Part I
Over the past year, the orthopaedic nursing work in the hospital leadership vigorously concerned about the support of the Ministry of Nursing under the correct leadership and help in the Department of Nursing, in the Department of Nurses*** with the efforts of the unity of the collaborative work, for the beginning of the year to develop a goal plan, set up a high degree of dedication and sense of responsibility, combined with the nature of work of this section. Pragmatic, down-to-earth and hard work, better completed the work of the Department of the various tasks, and achieved better results, the work of this year is summarized as follows:
First, the basic overview of the Department of Nursing
The Department of the existing nursing staff of 7 people, including 2 nurse practitioners, nurses, 5 people.
Nursing staff in the grasp of the daily nursing work at the same time, with the department of doctors to do a good job in the care of difficult patients, in order to promote the difficult to provide strong support for major post-operative rehabilitation care, timely summarization of the relevant cases to summarize the experience of nursing care, improve the quality of care level. A year **** admitted nursing patients times, surgery patients times.
Second, seriously implement the rules and regulations
1, the duties of nursing staff at all levels, a clear system of responsibility for all types of jobs and nursing work
2, the implementation of the core system of nursing work, a variety of emergency preparedness, the work of the quality standards and so on. For example, the checking system: (1) the requirement of daily doctor's orders double checking, checking once a day, weekly nurse manager to participate in the checking 1-2 times, and have a record; (2) nursing operation to implement bedside checking and the use of more than two methods of patient identification; (3) surgical patients and operating room nurses to do a good job of handing over the patient, and so on. Prevent nursing adverse events.
3, conscientiously implement orthopedic nursing routines, specialty care safety guidelines, do a good job of continuous improvement and standardization of nursing quality, strengthen the management of nursing work, improve the quality of nursing services, and provide patients with humanized services.
4, carry out quality nursing service activities, the implementation of the Department of Nursing developed to create a high-quality demonstration of the methods and measures of the hospital district, the implementation of a humanized flexible scheduling, simplify the workflow of nursing, and strive to do the nurse back to the patient.
Third, to improve the quality of nursing staff
1, the nursing staff of the department in all aspects of knowledge, specialist theory, specialist skills, and the organization of theoretical and operational examinations.
2, to participate in the hospital organization of business learning, a improve professional knowledge.
3, the implementation of nursing room system, the nursing diagnosis, nursing measures to discuss, and to ask questions to achieve the purpose of improving the quality of nurses' business.
4, to strengthen the care of critically ill patients, adhered to the bedside handover system and morning care.
Fourth, grasp the quality management
1, for the nursing work in the existence of the difficult, focus on the problem, set the focus of the work, adhere to the patient-centered humanistic nursing concept into more practical and specific details of the work.
2, so that the standardized nursing quality standards in practice, penetration, penetration, implementation of each nurse throughout the work, so that the quality of care management to follow the rules and regulations, the formation of a virtuous cycle. Evaluate the quality of care from the patient's point of view, the patient's satisfaction as an important indicator for evaluating the quality of care, so that patients really benefit from quality management
3, responsible for the implementation of the duties of the nurses, the patient from the admission to the hospital discharge of the entire process by the responsible nurse responsible for the incorporation of quality management. Fully deploy every nurse's mobility and initiative.
V. Strengthened the management of nosocomial infections
1, the strict implementation of the nosocomial management of the leading group of disinfection and isolation system developed
3, the department adhered to a daily treatment room, dressing room UV disinfection, and records, and weekly UV lamps with anhydrous alcohol dusting treatment, and records. Weekly monitoring of ultraviolet intensity .
4, disposable supplies after use can be timely disfigurement, classification and disposal, and regular inspection and supervision, the concentration of a variety of disinfectant regular testing and inspection.
