Critical Care Group Work Plan Part 1
Since 2011, my department has been carrying out quality care; a clear theme: "Compact basic care, improve satisfaction". Through the strengthening of nursing quality management, actively implement basic care, greatly improve patient satisfaction our nursing work needs to be further improved, now the plan is reported as follows:
1, improve the system, revise the routines, simplify the writing of instruments, promote the improvement of the quality of basic care
According to the current range of patients admitted to the icu,
According to the current range of patients admitted to the icu, the type of disease to modify the icu nursing routine, to provide nurses with clinical nursing guidance.
2. Provide human and material cultural support for basic nursing care, and comprehensively improve the quality of basic nursing care
In the ward to increase the morning and evening nursing supplies, bedside nurses for patients to do facial, foot cleaning and other life care projects; in the nurse will be the basic nursing care as the focus of the daily checkup; the development and implementation of standardized shift handover process; for patients to implement safe care. The company's goal is to provide patients with safe care, ensure effective treatment, and improve nurses' awareness of disease observation; and to carry out QC circle activities so that nurses can clearly define the responsibilities of each shift and create a quality environment for patients.
3, "patient-centered" to strengthen humanistic communication, for critically ill patients and their families to create a good cultural environment
I revised the visiting system, for acute and critical patients to appropriately extend the time of escort; the establishment of the patient and the family opinion form; the use of the afternoon family visiting time, to solicit the views of the family. Family visiting time, to seek the views of families and evaluate the quality of care, to promote the improvement of nursing.
4. Strengthen human resource management and improve the layout mode.
Department according to the spirit of the Nursing Department, combined with the characteristics of this section, on the basis of all-round assessment of the department's nurses' qualifications, titles, work experience, professional theory and technical level, etc., in order to assign tasks, while according to the number of patients and the severity of the disease scheduling and distribution of human resources, to ensure that the patient to get a sustained, seamless, safe nursing services.
5, change the concept of nurses, improve the quality of the nursing team, mobilize enthusiasm
Regularly organize the study of quality nursing norms and operating procedures, and carry out the assessment; through the hierarchical training and assessment, to improve the first aid awareness of the icu nurses and first aid with the ability to; through the publicity and education to make nurses realize the importance and necessity of basic nursing care; in order to improve the nursing work of the nurses, they are required to provide the first-aid service. The importance and necessity of basic nursing care; in order to improve the enthusiasm of nurses, the department discussed and passed to improve the night shift allowance for nurses.
6, the hospital and the department attaches great importance to the continuous improvement of the quality of care
Continuously with the brother department to talk about experience, experience, mutual exchanges, learning; regular meetings of the department, timely discovery of the problem, to correct the deviation; nurses at any time to listen to the views of the competent physician and positive correction.
In short, the implementation of quality care is not a mechanical decomposition of the basic nursing program to complete, but around the patient's condition, medical
safety, diagnostic and treatment effects, the need for transition and recovery, basic care more specialized, specialized care more humane, the two combined together to effectively implement the overall care, with a high degree of responsibility, love, prudence, dedication, dedication to fulfill their own work. The company's main goal is to provide the best possible service to its customers.
Critical Care Group Work Plan Part 2
20xx year is about to become the past, 20xx year has come to us in stride, the Department of Critical Care Medicine will usher in the second birthday, in order to the development of the Department of Critical Care Medicine, for the development of the hospital to do a part of the work of the Department of 20xx year work plan as follows:
First, first of all, continue to strengthen the talent training:
Hospitals want to develop, talent is the key, the same department wants to develop, to have their own core competitiveness, talent training is the key. Hospital personnel conditions allow, increase the recruitment of personnel in the Department of Critical Care Medicine rotation or even let the newcomers in the Department of Critical Care Medicine development, to be sent to the province and outside the three hospitals icu refresher courses. Since the establishment of my department for more than a year, although in the rescue of acute and critical patients and prevention of medical disputes has made a certain contribution, but is still a young department, there are many knowledge needs to learn to accumulate, a lot of knowledge needs to be repeated to learn to master, physicians and nurses need to grind. Clinicians business learning at least once a week, and strengthen the knowledge of hospital infection learning, as far as possible to reduce the occurrence of hospital infection.
