Baby-friendly hospital 2020 work plan (a)
In order to consolidate the results of the creation of baby-friendly hospitals, so that the baby-friendly hospital management of the implementation of various systems and measures in place to protect the health of mothers and children as the core, the priority of the child, the mother's safety for the purpose of around the long-lasting management, sustainable protection, promotion and support of breastfeeding, and to improve the breastfeeding rate in order to reduce infant morbidity and mortality. According to the hospital baby-friendly action to implement the requirements of the program to develop work plans are as follows:
First, strengthen the organization and management, consolidate the results of the baby-friendly hospital
1, continue to set up the consolidation of the baby-friendly hospital management leadership group headed by Li Daoqian President, and according to the hospital's personnel arrangements for the changes in the adjustment of the management team members of the baby-friendly hospital to obtain the leadership of the hospital's support for the work of baby-friendly hospitals to the management of the baby-friendly hospital as a whole hospital's work as the work of the baby-friendly hospital management as a whole, the hospital's work as a whole. The management of the hospital as a management goal of the work of the hospital, strengthen supervision and assessment, the formation of long-term management mechanism, so that the baby-friendly hospital work to get sustainable development.
2, under the leadership of the baby-friendly hospital leading group, the promotion of breastfeeding technical guidance group, the promotion of breastfeeding health education group, the promotion of breastfeeding support organizations, so that they have their own responsibilities, to carry out the day-to-day work of the management of the baby-friendly hospital.
Second, to strengthen the baby-friendly hospital daily work of the link management
1, according to the "second level of midwifery hospital level standard assessment requirements" to improve the obstetrics work. Strengthen the quality control of obstetric medical records, strictly grasp the indications for cesarean section, and strive to reduce the rate of cesarean section, improve the organization of rescue, rescue equipment and medicines are in a state of readiness and function well. On the basis of ensuring the safety of mothers and infants
, the implementation of the management of baby-friendly hospitals, banning bottles, nipples, milk powder into the obstetrics wards, insisting on early skin contact between mothers and infants, early sucking, and insisting on the mother and infant in the same room, so that the rate of skin contact in the 30th minute after delivery, early sucking rate of more than 90%, the rate of mother and infant in the same room in the 24th hour of 95%, and the rate of breastfeeding of newborn babies in the hospital to maintain the rate of exclusive breastfeeding in 95% or so. The rate of exclusive breastfeeding for newborns in the hospital is maintained at about 95%.
2, strengthen the work of prenatal clinic, seriously do a good job of prenatal education, prenatal examination must be undertaken by physicians who have obtained the license to practice medicine. For pregnant women and their families to do a good job of breastfeeding knowledge of health education, requiring staff to seriously do a good job of breastfeeding knowledge of publicity, timely implementation of prenatal, delivery, postpartum missionary work on every pregnant women, and registration management, requiring every pregnant women on breastfeeding knowledge of the basic mastery.
3, to strengthen the work of maternity school, maternity school according to the requirements of the layout, a warm and comfortable environment, and efforts to broaden the content of the lecture, required to cover the pre-pregnancy, early pregnancy, mid-pregnancy, late pregnancy, puerperium and newborn features and health care and other health education, weekly lectures once, rolling cycle. The form of instruction is mainly interactive, illustrated, audio-visual combination of role-playing, operational exercises, prize quizzes, group discussions, case studies, etc., in a lively and vivid form, so that pregnant women can easily grasp the knowledge of breastfeeding.
Third, to strengthen the implementation of breastfeeding measures
1, in the construction of hardware, the hospital hospital and ward environment on a new level, the layout of the relevant departments is reasonable, indoor clean, color ventilation is good, the ward furnishings norms, wards are equipped with cribs, maternity schools have multimedia teaching facilities. There are additional dolls and double breast models for teaching. Do a good job of baby-friendly hospitals.
2, efforts to implement our hospital on the baby-friendly hospital related systems: such as "to promote the success of breastfeeding ten-point measures," "international breast milk substitutes sales manual," the hospital's "consolidation of baby-friendly hospital ten-point measures.
3, the development of breastfeeding retraining and training programs: in order to further standardize the management of baby-friendly hospitals, the serious implementation of breastfeeding measures, the development of the hospital staff retraining program and the training of new staff and the organization of the implementation of the qualification of the new staff of the Department of Obstetrics and Gynecology in accordance with the relevant requirements of the management of the new staff, to eliminate the absence of a license to take up their duties. And insist on 18 hours of pre-service training, examination passes to be able to work, other personnel for 6 hours of retraining, so that all the staff of breastfeeding knowledge can be used flexibly, to reduce the defects of clinical breastfeeding work.
