Outpatient nursing work plan

Second, strengthen the management of the department

In the hospital leadership and the direction of the sub-committee under the guidance of the "Sichuan Province, second-class B general hospital review standard" in the three-tier management system set up in the department of medical quality management, medical safety management, hospital infection management, The company has established a leading group for medical quality management, medical safety management, hospital infection management, pharmacy management, case management, blood transfusion management, etc. It has perfected the management system and work responsibilities of each leading group, and regularly organizes and carries out activities, conducts self-examination of problems in the department, discusses corrective measures and supervises the implementation, and improves the management level of the department.

Three, pay close attention to medical quality management, and further improve the overall quality of the Department's medical staff.

Firmly implement the medical core system, by the medical quality management team regularly organized to carry out learning, so that the core system of everyone knows and master, from time to time to randomly check the days of outpatient clinics, outpatient medical records, the writing of prescriptions, check the implementation of the "reasonable inspection, reasonable treatment, reasonable use of medication," the situation. We check the implementation of "reasonable inspection, reasonable treatment, and reasonable medication", and manage the diagnostic and therapeutic activities in accordance with the operation standard. We formulate medical quality assessment standards, conduct assessment according to the standards, and set up a system of rewards and punishments. To make the rules and regulations to the actual implementation of the work, so that the work of institutionalization, standardization, to prevent the occurrence of medical errors, medical accidents.

Four, strengthen the business learning, laws and regulations, improve business level, standardize medical behavior.

Regularly organize lectures in the department, the specialist knowledge, specialist skills, first aid knowledge, first aid operation learning training, and organize the whole department of medical laws and regulations, rules and regulations to learn, improve the business level of medical personnel and professional quality.

Fifth, improve the level of service

The development and implementation of the duties of post personnel, code of conduct and ethics, learning the system of honesty and integrity of the medical system, the system of communication between doctors and patients, medical ethics and medical ethics norms, the code of conduct for physicians, medical technicians code of conduct, the code of conduct for nursing staff, etc., the implementation of the assessment of medical ethics and medical ethics and system of rewards and punishments, the window services personnel Learning knowledge of civilization and etiquette to enhance communication skills, all-round improvement of outpatient service level, enhance the image of the hospital.

Sixth, strengthen the management of hospital-acquired infections and infectious diseases, strict implementation of the "hospital-acquired infections reporting system" and "infectious disease reporting system.

The laboratory, endoscopy room is the key department of our hospital infection, to strictly implement the disinfection and sterilization system, by the hospital infection management team is responsible for inspection, supervision and rectification, to control the incidence of nosocomial infection. Organize and study the "Infectious Disease Reporting System", so that medical personnel know it, and put an end to concealment and omission of reporting. So that the infectious disease reporting rate of 100%.

VII, the implementation of the openness of the section, the system of openness of the system section, the regular convening of the section of the meeting, the section of the planning, business development, personnel, performance evaluation, rewards and punishments for the public.

Section personnel sent for further training, training and learning by the Section Council to discuss the decision and open.

Outpatient nursing work plan 3

First, to strengthen the quality of care management, and strive to improve the quality of care.

Nursing unit to implement target management, the nursing department to develop relevant quality standards and inspection scoring rules

1. The nursing unit seriously organize the implementation of the assessment, through the target management to promote the nursing staff to change the concept, enhance the sense of dedication, proactive service consciousness, awareness of quality consciousness, awareness of safety, which led to the improvement of the quality of care.

2, in order to be too fine, too fine, too real, too strict rigorous attitude to grasp the whole quality management of each nursing work, that is, the basic quality, link quality, end quality, of which the link quality is the focus. The nursing department will go into the department to standardize the management of each link.

3, increase hospital infection control. Strictly comply with the implementation of disinfection and isolation, and do a good job of monitoring the environmental hygiene of the ward, the results should meet the standard. At the same time, do a good job at any time disinfection, terminal disinfection, daily disinfection. Disinfection of items after use according to the principle of treatment, disposable items according to the requirements of management, use and disposal.

Second, continue to carry out the responsibility system overall care, further enrich the connotation of the overall care, the introduction of our hospital nursing philosophy:

Everything to the patient as the center, to the premise of patient satisfaction! We will present you with an elaborate and cozy care when you choose to visit our hospital!

Three, the development and improvement of our hospital at all levels of nursing staff duties.

