1 method
1. 1 The nursing department made an overall plan for the activity and made an overall plan.
(1) Strengthen training and publicity, improve the overall consciousness of nurses and change their concepts.
(2) The department set up a "5S" activity group to study and discuss the relationship between it and the development of high-quality nursing, and set goals, that is, to thoroughly clean the workplace, improve the quality standards of work, improve the quality of nursing staff, and improve work efficiency and patients' satisfaction with nursing work.
(3) Choose the key points of implementation, such as strengthening process management (strengthening basic nursing and technical operation process, service process and link quality), material management of departments, treatment room, ambulance, drug management and operating room equipment management.
(4) Regularly distribute patient satisfaction questionnaires.
(5) Collect data comprehensively, find problems through the collected data, constantly analyze and correct deviations, and finally work out the assessment standard of high-quality nursing.
Implement1.2 "5s"
Seiri (1.2. 1) is the first step of the "5S" activity, that is, cleaning the articles in the selected workplace on site. Separate necessities from non-necessities, deal with non-necessities, even necessities, and minimize the number of necessities. We should treat what is needed immediately, what is not needed temporarily and what is not needed for a long time.
For example, overstocked materials, waste equipment and pipelines, treatment rooms, ambulances, medicines, common items in departments, etc.
1.2.2 seiton is the second step of the "5S" activity, where articles and medicines are located, arranged neatly and marked effectively. Make the workplace clear, tidy and orderly, eliminate the time wasted on "finding" goods and medicines, and eliminate excessive backlog.
1.2.3 seiso is the third step of the "5S" activity, that is, removing all garbage and dust in the workplace and keeping the workplace clean and refreshing. Check whether machines, equipment and medicines are in good condition. Clean up the problems found in the process, find out the reasons and solve the problems fundamentally. Set up cleaning responsibility area, define the responsibilities of each class, implement regional responsibility management, and eliminate pollution sources.
1.2.4 sekeetus is the fourth step of the "5s" (www.chinatpm.net) activity, aiming at finishing, rectifying and cleaning up, standardizing them and forming a system for everyone to follow. And formulate a supervision and inspection examination form. Organize nursing staff to learn 5S related knowledge and implement 5S awareness.
1.2.5 Literacy (shini) is the last link of the "5S" activity, that is, through the implementation of the steps, everyone can develop good work habits, abide by rules and regulations and operating procedures, take good care of public property and get things back in time. It can also cultivate employees with positive enterprising spirit and good quality, so as to improve the overall quality of the team.
2 discussion
2. 1 Nursing quality management is an activity whose main purpose is to improve nursing quality and work efficiency. Nursing quality management consists of three levels: basic quality, link quality and terminal quality management, especially the link quality is similar to "5S", which controls and manages the "environment" of the work site. Combined with nursing quality management, it strengthens the quality consciousness of nursing staff and cultivates their good quality.
2.2 "5S" activity management mode makes nursing management efficient, accurate and convenient. Access to goods and medicines saves time and greatly improves work efficiency. "5S" management makes the nursing link clear at a glance. In an emergency, there is no need to waste time and energy because of inaccurate retrieval, and there is no need to make mistakes because of wrong or misuse, which will lead to adverse consequences. At the same time, due to the continuous cleaning and rectification, the expiration and waste of various items, equipment and medicines have been effectively eliminated, and the cost has been saved.
2.3 The implementation of the "5S" activity management mode directly affects the medical quality and is conducive to improving the success rate of patient rescue. Every nursing staff can master the performance and placement of all kinds of articles, instruments and medicines, serve patients more accurately and save time, ensure the safety of patients, improve the satisfaction of nursing work in an all-round way, and achieve a win-win situation for two benefits, which is exactly what quality nursing advocates: safe, high-quality and satisfactory nursing services.
The "5S" management of quality nursing is not only an understanding and implementation of the literal "5S", but an extension of the "5S" management concept, which creates a fresh, clear and clean working environment for us. The ultimate goal of "5S" management activities is to improve the quality of every employee, which is also a part of hospital culture. The implementation of "5S" management starts with small things, details determine success or failure, and everything is taken seriously, which is also the key for a team to win.