A brief analysis of the management work of the ICU head nurse. This article mainly introduces the aspects from which the ICU head nurse should strengthen department management in the management process, improve the basic quality and professional level of department nurses, and thereby improve the overall service quality of the ICU. , mainly elaborates on routine nursing work, continuing education of nursing staff, ICU safety issues and the responsibilities of the head nurse.
Keywords ICU; head nurse; management
In line with the service concept of "patient-centered" and focusing on "service, quality, and safety", we innovate management methods, Continuously improve the nursing level of critical and critical patients, improve social satisfaction, and create a relaxed and harmonious working and learning environment for ICU nurses.
1 Routine nursing management work
1.1 Make a reasonable weekly shift schedule
According to the ward situation and the nurse’s ability and requirements, reasonably arrange the shifts and strive to Each class is matched with new and old staff to meet the needs of nursing work and at the same time try to meet the reasonable requirements of nursing staff.
1.2 Supervise and inspect the implementation of various nursing tasks
Host daily morning meeting and bedside shift handover, organize and participate in the rescue work of critically ill patients, accompany the department director on ward rounds, Understand the conditions of all patients, participate in discussions of difficult, critical, and death cases, and promptly help solve difficult problems in nursing work.
1.3 Inspection and maintenance of various instruments
Inspect various instruments, first-aid items and medicines regularly every week to ensure that the performance of the first-aid items and medicines is good. Regularly check the records of various care forms to ensure their completeness and accuracy. Frequently check the disinfection status of various disinfection items and the treatment status of medical waste.
1.4 Regularly collect opinions and suggestions
Regularly listen to doctors’ opinions on nursing work and promote close cooperation between doctors and nurses; hold monthly work-break symposiums to listen to the opinions of patients and their families, and make timely improvements Work.
2 Strengthen the learning of theories and techniques for nursing staff
2.1 Study relevant theoretical knowledge of common diseases, critical diseases and difficult diseases
ICU head nurses should organize regular training The nursing staff in the undergraduate department learn relevant theoretical knowledge about common diseases, critical diseases and difficult diseases. Because the patients in the ICU come from patients in different departments, the nursing staff must have certain theoretical knowledge about these diseases; after learning the theoretical knowledge, they must also be familiar with these diseases. The practical operation of basic nursing care for common diseases should be trained and assessed.
2.2 Organize regular learning for department staff
Hold weekly department meetings to convey the contents of the hospital’s weekly meetings and problems that occurred during the previous week’s work, and rectify them. Organize this department every month The department nursing staff held a seminar on the treatment and nursing work of common and difficult diseases in ICU specialists, allowing everyone to talk about their experience and existing problems in actual nursing work, and to discuss, record, summarize and improve.
2.3 Assessment of nursing knowledge
For ICU nursing staff, because they face different patients, it is necessary to master the basic nursing knowledge and basic nursing skills of various diseases. , so the head nurse should organize everyone to conduct a theoretical and practical operation assessment every month, record and analyze it, and send new nurses to other departments for rotation and study before rationally arranging work.
2.4 The use of various types of nursing equipment
All nursing staff in the ICU department conduct a nursing equipment operation competition every month, and each nursing staff is required to do a good job in the competition. The operations are explained so that everyone is familiar with the use and maintenance of various rescue and monitoring instruments, and can skillfully cooperate with various rescue operations.
3 Strengthen nursing safety awareness
Develop a responsibility system, emergency plan learning and assessment plan, conduct assessments once a month, continuously strengthen on the original basis, and use monthly general nurses Regular meetings analyze potential safety hazards within the hospital and departments that month and propose preventive measures.
Emphasizing the safety of medication, the head nurse uses the follow-up time to promptly supervise violations and severely punish them, and organizes learning and assessment of new medication knowledge once a month. Lead by example to strengthen ideological, moral and professional ethics education, collect some articles on professional ethics and life standards, and use monthly nurse meetings to organize all nurses to study and discuss and share their experiences.
Strengthen the training and inspection of nursing document writing, further improve the content of nursing monitoring records, ensure that nurses complete nursing records in a timely, objective, true and complete manner, and ensure the safety of medical care.
4 Strengthen continuing education and learning, and continuously improve the professional skills of nursing staff
4.1 Annual "credit" completion status
When the head nurse makes a plan at the beginning of the year, he requires each Each nursing staff member develops a personal credit completion plan and completes continuing education credits in a planned manner.
4.2 Improvement of academic qualifications and professional titles
It is necessary to plan and arrange for undergraduate nursing staff to improve their academic qualifications and professional titles.
4.3 Going out for further study
According to the actual needs of the hospital and the training plan, organize department personnel to go to higher-level hospitals to study ICU nursing and learn new knowledge, thereby improving the quality of care more quickly .
4.4 Image ambassador, set a pacesetter
Carry out an activity to select and evaluate ICU image ambassadors within the department, based on usual theoretical operation scores, comprehensive evaluations of doctors and nurses, head nurse evaluations and daily patients Conduct family satisfaction surveys, select nurse image ambassadors, and provide rewards and commendations to establish the ICU nurse service brand image and drive the overall service quality of the ICU.
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