Four, strengthen the management of nursing human resources, to ensure the rational allocation of nursing human resources, so that everyone is licensed.

Develop a training program for nursing staff, grasp the nursing team construction, improve the quality of nursing team.

1. 5 years of service to the nurses below the implementation of the rotating section, focusing on the basic skills of training.

2. In the hospital for general training and comprehensive improvement of the basis of the backbone of the team to focus on training, require proficiency in nursing technology, but also require a good grasp of the difficulty of the new business, new technologies and other aspects of nursing technology, in the nursing team to play a demonstration and backbone leading role.

3. The Department of Nursing will take a variety of channels to provide learning opportunities for nursing staff.

(1) Encourage the staff to participate in the nursing self-test and correspondence learning to improve their qualifications. Change the nursing team to secondary school-based structure.

(2) seriously grasp the continuing education. Selected outstanding nursing staff to the province short-term nursing knowledge training courses to learn to management knowledge, specialty knowledge progress.

4, adhere to the monthly nursing knowledge in the hospital, new business new technology, professional and technical training. The Department of Nursing focuses on standardizing nursing room, improve the quality of room, in order to improve the level of professional knowledge and practical ability.

V. Nursing safety is the focus of nursing management.

Nursing safety work long and unremitting, should do macro-management and micro-management, make full use of the secondary nursing management system, each in its own way, layer by layer, and do a good job of nursing safety management, to reduce medical disputes and hidden trouble, to protect the patient's safety.

1, the Department of Nursing to do a good job of macro-management, supplement and improve the nursing safety management measures, grasp the nursing staff at all levels of pre-service training, regular and irregular inspection of the safety work.

2, the head nurse to do a good job of micro-management. Adhere to the poisonous and anesthetic drugs, rescue drugs, with the material shift shift handover, rescue instrument to maintain the functional state, to maintain the good rate of rescue items up to 100%. The nursing staff to grasp the link monitoring, the patient's link monitoring, time link monitoring and nursing operation link monitoring.

(1) Nursing staff link monitoring: new transfer, new graduates, internship nurses, and nurses with ideological emotions or family misfortune to strengthen management, to do the focus of the account, the focus of the class, the focus of the room check.

(2) patient link monitoring: new admissions, new transfers, critical, post-surgery patients, patients with potential risk of medical disputes to focus on supervision, inspection and monitoring.

(3) the link of time monitoring: holidays, double holidays, busy work, easy to fatigue time, night shift should be strengthened supervision and management. The nursing department organizes the head nurse to carry out irregular checkups.

(4) nursing operation link monitoring: infusion, blood transfusion, a variety of allergy test, pre-surgery preparation. Although it is a daily work, but if a problem occurs, it is a life-threatening event, and should be the focus of monitoring in nursing management.

Sixth, improve the nursing rules and regulations.

1. Nursing administrative system.

(1) Nursing meeting system.

① regular meeting of the head nurse. Held once a month, the participants carefully recorded and communicated.

② The whole hospital nurses meeting.

a, business academic meeting, once every 2 months, organized by the Department of Nursing.

b, the end of the year summary commendation meeting. At the end of each year, organized by the Department of Nursing for the whole hospital nursing staff to summarize and commend the advanced.

③ Departmental nurses meeting. Held once a month, the whole department nurses to participate.

④ Nursing morning meeting

a, presided over by the head nurse, time 10-15 minutes, all nursing staff should wear overalls and stand for;

b, the night shift nurses report on the work of the night shift;

c, the head nurse to summarize the situation of the nursing work, to evaluate, clear nursing work priorities, notes and cautions

d, the head nurse to the nursing staff subject to questions and tests on issues to improve the level of nursing practice;

e, the head nurse to convey the hospital, the nursing department, temporary notices or important decisions, and specific arrangements for implementation.

⑤ Work break symposium.

a. Held once a month, chaired by the head nurse or senior nurse, patient representatives to participate;

b. Solicit patients on medical, nursing, life and dietary advice, to understand the ideological situation of patients;

c. Organize the patients to study the newspaper, publicity, health knowledge, and require the patients to consciously abide by the management system of the hospital district.

(2) nursing checkup system.

① Section teaching room: organized once a month, for difficult cases or nursing problems, pre-arrangement of specialists to prepare, put forward the focus needs to be resolved in the Department of the problem, presided over by the head nurse or nurse in charge, and make a detailed record.