Through the section of the personnel *** with the efforts to better complete the work of the section of the various tasks, but the standard of work and the quality of work and the leadership of the requirements of the gap, the idea also need to be more broad. In the new year, to increase business learning efforts to improve the quality of work, solidarity, solid work, high standards to complete the work of this section of the task and the leadership of the temporary directive tasks.
Part II
Time is like a shuttle, time is like an arrow, unknowingly, another year. The past year under the strong leadership of the hospital leadership, through the whole department staff *** with efforts, orthopedic work has made some progress.
A whole department (sub-bone 1, bone 2 section) annual business income of 3.31 million yuan, the annual consumption of 970,000 yuan, the number of outpatient visits 13,502, the number of admitted hospitalized 2038, the number of surgical cases of 1,160, the bed utilization rate of 97%, the number of beds turnover of 2.11, the cure rate of 89%, the average number of days in hospital 12.25. The whole staff By strengthening the quality of internal, new image, hard work, effective protection of people's lives, to achieve win-win economic and social benefits.
Second department management
1 organization of the department staff to seriously study the relevant laws and regulations
Such as: "Practicing Physician Law", "Blood Transfusion Law", "Infectious Disease Prevention and Control Act", "Regulations on the Prevention and Treatment of Medical Accidents," "Guiding Principles for the Application of Antimicrobials," and so on.
2 organizations to study the fifteen core systems, as a grip against the implementation of the implementation, and seriously implement. Including: the first diagnosis is responsible for the system, the third-level physician room system, difficult cases discussion system, hierarchical care system, preoperative discussion system, doctor-patient communication system, medical record writing and management system. According to the previous problems and deficiencies, we have made some changes in the details of preoperative preparation, surgical operation and postoperative management.
①Pre-operative examination is more comprehensive, such as: elderly patients must be examined chest radiographs, cardiac ultrasound, ultrasound of the two lower limbs and carotid arteries, myocardial enzymes, blood gas analysis, blood glucose analysis, etc.
Pre-operative examination is more comprehensive.
② preoperative preparation is more adequate, the cardiopulmonary function of elderly patients change is we must do, such as: ultrasound nebulization, blowing a balloon, breath-holding experiments, turn over in bed and pat the back, coughing, and internal medicine under the guidance of the cardiopulmonary function to improve and so on.
③ preoperative collective reading of the film, we discuss each case how to internal fixation, each method of internal fixation has its advantages and disadvantages, what should be noted after the operation.
④ In order to prevent hospital infections, preoperative bathing of patients, skin cleaning under the guidance of nurses, change the sheets when receiving patients, surgical personnel to strengthen the concept of asepsis, careful hand washing and disinfection, major surgery with double gloves, surgical area film. Surgical operation to "protect the patient's tissues such as protecting their own eyes" as the concept, and strive to achieve minimally invasive operation, from the incision, ligation, hemostasis, suture every link to start, and seriously implement.
⑤ Post-operative management to leave no dead ends, such as: before, we do not pay much attention to the postoperative handover of patients, we require the physician in charge or on-duty physicians and nurses must be accompanied by anesthesiologists in the operating room handover of the patient to understand the situation of the medication as well as the situation of the vital signs, placed in the patient's body position, connected to a variety of drainage, and then to go to the next doctor's orders. In order to prevent postoperative deep vein thrombosis, doctors and nurses have established the concept of letting patients "move" and encouraging them to exercise more. In addition, the whole medical staff has changed the old concept of "how can you have an operation without pain? The whole medical staff has changed the concept of "how can you have a surgery without pain?". The company's goal is to provide a pain-free treatment.
The above points are in fact every doctor should do, but to put it into practice is real!
Looking to the future, orthopedics is facing a lot of tests: the increasing competition; the slow progress of technology; the reduction of traditional orthopedic patients; the potential of new business orthopedic surgical treatment has not yet been played; the increase in the number of elderly orthopedic patients with basic diseases, etc., are all testing the orthopedic team's wisdom, and we feel that a heavy load and a long way to go!
