1. Nursing quality control work schedule template
I. Quality control principles of nursing quality:
Nurse manager - departmental nursing quality controller - all nurses involved in quality management monitoring, the implementation of continuous improvement of the quality of nursing care, and the full implementation of quality control work.
Second, the implementation of nursing quality management program:
(a) further improve the nursing quality standards and workflow.
1, combined with clinical practice, and constantly improve the quality control system, and further improve the nursing quality assessment content and scoring standards, such as ward management, basic care, special, first-class care, disinfection and isolation, the writing of nursing documents, first aid goods management, nursing safety management, etc., and nursing quality assessment and analysis every month, and formulate the corresponding corrective measures.
2, the head nurse, departmental nursing quality control officer at any time to monitor and correct the problems in the nursing work in a timely manner, the problem of outstanding in the morning meeting for the notice, so that nurses know the existence of problems and solutions.
3, regular monthly inspection of various items and drugs, emergency vehicles, timely detection of expired items and drugs. To ensure the safety of medical care.
(2) the establishment of an effective nursing quality management system, the formation of a group of nursing staff with extensive work experience to participate in nursing quality control, in order to protect the quality of nursing work.
1, the implementation of the quality control network to the head nurse, departmental quality control officer, and gradually implement the participation of everyone in quality management, to achieve the goal of full quality control.
2, play the role of nursing quality monitoring group, focusing on link quality control and key issues of rectification effect tracking. The implementation of the principle of combining the usual inspection and monthly inspection, focusing on the combination of comprehensive inspection.
3, increase the implementation, supervision, inspection efforts, pay attention to the quality of the nurse operation process supervision. Grasp the quality control management, so that everyone participates, *** with the gatekeeper, to ensure quality, give full play to the work of nursing quality control officer, full participation in nursing management, inspection records, analysis, evaluation and improvement measures.
4, improve the nursing quality control management system, responsibilities, the existence of difficult problems in nursing to discuss, analyze, put forward effective corrective measures.
5, strengthen the management of nursing defects, nursing disputes, adhere to the strict supervision of the quality of each work link, found that the safety hazards, take timely measures to nip nursing errors in the bud.
6, strengthen the medical care laws and regulations of training to improve the legal awareness of nursing staff, according to the law from the nursing, protection of patients and nurses of their own legitimate rights.
7, strengthen the nursing staff formal operation, and assessment. Timely detection of problems in the operation and timely correction.
8, each class of nurses every shift on the doctor's orders to check, the head nurse weekly check to ensure the correct implementation of the doctor's orders.
9, the daily nursing document writing check, discharge medical records by the nurse in charge of the initial review, the head nurse last review to the case room.
10, the establishment of nursing safety management, nursing safety knowledge training every month, explaining the hospital hospital nursing problems, in order to strengthen the nursing staff's safety awareness, and sound safety early warning work, timely detection of nursing safety hazards, the implementation of the weekly focus on finding the safety problems, and analysis, and put forward improvement measures.
2. Nursing Department quality control work schedule template
I. Goal: Basic nursing pass rate ≧ 100%, first-level nursing pass rate ≧ 90%, critical care pass rate ≧ 90%
Implementation measures:
1. Nursing Quality Management Committee quarterly on the hospital wards, ICU, CCU, etc. to carry out a comprehensive quality control.
2, the head nurse daily inspection, found that the problem is resolved in a timely manner.
Second, the goal: the number of nursing errors occurred in the year ≦ 0.5 hundred beds
Implementation measures:
1, often emphasized in the regular meeting of the head of nurses, to strengthen the nursing safety education, to improve the safety awareness.
2, the department has a safety prevention education program and measures, the head nurse is responsible for the implementation.
3, the department occurred. Errors, defects should be reported, discussed, and handled in a timely manner, and monthly statements on time.
4, nursing error and accident management committee regularly on the hospital's nursing defects, errors and accidents to analyze, identify, and put forward improvement measures.
Third, the goal: first aid items intact rate of 100%, first aid facilities intact rate of 100%
Implementation measures:
1, first aid medicines, items of each class serious handover, after use in a timely manner to replenish, to achieve the "four fixed".
2, the department is responsible for, check twice a week, the head nurse weekly check, sign.
3, the nursing department quarterly inspection, assessment.
