Obstetrics and Gynecology 2023 Work Plan Part 1
20xx, my department in order to further improve the quality of nursing care, improve the attitude of service, to ensure medical safety, according to the work plan of the Department of Nursing, especially the development of the year of nursing plan is as follows:
a. Continue to strengthen the details of the management and the nursing staff of the level of management. management, to ensure nursing safety. 20xx year to take the responsibility of the team leader to take the lead system, the quality control of the work of the division of labor to the person, the responsibility of the person, give full play to the role of the responsibility of the team leader and responsible nurses, in addition to play the role of the responsibility of the team leader and the role of the responsible nurses, some of the day-to-day quality control work will be given to them to enhance the awareness of the participation of the whole department to mobilize the whole department to participate in the management of the department, and effectively improve the awareness of self-management, the end of the year to the Department of the Department of the Department of the external The end of the year on the internal and external inspection problems to summarize, the end of the year scoring of nurses in the whole department, to discuss the improvement, as a reference condition for the evaluation of excellent nurses, to improve the efficiency of the management of the department.
Second, standardize the business checkup, improve the checkup effect. Change the situation in previous years to cope with the room, the nurse in charge of the bed is responsible for the selection of medical records, the real selection of difficult medical records in the department, the responsible nurse is responsible for the discussion of the disease of the doubtful, difficult nursing problems, brainstorming, and put forward solutions to solve the problem to achieve the purpose of improving the level of business, solve nursing problems. At the same time, the process of discussion is also the process of learning, learning the knowledge of specialized diseases, standardizing the nursing routine of specialized diseases, and applying the nursing routine of such diseases to daily work for each standardized specialized disease, so as to gradually improve the standardization of nursing work. The whole department staff participation, we take turns to prepare the lesson, twice a month.
Third, strict disinfection and isolation, prevention of hospital infections
1, abortion room, treatment room, treatment room, radiofrequency treatment room is the prevention of hospital infections is the most important, the responsibility of the team leader responsible for the system and the head nurse is responsible for the way to do a good job of comprehensive quality control work. Strict sterilization and isolation and goods handover management, strengthen the hospital infection control and monitoring work. Through inspection and supervision, comprehensively improve the management of the treatment room, to complete the nursing quality control and management work.
2, standardize the disposal of medical waste, strict disinfection and sterilization. And do a good job of registration.
3, strengthen the ward management, strict implementation of disinfection and isolation system, hepatitis B patients and STD patients and fever patients in the room line outside the line of air disinfection, patients discharged on the day of the final disinfection to prevent cross-infection.
Fourth, strengthen nursing safety management, strict internship teaching
1, internship teaching is an important part of nursing safety management, will be interns, advanced students to implement one-on-one teaching mode, let go of the eyes, to strengthen the management of labor discipline, the designation of nursing title for the teaching teacher, to formulate a learning plan, regular lectures, the transfer test, and the internship students for the teacher satisfaction survey. The teacher's satisfaction survey, the selection of the annual most satisfied with the teacher.
2, constantly strengthen the safety awareness education, the safety of nursing as one of the regular theme of the regular meeting of nurses. The unsafe factors in the work of timely reminder, and put forward corrective measures, to the hospital and outside of the nursing error as an example of discussion to learn, so that nursing staff fully understand the new situation of nursing error, new features, from which to learn lessons.
3, to further put the rules and regulations into practice, regular or irregular inspection, supervision in place.
4, to further strengthen the management of key patients, special patients, such as surgical patients, high-risk patients, etc., in the morning meeting or shift handover as the focus of the handover discussion, to strengthen the bedside handover, the patient's existing and potential risks to make an assessment of the importance of.
5, pay attention to the current stage of the nursing paperwork problems, the end of each month on the review of medical records, the nursing department inspection feedback problems, the inspection of the Department of the problem of exchanges, discussion and improvement of the nurses training, further standardization of nursing paperwork, improve all kinds of records, in order to reduce the safety hazards.