Second, the development of new technologies:
In more than a year since the opening of the department, although my department has gradually carried out ventilator-assisted ventilation support therapy, tracheal intubation technology, central venous catheterization technology, cvp monitoring, intravenous parenteral nutrition, sedation and analgesia technology, hemodialysis center in my department development for 1 year to solve the city of the end-stage renal disease Patients long-distance running for treatment, so that the hemodialysis center better development to meet the needs of the patient's clinic, and carry out the hemoperfusion treatment of toxic hepatitis, and strive to carry out new technologies in 20xx, such as invasive blood pressure monitoring, cerebral ventricular pressure monitoring, dialysis and perfusion treatment of severe pancreatitis, bedside hemodialysis treatment of poisoning and septicemia treatment for the resuscitation of the critically ill patients to increase.
Three, continue to strengthen the management of the department:
The hospital is my home, the department is my home, a department is a group, only good collaboration, in order to play the potential. Medical cooperation can be better for the patient service. Rectify the work of loose, shirking patients and other bad habits, learn from experience, strengthen the doctor-patient communication, medical communication, to eliminate the occurrence of medical accidents or medical errors.
Fourth, actively participate in a variety of exams, competitions and other activities to move, and strive to add color to the department and the hospital.
Encourage everyone to participate in the various activities of the hospital, and strive to be the hospital advanced.
V. Encourage everyone to summarize their work experience
Published in medical journals, and strive to publish more than one article per year in medical journals at home and abroad. Subscribe to medical magazines related to the specialty to develop our vision and update our knowledge. Encourage everyone to actively participate in learning to upgrade their qualifications, participate in learning exchanges of related specialties in the province, and learn new knowledge, new technologies and new professional dynamics from teachers of higher hospitals and colleagues in sister hospitals.
Sixth, strengthen the communication with brother departments and with patients' families:
Because our department is a young department, its growth needs the help of brother departments. As the management of our icu patients is a two-way management, the communication with specialists is important, and the rational application of the patient's treatment plan is important. As our patients are all critically ill patients, their lives are in danger at any time, so communication with their families is very important, is to reduce medical disputes, eliminating hidden dangers of a very important method.
Critical Care Group Work Plan Part 3
A. Pre-service education
1. After entering the department to understand the environment of the department, the layout, the nature of the work, the situation of the medical staff, the content of the work of each class, the workflow.
2. Learn etiquette; correctly deal with medical, nursing and patient relations. The language is gentle, demeanor, standardize service behavior, the department uniformly issued a wall watch, a small flashlight.
3. icu special related systems, early warning plans, enhance safety awareness, self-protection awareness.
4. icu hospital infection prevention and control, disinfection, the implementation of isolation measures to prevent cross-infection, the implementation of self-protection measures.
Second, strengthen the specialty knowledge, skills training
1. Specialty theory; nurses need to master the common and admitted to the Department of the disease, the various systems of disease care for critically ill patients, pain management of critically ill patients, intensive care of the psychological care of the relevant theoretical knowledge of the training, is conducive to improving the new nurses to the icu critically ill patients' conditions, the ability to observe, implement treatment, nursing care measures, and the ability to improve the quality of care. The training is conducive to improving the ability of new nurses to observe the condition of critically ill patients in the icu and to implement treatment and nursing measures.
2. Important technical operation training; cardiopulmonary resuscitation, ventilator, defibrillator, blood purifier, monitor, pressure hypothermia and other instruments training.