② hospital teaching room: quarterly organized by the nursing department.

③ routine checkup

a, general nursing checkup: once a week, by the chief nurse.

b, the head nurse checkup: no less than two times a day, the quality of nursing care in the ward, critically ill patients, the fulfillment of nursing duties, clinical care, ward management and other work to check, supervise and implement.

c, the head nurse room: organized by the Department of Nursing, the head nurse of each department to participate in, once a month. Against the target management of the contents of the various.

d, the head nurse night checkup: once a week, by the head nurse of each section against.

e, holiday room check: holidays, double holidays, 1-2 times a day, organized by the nursing department of the whole hospital or ward inspections, check the situation of all departments on duty during the holidays and the implementation of rules and regulations, and guide the rescue of critically ill patients.

(3) Nursing training and nursing assessment system.

①Pre-service training. All new nurses assigned to the hospital from the institution must undergo pre-service training. Content: hospital history education, medical ethics education, nursing rules and regulations, the basic quality of nurses and etiquette norms, professional ethics of nurses, nursing basic skills operation.

② on-the-job training. a. The Department of Nursing every two months to organize a hospital nursing staff of the three basic exams, temporary employment and participate in the work of the nursing staff of less than five years a monthly exam. b. Every two months to organize a hospital nursing staff business learning, department of business learning once a month. c. Every two months to organize a hospital nursing staff business learning, department of business learning once a month. d. Every two months to organize a hospital nursing staff business learning, department of business learning.

c. All nursing staff under the age of 45 must master the common nursing skills operation.

2. Nursing work system. Including: hierarchical nursing system, duty system, sterilization and isolation system, medical advice implementation system, checking system, treatment room work system, drug exchange room work system, emergency room management system

3. ward management system.

VII. Nursing indicators are completed.

1, basic nursing pass rate of 100% (passing standard 85 points).

2, special, first-class nursing pass rate ≥ 85% (passing standard 80 points).

3, first aid items intact rate of 100%.

4, nursing document writing pass rate ≥ 90% (passing standard is 80 points).

5, nursing staff "three basic assessment pass rate of 100% (passing standard is 70 points).

6, one person, one needle, one tube, one sterilization rate of 100%.

7, routine instrument sterilization rate of 100%.

8, disposable syringes, infusion (blood) device after the use of disfigurement rate of 100%.

9, the annual number of bedsores is 0 (in addition to unavoidable bedsores).

Outpatient nursing work plan 4

First, to strengthen the construction of nursing staff medical ethics:

1, continue to implement the Code of Conduct for Nurses, the implementation of civilized language for nurses in their daily work. And the implementation of light makeup on duty, smile service.

2, continue to carry out health education.

3, the physical examination of the person issued a satisfaction questionnaire, and the satisfaction survey of the opinions put forward in the rectification, such as strengthening the guide service.

4, the newly assigned nurses for pre-service training, including professional qualities, rules and regulations, nurse behavior and etiquette and basic knowledge of nursing, specialist knowledge, qualified people to give the job.

Second, to improve the quality of nursing staff

The outpatient clinic medical staff according to the three basic three strict content of the training, twice a week to learn and morning meeting questions, monthly nurse training and examination. Nursing system, emergency preparedness for retraining, the use of departmental morning meeting questions hospital nursing core system, so that each nurse can master and conscientiously implement.

Three, strengthened the hospital infection learning and related knowledge of infectious diseases

The outpatient hall is not only the implementation of the work of the guide, but also faced with infectious diseases of the initial triage work, led to learn the relevant infectious disease diagnosis and prevention knowledge, and strict implementation of disinfection and isolation system.

Fourth, the implementation of quality care

courage to innovate, improve the nursing service to implement the service in the details, to help people in the emergency service creed, the implementation of quality care, nursing staff from the smallest place to start, little by little for the sake of the patient. To assist the elderly and frail patients to register, take medication, help mobility impaired patients for hospitalization procedures, etc., and patients to strengthen communication, to provide patients with humane services. At the same time through the improvement of the work system, optimize the service process, innovative work mode, rich work connotation, strengthen the implementation of safety management initiatives, so that the nursing work closer to the patient, close to the clinical, close to the community.

