The hospital to standardize the nursing quality standards in practice, penetration, through, and implementation to each nurse throughout the work, so that the quality of nursing care management to follow the rules and regulations, the formation of a virtuous cycle. The following is my organization nursing experience summary of selected essays, welcome to read!
Nursing experience summary of selected one20XX to adhere to? Patient-centered, quality-centered? As the goal, the main line of the department staff high quality, high quality service, management efficiency, strengthen the implementation of the system, in-depth carry out? Three good and one satisfied? Quality nursing service. My department closely around the nursing department and the department's work plan and focus this year, and actively strengthen the work of excellence, basically complete the work plan formulated at the beginning of the year, the nursing work of the wards specifically reported as follows:
First, strengthened the nurses' on-the-job education to improve the comprehensive quality of nursing staff in the department
1, the target results of the results of the management: the management of the objectives of the monthly self-assessment of the quality control to 90 points Above, hand hygiene has reached the standard, nurses correctly implement the medication qualification rate of 100%, the first half of a case of hospital pressure ulcers and a case of needlestick injuries adverse events; the second half of a case of nurses infusing the wrong adverse events, there has been no medical incident.
2, the department has strengthened the standardized training of new graduate nurses, new graduate nurses in strict accordance with the "Responsible Nurses at all levels of post training manual" as the main training content, monthly focus on the "three basic", "three basic", "three basic", "three basic". The three basic skills are trained, and they are gradually mastering the specialized skills. Training, and gradually master the nursing routines of common specialized diseases and various nursing regulations.
3, the department has strengthened the training of specialized knowledge and checkups, the department according to specialized knowledge training program to implement the training program; monthly section of the department for the emergence of difficult and complex nursing care, new business, new technology for targeted two business learning and nursing checkups, the department of nurses on the specialty knowledge has made some progress.
4, according to the beginning of the year the development of hierarchical nurse training program and "all levels of responsible nurses post training manual" as the main training content, the implementation of the old and new with the duty, one-on-one education, and achieved good results.
5, monthly regular training and assessment of laws and regulations to improve the legal awareness of nurses.
6, the monthly completion of the? Three basic? Knowledge assessment and specialty knowledge assessment.
7, according to the need to send staff out to study, improve the nursing staff's specialty knowledge and professional insight.
Second, strengthen the nursing management, improve the management level of the head nurse
1, in March this year, participated in the hospital organization? Guangdong Province, nursing management learning training course?
2, to promote learning exchanges between the head nurse and the inter-departmental, quarterly participation in the Department of Nursing organized by the nursing quality of cross-checking, and to participate in the Department of Nursing held by the head nurse work experience exchange meeting, draw on to improve the level of nursing management.
Third, nursing safety management
Surgery two high transparency of treatment, the patient bedridden for a long time, easy to complicate dysfunction and a variety of comorbidities, and car accidents, work-related injuries, and other easy to relate to legal issues, so orthopaedics has become a higher incidence of medical dispute rate of the department, the nursing safety management is the focus of the work of the management of the details of the infiltration of each quality standard.
1, to ensure the continuous improvement of the quality of care, to the head nurse as the head of the quality quality control team. 1) daily responsible nurse to find the problem of timely record in the "problem exists in this" and "continuous improvement of the quality of nursing care record sheet" on the timely reminder of nurses of the existence of the problem and supervise the corrections; 2) daily night shift nurse statistics basic and specialized nursing quality indicators, monthly nurse quality control of specialized indicators of the implementation; 3) monthly nursing director of the implementation of the indicators ; 3) the implementation of the monthly nurse quality control of various goals;
4) the implementation of the head nurse every week in the nursing manual will be the focus of the week's work, the work of the existing problems, corrective measures to summarize. At the same time accept the Nursing Department from time to time inspection. 5) At the same time I attach great importance to the results of the inspection, a series of inspections of the problems found in a timely manner to convene an analysis of the quality of care and nursing safety, nursing defects, errors, analyze the reasons for the development of corrective measures and supervise the implementation of the quality of care to ensure that the continual improvement of the quality of care.