Journal article classification query, as far as in the periodical library
Mastery of the clinical application and care of infusion pumps, surgical care of various types of catheters, oxygen therapy, airway management and artificial respirator monitoring technology, circulatory hemodynamic monitoring, cardiac monitoring and defibrillation technology, blood purification technology, water, electrolyte and acid-base balance monitoring technology, chest physical therapy technology, critical care patients nutritional support technology, critical care patients nutritional support technology, blood purification technology, water, electrolytes and acid-base balance monitoring technology, chest physical therapy technology, critical care patients nutritional support technology, critical care patients nutritional support technology. The course is designed to provide a comprehensive overview of the medical and surgical procedures for the treatment of patients with chronic illnesses.
Three, the establishment of a sound teaching system
Selected in the icu more than 5 years of senior teachers or departmental teachers, quality control personnel one-on-one teaching. The teacher should use a warm and gentle attitude and language to eliminate nervousness and anxiety, and to understand their theoretical knowledge after training, operation and other work ability.
1. Shift handover; from the items handover, departmental morning shift, written, oral, bedside shift, bedside shift, patient handover from head to foot carefully handover. Do not be confused to hand over not to take, not to hand over not to take
2. Risk awareness training; to strengthen the sense of responsibility, the implementation of safety measures, observation and assessment of the condition, good to find the advantages of the new nurses, to take their strengths, more praise, in order to incentives, to promote the healthy growth of the nurses.
3. Cultivation of the spirit of prudence; implementation of the checking system, accurate implementation of medical advice.
4. Responsibilities of the nurse in charge of the post; strengthen the sense of responsibility, understand the patient's ten know, the assessment of the condition, nursing plan development, measures to implement the implementation of the assessment of the quality of special nursing.
Fourth, pay attention to the details, one step at a time
1. Details of the training: in the operation of the preparation of the use of objects placed in the smooth place, the work of time and effort, practice makes perfect, pay attention to the protection of the patient's privacy, pay attention to the warmth, do a good job of informing the operation.
2. Simulation training: such as (1) simulation to admit a critically ill patient with respiratory distress, you enter the room when the patient how to prepare, the patient to the Department of what you should do, how to record? (2) simulation department a patient suddenly cardiac arrest, what should you do? (3) such as the patient using a ventilator, a sudden power failure, what do you do?
3. Regular assessment: the department should use the time to assess the theory, operation, core system implementation, to understand the new nurses on the mastery of training and work ability.
The growth of the new nurses, inseparable from the nursing teacher's transmission, help, bring, the cultural construction of the department, the atmosphere and their own efforts, and actively play the subjective initiative, the ability to forge ahead, obedience to the overall situation, and enhance the cohesion of the work of the icu more emphasis on unity and cooperation, resilience, accumulation of work experience for the clinical care to lay a good foundation for the work of the patient in order to better serve the patient.
Critical Care Group Work Plan Part 4
To further adapt to the healthcare market situation, around the hospital's development plan, and for the icu nurses to create a relaxing and pleasant work, learning environment, the development of the new year's nursing work plan is as follows:
First, the implementation of the quality of care inspection, so that the nursing work of the department has been improved.
According to the nursing department under the work task and the nurse manual in the weekly work schedule, the monthly work focus on nursing supervision, inspection, and combined with the results of the inspection of the quality control nurses, will be the problem of timely feedback, if the recurring problems are analyzed in the monthly quality of the department of the feedback meeting, discussion, *** with the discussion of the improvement method, and records, and constantly improve the quality of nursing care. Try to make the basic nursing care qualified rate of ≧90%, level nursing care qualified rate of ≧90%, first aid items intact rate of 100%, nursing document writing qualified rate of ≧90%.
Second, strengthen the nursing safety awareness, strengthen the whole staff safety education.
1, the strict implementation of the check system, in the work of the specific implementation of the three check seven; injection, medication, disposal check; blood transfusion check; diet check and so on several aspects. Usually work hard to check, doctor's orders class class check, the head nurse weekly total check once, the problem of timely rectification.
