Summary of the work of the director of nursing department 1 Based on the principle of "consolidating advantages and developing steadily", I have done the following work in the past year:
1, give consideration to the new building, the main building, the whole hospital, especially the new building, to achieve a "zero" breakthrough in infusion response; Through the inspection system, drug quality loopholes 12 cases and disposable goods quality loopholes 29 cases were blocked throughout the year.
2. Cooperate with the joint-stock management mode, pay attention to nursing quality and excellent service, use nurses rationally, and ensure the basic nursing rate of patients; Emphasize the environmental management of the ward, and completely put an end to the problems of dirty, chaotic and poor environment in acupuncture department, and the drying of urine pads everywhere.
3. Strengthen the training of young head nurses in Xinsha from the aspects of business skills and management theory, so that they can mature as soon as possible and become the backbone of management. After passing the examination this year, five deputy head nurses became full members and three were promoted to ward deputy head nurses.
4. Strengthen external publicity. This year, I presided over and planned a large-scale celebration of "50 12 Nurses' Day", which was well received by city leaders and nursing experts. Actively explore the publicity space of Xingyuan Daily, Daily News, Tianjin Daily and Tianjin Radio and Television Station, and show the hard work and dedication of nurses through health education, story reporting and works exhibition.
5. Pay attention to the continuing education of on-the-job employees and hold college-level lectures, with a penetration rate of over 90%; Offering training courses on basic knowledge of traditional Chinese medicine for newly assigned employees and newly transferred employees; Completed the annual theoretical and operational assessment of nursing staff, and the qualified rate reached 97.9. Pay attention to the quality education of nurses, carry out the education of "respecting life and caring for patients", advocate a number of donation activities, and offer love to patients in hematology and cardiac surgery.
6, to meet the annual quality control inspection organized by the Municipal Health Bureau, our hospital's nursing performance reached the standard, with a total score of 9607, ranking first in the city.
7. Personal self-construction: this year won the title of "Tianjin Excellent Nursing Worker"; Through studying in the United States, I brought back some advanced management experience and actively summarized clinical experience. This year, I finished 3 national papers, 2 conference papers and 1 summary.
As the director of nursing department and a glorious party member, I pay special attention to my honesty and self-discipline. I endure hardship first, enjoy it later, persist in my work despite illness, and personally lead the head nurse and the head nurse to check each position; Strive to improve ideological understanding, actively participate in the construction of nursing branches, and develop more young party member echelons. Now, the party member team in Xinsha has grown to more than 20 people, mainly young clinical backbones, which makes the nursing branches show positive vitality and vigor.
The smooth development of nursing work and the improvement of nursing level are the results of the correct decision of leaders headed by Dean Shi and the joint efforts of grassroots nursing staff at all levels. Next year, the nursing department will set up its own academic journal, improve the academic level of nursing, give full play to the advantages of traditional Chinese medicine and integrated traditional Chinese and western medicine, and strive to make the nursing quality of our hospital internationally certified.
Summary of the work of the director of nursing department for 20xx years, the nursing work in our hospital is mainly to meet the re-evaluation of "secondary and secondary general hospitals", while continuing to deepen high-quality nursing services, comprehensively improve nursing quality, strengthen nursing human resource management, ensure the realization of nursing safety objectives, and actively complete the temporary tasks arranged by hospital departments. The main work of the whole year is summarized as follows:
First, strengthen the connotation construction of nursing team and improve the level of nursing management.
1. In order to optimize the nursing management team, enhance the vitality and execution of nursing management, update the concept of nursing service and improve the ability of clinical nursing management, in September, 13 clinical nursing backbones were successfully recruited as head nurses in various departments through the form of five guarantees.
2, around the requirements of grade evaluation, revise the system, improve the method, improve the quality of nursing management:
Zhao Juying, head nurse of obstetrics and gynecology, was sent to the maternity ward of the Tenth People's Hospital affiliated to Tongji University for further study for two months. At the same time, lead Shen Aiping, the head nurse of delivery room, to visit the obstetrics department of Baoshan Branch of Shuguang Hospital, and broaden the management ideas in many ways.
4. Carry out multi-form and multi-channel training, improve the professional and technical level of nurses, and successfully complete the on-the-job training plan for 20xx nurses formulated at the beginning of the year.
Second, take the patient as the center, deepen and extend the "quality nursing service"
1. On the basis of developing high-quality nursing wards of surgery and internal medicine successively, after strict examination in April, obstetrics and gynecology was determined as the third high-quality nursing ward in our hospital.