Fourth, the goal: the annual number of bedsores 0 (except in special circumstances)
Implementation measures:
1, strengthen the care of serious patients, bedridden patients to establish turnover card, bedside handover records.
2, the head nurse daily supervision and inspection.
3, the nursing department random inspection.
Fifth, the goal: nursing technical operation qualification rate of 100%, disinfection and isolation qualification rate of 100%, the recovery rate of disposable medical items 100%
Implementation measures:
1, the strict implementation of a person, a needle, a tube and a bandage, a bed, a towel, a table, a cloth.
2, strict distinction between clean and contaminated areas of the treatment room and dressing room.
3, strengthen the three basic training, nursing technical operation standardization.
4, the nursing department regular inspection, assessment.
5, regularly do a good job of monitoring the work, to prevent intra-hospital cross-infection.
6, the strict implementation of the classification of disposable medical articles collection, unified storage and processing.
Sixth, the goal: admission assessment and patient status compliance rate ≧ 80%, nursing diagnosis of problems with the rate of ≧ 90%
Implementation measures:
1, the requirements of the collection of information is comprehensive, timely and accurate, in line with the patient's condition.
2, each department lists the nursing diagnosis of common diseases for nurses to learn, master and use.
3, the nursing department, the head nurse according to the patient's condition, ask the nurse in charge, check the nursing charts, records and so on.
4, check the nursing problem, assess the accuracy of the patient's condition with the patient, and timely guidance and correction.
VII. Goal: 100% implementation rate of the nursing program, with an evaluation of the effect
Implementation measures:
1, the development of specific, timely, effective and scientific nursing measures to facilitate the operation of the nurse.
2, guide the head nurse to master the nursing measures in line with the patient's problem.
3. Require nurses to conduct timely evaluation of the effect.
3. Nursing Department quality control work schedule template
I. Department of three-tier nursing quality control management
(a) to the head nurse a nursing backbone of a quality control officer composed of departmental nursing quality control network, the implementation of departmental three-tier quality control management. The establishment of six nursing quality control group, the gradual implementation of everyone involved in quality management, to achieve the goal of full quality control. Each management team regularly completes work plans, inspection records, summaries and analysis, as well as feasible improvement measures and training programs.
(b) the quality control team training department staff inspection standards and scoring rules, especially the team leader to do a good job of passing on the role of assisting the head nurse to do a good job of supervision and guidance, the liaison play the role of uploading the role of the *** with the work of nursing quality control, the head nurse regularly liaison standardized assessment.
(C) the head nurse monthly organization held a "nursing quality analysis meeting", the person in charge of the quality control group will summarize the problems of the previous month and focus on the discussion of the whole department to discuss the corrective measures proposed to record the content of the meeting to the "nursing quality analysis meeting", the participants who did not attend the meeting, the meeting was held in the "nursing quality analysis meeting".
Second, the department of each quality control group specific work plan
(a) Nursing safety management group:
1, system implementation:
(1) continue to organize the study of the various core systems and emergency response plan, and will be placed in the system and the plan in the place of easy access to facilitate the regular learning and access;
(2) the implementation of the first-question-responsibility system, patient (2) the implementation of the first question system, the patient has a problem in a timely manner to solve, can not be excused;
(3) strict three checks and seven right, double check the implementation of medical advice;
(4) medical advice class class checking, wrong medical advice is not found to be checking the right, checking the right person with the treatment of the person who bears the same responsibility;
(5) play a timely role in the general check on the supervision of the medical advice, the chief of the total weekly nursing check twice, the content of the advice of the comprehensive check;
(6) the implementation of the medical advice, the total check on the right;
(6) strict implementation of the medical prescription process, non-rescue time does not implement verbal medical advice, supervision and management in place;
2, falls, pressure ulcers:
(1) according to the fall, pressure ulcer assessment system in a timely and correct assessment, there is a continuous tracking;
(2) for the department's high-risk groups and high-risk links to monitor and timely detection, timely treatment;
(3) for the high-risk groups and high-risk links in monitoring, timely detection, timely treatment;
(5) the chief checking of the supervision role of the chief nursing officer two times a week.