Fifth, the quality of care

Continuous improvement in response to this year's hospital accreditation, in accordance with the accreditation standards and rules of the first-class general hospitals Fan of the work, so that the daily work of standardization and standardization. After the initial assessment of experts found many problems, for the problems and combined with the actual rectification. Sixth, strengthen nursing safety management, improve nursing risk prevention measures, effectively avoid risk, to provide patients with high-quality, safe and orderly nursing services. Continuously strengthen the safety awareness education, re-learning the outpatient clinic common ` unsafe factors and rehearsal of emergency plans to minimize unsafe factors.

I. Strengthen nursing safety management.

Improve nursing risk prevention measures, effectively avoid nursing risks, and provide patients with high-quality, safe and orderly nursing services.

1, the rules and regulations into practice: regular and irregular inspection, supervision in place, and supervision and inspection records.

2, strengthen the safety awareness education: found in the work of the unsafe factors to remind, strict implementation of the "four do not spare".

3, to strengthen the management of key time: such as night shifts, shifts, holidays, etc., the implementation of flexible scheduling system, a reasonable mix of old, middle and youth on duty, and pay attention to cultivate nurses on duty independently of the spirit of prudence.

4, hierarchical management: according to the nurse in charge - nurse - nurse - new nurses (less than 1 year) - intern nurses, they are divided into different levels. -Internship nurses, they carry out stratified management, strengthen the training and learning education of new nurses, and improve their professional competence.

5, improve the nursing document records, reduce safety hazards: standardize the nursing document records, seriously implement the nursing records in the "cross principles", that is, objectivity, truth, accuracy, timeliness and completeness.

6, to strengthen the nursing staff's own occupational protection: the organization of all nurses to learn the relevant knowledge, the development of occupational exposure reporting system, occupational exposure precautionary measures and occupational exposure after the specific treatment measures and procedures.

7, improve the nursing emergency risk plan: usual work pay attention to cultivate nurses' emergency response ability, each emergency work should be done retrospective evaluation, from which lessons learned to improve the nurses' ability to respond to emergencies.

II. Patient-centered.

Promote civilized quality service, strengthen nurse-patient communication, improve patient satisfaction, avoid nursing disputes.

1, to ensure that, improve the convenience measures, management responsibility to the person, found that the problem is handled in a timely manner.

2, strengthen service awareness education, improve the concept of humane active service. Continue to implement the code of conduct for nurses, the implementation of civilized language for nurses in their daily work, and improve the quality of health education.

3, conscientiously implement the notification procedure before and after clinical disposal, respect the patient's right to know, and lift the patient's concerns.

4, held a monthly work-rest symposium, the distribution of patient satisfaction questionnaires, the high quality of service to give praise and encouragement to the nurses, the poor quality of service to the nurses to criticize and educate.

Third, regular and irregular nursing quality inspection, to maintain continuous improvement of nursing quality.

1, give full play to the role of nursing quality control group, weekly quality inspection, in order to timely detection of problems, timely correction, treatment.

2, constantly revise and improve all kinds of nursing quality standards, and organize learning, according to the standard implementation of all nursing work.

3, the head nurse regularly and irregularly for quality checks, deficiencies in the cause of analysis and timely rectification, strengthen the nursing staff's sense of service, quality awareness.

4, regularly on the quality control team, the head nurse quality inspection, nursing quality inspection feedback for comprehensive analysis, find the reasons for the development of practical corrective measures, and check the implementation of corrective action.

Four, strengthen the hospital infection management

1, strict implementation of the hospital infection management leading group developed disinfection isolation system.

2, standardize the disposable supplies and after the timely disfigurement, soak and centralized processing, and regular inspection and supervision, the concentration of each disinfectant regular testing and inspection and registration.

3, increase the "general affairs class", specifically responsible for the room various types of goods, instruments, etc. cleaning, purging, maintenance.

V. Strictly implement the three basic and three strict training program.

Strengthen the teaching, refresher training, continuing education work, improve the quality of nursing staff business.

1, the nursing staff at all levels according to the three basic and three strict training plan for training, monthly organization of theoretical examinations and technical operation assessment.

According to the competent nurse (or age 45 years old or more) - nurse (or age 35 years old or more) - nurses - new nurses (within 1 year) --Practical nurses, they are stratified training and learning management,

2, nursing room visits to ask nurses, the content of the basic theoretical knowledge, specialized theoretical knowledge, knowledge of nosocomial infections and so on.

