Nursing quality inspection problems:
I. Nursing organization and management.
1, individual nurses instrument does not meet the requirements, the phenomenon of playing cell phone at work.
2, nursing rules and regulations, job responsibilities, disease care routines and technical procedures for further improvement and implementation.
3, individual departments need to improve the morning meeting and shift handover system does not have a bedside handover.
4, as required to improve business learning, the number is not enough.
5, improve the department quality control, to have records.
6, the nurse manager manual according to the requirements of timely completion, there are personnel changes in a timely manner to register.
7, departmental emergency plan without training.
2, ward management, safety management.
1, the critical patient's bed linen yuan to further improve, under the bed items placed in a messy, window sill clutter.
2, no bedside sign, allergy identification is not perfect.
3, office items placed clutter, strengthen the management of high-risk drugs.
4, oxygen cylinders after use to release the remaining gas and close the main switch, empty and full sign hang according to the requirements do not write their own.
5, infusion bottles signed after adding drugs did not sign and time, the concept of asepsis is poor, the phenomenon of changing bottles without disinfection, infusion bottles are left in the ward phenomenon.
Three, basic care, specialty care, health education.
1, there is no infusion card, there is infusion card individual did not sign and time.
2, individual linen yuan morning care is not in place.
3, the pipeline is not labeled, intravenous indwelling needle puncture completion did not record the date.
4, a variety of instruments and equipment in perfect condition, to be marked.
5, health education to further improve the individual do not do in place four, disinfection and isolation.
1, there is the phenomenon of expired items, sputum suction device is not timely cleaning.
2, pressure pulse belt after use is not timely disinfection.
3. There was clutter in the refrigerator, and heparin solution was dispensed on the same day it was used.
4, the treatment trolley after use in a timely manner to wipe clean, the treatment tray should not be put on the patient's bed.
5, disinfectant replacement without record V. First aid drugs, items.
1, there is a handover is not timely, quality control is not timely, there is no record.
2, individual departments have two cards and a book is not sound.
3, first aid drugs have no fixed number.
4, the expiration date is not clear, there are expired six, nursing instruments.
1, temperature record sheet original to standardize the record, write the bed number, name, new admissions to write the following, according to the requirements of the form to write and save, the temperature sheet has a leakage, scribble, scrape, new admissions to the patient 15:00 before the blood pressure to lean forward.
2, medical orders printed untimely supervision, omission of signatures, blood pressure record sheet written twice in the same year should be written once.
3, check the medical advice did not check the medical record.
4, individual departments did not check the medical prescription register.
5, individual departments did not have a register of hospital admissions and discharges.
6, nursing handover book omission, scribbled nursing quality check.
Problem analysis:
1, individual nurses do not know enough about the quality of nurses and discipline, the head nurse is not enough supervision.
2, basic nursing care is not enough attention, do not recognize the importance of basic nursing care for the patient's disease recovery, or recognize but implementation is not strong.
3, emergency drugs individual nurses lack of knowledge of emergency drugs, lack of knowledge of emergency drugs in individual departments, shift handover is not serious and timely, quality control is not in place disinfection and isolation of problems reflecting the individual nurses poor concept of asepsis, the head of the nurses on the hospital's lack of awareness of the work of the lack of supervision and inspection.
4, nursing paperwork problems are mainly quality control personnel did not seriously fulfill their duties, the head nurse supervision is not enough.
Remedial measures:
1, the implementation of rules and regulations, the establishment of a monitoring mechanism of each section of the nursing staff to organize serious study of the nursing system and nursing paperwork requirements, the strict implementation of the nursing system and job responsibilities.
2, give full play to the function of the quality control team to improve the quality of nurses themselves, and strengthen the awareness of everyone involved in the management of the department and the inspection of the departmental quality control team.
3, to strengthen basic nursing care, especially critical, special, first-class care of the patient's management, to achieve six clean, four no.
4, first aid items managed by a person, daily strict inspection with registration, the head nurse weekly serious inspection and timely detection of problems, must ensure that intact spare.
5, the head nurse should strictly in accordance with the head nurse work quality standards and work inspection standards as well as the quality of care quality control requirements to fulfill their duties.
6, on the inspection of the problems found in the organization of all nurses to seriously analyze, discuss, develop practical measures to rectify and check again the implementation.
7, improve the management consciousness of the head nurse, highlight the focus of the work, strengthen the nursing link quality management, focus on the details of the quality, and strive for the quality of nursing fog defects.
Characteristics of Nursing Quality Inspection
Dress and hair meet the requirements, wear a badge at work, do not wear rings, earrings, bracelets, anklets, tinted glasses and tinted contact lenses, go to work with a good state of mind, grooming, standing, walking posture in line with the requirements of etiquette, do not talk about, do not do things unrelated to work, do not carry items unrelated to work.
It is strictly prohibited to wear a cell phone to work, except for the head nurse, the ward is quiet, moderate light, fresh air, temperature and humidity, each workplace goods technology standard requirements for classification placed in an orderly manner, public **** supplies have disinfection measures, in the garbage can be cleaned up in a timely manner, to keep the surrounding clean.
Department shall not be randomly posted, no rope hanging, no cobwebs, walls and corners without dirt locks dirt, anti-skid, anti-scald, safe use of oxygen and other safety warning signs, pagers are in a normal state, the patient can touch the call device, the boiler has anti-scald signs, the ground is dry and no accumulation of water, risk management precautions and contingency plans, the process is reasonable, and there are records of the exercise.
Smoking, drinking, use of alcohol stoves and personal electrical appliances are prohibited in the patient room to ensure the safety of electricity, everyone masters the knowledge of fire protection and operating procedures, fire keys are placed at regular intervals, everyone knows, the safety channels are unobstructed, the emergency lights are well-functioning, the medical records are stored in the medical records cart for safekeeping, the checking system and the patient identification system are strictly enforced, and the care services can be provided correctly by providing treatments and giving medicines in compliance with medical prescriptions, timely observation and understanding of the patient's use of medicines. The patient can follow the doctor's instructions to correctly provide treatment, medication and other nursing services, timely observation and understanding of the patient's response to medication and treatment.