I, the basic situation of the department
1, the Department of nursing staff **** people, including employed nurses * people, charge nurse * people, nurse * people, nurses * people, college * people, in the undergraduate * people, secondary school * people. *** has ** beds, the annual admission of hospitalized patients *** people, the first half of the total * people, the second half of the total * people, the second half of the total number of patients than the first half of the total increase of *%, the second half of the rescue of critically ill patients * people, the death of * people, the success rate of resuscitation 92.9%. Intravenous blood collection*, including jugular vein*, femoral vein*, skin test*, inotropic injection*, blood transfusion**, urinary catheterization*, gastric lavage resuscitation*, death*, gastric lavage resuscitation success rate*%. Endotracheal intubation * people, successful intubation * people and the use of ventilator positive pressure breathing. Strict nursing operation routine, strict disinfection, sterilization, isolation measures to implement, for the internal, pediatric infectious integrated unit without nosocomial cross-infection, no error accidents.
Second, the department equipment, material operation and related systems
1, the department has a rescue equipment: gastric lavage machine *, infant warmer 1, 1 defibrillator, adult sputum suction 1, young children sputum suction 1, running normally and at any time in a state of reserve. All resuscitation equipment by the responsible class management, regular weekly inspection of the operating situation, maintenance, for the record; resuscitation cabinet, medicine cabinet by the responsible class Chu Limei management, regular inspection, such as the lack of drugs, leakage phenomenon, to instantly make up for the spare and record; a variety of disinfectant and the use of weekly replacement of the timer, the person in charge of treatment class, the main class check 1 time a day, the emergence of the problem should be immediately reported and resolved instantly.
2, the implementation of a strict system of checking the department, class check every Friday check, interlocking. Half a year to plug the loopholes in the department of drugs 10 times, found that the omission of treatment of 5 cases of medical advice, has been filled in a timely manner, did not cause adverse consequences, each class has a clear division of labor, each of their responsibilities, coordination and cooperation, there is no obvious delay caused by excessive fatigue phenomenon of the personnel.
Three, the department of nursing work completed
Six months of nursing work completed in my department:
Basic care average 93 points, critical care 95 points, 94 points of nursing form writing, first aid items average 89 points, 95 points of disinfection of the hospital district qualified rate, 87 points of satisfaction surveys, 5 points of departmental management 86 points. Strict management of disposable medical supplies (disposable sterile syringes, blood transfusion devices, infusion sets, etc.) has been carried out, and all of them have been divided, sterilized, disfigured, incinerated and recorded after use. Strict implementation of aseptic operation, injections to do one person, one needle, one tube and one belt, no case of infusion, blood transfusion reaction.
Four, the department of business learning and the introduction of new technologies to carry out the situation
1, in the dean, the director of the department under the guidance of the director of the department, after a number of learning, every doctor in our department is able to use the electrocardiogram machine, every nurse can read and understand the clinical common abnormalities of the electrocardiogram. The department discusses every death case and difficult case, summarizes the shortcomings, and formulates a complete treatment plan and puts it on the wall for work reference. The treatment plans now on the wall include: cerebral hemorrhage blood pressure regulation plan, upper gastrointestinal bleeding rescue flow chart, pediatric respiratory failure, heart failure emergency flow chart, acute myocardial infarction rescue treatment plan and tachyarrhythmia rescue treatment plan. Most of the patients with cerebral hemorrhage got comprehensive and scientific treatment and care in our department, which won the trust of the people and retained many patients. This year, we also carried out the first ever tracheal intubation in our department, the precedent of using ventilator to breathe, and a series of eye, oral, tracheal, catheterization, decubitus ulcers, life, psychological and other nursing care was carried out on the patients, which was organized and bound into a booklet. Nursing staff also studied the new technologies introduced from the provincial doctors: the use and care of indwelling needles, the use of magnesium sulfate wet compresses, the use of oxygen therapy for patients with decubitus ulcers, which achieved good therapeutic results and is now used in our department. At the same time, we also learned the pathogenesis of various diseases, clinical manifestations and care, can instantly and accurately provide doctors with diagnosis and treatment basis.
Sixth, internal management
1, a year, the department held a regular monthly meeting of the second, the problems and patients, patients, patients' families put forward the views, suggestions at the meeting to communicate with each other, dredging, for the existence of the problem to take the appropriate measures:
1), to the patient's family members to send a satisfaction questionnaire to collect views, suggestions, so that we can keep abreast of and understand some of the patients' views on our doctors, and to make sure that we are able to provide the best possible care. grasp and understand part of the patient's satisfaction with our doctors, nurses, ward management.
2) In order to improve the medical and nursing staff to respect and safeguard the rights and interests of patients awareness, through the study, we basically understand and master the skills of communication with patients, to promote the relationship between doctors and patients, doctors and nurses harmonious, enhance the feelings, so that the patients believe in us and are willing to stay in our department.
3) In order to give patients a warm medical environment, we centered around the "tree industry new style, create first-class service" theme of activities, starting from the smallest link, requiring medical staff to do the "four light", "seven sound" service, to the "four light", "seven sound" service, "four light", "seven sound" service, "four light", "seven sound" service, "seven sound" service, "seven sound" service, and "four light" service. Seven voices" service, for some patients who can not solve the most basic living and hospitalization expenses, we all the staff generously, lend a helping hand, and effectively let the patient feel warm, patient, careful love of the four heart service, feel the warmth of home.
4) After this year's "medical quality management" inspection, so that we realize that our management is not perfect, the main problem is not enough to start on medical safety: medical records are not written in a timely manner, not standardized, the principle of treatment of various diseases is not standardized, the misuse of antibiotics, the charges are not transparent, and various records are not complete.
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5), in order to realize the humanized management, the department studied the nursing department to develop the "nursing staff quantitative assessment scoring system", but in order to let the duty personnel psychological ease, without emotion to work, our section did not completely in accordance with the system of deductions and fines, but asked us to help each other, each class check each other, the emergence of problems! Immediately corrected to help fill in, the cycle, did not get immediate correction, up and down the two shifts *** with the penalty, six months only in environmental health, the image of the post and the coordination of individual problems were punished.
Seven, nursing work to obtain social benefits
My nursing staff for routine technology are skilled. The pediatric scalp small vein puncture technology can achieve accurate movement, skillful, a high rate of blood, the two responsible shift nurses have a strong sense of initiative and responsibility for each patient to do a good job of the environment of the hospital, life help, explain the treatment and care plan as well as post-discharge health guidance, return visit, in the first quarter of the relocation of the satisfaction survey obtained 100% of the good results, get patients to send letters of appreciation 3 In the second quarter, the patients sent a silk banner and a letter of thanks, but the satisfaction survey dropped to 75%, which shows that our responsible team did not do the work consistently and neglected the psychological treatment and return visit. If every return visit can make the patient feel that you are treating him with all your heart, remembering him, caring for him, and having a sense of intimacy, it will make us get good social benefits.
Eight, there are shortcomings
1, nursing staff rotation is too fast, not good management;
2, nursing staff relatively poor ability to collaborate with each other;
3, nursing staff lack of communication with the outside world, the awareness of the service is not strong;
2016 Internal Medicine Nursing Work Plan
1, strictly in accordance with the "Hospital Management Evaluation Guidelines" and the hospital's relevant systems to carry out their work;
2, to strengthen business learning, improve the level of nursing technology;
3, selected nursing backbone to the provincial hospital for further training in cardiology, neonatology clinical care;
4, to strengthen the construction of the style of work, so as to achieve high-quality service.