Nursing professional work summary
Summary of a period, a year, a stage of learning and working life and other situations to review and analyze a written material, which helps us to find the work and the development of things the law, so as to master and use these laws, how about we make a summary of it. How is the summary generally written? The following is a summary of my work in the nursing profession, I hope to help you.
In 20xx, our nursing work in the hospital leadership care, support, attention, under the leadership of Ren Secretary, in the hospital nurses *** with the efforts of the quality of care steadily improved, is summarized as follows:
First, according to the law, to protect the safety
Effective implementation of the registration of nurses to practice The company's main goal is to provide the best possible service to its customers. The whole year to improve the new nursing personnel file 16 people (1 obstetrics and gynecology, 4 internal medicine, 4 surgery, general medicine two people, community section 5 people. For the first registration of 9 people, the continuation of registered nurses 3 people, change of registration 16 people.
Second, the establishment of a sound nursing system, norms and standards
Improvement of nursing rules and regulations, quality control standards, a variety of clinical care technology clinical care technology service norms, all types of nursing disease routine, instruments, equipment, and rescue items using the system and process.
Third, according to the actual needs of nursing work, the implementation of scientific nursing management.
1, according to the nursing workload, the condition of reasonable allocation of nursing staff.
2, nursing personnel hierarchical use and management:
N0 freshly graduated nurses or obtain a nurse's qualification certificate less than 1 year nurses N1 certified nurses within 1-2 years N2 have a license to practice nurses engaged in clinical work for 2-5 years N34 years of nurses more than 1-3 years of supervisory nurses Nurse N44 years or more competent nurse to take according to the ability of the person's size of the arrangement of jobs and duties, so that people into their talent to make the best use of things to the best of their ability of the energy level management mode. According to the ability of nurses to work as the first indicator of the stratification of nurses, according to (the patient's condition nursing difficulty technical requirements) to carry out the energy level correspondence. Patients with different degrees of illness are assigned to nurses with different levels of ability to care for them, thus guaranteeing the quality of care and patient safety while fully reflecting the nurse's own value of the patient's fairness to the demand for medical services.
The department according to the actual situation of nursing talent number of beds and professional characteristics of the set grouping and the department of nursing staff to carry out the ability level assessment. Determine the responsible team leader, responsible nurses and assistant nurses. The work requirements and goals of the nurses increased with the rise of the level. With different performance coefficients, more work, more pay, better work, better pay for comprehensive assessment: mainly based on the work quantity, quality, business ability, satisfaction, professional conduct, labor discipline, operation assessment and other aspects of the assessment. The bonus distribution coefficient corresponds to the level of increment. This reflects the unity of responsibilities, rights and benefits. It creates a good career atmosphere for nurses. The division of energy level for clinical nurses career planning to establish a clear direction of development, conducive to the training of talents, nursing value embodiment, nursing connotation improvement, patient satisfaction improvement, for the safety and effectiveness of clinical nursing work to provide a resource guarantee.
3, the establishment of nursing staff emergency deployment program: medical and surgical nursing workload, manpower reinforcement. Flexible use of scheduling: increase the peak work period, (such as morning care time), weak time period (Saturday, Sunday and holidays), to ensure the implementation of basic nursing care, to ensure the continuity of nursing care and quality of work.
4, to strengthen the head nurse nursing (revised head nurse manual, annual plan quarterly plan monthly plan weekly plan quality control training assessment attendance, etc.) department head nurse to improve the head nurse manual, the Department of Nursing in the meeting of the head nurse to see its implementation.
5, internal medicine division: in March, a division of internal medicine and internal medicine, in order to better serve the patient (patient safety, rational use of nursing staff, conducive to the implementation of nursing)
Fourth, to improve the clinical nursing services, and deepen the model of quality nursing services
1, the development of the quality of nursing service objectives and connotations, refinement, The first step is to make sure that you are able to get the best out of your car and that you are able to get the best out of it. （
2, the reform of nursing division of labor, the implementation of "patient-centered" holistic care.