4, efforts to increase breastfeeding knowledge of publicity: so that the hospital maternity and family members can be more step by step to grasp the benefits of breastfeeding, and strive to create a baby-friendly atmosphere, the use of bulletin boards, publicity slogans, the hospital website to strengthen breastfeeding knowledge of the work of publicity and education, in the obstetrics ward, obstetrics clinic posted breastfeeding posters, and organization of the staff on the street to consult. The maternity school set up by the hospital specifically to promote breastfeeding knowledge, purchased multimedia teaching equipment, to hospitalized pregnant women, mothers and their families to breastfeeding education. And the distribution of "breastfeeding" promotional materials, the use of maternity school monthly regular breastfeeding knowledge lectures and preaching, the requirement of the training surface of 100%, so that the family members of pregnant women receiving training to master the benefits of breastfeeding and breastfeeding-related skills.
5, the development of effective supervision and evaluation mechanism, the implementation of rewards and penalties. Baby-friendly management leading group is responsible for organizing a monthly supervision and inspection, with on-site questions, questionnaires and other ways to evaluate the implementation of measures and put forward corrective comments and the implementation of the corresponding system of rewards and penalties.
Fourth, to strengthen the management of breastfeeding support organizations
1, good management of the child system, the growth and development of infants discharged from the hospital to evaluate and breastfeeding guidance.
2, actively carry out newborn disease screening and hearing screening, newborn disease screening rate of up to, hearing screening up to the prescribed requirements.
3. Transferring the health card of discharged mothers to breastfeeding support organizations, regular postnatal visits, and assisting in solving the difficulties and problems of mothers on breastfeeding, in order to ensure exclusive breastfeeding in the period of 4-6 months. A 24-hour breastfeeding counseling hotline has been set up.
Baby Friendly Hospital 2020 Work Plan (II)
It's the end of the year again, xx hospital in the past year, through the various powerful initiatives, stable development, and achieved very good results, based on this foundation, the hospital leadership after a comprehensive analysis, scientific budgeting set out the next year's approach to the target : Increase the average monthly income by about 300,000 yuan over the xx year, and the average monthly number of births in the obstetrics department is 125 people. This is not simply a set of figures, as a department of the hospital - maternity ward, to complete this ambitious goal need to make greater efforts to develop a more scientific and systematic work plan to ensure the successful realization of the work objectives.
First, strengthen the maternity ward team building, to create a skilled, first-class service professional and technical team.
Talent is the realization of scientific management, to ensure the smooth implementation of the work of a strong guarantee, xx hospital to become a first-class maternity hospital, maternity ward as a very important department, shouldering a vital responsibility. However, the maternity ward has long been faced with the shortage of talents, weak technical force, insufficient hardware facilities and other problems that need to be solved. In order to build a professional and technical team with excellent technology and first-class service, in addition to the unremitting efforts of all the staff in the maternity ward, it is also necessary to attach great importance to the leadership of the hospital and strong support.
1, on the basis of the existing staff, increase the number of midwives 3-4 for professional training, about one year time to the top. Because the existing staff in the maternity ward is in a precarious state, one of the medical staff in the maternity ward for further training, leaving the maternity ward at the end of the month; a person facing childbirth, at any time may be on leave. There is a serious shortage of staff. In addition, the work of the maternity ward is characterized by unpredictability, concentration, suddenness, urgency, etc., in order to complete the quality and quantity of work and services, the manpower is not enough to do.
2, all the staff of the maternity ward actively participate in the hospital's organization of business learning and professional skills training, learning time and credits and bonus linked to do a good job in the assessment of rewards and punishments.
3, the strict development and implementation of learning, assessment, examination plan, according to the learning plan for questioning, assessment and examination: monthly business learning lectures (rotating lecturer), weekly questioning and assessment of a quarterly closed-book examination of professional knowledge, semi-annual technical competition. Examination results and bonuses, wages linked to the examination results failed to deduct the month's bonus (according to the required number), the results of the year the month's award (according to the required number), the annual wage increase as a reference.
4, actively carry out than, learn, catch up, help activities, high seniority to help low seniority, good technology to help poor technology. Than who has a high level of professional and technical skills, than who has a good service attitude; to actively into the technical business great colleagues to learn, catch up with the advanced, and strive to be advanced. So that the professional and technical to achieve first-class level, so that the quality of service to a higher level.