Fifth, continue to carry out quality nursing service work, and constantly expand the connotation of service, increase the content of quality services, improve service quality.
Sixth, strengthen the management of medical equipment, emergency medical equipment, responsibility to a person, the equipment placed in each area is assigned to a person responsible for the management, maintenance, regular inspection and repair, to ensure that each piece of equipment is in a good state of standby, to achieve the maximum economy of medical equipment; to strengthen the management of emergency medical equipment, the person in charge of the placement of a fixed point, regular disinfection, regular inspection and inspection and maintenance, at any time in a state of standby.
VII, standardized charges, seriously study the charging standards, by the responsible team leader and the head nurse to do a good job in the department of the inspection of the charges, to do a good job of the charges do not miss the charges, should not be charged resolutely do not charge, and do a good job in the management of reasonable charges.
Eight, patient-centered, strengthen nurse-patient communication, improve patient satisfaction, reduce medical complaints, avoid nursing disputes. Do a good job of all the mission and inform the program, strengthen the communication between responsible nurses and patients and their families, to be proactive, enthusiastic, humane, and seriously treat the monthly work breaks.
Obstetrics and Gynecology 2023 Work Plan Part 2
Looking back on the past six months of work, there are a lot of gains, but also a lot of shortcomings, to summarize the experience, learn from the lessons, combined with the actual situation of the department and the requirements of the Department of Nursing, our Obstetrics and Gynecology will be the second half of the year to develop a new work plan:
a. Strengthening of the management of the ward Effectively do a good job of nursing safety management, reduce medical disputes and medical accidents hidden danger, to protect the safety of maternal health.
2. Maternal link monitoring: new admissions, transfers, acute and critical pregnant women, there is a potential risk of medical disputes pregnant women to focus on supervision and monitoring.
3. The time of the link monitoring: holidays, double holidays, busy work, fatigue time, shift handover should be strengthened supervision and management.
4. Nursing operation of the link monitoring: infusion, blood transfusion, injection, a variety of allergy test. Although it is a daily work, but once the problem occurs, it is a life-threatening event, as the focus of the nursing management of the focus of the monitoring.
5. Monitoring from the nursing management point of view: from time to time to carry out nursing safety hidden danger inspection, find problems, solve problems, from their own and departmental point of view to analyze, analyze the reasons for the occurrence of lessons learned, put forward preventive and improvement measures. The same problem recurring individuals, to pursue the relevant responsibility, to prevent serious errors and accidents.
(1) adhere to the medical safety every day, adhere to the monthly professional knowledge, first aid knowledge, technical operation training, strengthen the sense of responsibility, first aid awareness. Ensure the safety of patients, prevent the occurrence of medical disputes.
(2) to strengthen the department focus on the management of rescue items, usually strengthen the performance and safety checks, found that the problem of timely maintenance, to maintain the integrity of the equipment rate of 100%
(3) to strengthen the management of the weak links to reduce the occurrence of nursing errors and accidents. Mainly newcomers to the department, the management of responsibility is not strong personnel to focus on helping.
(4) to strengthen the care of critical maternal care, to prevent the occurrence of complications, seriously implement the obstetrics nursing routine, to eliminate the occurrence of errors and accidents.
(5) cultivate nurses' sense of management, conscientiously implement the price and charge standards, good at cost-effective accounting, reduce medical costs, save unnecessary expenses, and ensure the effective and rational allocation of resources.
(6) Regular training and assessment of the departmental personnel for the knowledge of hospital sensory, regular or irregular quality inspection of hospital sensory, cause analysis, timely feedback and rectification.
