Part 1
I. Work Plan
Under the leadership of the General Branch and the Hospital Office, we will earnestly study and carry out the spirit of the National Nursing Work Conference in 201x, follow the scientific concept of development of "people-oriented" and the service concept of "patient-centered", and focus on consolidating basic nursing care, improving nursing services, establishing a new style of the profession, and promoting doctor-patient harmony and improving patient satisfaction as the main content. "Patient-centered" service concept, to strengthen basic care, improve nursing services, establish a new style of the industry, promote doctor-patient harmony, improve patient satisfaction as the main content, to ensure nursing safety as the goal, emphasizing the process of management and link management, strengthen the connotation of construction, improve the level of technical skills and quality of service, create high-quality service, patient satisfaction, social satisfaction, leadership satisfaction, and so on. Patient satisfaction, social satisfaction, leadership satisfaction.
Second, the work of the goal
1, improve and perfect the management system, and pay close attention to the implementation, so that the nursing work to systematize, scientifically, standardized.
2, strengthen the connotation of construction, and constantly improve the overall quality of nursing team.
3, adhere to the "people-oriented" service concept, conscientiously implement the first responsibility system, continue to carry out the whole high-quality seamless service activities, to create the benefits of quality service.
Third, the work of the indicators:
1, basic nursing pass rate ≥ 90%
2, special, first-class nursing pass rate of ≥ 90%
3, specialized nursing pass rate of ≥ 90%
4, the technical level of the pass rate of ≥ 90%
5, nursing instrument writing pass rate of ≥ 90%
6, first aid Goods intact rate of 100%
7, disinfection and sterilization rate of 100%, disinfection and isolation rate of 100%
8, ward management rate of ≥ 95%
9, the annual number of pressure ulcers 0
10, health education, patient coverage of 100%, the patient knowledge rate of ≥ 80%
11, medical safety management rate of qualification ≥ 90%
12, emergency department, operating room, supply room quality management pass rate ≥ 90%
13, the annual number of serious errors in nursing, nursing accidents 0
14, patient satisfaction with nursing services ≥ 98%
15, the nursing training rate of 100%, nursing continuing education credits or hours to meet the specified requirements.
16, each year in the state level or more academic conferences or journals, published papers ≥ 8
17, the annual work plan completion rate of ≥ 95%
Fourth, the work of the measures
(a) staff management
1, in the configuration of the nursing staff, as soon as possible to meet the national requirements for the proportion of nurses. To meet the needs of clinical work, to ensure the quality of nursing work based on special circumstances according to the actual workload as far as possible in the hospital to make appropriate adjustments, the development of emergency nursing human resources deployment plan, to avoid the waste of nursing resources.
2, and strive to gradually achieve the use of nurses at different levels:
(1), the new entrants and low seniority nurses to seriously complete the class nursing work and common diseases of health education and guidance and patient's life care, nurse practitioners and the nurse in charge of the work of guidance should be done;
(2), the nurse in charge of the work of nurses and nurse practitioners in charge of completing the work of the class should also be the basis of quality control, teaching, lecturing, developing and implementing the program of nursing care.
(3), the patient's satisfaction with the nursing backbone to the front line of clinical, such as venipuncture technology good nurses, can consider arranging the treatment class, in order to protect the nursing service "quality", the establishment of venous treatment team, to solve the hospital's difficult puncture problem, fully mobilize the nursing staff to work and study, to ensure the quality of nursing services. Fully mobilize the nursing staff to work and study enthusiasm, initiative.
3, the nursing staff at all levels of assessment, evaluation, the nursing department and departments seriously do a good job in the management of nurses' technical files.
4, strengthen the management of the head nurse, do a good job of the head nurse management inspection, supervision. Seriously implement the overall care, change the scheduling model, reasonable, scientific, flexible scheduling, fully embodies the patient-centered service concept.
(B) quality management
1, seriously study the Department of Health in Hubei Province, Badong County Health Bureau on the "medical quality management of special rectification activities to implement the program" of the relevant spirit, combined with the actual hospital, to carry out special rectification of the quality of medical activities. Continue to carry out the hospital management year and medical quality Miles activities, the implementation of the first responsibility system, to carry out the whole high-quality seamless service activities.