2, the department's safety hazards and the management of key time, key links, key personnel, special patients
1) handover time, lunch shift, night shift, rest days, holidays, these hours less staff. Nurses are prone to errors. Patients are prone to dissatisfaction. The key links are preoperative, postoperative, critical, resuscitation and other busier, more disposable links. Key personnel refers to critical patients, surgical patients, special changes in the condition of the patient, as well as new nurses, internship nurses, often error nurses; special patients refers to the transfer of patients and transfer to the hospital, medical disputes or patients with opinions, the leadership of the patient, the patient's care, the hospital staff know the patient. Practice has proved that there are often unsafe factors on these personnel. The department has strengthened the tracking and inspection, rational deployment of nursing human resources to ensure the quality of work in all aspects, while the department will be in the monthly nurses regular meeting of the department's safety hazards **** with the discussion of the problems found in a timely manner and feedback to summarize the improvement.
3, completed the emergency human resources deployment training
For orthopaedic patients with car accidents and injuries, doctors surgery time outpatient emergency patients, the development of emergency reporting system and a variety of contingency plans to improve the emergency response ability of nursing soil. Training to improve the first aid skills of nurses, taking a variety of forms of first aid procedures, cardiopulmonary resuscitation, nursing care of critically ill patients, the use of first aid equipment training. Rescue instruments, medicines, emergency equipment is responsible for, daily inspection, timely maintenance, to ensure that at any time in a standby state.
Fourth, standardized ward management, the establishment of a people-oriented hospital environment
Daily ventilation of the ward, to maintain quiet, clean, fresh air, the implementation of the job responsibility system, according to graded nursing standards of care for the patient, the nurse in charge of strict and conscientious according to the weekly program, the schedule for the work of the implementation of health education, to strengthen the basic nursing care and the case of critically ill patients, to meet the reasonable needs of the patients and their families, and conscientiously fulfill the duties and responsibilities of nurses. The responsible nurses will meet the needs of patients and their families, fulfill the duties and obligations of nurses seriously, strive to improve the quality of clinical nursing services in hospitals, and fundamentally clarify the responsibilities of nurses in life care, health promotion, comprehensive coordination, and auxiliary treatment, as well as the responsibilities of closely observing the vital signs and changes in the condition of the patients, and correctly implementing the treatments, medicines, and nursing care measures. So that every responsible nurse is clear about the content of each day's work. The head nurse also conducts spot checks at regular intervals. In the work of the strict implementation of the core system, disease care routine and clinical nursing service norms, standardize clinical nursing practice behavior.
Fifth, to further improve the quality of care services
1, the quality of care services every month to learn and assessment, continue to change the awareness of the nurses to improve the understanding of quality care services;
2, the reform of scheduling: combined with the specific circumstances of my department, my department from October to implement the APN scheduling model, to further optimize the implementation of the flexible scheduling system for nursing staff. In the treatment, nursing peak hours or nursing workload surge, to protect the emergency nursing safety and quality of care. For example, the department has implemented a medication shift to reduce the workload at noon and buffer the work pressure.
3, optimize the nursing model, the implementation of the responsibility of nursing
Strengthen the ward management, every day the head nurse focused on checking the ward management, so that every nurse from the heart to pay attention to this work, shift shift clean handover, the responsibility of the nurses to master the condition, the implementation of basic nursing measures, a comprehensive understanding of the needs of patients. Nurse manager on-site management,? Five room check? Achieve significant results in the morning room check: after work focus on checking the quality of night care; room check after the doctor's orders: focus on checking the implementation of medical advice and the implementation of nursing measures; lunch room check: in the morning before the end of the day to see whether the patient's meals and therapeutic diet in line with the therapeutic requirements; afternoon room check after work: to see the continuity of the work situation; evening room check: in the afternoon before the end of the day to check the critical, surgical, transfusion, and other patient handover record situation. Through? Patient-centered, problem-solving as the root? the Five room check? On-site management mode to supervise the implementation of basic nursing work and implementation, and optimize the order of wards in a timely manner. Emphasis on the first communication, strengthen the key link communication, the establishment of a harmonious doctor-patient, nurse-patient, health care relationship.