Second, change the concept of care, with the Ministry of Marketing, do a good job of marketing the department
Strengthen the service must have assessment, to publicize the marketing without follow-up good service is a waste of resources, so next year's work to continue to strengthen the service consciousness of all personnel education, strengthen the attitude of the service, improve the quality of service, and at the same time also to increase the publicity efforts with the Ministry of Marketing to do a good job of publicizing the department's promotional materials and the department's publicity work. The department's promotional materials and departmental telephone, departmental backbone phone to their hands, so that they have the opportunity to contact us, and to obtain the trust of pregnant women.
1, continue to strengthen the construction of medical ethics, enhance the sense of responsibility. Cultivate nursing staff to establish "maternal-centered" concept, the maternal voice as the first signal, the maternal needs as the first need, the maternal interests as the first consideration, the maternal satisfaction as the first standard. Strengthen the active service consciousness, quality consciousness, safety consciousness, on the basis of further standardization of nursing operation, improve nurse-patient communication skills, thus promoting the improvement of the quality of care, to ensure that the nursing work is safe and effective.
2, focusing on the collection of information on the demand for nursing services, through conversations with pregnant women, the distribution of satisfaction questionnaires, etc., to understand the views of the return visit, access to maternal needs and feedback, and put forward improvement measures in a timely manner, and at the same time give incentives to nurses to work to mobilize their work enthusiasm, from the thought, action to the real initiative to serve. The service concept of "heartfelt service, create touching" is applied to the actual work.
3, deepen the affectionate service, improve service quality. In the training of nurses on the basis of daily etiquette, to further standardize the nursing operation language, nurse-patient communication skills. Cultivate nurses to establish a good professional image.
Third, strengthen the nurses on-the-job education, do a good job of teaching, improve the professional quality of nursing staff
1, continue to maintain the clinical teaching team, strengthen the learning of relevant knowledge mastery, regular organization of nurses, the implementation of the rotating lecturer, hierarchical targeting of business training, the organization of the monthly business learning, skills training, first aid drills, and regular assessment. In case of special and difficult cases, knowledge and skills can be updated by asking doctors to give lectures and other forms. Mutual learning to promote, and make records.
2, with the nursing level and medical technology development imbalance in the status quo, there are plans to send some of the nurses to go out to study, improve the quality of nursing staff, optimize the nursing team, and constantly update nursing knowledge.
3, the new nurses to implement one-on-one teaching, adaptive teaching, focusing on strengthening the training of specialized diseases, the links of specialized diseases will be broken down to explain, and regularly held a summary of the work of teaching will be held to listen to the teaching teachers and new nurses to listen to the views of the new nurses.
Fourth, to ensure the completion of the nursing indicators
1, basic nursing pass rate of 100%.
2, first aid items intact rate of 100%.
3, nursing document writing pass rate ≥ 90%
4, nursing staff "three basic assessment pass rate of 99%.
5, one person, one needle, one tube, one sterilization rate of 100%.
6, routine instrument sterilization rate of 100%.
7, the emergency vehicle management qualification rate of 100%
8, the experience of disposable syringes, infusion (blood) device after use disfigurement rate of 100%.
Obstetrics and Gynecology 2023 Work Plan Part 3
Obstetrics and Gynecology Nurse Work Plan March 2, 20xx at 18:30, the second round of nurses in the gynecological ward of the First Affiliated Hospital of the Heavy Medical University, the second round of nurses' report on the duty and work plan report will be held in the gynecological department of the sixth floor of the classroom, gynecological ward, all nurses attended the meeting.
This time *** there are 10 nurses made a report on their duties and work plans, they are the young backbone nurses in the gynecology ward, and they have taken on the responsibility of the gynecology ward team leader, the acting responsibility of the team leader, the clinical teaching, scientific research and management, and other key positions. By sorting out the work of last year, they elaborated on their clinical, teaching, research, management and learning, summarized their experiences and shortcomings, put forward improvement measures, and formulated the work plan for 20xx.
