20xx is the third anniversary of the establishment of the hospital. Under the guidance of the dean and leaders at all levels, all the nursing staff successfully completed all the nursing work assigned by the hospital leaders, and completed more than 90% of the 20xx nursing plan. The work is summarized as follows:
First, seriously implement the rules and regulations.
Strict implementation of rules and regulations is the fundamental guarantee to improve nursing quality and ensure medical safety.
1, define the work responsibilities and processes of each shift.
2, adhere to the inspection system:
(1) requires the class to check the doctor's advice, and the head nurse participates in the total check 1-2 times a week and records it;
(2) Strictly carry out three inspections and eight pairs of nursing operations;
(3) Insist on filling in the infusion card, and no major nursing mistakes have occurred in the past year.
(4) All kinds of registers should be carefully implemented and registered as required.
3. Strict handover system: adhere to bedside handover system and morning care to prevent complications.
Second, improve the quality of nursing.
1, the department set up a quality control team: check the nursing safety, ward management, emergency medicine management, basic nursing of critically ill or super-class nursing patients and nursing document writing every week; Discuss and rectify once a month to continuously improve the quality of nursing.
2. The trial of the responsibility system nursing strengthened the nurses' sense of responsibility and made them clear their responsibilities and work.
This workflow greatly reduces the number of patients' phone calls and patients' complaints about untimely treatment.
Third, improve the professional quality of nursing staff.
1, ask questions 1-2 times every morning, and the content is basic theoretical knowledge and medical professional knowledge.
2. Nurses in designated departments should have a small lecture or business study once a month, conduct an operation training and assessment, and urge them to learn and improve their business.
3. Insist on nursing rounds: conduct small rounds of nursing once a month to discuss nursing diagnosis and nursing measures to improve professional quality.
4. Conduct relevant business theory assessment every quarter.
5. Strengthen the care of critically ill patients, adhere to the bedside shift system and morning care.
Fourth, strengthen the management of hospital infection.
1, strictly implement the disinfection and isolation system.
2, insist on daily ultraviolet air disinfection of the treatment room, once a week with 75% alcohol to wipe the ultraviolet lamp, and record.
3. Standardize the management of drugs and therapeutic carriers.
4. Disposable articles should be destroyed in time after use, centralized treatment, regular inspection and supervision, regular inspection and inspection of the concentration of various disinfectant, and nursing a bed, a towel and a wet sweep in the morning.
5, ward, treatment room can insist on mopping the floor with chlorine-containing disinfectant, twice a day, discharged patients sheets into terminal disinfection (clean bedside table, wipe with disinfectant), ultraviolet disinfection of the air.
7, all kinds of nursing operations strictly implement the requirements of hospital sense, clean clothes, dress code.
Five, nursing staff to better complete the nursing work.
1, adhere to the principle of patient-centered, quality-centered, and provide high-quality services for patients, and provide health guidance for patients during off-duty lectures, rounds, and admission, so as to familiarize patients with disease prevention, rehabilitation, and related medical care, nursing, and self-care knowledge.
In February and June, under the leadership of the nursing department, the internal medicine department, as a high-quality nursing demonstration ward, carried out the responsibility system nursing mode, which enhanced the nurses' awareness of active service, made the nursing work more detailed and reduced the occurrence of accidents and complaints.
3. Up to this year 1 1 month, there were about 879 surgical hospitalizations, including surgical hospitalizations 187 cases, internal medicine hospitalizations 13 cases, in which internal medicine * * generated economic income of about 20x7580. 1 yuan.
Six, the existing problems:
1. There are too few registered nurses.
2. The mobility of nurses is too strong, the comprehensive quality of new nurses is poor, and the concept of infertility is not strong.
3. Quality nursing service is still in the exploratory stage, and nursing writing is not standardized. Add the above two questions,
The difficulty of nursing work is greatly improved.
4, nurse annual continuing education shortage management (such as integral purchase, upload registration, etc. ).
5. Ward environment and facilities are not perfect.
(1), layout: the ward is not clearly marked, and the location is too hidden, so most patients can't find the inpatient department; treat cordially
The layout and facilities of rooms and treatment rooms are not up to standard (wooden treatment tables, cabinets and walls are not attached.
Tiles, no air conditioning, small area, etc. ).
(2) The sickbed has no guardrail, and more than 80% of sickbeds can't be lifted; There are no shelves under the bed.
(3) No central oxygen supply: The use of oxygen cylinders increases the workload of nurses and the amount of oxygen used.
Security risks, patients can not get active treatment or rescue; The cardinality of oxygen cylinder and flowmeter is too high.