2, on the drainage tube, tracheal intubation of awake patients, agitated patients to be protective restraint, to prevent patients from accidentally pull out the tube.
3, internal and external drugs are placed separately, and the bottle labels are clear. Potassium chloride and 10% sodium chloride are clearly marked.
4. All kinds of resuscitation equipments are kept clean and have good performance; first-aid medicines are in accordance with the regulations and are replenished in time after use; sterile items are clearly labeled and kept in accordance with the requirements to ensure that they are within the validity period.
5, for the occurrence of nursing errors and adverse events, according to the icu system of rewards and penalties to the parties involved in the criticism, fines, the department timely organization and discussion, put forward processing opinions, necessary precautions and corrective measures, and reported to the nursing department. Monthly quality control will analyze and comment on the month of the whole hospital and section of the nursing safety hazards, put forward preventive measures.
6, continue to strengthen the nursing document writing training, inspection work, and further improve the content of the nursing record sheet, to ensure that nurses timely, accurate, objective, true and complete completion of the nursing record, to ensure the safety of medical care.
Third, in accordance with the hospital icu infection control standards, do a good job of infection management, strict implementation of the disinfection and isolation system, medical waste in accordance with the requirements of hospital infection classification placed. The company's management of the cleaners has been strengthened to keep the icu ward clean and tidy.
Fourth, to strengthen continuing education and learning, the use of a variety of opportunities and ways to continuously improve the nursing staff business skills.
1, monthly regular organization of nurses business learning, the implementation of rotating lecturer, icu rules and regulations, nursing routines, operating procedures, in the study so that the lecturer in the process of deepening the impression of the lecture, but also to make the listener improved.
2, require and urge each nurse to participate in the hospital nursing department organized lectures, nursing room, etc., planned to complete continuing education credits.
3, encourage nurses in the department to participate in various forms of adult examination education, so that the comprehensive quality of nursing staff to be further improved.
4, the use of morning meeting questions, learning the basic knowledge of the specialty, strengthen the duty system, etc.. Strengthen the basic skills of nurses operation training, according to the standardized training requirements for nurses to seriously carry out the assessment, training, the development of practical and effective three basic theories, specialist knowledge learning plan, will be the three basic and specialist
theory according to the content of the sub-part, each month, each of which everyone passes the assessment.
5, enhance the awareness of nurses in the department of research, and strive to complete the nursing paper 1-2 in 20xx.
6, the department plans to send two nurses out for further study.
7, in the department of the trial implementation of quality control circle, to the department for the circle, under the leadership of the circle leader, the use of brainstorming and a series of methods to optimize the nursing method to improve the quality of care.
8, combined with the actual situation of our department, plans to cultivate a critical care specialist nurse in our department.
5, icu nursing position risky, high technical knowledge, and icu wards without companion, all the patient's nursing care fall on the nursing staff, in order to ensure nursing safety, the arrangement of each group of three people for five groups shift. The new building will be put into use soon, the icu will expand the scale of our nursing staff will face vacancies, I hope that the leadership of the Department of talent reserves to support the work.
Critical Care Group Work Plan Part 5
i cu is a place where critically ill patients are concentrated, the patient's condition is critical, rapid changes, rescue instruments and facilities, no family accompaniment. Nurses need to carefully observe the condition, master the rescue facilities, operating skills, emergency response to emergencies, to avoid risk, in order to ensure that the patient's treatment, nursing quality and safety. The new nurses in the ICU have been working in the clinic for 2 years, and have mastered the theory and common operation related to common diseases. The new nurses in the training work put forward a higher, quicker requirements, to improve the ability of the new nurses to work, is the importance of the critically ill patients to provide timely, comprehensive, systematic, continuous, close monitoring and treatment work is the core of nursing quality and safety protection. It is of major significance to improve the success rate of resuscitation of critically ill patients. In ic u work 20xx years, the new nurse training experience is as follows:
a. Pre-service education
1. After entering the department to understand the environment of the department, the layout, the nature of the work, the situation of the medical staff, the content of the work of each class, the workflow.