2. In order to improve the environment of maternity wards, three special maternity wards were established and opened after the transformation. On this basis, obstetrics has developed new services. Four midwives in the delivery room participated in the municipal training and obtained the "Doula" certificate, and three nurses obtained the baby touching certificate. They carried out obstetric extension services in the ward and guided their families to provide special services such as baby bathing and touching, which were warmly welcomed by the parturients. Since the implementation of high-quality nursing, the satisfaction of obstetrics and gynecology has been significantly improved.
3. In order to make it convenient for patients to replenish fluids and solve the problem of keeping patients' large infusions, the emergency infusion room overcame the difficulty of space and customized miniature lockers, so that patients no longer need to carry bulky large infusions.
I went back, and the warm service was greatly appreciated by the patients.
4. Improve service process and service quality. Reflected in the detailed service, the satisfaction of the excellent care unit has always remained above 95% throughout the year.
Thirdly, PDCA is used for safety and quality management, which ensures the continuous improvement of nursing quality.
1, under the unified guidance of the nursing department, each department arranges safety officers to make self-inspection records, the head nurse organizes weekly nursing safety education meetings, and uses PDCA cycle management mode to find out the causes of nursing quality and safety problems in departments, rectify and eliminate hidden dangers, and put forward project management methods for recurring problems.
2. The system of nursing quality management committee was revised to make quality management more standardized and comprehensive, leaving no dead ends.
3. Organize quality control team members to supervise and inspect the nursing quality of each ward regularly every month. Timely sort out the quality control opinions and feed them back to each ward, and make timely rectification.
4. Arrange the head nurse and the teaching teacher to make rounds day and night every day, and the contents of weekly rounds should be focused, so as to find hidden dangers at night and correct them in time. In this way, the sense of responsibility of night shift nurses is enhanced and the quality of nursing work is consistently supervised and controlled.
5. Formulate and implement non-punitive nursing safety adverse event reporting and management system. By the end of 10, the nursing department * * * had received 8 nursing adverse events and handled them respectively.
6. Focus on high-risk safety factors, such as abnormal catheter shedding, falling, bed falling, pressure sore, etc. , formulate nursing risk prevention measures and emergency plans and handling procedures for emergencies. This year, 135 cases of pressure ulcers have been reported, all of which were brought in from the hospital and cared for.
7. Strengthen the management of high-risk drugs and highly toxic drugs.
Fourth, strengthen the management of nursing human resources to ensure the orderly progress of nursing work.
1. According to the recruitment plan made at the beginning of the year, our hospital recruited 6 nurses this year, which enriched the front line of clinical nursing.
2. Formulated the allocation scheme of nursing human resources in emergency, and established nurses.
Mandatory resource allocation process, so that nurses can ensure orderly care in an emergency. On the evening of 65438+1 October1day, 35 people had outstanding emergency rescue, and the emergency plan was effectively and quickly implemented.
3. Formulate the post system and rating scale of the nurse in charge, so that the nurse in charge can have a deeper understanding of their work contents and responsibilities, guide the nurse in charge to fully perform the observation, treatment, nursing and health guidance for the patients in charge, and make the head nurse's assessment of the nurses rule-based.
4. The combination of outpatient department and emergency injection room was completed in high temperature season, which simplified the service process, saved nursing human resources to a greater extent, and ensured the staffing and nursing safety of outpatient department and emergency department in high temperature season.
Fifth, with the strong support of hospital departments, the quality of hospital infection management has been effectively guaranteed.
1, continue to strengthen the quality of hospital infection management, especially in key departments and key departments. Supervise nurses in the whole hospital to improve hand hygiene compliance and implement standard prevention.
2. The business management of operating room and supply room was merged, and the ledger registration of supply room was improved. During the year, pre-vacuum sterilizers, biological monitoring instruments and detection kits were added, and they were inspected in hospitals.
The investigation has achieved good results.
Six, strictly implement the teaching and scientific research plan, and comprehensively improve the quality of nursing teaching and scientific research.
1. According to the plan made by clinical teaching files, 28 nursing students successfully completed their internship tasks in the hospital.
2. By holding intern forums and teacher review meetings, two-way feedback can be realized and teaching can be improved.
In March and July, the official implementation of surgical district-level scientific research began.
4. During the year, we started classes in cooperation with Baoshan Branch of Shanghai Open University, and 28 nurses participated in on-the-job education for nursing undergraduates. Our hospital was signed as an open university nursing teaching practice base.
Seven, nursing index assessment summary is up to standard.
The qualified rate of head nurses' work quality is 98.2%
The qualified rate of ward management is 94.5%
The qualified rate of nursing documents was 92.8%
The qualified rate of disinfection and isolation was 93.4%
The qualified rate of emergency supplies and medicines is 97.6%.
The qualified rate of graded nursing was 90.65438 0%.