Xie Liling, head nurse, commented on the report, she pointed out that most of the personnel to participate in the debriefing of self-reflection, recognizing the shortcomings of the work and put forward measures for improvement, which is worthy of affirmation. At the same time, she pointed out that in terms of work plan, individual nurses' goals were not clear and measures were not specific, which could not be used as the basis for year-end evaluation and team supervision. Finally, she hoped that all nurses in the gynecology ward would develop the habit of reflection, actively carry out criticism and self-criticism, create a good learning atmosphere, according to the individual work plan and the needs of the department, so as to achieve the unity of knowledge and action, for the gynecology ward's nursing team building and the construction of high-quality nursing service model wards group efforts.
In recent years, the gynecological ward at the end of each year or the beginning of the new year, are phased in batches of nurses report and work plan report will be aimed at this form, to cultivate all the nurses of the sense of thinking and the spirit of mastery, so that each nurse to participate in the management of the department, but also exercise all the nurses of the organization ability, expression and other comprehensive ability, has played a better effect.
Obstetrics and Gynecology 2023 Work Plan Part 4
To ensure the implementation of this quality service: our department mainly from three aspects:
A scientific management of strong quality: Obstetrics and Gynecology work is complex and heavy, the risk is greater, especially obstetrics mother and child of two lives in the hands of our medical staff. In order to provide safe and satisfactory service to patients, our Department of Obstetrics and Gynecology has implemented scientific management, the construction of the system and its implementation and implementation of the work firmly in hand, through the daily shift, so that every day's work is carried out in an orderly manner. I think the Department of Obstetrics and Gynecology is a team of dedication and commitment, management out of the quality, out of the results, to the system to manage people, to the system to mobilize people's enthusiasm, so that the work of the Department of the smooth progress of the community's recognition.
Second quality service tree image: hospitals should give patients a sense of trust, security, cordiality, with this "three sense" of service quality in which. But these three senses can not be separated from the high-quality technology and thoughtful and meticulous service. In recent years, the department in the hospital's support, has sent medical staff to go out for further study, and at the same time actively contact experts to our hospital lectures, consultations, guidance. To our young medical staff to pass, help, bring, so that our technical level continues to improve, to the patient to alleviate a lot of pain, the department attaches great importance to the new technology, the director of the department to set an example, diligent, and constantly learn new technologies. Obstetrics and gynecology nursing work plan selection
Three affectionate service warms the hearts of the people: high-quality service is more so that the patient to obtain a sense of trust, a sense of security, a sense of affinity of the basis. We adhere to the medical staff to carry out "if I am a patient," the transposition of thinking, and from the standardized speech and loved ones like behavior to start, through our quality service to let the patient feel is warm tips, informed, rather than hard terms; hear is a cordial greeting, and kindly explain, rather than the "raw, cold, hard, and hard". "Raw, cold, hard, top.
I have always felt very proud and proud, because my work is to meet the arrival of new life, hands holding up the hope of tomorrow, the flowers of the motherland. Watching the arrival of a lively and lovely little angel, I will feel immense joy in my heart. The work of the labor and delivery room is extremely challenging, we are faced with the soon-to-be mothers, we must closely observe the labor and delivery process, to ensure the smooth and safe arrival of newborns, we can not afford to be negligent.
During labor and delivery, we often encounter emergencies that make us nervous, but on the other hand, it is also quite dangerous because we are often in contact with blood, and if we are not careful, we may get infected with infectious diseases.
Although our work is very dirty and tiring, but the sweat will be rewarded, when we hear the newborn came to the world that the first powerful cry, to see one after another family happy out of here, our hearts are full of happiness, life has brought us unlimited touch. "Quality service", further closer to the distance between us and the patients, and in the community has been unanimously praised.
Obstetrics and Gynecology 2023 Work Plan Part 5
On the occasion of the new year, I will make the following working arrangements for the internal medicine inpatient nursing work:
First, to improve the theory of nurses, technical level
1, in order to improve the overall level of nurses' business in our department, since January xx, weekly Since January, we have been insisting on specialized theoretical studies in the morning, specialized theoretical exams at the end of each month and specialized theoretical exams every quarter, and we have a system of rewards and punishments to constrain the nurses to achieve the desired goals.