Less; Oxygen cylinder and flowmeter do not match.
6. The management and supervision mechanism is not perfect: all managers have multiple roles.
7. Performance appraisal: the ratio of monthly salary to bonus is not appropriate, and the distribution is too complicated, giving people a feeling of being wrong.
Transparent, unable to mobilize the enthusiasm of all employees.
8. The implementation of hospital infection system is not in place: the disinfection of grinding bottles is not up to standard; The hospital didn't have a monthly air,
Monitoring of surface and disinfectant.
9. Medical devices are not tested once a year (sphygmomanometer, weighing scale, monitor, electrocardiograph).
Wait a minute. ); And there are no professional equipment maintenance personnel.
10. Ward management is not satisfactory.
Over the past year, due to the attention, support and help of hospital leaders at all levels, nursing work has made some achievements in nursing quality and professional ethics construction, but there are still many shortcomings, which need further improvement and perfection.
Seven, 20xx nursing work plan
Strive to carry out and implement the following nursing work safely, reasonably, effectively and normatively under the existing conditions.
(a) continue to improve the management level of head nurses and professional team leaders and the professional level of nurses.
1, please ask the hospital leaders to organize head nurses and professional team leaders to visit and study in higher-level units to expand their knowledge and learn from them first.
Into the experience.
2, continue to do a good job in the registration and assessment of the head nurse's handbook, and continue to adhere to the system of night rounds.
3. Set up some nursing magazines and newspapers for the nursing department, so that the head nurse and professional team leader can broaden their horizons and improve their management ability.
4. Further improve the professional quality of nurses.
(1) Continue to pay special attention to the "three basics" training and the study of specialized nursing theory knowledge, and make regular assessment.
(2) Basic nursing technology is required to be standardized, and one operation is assessed every month, which is implemented by the professional team leader and the head nurse takes part in the assessment.
(3) Encourage nurses to participate in correspondence study or self-study exams to improve their theoretical knowledge.
(2) Strengthening hospital infection: in strict accordance with the requirements of hospital infection management.
1, insist on disinfecting one bed and one towel in the morning.
2, one needle and one tube, damaged in time after use, soaked and disinfected, centralized treatment.
3, disinfection items adhere to the package of chemical indicators.
4, adhere to the bedside table daily disinfectant wipe, a table and a towel.
5, ward daily treatment room, dressing room, ultraviolet disinfection, weekly dust removal, and recorded.
(3) Strengthen the management of nursing documents, so that the qualified rate of nursing documents can meet the requirements of secondary hospitals.
(4) Pay close attention to nursing safety: strictly implement the check system and various operating procedures to prevent nursing errors and accidents.
(5) Going up a storey still higher is beneficial to the department.
Summary of nursing professional and technical work 2 Under the leadership of the nursing department, according to the work plan of the nursing department, the internal medicine department successfully completed various tasks throughout the year. The summary is as follows:
Strengthen nursing safety management
Supervise the implementation of various core systems in a planned way, find problems in time, analyze and rectify.
(1) Implementation of inspection system: it was found that after the temporary medical orders were issued, the double check was not in place, the active check of infusion was not in place, and the label was not standardized. The problems existing in the inspection have been continuously improved, and the inspection process of each link has been standardized, and the defects in the inspection have been significantly reduced compared with before.
(B) the implementation of the inheritance system
1. There are some problems in the writing of handover report, such as incomplete lintel, no description or specific description on admission, no classification, incomplete nursing measures, and no continuous observation on the next shift. Standardize the handover report through continuous improvement measures such as training, evaluation, continuous inspection and feedback.
2. There are some problems in bedside handover, such as the unclear handover subject, mainly the head nurse's inspection, the responsible nurse can't take the initiative to take charge of the patient, introduce herself and understand the condition, the skin handover of the bedridden patient is not serious, and the night nurse can't tidy up the bed unit of the critically ill patient before handing over the shift. Through training, inspection and guidance, bedside handover is more standardized than before.
Three levels of nursing system implementation
(a) the implementation of graded nursing does not patrol according to the level of nursing, especially for chemotherapy patients, do not carefully check the liquid input and local skin conditions during the shift change, and can not record the patrol every hour, especially at noon and afternoon. The content of disease observation is not clear. When carrying out oral medication orders, nurses can't grasp the patient's medication situation, patients can't grasp the function, side effects and medication methods of drugs, nursing guidance such as abdominal circumference measurement of ascites patients and oral care of fasting patients is not in place, and the health education effect is poor. By defining the responsibilities of responsible nurses and responsible team leaders, the implementation of graded nursing system is more standardized than before.
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