(3) The team leader carries out daily quality control on the fall and pressure ulcer scores of patients in the department, and gives good guidance to the subordinate nurses;
(4) In case of a fall or pressure ulcer, there is a contingency plan, and know how to deal with it and report it;
3. Adverse events:
(1) Train the system of reporting and handling of adverse events, and the categories of adverse events;
(2) Master the adverse event reporting and processing process;
(3) nurses reported adverse events, the head nurse to review in a timely manner, to determine the grading and classification, to help nurses analyze the reasons for the rectification of the department;
(4) do a good job in the department of the construction of a culture of safety and publicity work, regular safety warning case study or small lectures, to cultivate nurses' awareness of the risks and prevention;
The quality control officer completed the quality checklist contents every week according to the requirements, do a good job at the end of each month to summarize the data, summarize the main problems of nursing safety management, and analyze the reasons, put forward corrective measures, corrective measures agreed by the head of the nurses to notify the whole staff to know, by the quality control officer to track the corrective measures to implement the situation.
(B) nursing paperwork group:
1, organizational learning and training nursing paperwork related systems, and assessment;
2, temperature list without missing items, cardiac monitoring use and critical care patients' heart rate, respiration, stool counts, must be in line with the nursing record sheet;
3, medical orders to be implemented in a timely manner to confirm that there is no omission of the signature;
4, Nursing records require a concise and fluent description of the condition, the use of medical terminology, focused, timely records, consistent with the condition, there are special medications, treatments and changes in the condition of timely and accurate records;
5, the responsible team leader daily before the end of the day quality control of nursing paperwork of the small responsible class, found that the problem is informed in a timely manner and corrected;
6, the NP class quality control of the daily nursing paperwork of the five, and registered, the morning meeting of the handover caused by the class, the morning meeting of the handover. The morning meeting for the shift, to draw the attention of nurses;
7, the responsible class when the patient is discharged from the paperwork for the initial quality control, for obvious errors in a timely manner to modify, inform the responsible person;
8, monthly by the quality control team to check at least 5 medical records, the overall supervision, such as found to have problems with the written records, timely organization of the department to discuss, analyze the reasons, and propose corrective measures. Rectification measures, and have records. The results of the inspection are linked to the personal behavioral assessment, nursing writing in all aspects of the better by the head nurse in the nurses' meeting to give praise;
Requirement of daily quality control records, rectification and tracking, by the NP shift nurses at least 5 daily access to medical records, and registration. The quality control officer completed the nursing paperwork check content on time every week, and summarized the data at the end of each month.
(C) Drugs (including blood) management team:
1, drugs are classified and placed, managed by special people, and registered in a special book;
2, the A6 class carries out a daily inventory of drugs to ensure that the base number and quality of drugs;
3, the drug administrator regularly counts the types and quantities of drugs every month, and if there is any sedimentation, discoloration, near-expiry date, or fuzzy labels, they will be given in time for replacement;
3, the drug administrator regularly counts the type and quantity of drugs every month. Replacement;
4, according to the type and nature of drugs, such as internal, external, injections placed in categories, obvious signs, daily inspection, the same color of the same type of oral medicines and different doses of the same type of injections shall not be mixed, the packaging is similar to the similar drugs, a product of multiple specification or multi-dose storage of drugs have obvious warning signs;
5, high-risk drugs in accordance with the implementation of the management system of high risk medicines, there are Special storage area, marking, storage method is correct;
6, first aid drugs are in standby status, regular inspection records, handover registration is complete;
7, training of safe use of blood related systems;
8, organization of training in the occurrence of blood transfusion reaction in the event of the emergency plan, so that everyone knows;
Daily A6 treatment shift nurses check the high-risk medicines. In the bottle label, infusion card stamped "anti-extravasation" high-risk chapter, infusion bottles on the red tape, the use of "high-risk drug inspection card" clip in the red infusion card, the nurse in charge of at least hourly inspection to ensure the safety of medication. When patients in the department need blood transfusion, the nurse in A6 shift is responsible for collecting blood and cleaning and disinfecting the blood collection box every week. The quality control officer completes weekly drug and blood transfusion checks, and summarizes the data at the end of each month.