2, the nurses take turns to theoretical lectures every month, the purpose of which is to deepen and consolidate personal theoretical knowledge, establish personal self-confidence, and improve personal language skills.
3, a monthly practical training, requiring everyone to pass, the assessment scores into the review of the month's bonus.
4, on time, according to the quality of the nursing department to complete a variety of theoretical learning, practical tasks.
5, actively participate in the hospital organization training of various business knowledge, to expand business knowledge, improve self-competence based on the principle of learning.
Second, to improve the quality of basic nursing care
1, according to the requirements of the completion of the department ward "a line" to the ward lighting is not damaged, no water stains on the ground, the bathroom odor as the principle of supervision and management of the entire ward.
2, adhere to the morning wet sweeping bed, noon bed unit unified neat, ward fixed items placed at a fixed point.
3, once a week to replace the bed unit, there are blood stains, damp must be replaced immediately.
4, daily responsible nurse with chlorine disinfectant wipe bedside table once a week with chlorine disinfectant wipe bed block, bed head, guardrail, central oxygen settings once.
Third, the strict implementation of disinfection and isolation system
1, every Monday on time to replace the disinfectant, Tuesday, the head nurse to check.
2, master the principle of aseptic operation, reduce the occurrence of infusion reaction and the occurrence of various infections, enhance the concept of aseptic operation of nurses.
3, to reduce the treatment room staff walking, to develop a good habit of entering the room to wear a mask.
4, configure the drug, do one person, one needle, one tube, in strict accordance with the principle of aseptic operation.
5, puncture failure, when operating again must replace the needle, strict sterilization.
6, the weekly arrangement of health classes, cleaning the health dead ends.
7, do a good job of terminal sterilization in the ward.
Fourth, strengthen the responsibility of nurses
1, the strict implementation of the "three check eight to a note" system.
2, to prevent the occurrence of accidents, first of all, from the heart of the nurses to enhance personal responsibility, the importance of its profile and nursing safety and personal welfare linked to the constraints, to reduce the error of the matter to complete each job carefully.
3, the authenticity of the work done, the nurses on duty must be serious and accurate in the hospitalized patients to carry out a variety of vital signs of the measurement of the absolute nonsense, for such phenomena will be severely punished.
4, the implementation of the night shift sitting system, and regular inspections of the ward, to prevent the occurrence of special events, changes in the disease and special problems should be reported to the doctor on duty in a timely manner, good communication to deal with.
5, the occurrence of errors and accidents, analyze and summarize.
6, regularly organized learning, strengthen the cultivation of responsibility.
Obstetrics and Gynecology 2023 Work Plan Part 6
Another new starting point, another round of efforts for a new start, with new hopes, full of new year's journey. The plan is also a new breakthrough:
I. Strengthen the management of details, and cultivate good working habits.
Details determine the quality of obstetrics randomness, 20xx will continue to focus on the daily quality control work, starting from the smallest thing, the quality control work throughout the daily work, weekly quality control of one to two, the formation of norms, so that the department staff in the quality control to gradually form a good habit of reducing the laziness of the mind and cope with the psychology of the real work from the convenience of convenience, convenient management as a Starting point. In addition to continue to play the role of quality control and responsible nurses, will be some of the daily quality control work to them, to improve the awareness of participation, mobilize the whole department to participate in the management of the effective improvement of self-management awareness, improve the efficiency of the management of the department.
The second, standardize the business checkup, improve the checkup effect.