5, according to the work of the maternity ward tasks and the specific situation of midwives, optimize the combination of nursing power, scientific and reasonable scheduling, strict duties of each class.
Second, the active development of new technologies, new businesses
1, painless labor has been carried out for three years, has achieved good economic and social benefits. In the new year, painless delivery in obstetrics is still a focus of work, to actively publicize and promote painless delivery, carefully grasp the timing of painless delivery, especially in the mid-term pregnancy induced abortion patients, in the absence of contraindications, to ensure that each person to implement epidural analgesia.
2, vip package is the past year's top priority, the new year to develop vip package services as the focus of the work of the maternity ward, the hospital to be pregnant women and friends and relatives to vigorously publicize and promote the efforts to dig vip honored customers.
Third, seriously study and implement the rules and regulations and operating procedures to ensure medical quality and medical safety
1, quality and safety is the lifeblood of the hospital, always put the quality of medical care and safety in the first place, the monthly study and assessment of the thirteen core system, the system of responsibility for the process; the strict implementation of the principle of aseptic operation, to put an end to the occurrence of hospital-acquired infections; the serious implementation of the three check seven right system and operating procedures, to put an end to the occurrence of hospital-acquired infections, to ensure that the quality of medical care and medical safety. The system and the operating procedures to eliminate medical errors and accidents.
2, improve risk awareness, enhance self-protection consciousness: think of yourself as an obstetrician at any time, put the safety of mothers and newborns in the first place, consciously improve their own qualities and operational skills, to do prenatal, delivery, postpartum, careful observation, and actively deal with it, not to leave any suspicion.
3, conscientiously study and implement the principles of clinical application of the contraction, strict implementation of medical advice, master the contraindications, indications for the application of contraction, prohibit the abuse of contraction.
4, the strict implementation of the three doctors responsible for the system, encountered abnormalities in a timely manner to report to the superior physician, not to deal with their own.
5, close observation of the labor process, timely detection of various abnormalities in the progress of labor, and timely assistance to the physician for active treatment.
6, according to the Department of Nursing and Obstetrics quality management requirements, the development of nursing work plan and organization and implementation in place, regular or irregular supervision and inspection of the rules and regulations, the duties of the class and the implementation of various nursing technical specifications, and timely summary of the evaluation, and constantly improve the quality of work in the delivery room.
7, do a good job in the labor and delivery room all kinds of goods, instruments and first aid supplies management, designate a person responsible for ensuring the supply and regular inspection, make a good record.
8, on the work of the existing problems, timely detection and timely solution, due to technical reasons resulting in medical accidents, timely search for reasons, summarize experience and accept the lessons.
9, do a good job of medical records and medical records writing, strict standardization of all records, prohibit alteration and writing errors, to prevent carelessness caused by undue medical disputes.
Fourth, enhance service awareness, improve service quality
As the saying goes, "gold cup, silver cup, as good as the patient's word of mouth," the new year to do a good job in the maternity ward services, maternal needs in the first place, to do on-demand services.
1, vip package services: special accompaniment to provide life care, experts and senior midwife tracking technical services to ensure 100% satisfaction of vip customers, the hospital vip brand to do a good job.
2, painless labor and delivery of women to do a good job of guided labor services, so that women do feel thoughtful, warm guided labor and delivery services.
3, do a good job of maternal prenatal, delivery, postpartum life care, to assist in eating and defecation, in addition to close observation of the progress of the labor process, but also to closely observe the vital signs of the mother, regular measurement of temperature, pulse, respiration, blood pressure. The mother was instructed to relieve the pain, and when the uterus was fully open, the mother was taught to reasonably force the method.
4, do a good job of observation and care of the newborn, at any time to see the newborn's respiration, color, urination and defecation, to guide the early opening of the milk, and to do a good job of breastfeeding guidance and counseling.
V. Actively participate in the full marketing, development of potential income projects
1, the whole department staff in-depth market, use their spare time to develop customers, contact their families and friends around them, to provide new customer resources, each person to set the number of fixed targets and develop a system of rewards and penalties.
2, and actively develop the maternity ward charges for painless labor induction of labor patients should be timely labor analgesia to avoid delays in the phenomenon. If conditions permit, you can carry out accompanied by the waiting for labor, accompanied by the delivery. For the items that should be charged not to miss the charge, to do each patient strict charges.
Sixth, do a good job of coordination between the department and the department, staff and staff to coordinate the work of coordination between the staff of the department and the doctor, logistics personnel and other sections of the staff of the work of the relationship between each other, communicate with each other, and obtain support and cooperation in a timely manner.