(D) emergency medicine and equipment management group:
1, rescue car is clearly labeled, five management, according to the requirements of the sealing of the car, do a good job of registration;
2, rescue car in the validity period of the drug, the quality of the qualified, a variety of items in the validity period;
3, a variety of equipment is intact, is in an emergency state, the oxygen bag with sufficient gas volume;
4, All first aid medicines and articles are replenished in time after use;
5. The handover register of the rescue car has no missing items, and the head nurse checks once a week;
6. The administrator of the rescue car organizes regular training for the use of medicines in the rescue car, and their effects and side effects;
7. Instruments and equipments are placed in different categories, and they are cleaned and neatly, and are managed by numbers.
8, instrument and equipment administrators regularly organize training in the use of instruments and equipment;
9, instrument and equipment failures have emergency plans and measures to achieve full knowledge;
Daily A5 nurses on duty on the resuscitation trolleys, life-supporting instruments to check the registration, the quality control officer at least once a month to regularly check the emergency medicine and equipment, to avoid expired drugs and damage to emergency equipment, to ensure that emergency equipment and medicines are used in the emergency department.
(E) quality nursing management group:
1, the head nurse scheduling reflects the ability to correspond, to achieve flexible scheduling, nurses know the human resources flexible deployment program;
2, the implementation of the bed responsibility system and the bedside work system, the responsibility of the class in charge of a certain number of patients, the implementation of holistic care;
3, the ward environment is neat and quiet, such as found in the timely rectification of the problem;
3, the ward environment is clean and quiet, such as found problems Rectification;
4, nursing staff dress code, civilized language, warm reception of patients;
5, nurses know the connotation and goals of quality care;
6, the department to provide convenient service measures, such as: disposable cups of water, paper towels, needle and thread box, microwave ovens, etc.;
7, basic care:
(1) morning care requirements to achieve bed unit neat and tidy, bedside table items neat, stool positioning neat, by the responsible nurse;
(2) drainage tube placed reasonably, fixed correctly, all kinds of catheter fluids, observation records and meet the requirements, every Tuesday and Saturday replacement, comply with the principle of aseptic operation;
(3) oral care to make the patient's mouth clean, moist, maintain the integrity of the oral mucosa, daily1
(4) responsible nurses do patients everyone three short (finger, nail, beard short), six clean (hair, mouth, skin, perineum, fingers and toes, bed), bedside monitor hierarchical care, diet and medical advice in line with the nursing staff to know the patient's dietary requirements, to assist the patient to eat;
(5) the head nurse from time to time to check the quality of life quality of care;
(6) skin, oral mucosa, drainage tubes, etc., carefully do a good job of handover, defects occurring due to unclear handover, the responsibility of the nurse who takes over;
8, specialty care:
(1) organization and training of nursing routines for diseases in the department, according to the routine of the patient's nursing care;
(2) the nurse-in-charge of the patient to know the "ten know";
(3) Responsible nurses timely and accurate assessment of various risks to patients and tracking;
(4) According to the different stages of the patient's condition to be able to carry out health education for patients;
QC joint doctors every month, organizing patients to carry out the public holiday symposium, and make good meeting records. Weekly completion of quality care inspection content, the end of each month to do a good job of data summary, summarize the problems, analyze the reasons and put forward corrective measures.