Satisfaction of outpatient and emergency departments: 95.86%
Satisfaction degree of the excellent care unit (ward 3): 96.87%, up 3.33% from last year. Nursing adverse events: 6 cases of nursing errors, 2 cases of nursing accidents and 2 cases of nursing complaints.
Eight, improve the standard of civilized service and promote the construction of spiritual civilization.
1. Improved various satisfaction evaluation forms. By increasing the evaluation times, evaluation times and evaluation of hospitals, nursing departments and departments, the full coverage of satisfaction evaluation is realized, and the evaluation results are fed back in time for rectification. The intensive care unit remains above 95%, and the outpatient and emergency departments remain above 90%.
2. Fifty nurses in the whole hospital take the initiative to participate in hospital volunteer service during the rest time, and use their professional knowledge and quality service to solve problems for emergency patients.
3, actively cooperate with hospital departments to complete all kinds of medical security activities such as gynecological physical examination, student physical examination, employee physical examination, etc.
Nine, there are shortcomings
1, management level and innovation consciousness need to be improved.
2. The overall quality of nurses needs to be strengthened, lacking flexibility and adaptability, and nurses' awareness of active service needs to be strengthened.
3. Management quality needs to be improved, and impetuous personality characteristics need to be overcome.
4. Nursing papers and scientific research are still in the initial stage.
Main working ideas in 20xx:
1, continuously improve the ability of nursing management, use PDCA to manage the safety and quality of the whole hospital, and constantly summarize, so that the quality of nursing has a process of continuous improvement and improvement.
2. Re-establish outpatient posts, relatively regionalize triage management, and improve outpatient pre-inspection norms.
3. Continue to deepen and refine the work of three high-quality nursing wards, make our hospital's characteristic services from two aspects of business and service, and establish a brand. To provide patients with convenient, optimized and high-quality nursing services, so that patients' satisfaction is above 95%.
4. Further improve the management ability of head nurses, strengthen the training of head nurses, lead the head nurses to visit and study in other hospitals, arrange four new head nurses to participate in the competency-based class for head nurses organized by Shanghai Nursing Association, and arrange the head nurses of internal medicine to go out for further study.
5. Strengthen the training of specialized nurses, declare picc nursing clinics and neonatal nursing clinics, and initially build a midwife training base in the whole region.
6. Strengthen the theoretical and operational training assessment of nurses within five years, and improve standardized training measures.
7. Make a teaching plan for 20xx internship, and plan to bring 30 interns.
8. Give play to the role of teaching and research group, encourage young nurses to contribute actively, and fully promote the on-the-job education of hospital staff.
9. Complete daily work, such as overall business study, safety education, specialized training and quality evaluation. Reach the standard of nursing quality index.
10, no nursing accidents occurred, and nursing adverse events were minimized.
1 1. Effectively manage human resources, recruit 8 new nurses, and merge the locker room of outpatient department into emergency surgery.
The nursing work in the new year still needs the attention, support and help of hospital leaders. I will lead this nursing team to strengthen internal management, shape external image, and make unremitting efforts in nursing quality and professional ethics construction.
Summary of the work of the director of the nursing department for three and a half years, under the leadership of the nursing department, under the professional guidance of the head nurse, under the supervision of various quality control teams, and with the cooperation of Qi Xin, the sisters of general nurses, we have gone through a busy half year and successfully completed the work plan at the beginning of the year. The report on the work of our department for half a year is summarized as follows:
Looking back on the past year, the busy figures of nurses and sisters are shaking in front of their eyes from time to time, and they want to say too much. I know it is not appropriate to write a summary in a concise way, and it is not appropriate to mix personal feelings, but at this moment, I still want to show the leaders the real performance of everyone, especially the growth process of young nurses.
Nurses' working attitude is also reflected in obedience to distribution. In April this year, during the 100-day national security inspection, the most serious illness occurred in our department. In order to support ICU work, the best nurses in our department are seconded to ICU to support the work of brother departments. The mobile ward was established, and in less than a month, two nurses came to our department. At the same time, another head nurse was transferred to orthopedics, and there was another person in our department, so we couldn't be on duty independently! The shortage of manpower can be imagined, but our nurses have no complaints, taking the deployment of superior personnel as their mission, and they have done it: the enemy is at present, and the overall situation is the most important! All staff have given up their rest time, and those who work overtime can complete the work tasks of this shift. During this period, the most serious patients in the A-stream ward were transferred to our ward after the A-stream was ruled out, and they were seriously ill one after another. Angels are tired and haggard, and sometimes night nurses work 16 hours to get home safely from work! I am always ready: whenever young nurses encounter technical problems, whenever they receive a call for help, they will go to the department immediately.