Seven, adhere to the 5s management work
1, 5s management work carried out since the year, the results are remarkable, the overall appearance of the hospital, the quality of personnel has changed a lot, the maternity ward in the limited indoor also ensures that the environment of the neat, clean and beautiful view in the new year, to continue to do a good job of 5s management work.
2, seriously do a good job in the delivery room aseptic management. In the new year, according to the operating room management standards, strict management of labor and delivery room, prohibit the entry of idle personnel into the labor and delivery room. Relevant personnel to enter the delivery room to strictly implement the principle of aseptic isolation system, to achieve strict management, everyone is responsible.
3, good management of goods, regular inventory of supplies, prohibit the waste caused by the expiration of the items, saving ink and paper, saving water and electricity.
At the beginning of the new year, the maternity ward will be under the leadership and support of the dean, the nursing department and the director of the department, all the staff will go all out to successfully complete the hospital's policy objectives, to complete the work plan, and earnestly in accordance with the proposed work plan to do a good job in the maternity ward, to ensure that the smooth realization of the work objectives, to contribute to the development of the hospital to contribute to the development of the hospital, for the xx hospital brilliant tomorrow to make due contribution. The company's work has been a great success.
Baby-friendly hospital 2020 work plan (three)
In order to further strengthen the management of baby-friendly hospitals, standardize obstetrics and pediatrics services, and continue to improve breastfeeding rates, and gradually reduce the rate of non-medical indications of cesarean section, strengthen the quality of safety and enhance the health of mothers and babies. Special to formulate the following work plan for the current year:
First, strengthen the organization and management, consolidate the results of the baby-friendly hospital
1, due to personnel changes, re-modify the baby-friendly hospital leadership group and technical guidance team, (breastfeeding) quality inspection team, personnel organization to meet the requirements, a clear division of responsibilities. Hold 1-2 baby-friendly hospital leading group meetings each year to discuss and study the development of our baby-friendly work, the management of the baby-friendly hospital management as a hospital-wide work management objectives, strengthen supervision and assessment, the formation of a long-term management mechanism, so that the baby-friendly hospital work to get the sustainability of development.
2, conscientiously implement the hospital's breastfeeding, newborn safety management system and the protection of infant health and safety of the relevant provisions, and timely delivery to all medical staff.
3, obstetrics and pediatrics and related departments in accordance with the breastfeeding evaluation standards every month, respectively, staff, pregnant women, women in labor for breastfeeding quality evaluation, and to have records and improvement measures, and at the same time will be the inspection of feedback to the leading group of the baby-friendly hospital report.
4, organization and implementation. WHO "ten measures to promote breastfeeding success", "International Code of Marketing of Breastmilk Substitutes", "breastmilk substitutes marketing management" and "medical institutions, newborn safety management system" and our hospital "to promote breastfeeding success of the ten provisions.
5, in the obstetrics and pediatrics outpatient clinics, wards, waiting areas and public **** area to display, posted to promote breastfeeding success of the relevant provisions and publicize the benefits of breastfeeding, and timely update of breast milk-related knowledge.
6. It is strictly prohibited for medical staff to promote and publicize breast milk substitutes.
7, the rate of exclusive breastfeeding during hospitalization and the rate of non-medical need for cesarean section into the obstetrics and pediatrics medical quality management system, into the obstetrics and pediatrics medical and nursing staff job responsibility target system, a monthly inspection, as one of the performance payroll reference.
Second, to strengthen the management of baby-friendly hospitals and technical training
1, the organization of all medical staff to carry out different forms of breastfeeding policy and knowledge of the training of two times, and a written theoretical examination. Newly assigned, newly transferred personnel, interns breastfeeding policy and knowledge, technical pre-service training 18 hours, and only after passing the examination can be on duty.
2, to strengthen the key departments of medical staff of the business training work, annual obstetrics and gynecology, pediatrics, administration, logistics and other functional departments for breastfeeding knowledge and retraining, the time is not less than 3 hours. Quarterly breastfeeding knowledge examination examination of obstetrics and gynecology, pediatrics personnel, obstetrics and gynecology quarterly organization of breastfeeding skills assessment, a written examination of theoretical knowledge.
3, selected personnel to participate in baby-friendly hospital-related academic activities and training courses, learning new knowledge and new technologies to ensure that the level of professional and technical skills with the times.