2. Learn etiquette; correctly deal with medical, nursing and patient relations. The language is gentle, demeanor, standardized service behavior, the department issued a unified pendant table, a small flashlight.
3. i c u special relevant systems, early warning plans, enhance security awareness, self-protection awareness.
4. icu hospital infection prevention and control, disinfection, the implementation of isolation measures to prevent cross-infection, the implementation of self-protection measures.
Second, strengthen the specialty knowledge, skills training
1. Specialty theory; nurses need to master the common and admitted to the Department of the disease, the various systems of disease care for critically ill patients, pain management of critically ill patients, intensive care of the psychological care of the relevant theoretical knowledge of the training, is conducive to improving the new nurses to the icu critically ill patients' conditions, the implementation of treatment, care measures and the ability to observe. The training is conducive to improving the ability of new nurses to observe the condition of critically ill patients in the icu and to implement treatment and nursing measures.
2. Important technical operation training; cardiopulmonary resuscitation, ventilator, defibrillator, blood purifier, monitor, pressure hypothermia and other instruments. Master the clinical application and care of infusion pumps, the care of various types of surgical catheters, oxygen therapy, airway management and artificial respiratory monitoring technology, circulatory hemodynamic monitoring, cardiac monitoring and defibrillation technology, blood purification technology, water, electrolyte and acid-base balance monitoring technology, chest physical therapy technology, nutritional support technology for critically ill patients, critical care patients resuscitation with the technology, and so on.
Three, the establishment of a sound teaching system
Selected in i c u work more than 5 years of senior teachers or departmental teaching teachers, quality control personnel one-on-one teaching. Teachers should use a warm and gentle attitude and language to eliminate nervousness and anxiety, and to understand their theoretical knowledge after training, operation and other work ability.
1. Shift handover; from the goods handover, departmental morning shift, written, oral, bedside shift, bedside handover patients from head to foot carefully handover. The first thing you need to do is to make sure that you don't have to take over, and that you don't have to hand over anything you don't know.
2. Risk awareness training; strengthen the sense of responsibility, the implementation of safety measures, observation and assessment of the condition, good to find the advantages of the new nurses, to take their strengths, more praise, in order to incentivize, to promote the healthy growth of nurses.
3. Cultivation of the spirit of prudence; implementation of the checking system, accurate implementation of medical advice.
4. Responsibilities of the nurse in charge of the post; strengthen the sense of responsibility, understand the patient's ten know, the assessment of the condition, nursing plan development, measures to implement the implementation of the assessment of the quality of care at the special level.
Fourth, pay attention to the details, one step at a time
1. Details of the training: in the operation of the preparation of the use of objects placed in the smooth place, the work of time and effort, practice makes perfect, pay attention to the protection of the patient's privacy, pay attention to the warmth, do a good job of informing the operation.
2. Simulation training: such as (1) simulation to admit a critically ill patient with respiratory distress, you enter the room when the patient how to prepare, the patient to the Department of what you should do, how to record? (2) simulation department a patient suddenly cardiac arrest, what should you do? (3) such as the patient using a ventilator, a sudden power failure, how do you do?
3. Regular assessment: the department should use the time to assess the theory, operation, core system implementation, to understand the new nurses on the mastery of training and work ability.
The growth of the new nurses, inseparable from the department of nursing teacher's transmission, help, take, the cultural construction of the department, the atmosphere and their own efforts, and actively play the subjective initiative, the ability to forge ahead, to obey the overall situation, and enhance the cohesion. i cu work emphasizes the unity of cooperation, resilience, accumulation of work experience for the clinical care to lay a good foundation for the work of the patient in order to better serve the patient.
Critical Care Group Work Plan Part 6
I, the main work objectives:
1, strict aseptic operation, infusion reaction rate of zero.
2, sterilization and disinfection pass rate of 100%.
