The plan itself is an assessment standard for the progress and quality of work, and has a strong binding and supervisory effect on everyone. Therefore, the plan has both a guiding role in the work, but also to promote the role of the work plan, is to establish a normal working order, improve the efficiency of the work of an important means.
Part IFirst, the guiding ideology
under the leadership of the General Branch, the hospital office, seriously study and implement the spirit of the 201x National Nursing Work Conference, follow the people-oriented concept of scientific development, the patient-centered service concept, in order to solidify the basic nursing care, improve nursing services, set up a new style of the industry, to promote harmony between patients and doctors and to improve the level of patient satisfaction as the main content, in order to strengthen the basic nursing care, improve nursing services, set up a new style of the industry, promote the harmony between patients and doctors and improve the level of patient satisfaction. Patient satisfaction as the main content, to ensure nursing safety as the goal, emphasizing the process management and link management, strengthen the connotation of construction, improve the technical level and quality of service, create quality services, so that patients are satisfied, 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 institutionalization, scientification, standardization.
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 process of high-quality seamless service activities, create quality service benefits.
Third, the work of the indicators:
1, basic nursing pass rate?90%, special, first-class nursing pass rate?90%
2, specialized nursing pass rate?90%, technical level pass rate?90%
3, nursing instrument writing pass rate?90%, first aid items intact rate of 100%
4, disinfection sterilization pass rate 100%, disinfection and isolation qualification rate of 100%
5, ward management qualification rate of 95%, the annual number of pressure ulcers 0
6, health education patient coverage of 100%, patient awareness rate of 80%
7, medical safety management qualification rate of 90%
8, emergency department, operating room, supply room quality management qualification rate of 90%
9, the number of serious errors in nursing, nursing accidents 0
10, patient satisfaction rate of nursing services?98%
11, nursing staff training rate of 100%, nursing staff continuing education credits or hours to meet the prescribed requirements.
12, each year at the provincial level or above academic conferences or journals to exchange, published papers?8
13, the annual work plan completion rate?95%
Fourth, the work of the measures
(a) staff management
1, in the configuration of the nursing staff, as early as possible to meet the requirements of the ratio of nurses equipped. 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) new entrants and low seniority nurses to seriously complete the class nursing work and health education guidance on common diseases and patient life care, nurse practitioners and nurse practitioners in charge of the work should do a good job of guiding;
(2) nurse practitioners in charge of nurse practitioners in charge of completing the work of the class on the basis of the work should also be responsible for quality control, Teaching, lecturing, developing nursing programs, scientific research and other work;
3, nursing staff at all levels of assessment, evaluation, the nursing department and the department of nursing 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 Shaanxi Provincial Department of Health, Chenggu County Health Bureau on the "medical quality management 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-question responsibility system, to carry out the whole high-quality seamless service activities.
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 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 needs as a service-oriented, focusing on personalized service, 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, departmental organization of a monthly nursing business room.
3, guiding nursing staff to actively carry out nursing research, carry out new technology, new business, write
write 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, seriously improve the promotion of appropriate Chinese medicine technology, to create a special 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 sends young nurses to Shaanxi Provincial Hospital of Traditional Chinese Medicine for 3 months of rotational training to learn advanced nursing management methods and TCM nursing operation techniques.
(2) Nursing business learning requirements: the hospital organizes a quarterly nursing lecture, each department organizes a monthly 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 planning, first aid knowledge;
(4) Nursing skills training focus on: basic nursing operations and standardized training in Chinese medicine nursing operations, especially good training for new employees and young nurses; common first aid knowledge and skills.
(5) actively participate in the provincial and municipal nursing associations organized by a variety of short courses, and constantly enhance 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, and improve the intelligent structure of the nursing team.
(5) Actively participate in other activities organized by the hospital and the community.
Part II
I. Implement the Chinese Medicine Administration "Chinese Medicine Hospital Chinese Medicine Nursing Work Guidelines", in the clinical nursing services to further highlight the advantages and characteristics of Chinese medicine.
1, combined with the actual hospital to further improve the system:
Traditional Chinese medicine nursing management system
Traditional Chinese medicine nursing quality standards
Traditional Chinese medicine nursing continuing education registration
Traditional Chinese medicine nursing operation technical specifications
Clearly the nursing management department and nursing management personnel's responsibilities to regulate the practice of nurses.
2, improve the Chinese medicine organization and management system
Chinese medicine nursing quality management team leader:
Deputy leader:
Members:
Clear responsibilities for the implementation of the hospital's Chinese medicine nursing work, inspection, evaluation and feedback, and reflect the continuous improvement of Chinese medicine nursing work.
3, standardize Chinese medicine nursing routine:
201x by the Department of Nursing to organize the head nurse of each department to revise and improve the hospital's "Chinese Medicine Nursing Routine" and print a booklet, requiring each department to organize monthly study, Chinese medicine nursing group from time to time under the department of random inspection, not mastered or not implemented to give the appropriate punishment.