3. Increase publicity so that all pregnant women and mothers know the benefits of breastfeeding.
1, through the obstetrics clinic, midwifery clinic, maternity school, obstetrics wards and other ways to breastfeeding knowledge and skills education for pregnant women and mothers.
2. After hospitalization, the nurse in charge of breastfeeding knowledge and skills education.
3, continue to run a good maternity school, two classes a week, by the information experienced teachers teaching pregnancy health, eugenics, breastfeeding, postpartum health care, newborn care, and strive to broaden the content of the lectures, required to cover the pre-pregnancy, early pregnancy, mid-pregnancy, late pregnancy, puerperium and newborn features and health care and other health education knowledge, rolling cycle.
4. Prenatal clinics and obstetric wards introduce knowledge and skills about breastfeeding to pregnant women, mothers and relatives through lectures, playing videos and VCDs, and distributing pamphlets. Through the above publicity and education, 100% of pregnant women and mothers have been taught about breastfeeding.
4. Help mothers to start breastfeeding within one hour after delivery.
1. Obstetrics staff helped normal newborns to have skin-to-skin contact between mother and baby and early sucking within one hour of birth for not less than 30 minutes. During skin-to-skin contact, make eye contact between mother and baby as required, and pay attention to keep the newborn warm.
2, the development of systems and measures to reduce cesarean section, obstetricians, midwives strictly grasp the indications for cesarean section, improve midwifery technology, medical and nursing staff **** with a good job of pregnant women's missionary work, to promote natural childbirth.
V. Guidance on how to breastfeed and maintain good lactation.
1, breastfeeding guidance into the routine nursing work program, the maternal standardized breastfeeding guidance.
2, health care workers through demonstration and guidance, teaching mothers breastfeeding position, the newborn baby holding position, milking / sucking method, lactation method.
3. Instruct mothers who separate mother and baby to start milking 6 hours after delivery, milking every 3 hours, each milking lasts 20-30 minutes, no less than 8 times a day, and pay attention to night milking.
Sixth, in addition to breast milk, it is prohibited to give the newborn any food or drink, unless medically indicated.
1, obstetrics outpatient clinics and wards will be breastfeeding guidance as a routine, to provide mothers with personalized breastfeeding advice and guidance.
2. Newborns with medical indications of needing to add formula must follow the doctor's orders and record the medical indications, as well as the amount and frequency of formula use in the medical documents.
3, mixed feeding of newborns can be used to add milk at the breast or use a small spoon, milk cup to add milk.
4, the development of breast milk substitutes configuration and use of management system, set up a milk dispensing area, equipped with the necessary equipment and materials, the preparation of formula in the milk dispensing area to complete, so that the present dispensing, clean dispensing.
5, bottles must be done one person, one with one sterilized, milk powder complete three certificates, purchased by a person from the retail channel, there are shopping tickets and invoices, do not accept breast milk substitutes production and management units of gifts and sponsorship, strict implementation of management and use of the process.
Seven, the implementation of 24-hour mother and baby room.
1, in addition to the separation of mother and baby with medical indications, maternal and newborn together 24 hours a day to the newborn bathing and treatment of the separation time of no more than one hour.
2. Strengthen the training of obstetricians and medical staff on the early symptoms of neonatal diseases, so that they have the ability to recognize the early symptoms of neonatal diseases.
8. Encourage breastfeeding on demand.
1, obstetrics and pediatrics health care workers understand the significance of breastfeeding on demand, there is no limit to the interval and duration of breastfeeding for newborns, and the number of effective sucking times per day should be not less than 8 (including nighttime breastfeeding), so that mothers will understand the importance of breastfeeding on demand and the methods of breastfeeding.
2. Strengthen the care of cesarean mothers and breastfeeding guidance.
9. Strengthen the education to make mothers understand the harm of using bottles, pacifiers and comfort nipples, and do not give breastfeeding newborns to suck on artificial nipples, pacifiers or comfort nipples. Encourage* mothers with poor conditions to build confidence and help them solve their difficulties.
x. Promote the establishment of breastfeeding support organizations to which mothers discharged from hospitals can be referred and to which follow-up services can be provided.
1. The maternal health clinic carefully fills in the Maternal Health Handbook on time and transfers the information of discharged mothers to the referral primary health care units for postnatal visits and continues to provide guidance on breastfeeding.
2, in the obstetrics clinic set up breastfeeding counseling office, to solve the difficulties and problems encountered in the process of breastfeeding.
3. A breastfeeding hotline (xxxx) was set up and the discharged mothers were informed about it and the hotline was kept open to provide breastfeeding support services to the discharged mothers.