2, improve the nursing quality control system and the head nurse meeting system, the establishment of the nursing quality management system by the dean in charge of the group leader, the director of the nursing department as deputy leader, the head nurse, quality inspector as a member of the nursing quality management system. Further revise and improve the nursing quality assessment content and scoring standards. Grasp the secondary quality control management, carry out quality control activities according to the requirements, clear division of labor, responsibility to a person, so that everyone participates in the management of the layers, *** with the gatekeeper to ensure quality. There are inspection records, analysis, evaluation and improvement measures, and quarterly information analysis. Nurses on the existence of problems and improvement measures to know the rate of 100%, nursing measures to implement the rate of 90% or more, in order to ensure the effectiveness of continuous improvement of nursing quality work.
3, the implementation of the head nurse night room, holiday room system. Strengthen the management of key departments, key departments, key links, key people, key time.
(C) safety management
1, the organization carefully study the "Nurses Regulations", "Regulations on the Administration of Medical Institutions", "Regulations on the Handling of Medical Accidents", "Hospital Infection Management Measures", "Disposable Medical Waste Disposal Regulations" and other relevant laws and regulations, and an annual examination of laws and regulations, in order to enhance the legal awareness of the nursing staff, according to the law of the nurses, to protect the patients and the nurses of the The lawful rights of patients and nurses are protected.
2, the establishment and improvement of nursing error reporting and management system, to strengthen the management of nursing defects. The Nursing Department unified standardized nursing defects, errors and accidents record book, found defects recorded in a timely manner, the department organized monthly discussions to analyze the reasons and put forward corrective measures. Errors found in a timely manner recorded and reported to the Nursing Department, the department organized discussions, characterization, analysis of the causes and corrective measures.
3, pay close attention to the implementation of the core system, the strict implementation of the rules and regulations and nursing routines, norms. By the nursing department to develop nursing safety special inspection content, all levels of management personnel regular and irregular supervision, check hidden problems, set measures, and promote improvement.
4, to strengthen communication with patients, monthly labor breaks will be held to seek advice from patients, timely problem solving for patients. Injurious treatment or special examination to seriously fulfill the obligation to inform.
5, continue to carry out medical safety month activities, to find their own and work in the existence of security risks, and write a self-examination and self-correction report submitted to the nursing department.
(D) business management
1, to further deepen the concept of holistic care, patient demand-oriented services, focusing on personalized services, and further standardize the health education system, process, to ensure the effectiveness of measures.
2, the establishment and improvement of critical, difficult cases of nursing consultation, nursing room, nursing case discussion system, to strengthen the effect of the business room, the nursing department quarterly organization of the whole hospital nursing business room 1, department at least 5 times a year to organize nursing business room.
3, guiding nursing staff to actively carry out nursing research, carry out new technology, new business, writing nursing papers, encourage active submission. Requirements for the title of nurse or above to complete at least 1 paper per year.
4, the development of Chinese medicine characteristics of nursing, and seriously improve the promotion of appropriate Chinese medicine technology, the creation of characteristics of Chinese medicine hospital.
5, on-the-job training
(1) select and send 2 to 3 head nurses to higher hospitals for further training and learning of new technologies (PICC), new business. Each department sent young nurses to Yichang Central Hospital for three months of training rotation, for moving into the new building to lay a good foundation
(2) Nursing business learning requirements: the whole hospital quarterly nursing lectures, each department organized once a month business learning, with records and scripts.
(3) Nursing theory training content: nursing quality standards, various work systems, workflow, "three basic" nursing knowledge, specialized nursing routines, emergency preparedness, first aid knowledge;
(4) Nursing skills training focus on:
① Basic nursing operations and Chinese medicine nursing operation standardized training, especially good new staff. standardized training, especially good training for new employees and young nurses;
② common first aid knowledge and skills.