Change the situation in previous years to cope with the room, the nurse in charge of the bed is responsible for the selection of medical records, really selecting the department difficult medical records, writing nursing plan, the nurse in charge of the discussion of the disease of the doubtful, difficult point of care, brainstorming, put forward the solution to the problem to achieve the improvement of the level of business, to solve the problem of nursing purposes. At the same time, the process of discussion is also the process of learning, learning the knowledge of specialized diseases, standardizing the nursing routine of specialized diseases, each standardizing a specialized disease, the nursing routine of such diseases will be applied to the daily work, and gradually improve the standardization of nursing work.
Three, strengthen business learning, improve the overall professional level.
Strengthening specialized business knowledge learning, systematic study of obstetrics, perinatal knowledge, neonatal resuscitation, obstetrics emergency care and emergency procedures, the whole department staff participation, we
take turns to prepare for the class, once a month. And obstetric emergency rescue drills, everyone passes, to improve the emergency response ability and specialty care level. Fourth, prepare to carry out airbag assisted delivery technology. (Mainly for
Four, strengthen the ward management, to complete the daily work and quality control work.
Ward management is the weak link in the management of the department, 20xx ward management work refinement, each work to designate a person in charge, the team leader is responsible for the overall quality control work, comprehensively improve the management of the ward. At the same time to strengthen the hospital infection control and monitoring work, to complete the nursing quality control and management.
Fifth, the establishment of inspection, evaluation, feedback system, the establishment of a traceability mechanism , the head nurse often in-depth ward inspection, supervision, evaluation. Evaluation of the way to the scene to assess the nurses and check the patients, check the records, listen to the doctor's comments, found that the nursing work in the problem, put forward corrective measures.
Six, to further standardize the writing of nursing documents, from the details, to strengthen each nursing documents to adopt a three-tier assessment system quality control nurse - nurse - discharge medical records at the end of the regular nursing record defects analysis and continuous improvement, emphasizing that the unqualified nursing documents The company's website is a good source of information about the company's products and services.
VII. Strengthen the safety management of the nursing process.
1, continue to strengthen nursing safety three-level monitoring and management, monthly nursing safety hazards check and do a good job of nursing error defects, nursing complaints attribution analysis, more from their own point of view, analyze the reasons for the occurrence of the lessons that should be learned, and put forward preventive and improvement measures. The same problem recurring individual, the nurse manager management and personal responsibility.
2, the strict implementation of the checking system, emphasizing the implementation of the second check in place, to strengthen the management of nursing students, clear teaching teacher safety management responsibility, to eliminate serious errors and accidents.
3, strengthen the awareness of the routine inspection of the hardware and facilities of the department, usually strengthen the performance and safety checks, timely detection of problems and timely maintenance, to maintain the integrity of the equipment.
Eight, cultivate nurses management consciousness, seriously implement the price charge standard, good at cost-effective accounting, reduce medical costs, save unnecessary expenses, to ensure that the resources effective and rational allocation.
Nine, strive to complete the hospital issued the target responsibility book , and strive to overfulfill the task 20xx, facing the fierce competition in the medical market, the situation of our hospital is still serious. Survival and development is the historical responsibility of each of our employees, we must raise awareness in accordance with the overall deployment of the hospital, make every effort to collect more patients, down-to-earth work hard to complete the hospital's goal of the responsibility of the book, increase medical income, and promote sustainable development of the hospital.
The beginning of the new year, willing to pay efforts to achieve higher goals, nursing work is trivial, repetitive, nursing quality control work throughout the daily work every day, willing to use every day of hard work in exchange for the smooth implementation of the work of the department, with every day of work to improve the management of the standardization and practicality of the work of the department with every day of hard work of every caregiver's happy work.
Obstetrics and Gynecology 2023 Work Plan Part 7
First, the guiding ideology: I will be guided by the scientific concept of development, deepen the "patient-centered" concept of service to "two A review". "as an opportunity to" enhance professional quality, optimize nursing services "as the theme, and strive to provide patients with seamless, continuous, safe, high-quality, satisfactory nursing services.