4, actively carry out Chinese medicine nursing technology operation:
Each department to carry out no less than two Chinese medicine characteristics of nursing technology projects, each department two Chinese medicine nursing technology can not be less than 100 people per month, there must be a complete registration. The Nursing Department from time to time under the department of the implementation of random checks.
5, actively carry out Chinese medicine characteristics of nursing, provide patients with Chinese medicine characteristics of rehabilitation and health guidance, give full play to the advantages of the characteristics:
(1), each department to develop and common diseases adapted to the content of the rehabilitation and health guidance, and to organize the nurses to learn and implement.
(2), to carry out different forms of vivid knowledge of Chinese medicine treatment of disease education and health and wellness publicity and education activities. Including the promotion of telephone return visits for patients including discharged patients to provide nursing advice and guidance.
(3), each department to establish a common diseases of health education bulletin boards, for patients to provide easy to understand Chinese medicine characteristics of rehabilitation and health education prescriptions.
Second, patient-centered, improve the nurse service consciousness
1, the patient-centered nursing philosophy and humanistic care into the nursing services to patients, continue to improve and optimize the workflow of the Chinese medicine nursing, in the provision of basic nursing services and professional and technical services at the same time, according to the patient's needs to provide a full range of seamless care, and to promote the nursing work closer to patients, closer to clinical, closer to the nursing work. The company's products and services have been widely recognized as the best in the world.
2, monthly according to the number of nurses to complete clinical nursing work, quality and patient satisfaction of each department to carry out activities to create excellence, select a monthly star and recognition, and further improve the nurse's service consciousness.
Third, strengthen the management, promote the continuous improvement of clinical nursing quality
1, the implementation of flat nursing management. Nursing managers directly guide and serve the clinical nursing work, shorten the management radius, improve management efficiency. Nursing department staff at least 2 times a week to each ward to participate in the nursing handover and administrative checkups, the implementation of the quality of nursing care in each ward, handover system, doctor's order checking system, hierarchical nursing system, nursing safety system, nursing workflow and other comprehensive evaluation and feedback to the head nurse, the failure to implement the corrective action of the department.
2, to further improve the nursing staff technical files, the establishment of a sound nursing information system, do a good job of collecting and analyzing nursing-related information.
Fourth, the further implementation of nurses in Chinese medicine in-service education and training
1, nursing staff must be in accordance with the provisions of the Nursing Regulations, each year to accept all levels of nursing professional continuing education.
2, the Department of Nursing to organize different levels of nursing staff of the three basic and Chinese medicine specialist nursing knowledge and skills training.
3, the nursing department, the department should establish a continuing nursing education registration, assessment mechanism, detailed records of learning, assessment results, and properly stored.
4, the Department of Nursing should be graduated from Western medical colleges and universities to develop Chinese medicine knowledge training program, the cumulative total of three years to reach lOO hours, and assessment.
5, the Department of Nursing each year should be divided into levels of nurses throughout the hospital for the basic theory of traditional Chinese medicine, traditional Chinese medicine nursing technology, traditional Chinese medicine specialty nursing knowledge training and assessment, retain the original records of the assessment.
6, according to the undergraduate admissions of specialized diseases, the development of the specialty of Chinese medicine nursing theory and technology training program, regular assessment, retain the original records of the assessment.
7, the Department of Nursing should be regularly organized to randomly check the nurse's Chinese medicine nursing operation, and put forward corrective comments on the existence of problems.
Fifth, highlight the humanistic care, enhance the cohesion of the nursing team
1, people-oriented, pay attention to the nurse's thought dynamics, physical and family situation, the need for nurses to give the limit of help.
2, 5.12 International Nurses' Day (initially scheduled for May 6) to hold a patient-centered, give full play to the advantages of traditional Chinese medicine, Chinese medicine characteristics of nursing care as the theme of nursing etiquette activities, in order to enliven the festive atmosphere, and promote the further development of Chinese medicine nursing work.
Part III
In 201x, the nursing work of our hospital will continue to implement the director of nursing under the leadership of the dean, continue to set up a patient-centered service concept in accordance with the standard requirements of the second grade Chinese medicine hospitals, focusing on the safety of medical and nursing care to strengthen the management of patient safety, to ensure the safety of patient medical and nursing care; to strengthen the training of nurses, to improve the skill level of nurses at all levels; to actively promote the development of Chinese medicine nursing. To improve the skill level of nurses at all levels; to actively carry out quality nursing services, work on improving the quality of nursing services and other aspects, improve the level of nursing skills and quality of service, to provide patients with quality nursing services, and to create a high-quality medical environment. Now the work plan is as follows:
First, the work objectives
closely around the hospital's development goals, improve and implement the nursing management system, fourteen nursing core system, nursing operation procedures, nursing emergency plan, hospital infection management system. We strictly abide by the relevant health policies and regulations of the Ministry of Health and the administrative regulations of the Ministry of Health. The nursing work is institutionalized, scientific, standardized and legalized.
Second, specific measures
(a) to strengthen the quality of care and safety management, and continue to improve the quality of nursing services, to ensure the safety of nursing care
The quality of care management is the eternal theme of nursing management, is the core of nursing management. In 201x nursing work, the nursing department will follow the PDCA cycle model against the quality assessment standards to seriously assess, analyze, evaluate, rectify, track and re-evaluate, reflecting the continuous improvement, the implementation of target management.