In the new year
①We have to strengthen the quality of the internal, external image, to create a brand, by improving the sense of responsibility to strengthen the sense of service, conscientiously do a good job in every case of surgery, to reduce the number of medical errors and other means. To create a patient trustworthy, with a good reputation of orthopedics.
② do a good job of publicity, accumulation of information, knee, hip replacement, spinal fracture, disc surgery to remove, for the production of the above aspects of the feature film, in the Hongdong TV station or the use of hospital television to do a good job of publicity, to expand the department's visibility, influence.
③ Utilize the medical consortium as a platform, using the way of going out, please come in, and constantly improve the business and technical skills of the undergraduate staff, to the joints, spine professional depth and breadth of the march. There is nothing difficult in the world, we will rise to the occasion. Firmly establish the concept of "all services for patients", strengthen the communication between doctors and patients, regulate their own words and deeds with the standard of "eight honor and eight shame", constantly improve their ideological and moral cultivation, carry out self-criticism, resolutely resist the unhealthy winds in the purchase and sale of medicines, and raise the importance of anti-commercial bribery to the level of political ideology. Bribery to raise to the height of political thought to recognize and treat the phenomenon of no medicine kickbacks occurred in the department.
Second, the entire staff can consciously abide by the rules and regulations of the hospital and labor discipline, to do small things in style, big things in principle, never unprincipled disputes, support each other in the work of mutual understanding, the section of staff division of labor is clear, each in its own division, each responsible, united and pragmatic, to overcome the manpower shortage, the task of the staff structure is unreasonable, to ensure the normal medical services, the smooth running of the work. The work is carried out smoothly. In accordance with the requirements of the "third class A" Chinese medicine hospital to complete the clinical work, and high quality to complete a variety of software, the organization of the accounts, seriously study the job responsibilities, the core system, and strictly in accordance with the responsibilities of the medical `education network to collect and organize the requirements of the system to work, and seriously study the "three basic" and carry out the job training. "and carry out job training, to achieve strict requirements, rigorous style, strict organization. Strict implementation of the "three reasonable" norms, to achieve reasonable medication, reasonable fees, service to the people, the department bonus payment is not linked to the economy, and better complete the leadership of the work assigned to the task.
Third, "total control, structural adjustment". The department actively adjust the medical structure, take effective measures to find ways to reduce medical costs, and achieved remarkable results. One is to grasp the rational use of drugs. The second is to grasp the cost of single disease. The third is to grasp the use of disposable materials. The fourth is to speed up the turnover of hospital beds. By taking a series of strong measures to ensure that the department this year, the successful completion of the hospital cost targets, in the case of the department's business growth rate is relatively fast, so that the cost of maintaining a relatively low level, and effectively reduce the burden on the masses.
Fourth, the active introduction and use of new technologies, this year increased the promotion of pph surgery and the operation of medical `education network collection, the introduction of microwave therapy instrument, in order to ensure that the efficacy of the basis of the active search for new surgical methods, summarize the clinical experience, and effectively allow the patient to spend the least amount of money to get the results.
Fifth, in the publicity work, make full use of a variety of forms, combined with the actual hospital, in-depth and extensive publicity of the overall function of the hospital, the scope of medical care, specialty diseases, famous doctors, famous drugs, large-scale medical equipment, as well as to carry out the new
projects, new business, etc., to enhance the overall visibility of the hospital and part of the experts, famous doctors, as well as specialties visibility for the development of the hospital business has played a greater role in the development of the hospital business. The hospital's business development has played a greater role in promoting the development of the hospital.
Over the past year, through the comrades of the whole section of the **** with the efforts to better complete the work of the section of the task, but the standard of work and quality of work and the leadership of the requirements of the gap, the idea also need to be more broad. In the new year, to increase political learning, improve the quality of work, solidarity, solid work, high standards to complete the work of this section of the task and the leadership of the temporary directive tasks.