Second, the work of the goal of patient satisfaction as the overall goal, tamping the foundation, consolidate the achievements of the patient's requirements for the starting point of the work, to patient satisfaction for the end of the work, the full implementation of patient-centered care work. Further deepen the quality of nursing service work, enhance the service connotation, and continuously improve the quality of care.
Third, the work measures
1, the revision of a variety of systems, standards to continue to improve the revision of our hospital regulations, work duties, workflow, disease care routine, clinical nursing service norms and standards. Continue to improve the revision of quality control inspection standards and methods, improve the nursing adverse event reporting and supervision system, and strengthen the management of critically ill patients.
2, comprehensively improve the professional quality, optimize nursing services
(1) to strengthen the basic theoretical knowledge of the training, so that the nursing staff to improve the overall quality and professional competence. Starting from the "three basic and three strict", the organization of monthly business training, including the basic theory of Chinese and Western medicine, specialty care, laws and regulations, service awareness, to strengthen the implementation of basic care and hierarchical care and ensure quality.
(2) Improve the practical working ability of clinical nurses and train the backbone of specialized nursing.
(3) Strengthen the nursing professional technical operation training. Firmly grasp the basic skills of nursing, tamping the basic foundation, while organizing and carrying out nurses' skills operation competition activities, to further strengthen the training and enhance the level of clinical nursing skills operation, so as to improve nursing services.
(4) Strengthen the nurse etiquette standardization learning.
(5) Take various forms of learning and training to improve the business quality of the hospital's nursing staff, and improve the ability of nurses to observe the condition, implement nursing measures, and record nursing instruments.
3, strengthen the management to ensure nursing safety
(1) to strengthen the management of key aspects of the patient, such as patient transfer, handover, consolidation of sores, etc., the establishment and improvement of the nursing process and management evaluation program. Seize the key links such as nurses' handover, monthly nursing checkups, etc., and strengthen nursing management to ensure that the goals are realized.
(2) Strengthen nursing safety monitoring and management, monthly organization of the department for nursing safety hidden danger investigation and nursing errors, nursing cast the number of reasons for analysis and discussion, analysis of the reasons for the occurrence of lessons to be learned, put forward preventive measures and improvement measures.
(3) to strengthen the management of the department. Weekly on the department in the ward management, basic care, nursing safety, medical record writing, nurse instrumentation, disinfection and isolation from time to time random checks, on the existence of problems immediately pointed out and deadline feedback, in the monthly nurses' work meeting to summarize; quality care of quality care wards for quality control
4, tamping down the basic care
(1) effectively do a good job of basic care, so that nursing work more standardized. Keep the bed neat, no odor, no stains, items arranged neatly standardized, the number of drops of infusion in line with the doctor's orders, diligent inspection of infusion patients, good observation of the patient, found that the problem is resolved in a timely manner.
5, the strict implementation of the responsibility system overall care
(1) quality care ward to implement flexible scheduling. When the work is busy, you can work overtime, and when you are idle, you can take a shift.
(2) The quality nursing service ward set up a responsible team leader, three responsible nurses, each responsible nurse care 10 patients. Responsible nurses from the admission to the discharge of a variety of treatments for the administration of drugs, condition observation, basic care and health education for patients to provide continuous, the whole process of work, and effectively do a good job of quality nursing services.
(3) Comprehensive fulfillment of nurses' duties. Integrate basic nursing care, condition observation, treatment, communication and health guidance, etc., to provide patients with comprehensive, full and continuous nursing services. Closely observe the patient's condition, communicate with the physician in a timely manner, communicate with the patient, carry out health education and rehabilitation guidance for the patient, and provide psychological care.
(4) clinical nursing services fully embodies the characteristics of the specialty, based on the characteristics of the department to enrich the connotation of the service, to provide patients with humanized nursing services to protect the safety of patients, and promote the recovery of patients.
5, regular satisfaction surveys
(1) Monthly organization of the Workers' Rest Symposium, regularly listen to the patient's views and suggestions on quality care.