(F) Nursing training group:
1, nurses know their respective job responsibilities;
2, according to the training plan for each level, organized learning training related content;
3, each level of nurses have their own mentor for guidance, learning;
4, monthly organization of two business learning, trainers do a good job of explaining the PPT;
5. Organize 1 nursing saki room or case discussion per month;
6. Operational assessment:
(1) Complete operational training according to the operational plan, and the basic and specialized operational demonstration by the operator at regular intervals every month;
(2) After the demonstration by the operator, the head of the nursing staff will conduct a spot check with the operator for assessment;
(3) 1-2 times of first-aid skill training with first aid skills and training in the first-aid technique based on the characteristics of this section. (a) according to the nurse standardized training and nurses on-the-job continuing education implementation program to grasp the nurses of the "three basics" and specialist skills training and assessment work 1, focusing on strengthening the new nurses, the assessment of low seniority nurses, to strengthen their learning consciousness. 2, to strengthen the training of specialist skills: the development of a cycle of specialist theory and skills training and assessment plan, the annual organization of the examination, assessment 2-3 times, the theory of the examination to have a questionnaire and closed-book exams organized by the head of the nurses, the requirements of the effectiveness, not a formality, to lay a solid foundation for the training of specialist nurses. 3, basic skills assessment: belonging to the standardized training of nurses, in the year 16 basic skills must meet all the standards, the assessment requirements in the actual work of the sampling test. Other levels of nurses plan to arrange the operation of the test once, the theory of the second test. 4, to strengthen the learning and mastery of relevant knowledge, the organization of a practical assessment of the rules and regulations, theoretical examination and clinical application of the combination of checking compliance with the implementation of the rules. (B) strengthen the humanities knowledge, improve the overall quality of nurses 1, the organization of learning hospital service etiquette and culture, to strengthen the nurses' awareness of the modern nursing culture, first discussed within the level of the head of the nurses, to reach a *** knowledge in the whole hospital to enhance the quality of the activities carried out within the scope of the development of the training program and the implementation of the specific plan. 2. Arrange hospital-wide lectures and strive to send out and invite in the way to learn nurses social etiquette and professional service etiquette. Carry out nurses etiquette contest activities, the use of 512 Nurses' Day during the set off to learn etiquette, speaking literacy activities of the month, the organization of educational and fun holiday party. (C) update professional theoretical knowledge, improve the level of specialized nursing technology With the current situation of the imbalance between the level of nursing care and the development of medical technology, the head nurse of each department to organize the study of specialized knowledge, such as the development of new technology projects and special difficult diseases, can be through the invitation of the doctor lectures, retrieve the literature, the Department of Nursing to organize nursing rounds and nursing consultation and discussion, and so on, to update the form of knowledge and skills. At the same time, some of the students will be selected and sent to the nursing department in a planned manner. At the same time, there are plans to send some of the nurses to go out for further training and study to improve the academic level. Second, strengthen nursing management, improve the management level of the head nurse (a) the beginning of the year held a hospital head nurse management class, mainly to update the management concept, management skills and nursing services in the cultivation of humanistic spirit, today's social groups of people on the service needs of nursing, the outlook for nursing work in the new year, as well as the head of the nurses, emotional communication. (b) Strengthen the nurse manager target management assessment, the combination of monthly assessment and year-end assessment, the quality of nursing care in the department and the nurse manager assessment linked to other management indicators. (C) to promote learning and exchange between the head nurse and between departments, quarterly organization of nursing quality cross-checking, and held a meeting of the head nurse's work experience, drawing on to improve the level of nursing management. Third, strengthen the nursing quality process control, to ensure safe and effective nursing (a) continue to implement the nursing quality of the secondary management system, in particular, the need to develop and improve the ability of the head nurse to find problems, problem solving ability, but also to play the role of the quality control team of the Department of Quality Control of the quality control, clear their quality control points, to enhance the participation of the whole staff in the quality of management awareness, to improve the quality of care. (ii) the establishment of inspection, evaluation, feedback system, the establishment of traceability mechanism, nursing department staff often in-depth inspection, supervision, evaluation of each department. Evaluation mode to the scene to assess the nurses and check the patients, check the records, listen to the doctor's opinion, found that the nursing work in the problem, put forward corrective measures. (C) to further standardize the writing of nursing documents, from the details, to strengthen each nursing documents to take the quality controller nurse director of the Department of Nursing of the three-tier appraisal system, regular nursing record defects in the analysis and improvement of the increase in the defects of the discharge medical records weighting, emphasizing that the unqualified nursing documents are not filed. The year-end nursing paperwork evaluation rated the collective work plan first, second and third. (D) to strengthen the nursing process of safety management: 1, continue to strengthen the nursing safety three-level monitoring and management, the department and the Department of Nursing monthly nursing safety hazards and do a good job of nursing error defects, nursing complaints attribution analysis, more from their own point of view and the department to analyze the reasons for the occurrence of the lessons to be learned, and put forward preventive and improvement measures. The same problem recurring departments and individuals, the nurse manager management and personal responsibility. 2, the strict implementation of the checking system, emphasizing the implementation of the second check in place, to strengthen the management of nursing students, a clear lead teacher's responsibility for the management of safety, to eliminate serious errors and accidents. 3, strengthen the head nurse to the department of hardware and facilities of the routine inspection of awareness, usually strengthen the performance and safety checks, timely detection of problems and timely maintenance, to maintain the integrity of the equipment. Fourth, deepen the intimate service, improve the quality of service (a) in the training of nurses on the basis of daily etiquette, to further standardize the nursing operation language, nurse-patient communication skills. Cultivate nurses to establish a good professional image. (b) focus on collecting information on the demand for nursing services, the Department of Nursing through the understanding of the return card comments, talk to outpatients and inpatients, the distribution of satisfaction questionnaires, etc., to obtain the patient's needs and feedback information, and put forward timely improvement measures, while giving incentives to nurses to mobilize their work enthusiasm. V. Teaching and research work (a) designate nurses with the title of nurse or above to be responsible for the teaching of interns, and regularly convene the evaluation of the evaluation of the Church to listen to the views of teachers and interns. (2) The head nurse of each department is the total teaching teacher, attaches importance to the teaching work, and often checks the attitude, responsibility and business level of the teaching teacher, arranges small lectures, understands the completion of the internship program, and does a good job of leaving the theoretical and operational examinations. (C) the Department of Nursing to do a good job of pre-service training of interns, from time to time under the department to check the quality of teaching, each internship before the end of the internship, the organization of an excellent teacher selection activities. (d) enhance the awareness of scientific research, and strive to introduce or carry out new technology projects 1-2 items during the year. 5. Nursing quality control work schedule template
4.