Six, there are problems and corrective measures
1, despite efforts to do a good job of nursing management, but there are still some problems detailed in the "evaluation of the implementation of the nursing work plan", has not yet fully met the standards of the project content of the plan. For this year's problems, the focus of the next year, is to continue to vigorously improve ward management and nursing safety management.
In 20XX, my sister nurses paid the sweat, but also bear the harvest, we still have many shortcomings, but we are not discouraged, so that the patient's needs to become the driving force of innovation in the nursing profession, do things seriously, do things with heart to do a good job in nursing. In the next year to quality nursing service activities as an opportunity to create nursing service brand and nursing culture, and strive to create a quality, efficient clinical nursing team, for our hospital into the second hospital and efforts.
Nursing experience summaries selected secondIn the first half of the year, under the correct guidance and care of the hospital leadership, the Department of Nursing to steadily complete the daily work, in one hand to grasp the management of the other hand to grasp the quality of service at the same time, to strengthen the quality of the nursing team to build, and to continue the activities of the hospital management year advocated in order to improve health care services, the patient-centered, in order to improve health care services. Patient-centered, to improve the quality of medical services? As the theme of the service purpose, seriously implement this year's nursing work plan, according to the basic requirements of the hospital nursing service quality evaluation standards and standard assessment rules, improve the nursing rules and regulations, improve the service process, improve the hospitalization environment, strengthen the quality control of nursing care to maintain the quality of nursing care to continue to improve, and successfully complete the work of the higher level of the tasks assigned. Now summarized as follows:
First, actively complete the hospital's various directive tasks
1, the Department of Nursing as a functional department, better to do a good job of the top of the situation, the bottom of the top of the work, around the center of the hospital's work, the better to complete the tasks set by the hospital.
2, in? Hospital management year? Inspection of the work of our hospital nursing staff in good spirits, health education, basic care in place, nursing quality control has characteristics, truly reflects the continuous improvement of the quality of care, was fully affirmed by the inspection team of the Municipal Health Bureau, won the city's first place in the city's first good results, in the city's health work conference in charge of the nursing work of the hospital leadership Zeng Hongwei Secretary of the Department of Nursing on behalf of a typical speech.
3, in order to meet the provincial? Health? Inspection work, the departments have implemented the patient's health knowledge mission to carry out ? Moving type? Hygiene cleaning, and successfully passed the health inspection.
4, the whole hospital nursing staff to optimize the combination, according to the principle of two-way choice, the nursing department according to the age of the personnel, qualifications for macro-control, to ensure that each section of the nursing staff is reasonably equipped.
5, the successful completion of the relocation of the Department of Traditional Chinese Medicine, the creation of the Department of Neurosurgery, the establishment of internal and external custody ward.
6, with the hospital frost relief and earthquake relief work, set up a medical team, organized nursing staff for the people in the disaster area to donate activities, voluntary blood donors several.
7, the hospital carried out pre-service training and the three basic examination test.
8, conscientiously implement the national policy, the smooth start of medical insurance work.
9, according to the arrangement of the hospital leadership, 5.12 Nurses' Day for each working nurse to issue a souvenir and express the care and love of the hospital's nursing staff.
Second, strengthen the nursing management team connotation construction, enhance the level of management
1, in order to better promote the development of our nursing career, the hospital leadership to find the head of the nurses to exchange the ideological dynamics of the exchange of views, and put forward? You think the current nursing work in our hospital what are the shortcomings of your nursing department has no good suggestions for your personal and what are your intentions for the work of the hospital? The question to promote the work, give full play to the function of nursing managers.
2, the head nurse participated in the expert lectures sponsored by the Department of Health, through learning, how to further recognize the creation of the hospital is to improve the core competitiveness of the hospital key.