①Responsibility to the person, the patient has "only" responsible nurse. Nursing to reduce the number of patients to manage, a more comprehensive understanding of the condition, more attentive service.
② The nurse in charge of the shift in charge of the patient to implement the whole care (observation, basic care, treatment, psychological care, rehabilitation and health guidance.
V. Nursing post regular training, stratified dynamic management, reflecting the nurse level can be up and down.
① Nurses are divided into four levels (N0, N1, N2, N3) Nursing Department and departments according to the different levels of training the appropriate content. N0 rules and regulations, laws and regulations, hospital sensation, N1 quality nursing care nursing paperwork, common nursing technical operations and first aid, etc. N2 specialty knowledge and application of competence first aid safety nursing care quality nursing care for the critically ill, N4 nursing care management, safety management. Quality Nursing Service
② stage assessment of the training content.
③ assessment of unqualified nurses, nurse level downgrade use. (Levels of different positions with different wages.)
Carry out: the Nursing Department organized 27 training (nursing theory knowledge training, nursing skills operation training, nursing business checkup, emergency plan drill - material preparation ∕ simulation scenario ∕ division of labor ∕ evaluation of the effect of the drill process ∕ corrective measures ∕ final evaluation). The department conducts monthly training on the above four aspects (Nursing Department training can be recorded as departmental training). Half a year of theory and operation of each assessment.
Six, nursing new knowledge, the introduction of new business - nursing quality continuous improvement methods and tools (quality control circle)
Improvement of grass-roots supervisors and staff problem-solving ability, based on the idea of patient-oriented, the use of teamwork, to carry out their own improvement
(Steps: pre) Mobilizing nurses to learn and gradually understand the QC circle nursing department has a plan to train and carry out activities to use nursing)
1, QC circle activities in nursing quality management application: the whole hospital nurse and nursing backbone nursing "QC circle" special training.
The seven management tools of the QC circle (Gantt chart - line chart indicating the progress of the work plan Fishbone diagram - cause analysis chart "man-machine-material-fa-ring" Plato - the data collected, to be sorted out, categorized, to seek the largest proportion of the causes, conditions, and so on. seek the cause, condition, or location that accounts for the greatest percentage of the work. The law of two or eight: Plato's "80/20" principle is to illustrate: find out the main factors (20%) that cause the greatest error (80%))
2, QC circle how to carry out: nursing QCC organizational framework → theme selection → activity plan → goal setting → survey of the status quo → data collection → causes Analysis → countermeasure formulation → implementation discussion → effect to determine
3, quality control circle management tools in nursing work: internal medicine quality control circle to carry out: the subject name - to reduce the incidence of pressure ulcers in bedridden patients 20xx. 9. 26 audit circle name: harmony circle leader - Gong Guangyang counselor - Jiang Rui circle members 8 people surgical QC circle to carry out: improve the success rate of venipuncture circle name: drip circle leader Li Ran counselor - Hao Xianqiao circle members 7 people. Quality control circle to carry out progress have been to the implementation stage.
4, the use of QCC management tools on the 20xx controllable expenditure performance data analysis (drugstore miscellaneous library disinfection and sterilization of disposable consumables, etc. to analyze) expenditure increase projects (reasons) expenditure reduction (reasons) from the data to study, through the analysis of the data, one is to evaluate the management of expenditures, and the second is to evaluate the department of the nursing work carried out (gastric tube ∕ oral care ∕ urinary catheter ∕ pressure ulcers). medication change/oxygen inhalation, etc.).
VII. Nursing care safety and security implementation, nursing care quality related indicators testing.
1, the development of patient identification, treatment, medication, surgery, prevention of infection, prevention of falls and falls into bed and other aspects of safe work procedures and measures. The development and implementation of key aspects of the emergency plan.
2, regular monitoring of falls to bed pressure ulcers, complications of elective surgery, tube slippage quality control indicators.
3, adverse event management: timely and proactive reporting without penalty - two-level analysis and discussion - monthly summary and analysis.