I. Strengthen the details of management, cultivate good working habits.
Details determine the quality of the obstetrics and gynecology randomness, usually poor working habits, do the head nurse is busy with day-to-day affairs, negligent management, 20xx year will focus on the daily work of quality control, from the smallest thing, the quality control of the work of the work throughout the daily work, the weekly quality control of one to two, the formation of norms, so that the department staff in the quality control to gradually form a good habit of reducing the laziness of the mind and the psychology of coping with the true from the convenience of the work, the convenience of management as a starting point. The starting point is to facilitate work and management. In addition to play the role of quality control officers and responsible nurses, some of the daily quality control work to them, to improve the awareness of participation, mobilize the whole department to participate in the management, effectively improve self-management awareness, improve the efficiency of departmental management.
Change the situation in previous years to cope with the checkup, the nurse in charge of the bed is responsible for the selection of medical records, the real selection of difficult medical records in the department, writing nursing plan, the nurse in charge is responsible for the discussion of the disease of doubtful, difficult nursing problems, brainstorming, and put forward solutions to solve the problem, to achieve the purpose of improving the level of business and solving the problem of nursing. At the same time, the process of discussion is also the process of learning, learning the knowledge of specialized diseases, standardizing the nursing routine of specialized diseases, each standardizing a specialized disease, the nursing routine of such diseases will be applied to the daily work, and gradually improve the standardization of nursing work.
Second, strengthen business learning, improve the overall professional level.
Strengthening specialized business knowledge learning, systematic study of obstetrics and gynecology, perinatal knowledge, neonatal resuscitation, obstetric emergency care and emergency procedures, the participation of the entire department, we take turns to prepare for the class, once a month. And obstetrics emergency evidence of rescue drills, everyone passes, to improve the emergency response ability and specialty care level.
Third, the design and use of specialized health education manuals to strengthen the health promotion work.
The design of specialized health education manuals, divided into neonatal health manuals, puerperal health manuals and gynecological disease health manuals, will be the health knowledge expressed in the form of concise, clear language, the design of a fresh layout, to attract patients to really understand the knowledge. At the same time, standardize the content of the departmental health education, the production of nursing staff health education manuals, the formation of integrated health education content, departmental backup, everyone mastered, and effectively improve the work of health promotion.
Fourth, apply for nursing research projects, carry out scientific research.
The nursing research project has been applied for: the effect of Chinese medicine paste to promote lactation observation and research. During the year, the effect of comprehensive observation and research, statistical analysis, writing research papers, reported application materials. And asked the whole department to participate in scientific research projects, learning to carry out scientific research knowledge, improve the overall quality of all kinds of personnel and professional level.
V. Strengthen the management of maternity wards, to complete the daily work and quality control work.
Maternity ward management is the weak link in the management of the department, maternity ward handover and checking work has not been able to systematically implement, 20xx maternity ward management work refinement, each work designated a person in charge, the team leader is responsible for the overall quality control work, comprehensively improve the management of maternity ward. At the same time to strengthen the hospital infection control and monitoring work, to complete the nursing quality control and management.