3, bring back the latest information on the frontiers of nursing to convey to each nursing staff, to promote the level of management of the hospital and the improvement of the level of nursing.
4, the Department of Nursing organized the head nurse of the two guardianship wards of the two critically ill patients for the room, the head nurse at the meeting spoke enthusiastically, put forward good suggestions to achieve the purpose of promoting the early recovery of the patient to improve the level of professional and technical skills.
5. According to the new requirements of the Municipal Health Bureau to standardize the head nurse's manual, clinical nursing work records, rescue room records, nursing teaching records and other writing.
6. Signed at all levels of responsibility, the head nurse and the undergraduate nurses signed a certificate of responsibility, the head nurse is responsible for the hospital, each nurse is responsible for the department to increase the sense of responsibility.
Third, the implementation of nursing personnel training program to improve the overall quality of nursing staff
1, according to the planning of nursing staff at all levels of the three basic training, quarterly organization of the theoretical examination and technical operation assessment of each, each section by 20% of the proportion of the sampling, the nursing staff less than five years of reference rate of 100%, the pass rate of 89%.
2, the "Nurses Regulations" was interpreted, so that nursing staff to further understand their rights and obligations, to know the law and understand the law. And the nursing department issued a letter to all hospital nurses? Do people satisfied with the white angel of the initiative? , fully mobilized the enthusiasm of nursing staff.
4, in order to celebrate the 5.12 International Nurses' Day, the nursing department organized the "Blue Ball". Blue ball? Challenge, there are 15 health care workers enthusiastically participate in the fierce competition, showing the style of the angels.
5, encouraging nursing staff to participate in the nursing self-study exams and correspondence learning, to improve the level of education, to create a learning nursing team. Business lectures once a month, the content of the basic theoretical knowledge, knowledge of nosocomial infection, nurse-patient communication skills and specialty knowledge, theory and practice, learning to use, will be every Wednesday as a reading day.
6, the first half of our hospital patients, most of the departments long-term extra beds, was overloaded state, nursing shortage, nursing heavy workload, comrades often work overtime, but no complaints, at any time to listen to the department and the Ministry of Nursing of the transfer, this a high-quality nursing team to overcome all the difficulties, the successful completion of the various therapeutic care tasks, to ensure the safety of nursing.
Fourth, improve the service process, improve the quality of service
1, the implementation of? The first question is responsible for the system?
3, widely listen to patients and accompanying views on nursing services, the existence of problems to find the reasons, put forward corrective measures, and constantly improve the quality of service. Six months of patients and their families without major complaints, hospitals organized by the quality of service survey patient satisfaction rate of 98%. Nominated praise for the best service attitude of the nurses up to 100 times.
Fifth, improve the nursing rules and regulations and operating procedures, comprehensively strengthen the quality of care monitoring and management, to eliminate nursing errors and accidents
1, the Department of Nursing every week from time to time under the department to check the quality of care, monthly nursing quality and nursing defects analysis will be held once a month organization, safety awareness education, to find the work of the insecurity factors, put forward corrective measures to eliminate errors and accidents hidden danger, seriously implement the nursing quality and nursing defects. Accidental hidden danger, seriously implement the nursing rules and regulations and operating procedures.
2, play the role of the hospital quality control team, regular and irregular inspection of the implementation of the nursing system, the first half of the nursing accident rate of zero.
3, nursing instruments written, and strive to achieve accuracy, objectivity and continuity. Nursing paperwork that legal documents, is the objective basis for determining medical disputes, the writing process should be carefully considered, can be objective, true, accurate, timely and complete reflection of the patient's condition changes, and constantly strengthen the nursing paperwork to formalize the importance of writing, so that each nurse can correct the attitude of writing, while strengthening the supervision and inspection efforts, the requirements of the Department of the quality control team to check regularly, the head of the nurses on a regular basis and from time to time to check and the CD-type charts of each. Each CD-type medical records for the final quality inspection, found that the problem is corrected in a timely manner, monthly quality analysis of nursing documents, the existence of problems with corrective measures, and continue to monitor the first half of the discharge of 10,337 medical records, nursing documents qualified rate of 95%.