This year, our hospital implemented the paid vacation system, which is good news for employees, but it is a problem for department managers. In addition to annual leave, there are three people in our department taking wedding leave this year, plus sick leave, seconded personnel and newcomers who can't be on duty independently. Let me make a preliminary statistics: it is equivalent to one and a half people who have been resting for a year, but our patients have increased by more than 300 people compared with last year. The workload can be imagined! In the second half of this year, when our new ward was renovated and moved, the director was not there. I'm really afraid that Corey will make a mistake in an extraordinary period-how to move this house is a big brain hole! In those days, I couldn't sleep every day, sleeping like an open eye. Our nurse is really cute. During the two days of moving, I went to various departments: seeing things, moving things, following cars, putting things away and being on duty. Just like their own family moving, they don't ask for leave when they are sick, and insist on going to work for fear that I will get angry in a hurry, so that all our patients can arrive at the new ward safely.
Thank you for your efforts. There has not been an accident or complaint in the past year, which is very valuable for a large department with many serious illnesses and rapid patient turnover!
Mentioned this topic, the mood is always very complicated. Everyone actively participated in theoretical study and technical examination organized by hospitals, nursing departments and departments. It's just that every time I greet the examination, I look at the helpless eyes of the children, as if my nerves are going to collapse, which makes me the head nurse particularly distressed! They are all afraid of affecting the acceptance and performance of hospitals and departments. Every time I see them like this, I comfort them: what to do is a matter of our ability, and no matter how hard we try. As long as we try our best, the leaders will understand and won't blame you. Paying so much attention to inspection shows that we are serious and responsible for the hospital. Relax, we are the seven fairies!
But to tell the truth: as far as technical operation is concerned, the nurses are doing well, but as far as theoretical knowledge and the ability to meet the examination are concerned, young nurses are definitely not dominant. I am really not sure! However, after this year's efforts, everyone's progress is still obvious: in the first quarter, four people failed in the theoretical examinations of major subjects; Now, one and a half years failed the theoretical examination, and the passing rate is still improving; And this year, four nurses in our department were selected by the hospital assessment team to teach nurses in the hospital, which gave great encouragement to young nurses! As for the training times of "three basics and three strictness", I think the accurate figures are definitely false, and they are counted according to the plan at the beginning of the year. I think our training is going on anytime and anywhere, and it is impossible to count them. "One-on-one" make-up classes are also common, so I don't count this number. I don't think it has any practical significance.
Summary of Nursing Director's Work 4 In order to better complete the later work, I now summarize my work in 20xx as follows:
1, give consideration to the new building, the main building, the whole hospital, especially the new building, to achieve a "zero" breakthrough in infusion response; Check the system, check and block X cases of drug quality loopholes and X cases of disposable goods quality loopholes throughout the year.
2. Cooperate with the joint-stock management mode, pay attention to nursing quality and excellent service, use nurses rationally, and ensure the basic nursing rate of patients; Emphasize the environmental management of the ward, and completely put an end to the problems of dirty, chaotic and poor environment in acupuncture department, and the drying of urine pads everywhere.
3. Strengthen the training of young head nurses in Xinsha from the aspects of business skills and management theory, so that they can mature as soon as possible and become the backbone of management. After passing the examination this year, five deputy head nurses became full members, and X was promoted to be the deputy head nurse in the ward.
4. Strengthen external publicity. This year, I presided over and planned the "xx" large-scale celebration, which was well received by city leaders and nursing experts. Actively explore the publicity space of xx newspaper, Daily New Newspaper, xx Daily Newspaper and Tianjin Radio and Television Station, and show the hard work and dedication of nurses through health education, deeds report meeting and works exhibition.
5. Pay attention to the continuing education of on-the-job employees and hold college-level lectures with a penetration rate of over x%; Offering training courses on basic knowledge of traditional Chinese medicine for newly assigned employees and newly transferred employees; Completed the annual theoretical and operational assessment of nursing staff, and the qualified rate reached x%. Pay attention to the quality education of nurses, carry out the education of "respecting life and caring for patients", advocate a number of donation activities, and offer love to patients in hematology and cardiac surgery.
6, to meet the annual quality control inspection organized by the Municipal Health Bureau, our hospital's nursing performance reached the standard, with a total score of X, ranking first in the city.
7. Personal self-construction: this year won the title of "Tianjin Excellent Nursing Worker"; Through studying in the United States, I brought back some advanced management experience and actively summarized clinical experience. I finished three papers, X conference papers and X summary papers this year.
As the director of nursing department and a glorious party member, I pay special attention to my honesty and self-discipline. Bitter before pleasure, stick to work despite illness, and personally lead the head nurse and the head nurse to check each position; Strive to improve ideological understanding, actively participate in the construction of nursing branches, and develop more young party member echelons. Now, the reward team in Xinsha has expanded to more than X people, among which young clinical backbones are the main ones, which makes the nursing branch show positive vitality and vitality.