilized language in daily work.
2. Organize all nurses to participate in etiquette training at Wenling Hotel and Wanchang Hotel in June and November respectively.
3. Continue to carry out health education, issue satisfaction survey forms to inpatients, (regular or irregular assessment) satisfaction survey results are all above 95, and raise issues existing in the satisfaction survey Corrective measures were taken and nurses were selected.
4. The department holds a regular work break symposium once a month to solicit the opinions of patients and provide adequate satisfaction to the patients’ requirements.
5. Conduct pre-job professional ethics education, rules and regulations, nurse behavioral standards education, and basic nursing knowledge, specialist knowledge, and nursing technology operation assessments for newly assigned nurses. Those who pass the job will be given the job.
4. Improve the professional quality of nursing staff
1. Conduct three-based training for in-service personnel and organize theoretical examinations.
2. Cooperate with the medical department and hire experts to teach orthopedics, internal medicine, and surgery to improve professional knowledge.
3. Each department will ask questions 1-2 times a week in the morning, covering basic theoretical knowledge and orthopedic knowledge.
4. A nursing technology operation competition (sterile operation) was held on "Women's Day", and the first prize (Wu xx), second prize (Li xx, Tang xx), The third prize (week xx) was awarded respectively.
In May and early December, the Nursing Department conducted a nursing technical operation assessment for all nurses in the hospital:
Ward nurse assessment: intravenous infusion, oxygen inhalation; Emergency room nurse assessment: cardiopulmonary Resuscitation, oxygen inhalation, gastric lavage; operating room nurse assessment: intravenous infusion, aseptic operation.
6. Strengthened the care of critically ill patients and adhered to the bedside handover system and morning care.
7. Adhere to the nursing business rounds: Carry out nursing business rounds in three wards every month, and discuss nursing diagnosis and nursing measures to achieve the purpose of improving professional quality.
8. From September to November, pre-job training was conducted for 9 new nurses who entered the hospital this year. The content was basic nursing and specialist nursing knowledge. The head nurse was organized to give a class for each head nurse to improve their skills. Teaching ability.
9. There are 5 nurses in the hospital taking the self-study examination for nursing college, and 3 nurses taking the nursing college correspondence course.
5. Strengthened nosocomial infection management
1. Strictly implemented 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. In summer, high-risk departments such as operating rooms and outpatient operating rooms conduct secondary air culture every month to ensure There was no case of infection in the sterile incision.
3. The department insists on carrying out ultraviolet disinfection of the treatment room and dressing room every month, and records that the ultraviolet lamp tubes are dusted with absolute alcohol every week, and records that the ultraviolet light tubes are disinfected every two months. Strength is monitored.
4. After use of disposable products, all wards, operating rooms, and emergency rooms can be destroyed in time, soaked, concentrated, and regularly inspected and supervised. Regular testing and inspection of various disinfectant concentrations should be carried out in the morning. One bed, one middle and one wet sweep.
5. The treatment rooms and dressing rooms of each ward can adhere to the mopping of disinfectant solution (1:400 disinfectant) twice a day, and the floors in the wards are regularly mopped with disinfectant solution (1:400 disinfectant). Ling) The bed sheets of discharged patients were terminally disinfected (bedside tables were cleaned and wiped with disinfectant).
6. The operating room strictly implements hospital dyeing management requirements, and chemical indicators are used in the sterile bag.
7. The supply room has established a monitoring record book for disinfection items, and regular monitoring of each disinfection item has been carried out.
6. The nursing staff completed the nursing work well
1. Adhering to the purpose of taking the patient as the center, quality as the core, and providing quality services to patients, and carried out in-depth Patient-centered health education, through the distribution of health education manuals and through the words and deeds of nurses, allows patients to familiarize themselves with disease prevention and treatment, rehabilitation and related medical treatment, nursing and self-care knowledge.
2. In August, a holistic nursing model ward was launched in the three wards. In addition to teaching patients about disease prevention and recovery, nurses in the three wards also went to the wards to talk to the patients
3. Throughout the year, 2,357 inpatients were admitted, 125 were kept under observation, and 2,380 operations were performed in the operating room. Emergency nurses provide full services to emergency patients, including escorting patients to take X-rays, doing B-ultrasound and electrocardiogram, accompanying patients to go through admission procedures, and sending patients to the operating room. Responsible nurses and circulating nurses are fixed in the three wards, so that patients can get Attentive service.
4. The nursing staff of the hospital wrote 30 nursing papers, one of which participated in the third national orthopedic nursing academic exchange, 3 of which participated in the academic exchange in Taizhou, and 2 of which participated in "Contemporary Nurses" The xxth National Nursing Academic Exchange.
7. 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 small number of nursing staff, basic care is not in place. For example, patients in first-level care cannot receive services from first-level nurses, which is second only to daily work.
4. Ward management is still unsatisfactory.
In the past year, due to the attention, support and help of the dean, the nursing work has strengthened internal management and external image, and has achieved certain results in the construction of nursing quality and professional ethics, but there are also certain shortcomings that need to be further improved. improve.