(5) actively participate in the Shengzhou Nursing Association organized by a variety of short courses, and constantly improve new knowledge, develop new business, drive the hospital nursing business level.
(6) invited outside the hospital nursing experts to the hospital for nursing business knowledge lectures 1 to 2 times.
(7) Encourage nursing staff to continue learning on-the-job, through self-study exams and other methods to improve academic qualifications, enhance the level of knowledge, improve the nursing team's intelligence structure.
Part II
20xx year nursing department work plan will focus on the hospital's work objectives, in improving the quality of care, strengthen the management of patient safety, to protect the safety of patient care, to strengthen the training of nurses, to improve the theory of nursing staff at all levels and skill level, etc. to carry out the work, in order to successfully pass the evaluation of the second hospital to do a good job in the preparatory work, is planned as follows.
Work focus:
1, internal medicine to create a quality care demonstration ward
2, to meet the "two A" inspection
First, to carry out high-quality care, improve the quality of nursing services:
In order to further strengthen and improve the work of nursing care, to improve the quality of clinical care and the level of nursing services, enrich the nursing services, and to improve the quality of nursing services, to improve the quality of nursing services. With the Ministry of Health "quality care demonstration service project" activities are actively carried out, we Xianju County Hospital all medical staff will be passionate about the work.
1. The proposed internal medicine ward first quality care
2. The establishment of the hospital to create a "demonstration project" activities of the leading group
3. Pilot wards on the clinical nursing service weaknesses in self-examination, and against the requirements of the relevant requirements to be seriously implemented.
4. Nursing department and other functional departments in the "demonstration project" activities throughout the supervision and inspection; extensive collection of staff, patients and family members of the hospital, the introduction of social participation in the evaluation mechanism.
5. Not to carry out "quality care" ward according to departmental characteristics to carry out a quality care service projects.
Second, according to the Ministry of Health's ten safety goals, do a good job of nursing safety management
a) do a good job of nursing safety management
1, improve the various patient safety systems and norms, focusing on strengthening the management of nursing safety hazards and adverse events and the online reporting work, to this end, the development of a new nursing admission assessment form and put it into use, the quarterly analysis of nursing negligence, the development of preventive measures to reduce nursing adverse events. Nursing negligence analysis is conducted quarterly, and preventive measures are formulated to reduce the occurrence of nursing adverse events. On the basis of the prevention of falls graphic education, the department is required to carry out customized education, and use the video to attract attention.
2, to prevent the wrong surgical site, surgical patients, surgical operation.
3, supervise the implementation of various nursing safety system: such as drug management system, improve the safety of medication, to protect the safety of patient care.
4, to strengthen the implementation of medical advice link management: the requirement of daily medical advice check, strengthen the implementation of the accuracy of medical advice, there are questions and timely communication with the doctor, intravenous infusion requirements in accordance with the norms of verification, the implementation of the medical advice has a strict verification procedures, control of the flow rate of intravenous infusion, etc., to carry out the operation of the initiative to the patient or family members to explain to obtain understanding and cooperation.
5, strengthen the nursing risk management, each department reported monthly risk events, quarterly summary analysis and improvement.
6, to strengthen the critical and surgical patient transfer safety management. Medical and technical departments standby resuscitation items, the hospital unified requirements to fill out the critical patient transfer record sheet.
7, the head nurse divided into two groups of two weekly night inspection, the existence of problems summarized and feedback.
8, seriously implement the "non-punitive nursing adverse events reporting system", put forward the cause of analysis and corrective measures, quarterly summary feedback.
ii) Strengthen nursing quality management
1, check the nursing quality control team personnel changes, including pressure ulcer quality control team.
2, by the Hospital Nursing Quality Committee to supervise the nursing unit nursing quality control group, according to the nursing quality analysis and evaluation standards, the quality of nursing care in the department for inspection, feedback, rectification and evaluation and by the head nurse to do a good job of reporting.
3, monthly by the nursing quality control team for the hospital nursing quality inspection, the nursing department monthly administrative inspection 2 times, the nursing department is responsible for the monthly quarterly summary of the results of the inspection and timely feedback.