4, risk management: risk assessment of high-risk patients - preventive measures - found that the problem handling report - improvement measures.
21 cases of nursing adverse events in the hospital (17 cases of internal medicine, 5 cases of surgery, 6 cases of pressure ulcers, 6 cases of falls, 1 case of infection, 2 cases of infusion reaction, 6 cases of catheter slippage: of which 4 cases of gastric tube ∕ urinary catheter 1 case ∕ intravenous catheter 1 case)
Eight, nursing quality care services and quality quality quality control
Carrying out implementation of the Hospital work curing management nursing quality control implementation of secondary quality control.
The second level of quality control: Nursing Department quarterly inspection of clinical quality care services and quality - feedback - rectification - tracking implementation. The department of clinical quality care services and quality of monthly inspection - feedback - rectification - tracking implementation.
9. Strengthen the supply room work management.
Standardize the management of upgrading connotation, effective quality control:
1, revise and improve the supply room system and work related forms, improve the archiving of all information, the quality of sterilized items. Make all the work of the supply room with traceability.
2, the supply room for the hospital clinical departments to provide items disinfection supply, in order to protect the quality of medical care, in the case of an increase in the number of surgical patients, departments, inpatient hospitalization, the supply room staff does not increase, ring ring implementation: from the recycling, sorting, cleaning, drying, packaging, disinfection, sterilization, there are strict 'quality control standards, to ensure that the quality of sterilization, to provide a qualified disinfection of sterilized items.
3, strictly good single-use items into the warehouse, disposable medical supplies complete documents, retain product information and archives, the establishment of a single-use sterile items issued by the registry, to receive, issued by the careful inspection, manufacturer, date of production, expiration date and other marking of the qualified, before receiving, issued.
4, monthly communication with clinical, under the receipt and delivery, improve the work attitude, to meet clinical needs.
5, according to the requirements of sterilization specifications, regular environmental microbiological testing, sterile goods testing, pressure sterilizer effect testing. Guarantee the quality of sterilization.
6, the organization of the supply room staff to participate in the municipal supply room job training and provincial special equipment personnel job training, and licensed. Section of the monthly staff supply room knowledge training, strict technical operating procedures to prevent the prevalence of nosocomial infections caused by human factors.
As a result of effective management and quality control measures, no nosocomial infections caused by unqualified sterilized items occurred throughout the year.
Ten, hospital infection management (to strengthen the hospital infection control work):
1, strengthen the training: the nursing department to organize training in hospital infection related knowledge 6 times, to improve the nursing staff hospital infection knowledge mastery, so that the nursing staff on the disinfection of technical specifications of the knowledge mastery.
2, from time to time on the clinical departments to supervise the inspection, found defects hidden danger, urge departments to timely rectification. Guide clinical nursing staff to the correct use of medical disinfection and sterilization items and disinfectants, thereby reducing hospital infections. Guarantee medical safety.
2, the implementation of disinfection and isolation system: air disinfection general items disinfection non-disposable pipeline disinfection a variety of bottles disinfection instruments dressings disinfection bedside isolation disinfection environmental hygiene inspections
3, to strengthen occupational protection (hand hygiene, etc.)
4, the management of medical waste: strict classification specification collection and timely transit
Problems:
1 Two reasons to a certain extent affect the quality of care provided by nurses for patients.
2, the promotion of quality nursing services need to be further strengthened, support the gap in the guarantee model.
3, nursing safety (adverse events) reporting system implementation is not standardized, part of the root cause of adverse events analysis is not targeted, nursing safety measures to implement the effect of continued tracking is not in place.
4, performance management program assessment content is not comprehensive enough to fully reflect the nursing risk of high, technically difficult critical patients more nursing staff merit pay.
5, nursing quality control and management failed to effectively apply the relevant quality management tools for analysis, evaluation and tracking.
6, the ward drug management to be strengthened standardization, the rescue car in the high-risk drug storage, nurses do not know the specific management requirements, do not understand the types of high-risk drugs, the hospital lacks its drug safety training and guidance.
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