1, the hospital nursing quality control team, monthly nursing quality supervision of the nursing unit, the existence of problems in a timely manner to rectify tracking, and monthly organization of the quality of care and nursing
Adverse event analysis will be held once, to promote the continuous improvement of the quality of care.
2, to strengthen the key links, key time, key populations, key departments (disinfection supply room, operating room, emergency department, hemodialysis room) of the quality of care management, the Department of Nursing will be irregularly under the department in accordance with the requirements of the standard of the second A supervision, to ensure that the safety of care.
3, further increase the hospital infection management and control efforts, strict compliance with the implementation of disinfection and isolation system, strengthen occupational protection, to protect the safety of nursing staff, and do a good job of disposable items, the management of medical waste, the use of disposal.
4, sound, improve the patient risk assessment system; strengthen the management of critically ill patients and nursing adverse events, the reported high-risk patients and adverse events nursing department timely down the ward to view, put forward rationalization proposals to avoid the occurrence of medical disputes.
5, in the holidays, emergencies do a good job of standby prevention program.
(B) to strengthen the connotation of quality care, the implementation of accountability for the overall care
1, to strengthen the nursing human resources management, the implementation of the nurse post management, as far as possible to meet the needs of clinical nursing.
2, the implementation of the patient-centered service concept, in accordance with the graded nursing, specialized nursing work standards, the implementation of accountability for the overall care, to strengthen the health mission, for patients and their families to provide safe, high-quality, efficient and satisfactory service.
3, to further increase the quality of nursing service work of the assessment efforts, regularly held a special meeting of the head nurse, and constantly summarize the improvement of clinical nursing.
4, the Department of Nursing monthly patient satisfaction survey, widely listen to the views of patients and their families, and constantly improve service attitude, improve service quality.
(C) the implementation of Chinese medicine nursing program in the hospital ward, standardize the nursing staff Chinese medicine nursing operation
technology.
(D) to speed up the head nurse, nurse work ability training, and effectively improve the overall quality of the nursing team
1, increase the assessment of the work of the head nurse, the quarterly theoretical assessment of the head nurse under the age of 40 once.
2, the Department of Nursing regularly organize hospital-wide business learning, section of the organization of business learning once a month, the hospital quarterly theoretical assessment, technical operation assessment once a month, section of the operation, theory assessment once a month.
3, strengthen the nursing core system, duties, processes, emergency plans for training and assessment.
5, the Department of Nursing regularly and irregularly organized nursing room, teaching room, nursing consultation, difficult case discussion, the section of the organization of a monthly nursing room.
6, strengthen the training of specialized nurses, arrange for further training and learning, and accelerate the construction and development of specialized nursing.
7, encourage nurses, nurse leaders to participate in various forms of learning and improve the level of education and management level, plans to send some of the young nurse leaders this year, the backbone of the business to go out for further study.
(E) innovative thinking to carry out research, promote clinical nursing teaching
1, to strengthen the nurses new theories, new knowledge, new technology learning, constantly expanding horizons, innovative thinking, nursing research, and actively write nursing papers.
2, active clinical nursing teaching. Strengthen the management of internship, further training, new nurses, internship staff pre-service education, pre-service training before entering the clinic, regular symposiums to summarize the work of internship teaching, before leaving the Department of Theory, operation assessment, new nurses pre-service training before being allowed to go on duty.
(F) with the hospital to implement tobacco control work, a smoke-free hospital.
(VII) and the hospital labor union, **** Youth League cooperation to carry out some meaningful recreational activities, enrich the spare time, improve the cohesion of the nursing team, centripetal force.
(H) increase supervision, implementation, inspection efforts to ensure that the comprehensive assessment of nursing quality standards. The nursing quality control group clear division of labor, strictly according to a variety of quality assessment standards in-depth inspection, the nursing department from time to time to focus on supervision, so that there are records, analysis, evaluation, the development of corrective measures, so that the assessment of the project are up to standard. The standards are as follows (the total score is 100 points):
1, basic nursing care pass rate ≧ 90%
2, specialized nursing care pass rate ≧ 95%
3, graded nursing care pass rate ≧ 95%
4, critical care pass rate ≧ 90%
5, first aid items intact rate of 100%
6, Qualified rate of disinfection and sterilization of routine instruments 100%
7. Qualified rate of writing nursing documents ≧95%
8. Patient's satisfaction with nursing care ≧95%
9. Qualified rate of nursing technical operation ≧90%
10. Qualified rate of the three basic tests ≧90%
11. Incidence of pressure ulcers 0
13, Medical waste disposal qualification rate of 100%
1x, one person, one needle, one tube, one sterilization qualification rate of 100%
1x, disposable syringes, transfusion (blood) after use disfigurement rate of 100%
16, health promotion coverage rate of 100%
17, health promotion success rate of ≧ 90%
18, high-quality Nursing service coverage rate of 100%
19, Accountable overall nursing care qualification rate ≧ 90%