4, standardize ward management, the establishment of a people-oriented hospital environment, so that patients achieve the best physical and mental state to receive treatment. The wards are ventilated regularly every day to keep the rooms quiet, clean and fresh air, provide safe and effective protective measures for patients with impaired consciousness, implement the post responsibility system, care for patients according to graded care standards, implement health education, strengthen basic care and case-by-case care for critical patients, meet the reasonable needs of patients and their families, and have no nursing complications in the first half of the year.
5, according to the hospital infection management standards, the hospital infection team part-time monitoring nurse can seriously fulfill their duties, so that the hospital infection monitoring indicators to meet quality standards.
Six, there are still many shortcomings in the work
1, basic nursing care is not in place, the new patient hygiene disposal is not timely, lying uncomfortable.
2, ward management needs to be improved, patients bring more items.
3, the explanation of the lack of patience, for the patient's active service consciousness is not strong.
4, the learning culture is not strong enough to carry out new projects, the introduction of new technologies is not enough.
5, nursing instruments written with omissions, omissions, lack of continuity of the content, the quality of the connotation is not high defects.
6, health education is not deep enough, lack of dynamic continuity, patients do not have enough knowledge of the disease.
Our nursing work is long and arduous, the world is changing day by day, we will face different challenges, let us join hands, in order to the hospital's prosperity and development and the people's happiness and well-being, to overcome the difficulties, to build on our strengths and avoid shortcomings, and to create a brilliant future.
Nursing experience summary of the selected thirdOver the past year, the bone outside the nursing work in the hospital leadership care support, in the nursing department of the correct leadership and help, in the whole section of the nurses *** with the efforts of the unity and cooperation, for the beginning of the year to develop the goal plan, set up a high degree of dedication and responsibility, combined with the nature of the work of this section, pragmatic and practical, practical and hard work, and better to complete the various tasks of the section. Tasks, achieved better results, now the work of this year is summarized as follows:
A basic overview of the nursing work of the department
The existing nursing staff of the Department 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 of difficult patient care, in order to promote the difficult to provide strong support for major post-operative rehabilitation care, and timely summarize and summarize the relevant cases of nursing experience, improve the level of nursing quality. 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, work quality standards and so on. For example, the checking system: (1) the requirement of daily doctor's orders double checking, daily checking once a week, the head nurse to participate in the checking 1?2 times, and have a record; (2) nursing operations should be implemented bedside checking and the use of more than two kinds of 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, to 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 ward, the implementation of a humanized flexible scheduling, simplify the nursing workflow, and strive to do the nurse back to the patient.
Third, improve the quality of nursing staff
1, the department of nursing staff in all aspects of knowledge, specialist theory, specialist skills, and organization of theoretical and operational examinations.
2, to participate in the hospital organization of business learning, a professional knowledge to improve.
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.
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 difficult, focus problems, 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 standardization of nursing quality standards in practice, penetration, penetration, implementation to each nurse throughout the work, so that the nursing quality management to follow the rules, 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 of the evaluation of the quality of care, so that patients really benefit from the quality management
3, the implementation of the duties of the responsible nurse, the patient from the admission to the discharge of the entire process by the responsible nurse responsible for the inclusion of quality management. Fully deploy every nurse's mobility and initiative.
V. Strengthened the management of nosocomial infections
1, strict implementation of the nosocomial management of the leading group to develop a disinfection and isolation system
3, the department adhered to the daily treatment room, dressing room for ultraviolet disinfection, and records, weekly UV lamps with anhydrous alcohol dusting treatment, and records, weekly monitoring of ultraviolet light intensity.
4, disposable supplies after use can be timely disfigurement, classification and disposal, and regular inspection and supervision, the concentration of a variety of disinfectants regularly tested and inspected.
Through the section of the personnel *** with the efforts, better completed the section of the work 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.