4, adhere to the quarterly nursing quality committee, the quality of care of the hospital's problems such as pressure ulcers, falls, falling beds to summarize, analyze, look for the reasons, put forward corrective measures, and constantly improve and adjust the quality of care management methods.
5, nursing medical records: further standardize the writing of nursing medical records, according to the quality inspection standards of Zhejiang Province Chinese medicine nursing medical records, reflecting the level of specialization and dynamic changes in the writing of nursing medical records, the requirements of the "write what we do", "do what we write! In the nursing medical record writing, it is required to "write what we do" and "do what we write", and the medical record writing cannot be disconnected from the clinic, so as to better carry out the evidence-based nursing. The current medical records and archived medical records are checked and feedback is provided.
6, standardize the discharge follow-up work to improve patient satisfaction.
7, the implementation of target management, the quality of care required to achieve the following indicators:
1), inpatient satisfaction rate of ≥ 90%
2), the implementation of basic nursing care rate of 100%
3), the critical care of patients with a qualification rate of 100%
4), the medical record writing compliance rate of ≥ 95%
5), resuscitation equipment intact rate of 100%
6), the number of nursing accidents is 0
7), the average score of nurses in basic theory ≥ 85 points
8), the average score of nurses in basic skills ≥ 90 points
3) do a good job of emergency human resources adjustment plan and training of relevant personnel
1, set up a project team, make a list
2
4), highlighting the characteristics of Chinese medicine care, improve the effect of clinical care
1, the adoption of Chinese medicine care measures, reflecting the identification of evidence-based care, and the correct application of Chinese medicine terminology, and actively carry out specialized (specialist) Chinese medicine characteristics of care.
2, actively carry out Chinese medicine operation, strengthen the mission.
3, departmental quarterly evaluation of Chinese medicine characteristics of nursing and develop improvement measures, the nursing department for the hospital's Chinese medicine nursing operation to be assessed quarterly.
4, Chinese medicine post dressing treatment of pressure ulcers homemade No. 1 formula, No. 2 formula, the effect is obvious patients reflect good, and actively promote in the hospital.
5, to improve the operation of Chinese medicine and theoretical level of nursing staff, invited experts in the hospital theory training, theory assessment of 1 time, requiring all nurses to pass the examination.
V) strengthen on-the-job education, pay attention to the quality of connotation:
1, to strengthen the training of nursing talent echelon:
(1) Nursing management personnel training: select and send the head nurse and the backbone of the study away from home, back to the production of the PPT report;
(2) young nurses training: select and send the operating room, orthopedics, orthopedics, surgical nurses in Taizhou Hospital for further training
(3) the training of nurses in the hospital and the hospital's hospitals and hospitals, the hospital's hospitals, and the training of nurses in the hospitals.
(3) to complete the 20xx registration
2, to strengthen the specialist theoretical knowledge and skills assessment:
(1) organization of the hospital's nursing staff to conduct business learning, quarterly nursing department organized a disease check-up (Chinese medicine disease check-up 2 times), from time to time to discuss difficult cases.
(2))Nursing physical examination for the whole hospital intermediate title personnel.
(3) the year three basic theory examination twice, Chinese medicine theory assessment once, operational skills assessment once.
(4) The head nurse conducts specialty knowledge examination for nurses in the department once a quarter, and the nursing department conducts regular random examination.
(5) Graduation and allocation of personnel pre-service training and pass the examination, the work of three years within the nurse to arrange a monthly theoretical or operational training assessment.
(6), interns with teaching work:
1, 20xx graduates in March officially.
2, the proper arrangement of the 20xx interns work: including reception of internship students,,, the development of clinical internship teaching program, the arrangement of internship department rotation.
3, monthly theoretical training,
4, standardize the teaching room, improve the quality of teaching room and teaching level. Organizers carefully prepared, step-by-step analysis and explanation; students listen attentively, actively ask questions; illustrations and illustrations, teaching and listening to interaction, so that students have a deeper understanding of the specialist knowledge, easier to grasp.
VII) Other
1, held "5.12" Nurses' Day celebrations