3, often review the knowledge of nursing emergency risk plan, quarterly first aid technical exercises, proficiency in the use of first aid equipment and instruments to improve the emergency response ability of nurses.

4, through the department recommended, the nursing department assessment for comprehensive evaluation, selection of nursing backbone personnel, regular training and learning, arrange nursing lecture tasks, the establishment of the nursing department - the head nurse - nursing backbone

Six, improve the quality of individual nurses, active activities

1, the establishment of nursing culture management organization, regularly carry out rich nursing cultural activities. Such as: "all kinds of programs or parties", "Nurses Day" skills operation competition, "nurse symposium" and so on, aimed at enhancing team cohesion.

2, actively participate in the creation of spiritual civilization activities.

3, to strengthen the connotation of construction, and actively create a nursing culture brand to create a harmonious nursing team.

VII, the completion of the annual nursing management goals

1, nursing document writing ≥ 90%

2, disinfection isolation qualification rate of 100%

3, first aid items, equipment intact rate of 100%

4, the number of errors and accidents "0 "

5, three basic theory, nursing operation qualified rate ≥ 90%

6, one person, one needle, one tube implementation rate of 100%

7, nursing safety management ≥ 95 points

In the hospital two committees of the correct leadership of the hospital's outpatient clinic department of the work of all the work in an orderly manner, in order to further clarify the ideas. Better do a good job next year's work, the special plan is as follows:

First, to further improve the medical environment, improve the service process, strengthen the online, telephone booking registration, set up additional personnel guide, further improve the convenience of the people's service measures, and further improve for the elderly, weak, sick and disabled patients to provide on behalf of the registration, on behalf of the payment, on behalf of the medication, accompanied by the examination, hospitalization and other services, strict fulfillment of auxiliary examination room window of a variety of The waiting time for the results of the examination of the content of the commitment to improve the results of the examination of patients and other inquiries, and further enhance the image of the hospital.

Second, the plan is to complete the outpatient volume in 20xx, realizing business income of more than 2 million yuan.

Third, the third floor of the outpatient clinic to the east of the integrated obstetrics and gynecology clinic, obstetrics and gynecology clinic, Chinese medicine specialist clinic, due to the consultation of patients often more patients waiting for the order of the chaos, the hospital is recommended to the outpatient clinic on the third floor of the hospital to send a full-time guide to maintain the order of the waiting to ensure that the order of the medical order in good order.

Fourth, the conditions permit (with a physician) in the outpatient hall to set up a convenient clinic, to solve the outpatient clinic patients some simple consultation and examination problems, convenient and quick, buffer the pressure of other clinics.

V. Apply for an additional electronic mirror for the obstetrics and gynecology clinic to improve the positive rate of gynecological examination and diagnosis of compliance rate, more accurate diagnosis and treatment of gynecological diseases.

Sixth, for the Department of Acupuncture and Moxibustion to apply for an increase of 10 TDP magnetic heat therapy instrument, acupoint nerve stimulation instrument, a pain treatment instrument, computerized herbal fumigation multifunctional therapeutic machine, multifunctional moxibustion instrument microwave therapeutic instrument, intermediate frequency therapeutic instrument, and so on.

Seven, pay close attention to outpatient medical quality management, strengthen outpatient medical staff to learn the laws and regulations, and further strengthen the medical risk prevention awareness of medical staff, standardize a variety of medical behaviors, strict implementation of the core medical system, proficiency in outpatient treatment of patient emergencies and first aid measures, from time to time to randomly check outpatient logs, outpatient charts, prescriptions, writing, quality problems of physicians positive persuasive warning. The quality of the problem of physicians to positive persuasion warning education, repeated offenders to take financial penalties to make it correct, to reduce the number of doctor-patient disputes and complaints, to eliminate the occurrence of medical errors.

VIII, to further strengthen the outpatient medical staff of medical ethics education, outpatient medical staff on a regular basis to organize learning, learning the system of clean medical practice, doctor-patient communication system and medical ethics norms, physician code of conduct, nursing staff code of conduct, combined with the example of constant warning education, and to crack down on all kinds of outpatient diagnosis and treatment of unhealthy winds.

Nine, to strengthen business learning, improve business level, regularly organize lectures in the department, the specialist knowledge, specialist skills, first aid knowledge, first aid operation learning training, improve the business level of medical staff and professional quality.