(2) Quarterly patient satisfaction survey from the nurse's operational skills, grooming, health promotion, the development of corrective measures, timely feedback. Let the patient from the heart satisfaction, require each nurse to establish a good service attitude, the patient's satisfaction as the ultimate goal of the work, as far as possible to provide convenience for the patient, to put an end to raw, cold, hard, shirking of the imagination occurs, never allowed to fight with the patient quarrel.
6, strengthen patient health education: quality nursing service performance appraisal measures, adhere to the objective, fair and open principle, the distribution of the first-line nurses tilted to mobilize the enthusiasm of nurses. The establishment of the performance appraisal registration of nursing staff, based on the attendance of responsible nurses, the number of patients cared for, the quality of care, technical difficulty, the degree of risk, satisfaction, the department selection, reward compensation, for those who are active, contributing to the nurses at the end of the year to increase incentives.
Obstetrics and Gynecology 2023 Work Plan Part 8
1. Laparoscopic surgery is an instrument-dependent surgery, and the goodness of the instruments directly affects the process of surgery. Therefore, the roving nurse must be 1 day before the operation to check the use of laparoscopic instruments and pipe sealing, to ensure that the use of instruments function well. During the operation, you should always check the operation of the equipment to ensure that it is in good working condition.
2. After the patient enters the operating room, the nurse should talk to him in a gentle manner, not to treat the patient with curiosity, not to talk about the patient's condition in front of him, and respect the patient's privacy, so that the patient will have more trust in the medical staff.
3. The roving nurse placed the position, pay attention to the respiratory and circulatory function, in the full exposure of the operating field under the premise of ensuring that the patient is comfortable, safe, no collateral damage and electrocautery burns, in the joints of the bony prominence of the cushion, so as to avoid the pressure. During the operation, the roving nurse observes the patient's position, prevents the restraining belt from being too tight or too loose, and massages the pressurized parts regularly to ensure local blood circulation. Appropriate body position can greatly reduce the postoperative deep vein thrombosis and other complications.
4. Roving nurses should be familiar with the performance of various instruments, and have the experience of connecting and applying various instruments. In order to accumulate information and summarize the experience, the roving nurses should do a good job of video recording according to the needs of the surgical process and closely observe the patient's vital signs and the speed of infusion.
5. Clear vision is a prerequisite for the smooth progress of laparoscopic surgery, which is especially critical in nursing cooperation, so always keep the laparoscopic vision clear during the operation. The roving nurse adjusts the monitor according to the screen display, and prepares hot water to wipe the lens to remove fog. Electrocoagulation hemostasis produces a lot of smoke, can be appropriate to open the puncture sheath smoke or suction.
6. Instrumentation nurses should master the name and use of surgical instruments, brush their hands in advance to organize the instruments, according to the surgical steps during the operation to accurately and quickly pass the instruments, used instruments should be taken back in a timely manner in order to prevent accidental collision damage. During the operation, they work closely with the doctor to ensure that the operation is carried out smoothly.
7. Laparoscopy is a set of mechanical, electro-optical and optical technology as a whole, laparoscopic instruments are very fine, when used should be gently held and placed to avoid collision. In order to protect the effective and normal work of the instruments, the maintenance of the instruments should be carried out after the operation. When cleaning, open the joints and all axial joints of the instruments, soak them in the appropriate enzyme solution for 5min, take them out, rinse them with flowing water and wipe them dry, install them correctly and put on the antirust oil. Make a good inventory and registration, specialized storage. Pay special attention to the protection of the lens, the light source wire can not be twisted at an angle. Laparoscopic instruments using room temperature plasma sterilizer or 2% glutaraldehyde solution can be soaked for more than 10h.
8. Closely observe the patient during the operation, and often ask the patient if he or she feels unwell. After the operation, send the patient back to the ward, so that he or she can spend the postoperative recovery period in a happy mood.