3, drugs, instruments and equipment and first aid items intact rate of 100%.
4, the annual nursing accident rate is zero.
5, the average score of basic nursing theory knowledge assessment results & gt; 90 points.
6, the average score of nursing technical operation assessment results & gt; 90 points.
7, venipuncture success rate & gt; 90%.
8, the patient's satisfaction with nursing work is >95%.
9, control costs and improve revenue.
Second, guarantee measures:
1, strengthen nursing management to ensure that the goal is achieved. Establish and improve the rules and regulations (with the shift handover system, checking system and the duties of the nurses of each class), to the system of control, to take strong supervision measures, so that the system to form a habit so that the department to form a good atmosphere, in order to facilitate the long-term development of the department.
2, strengthen the basic theoretical knowledge of training, so that the nursing staff to improve the overall quality and professional competence, the organization of a monthly business training, including basic theory, specialty care, immunization knowledge, and post-training assessment. More nursing books, pay close attention to the new dynamic of nursing knowledge.
3, strengthen the nursing professional technical operation training, especially the use of indwelling needles, to improve the success rate of venipuncture, and constantly summarize the lessons learned in the work, to be bold and careful, to overcome psychological barriers. Discuss the reasons for puncture failure on a regular or irregular basis, and ask the more experienced nurses to teach the experience of successful puncture. Actively learn the new business and new technology related to nursing.
4, strengthen the nursing operation standardization, the implementation of process-oriented services. Strict aseptic operation and checking system to improve nursing quality.
5, conscientiously do a good job of basic care, so that the nursing work more standardized. Keep the bed clean, no odor, no stains, items arranged neatly standardized, the number of drops of infusion in line with the doctor's orders, diligent inspection of infusion patients, good observation of the condition, found that the problem is solved in a timely manner.
6, efforts to improve service attitude, so that patients from the heart satisfied. Each nurse is required to establish a good service attitude, treat each patient with enthusiasm, take the patient's satisfaction as the ultimate goal of our work, as far as possible to provide convenience for patients. Eliminate raw, cold, hard, shirking the patient's phenomenon occurs, never allowed to quarrel with the patient.
Third, the management of drugs:
1, a regular inventory of drugs, to prevent backlogs, deterioration, found that there are precipitation, discoloration, expiration date, labeling fuzzy drugs reported to the Pharmaceuticals Division in a timely manner.
2, the establishment of the appropriate amount of drug base, according to the routine use of drugs in the department to prepare drugs, so as to ensure that the clinical needs of drugs, but also to avoid the backlog. The establishment of valuable drugs handover record book, to do shift handover, the account is consistent, to ensure that the use of needs.
Fourth, the management of goods, should be open source, cost control as the premise.
1, strengthen the awareness of the hardware and facilities of the department of routine inspections, strengthen the performance of a variety of instruments and safety checks, timely detection of problems in a timely manner maintenance, to maintain instruments and equipment are in good condition.
2, the implementation of the quantitative management of disposable items, to ensure that the clinical use of demand without waste, such as infusion sets, adhesive tape, swabs, etc. should be based on the number of daily infusion of the appropriate amount of preparation, to prevent the loss of disposable medical supplies.
3, the management of indwelling needles, each use of 1 should be registered, and record the operator and the use of the child's name. The fee for sealing the tube should be written as intravenous injection fee charged by the charging room.
Fifth, under the leadership of the head nurse regularly and irregularly check the quality of care
Supervision of nursing staff to conscientiously implement the nursing routine, nursing system, nursing technical procedures and observation of the condition of the patient, every month nursing technology assessment, evaluation; first aid medicines and first aid technology familiarization exercises, so that each nursing staff can be skilled in first aid medicines and equipment. The first-aid medicines and the use of first-aid equipments can be skillfully mastered.
Sixth, good unity
Improve the cohesion of the department, strengthen their own collaboration, coordination ability, *** with the nursing team to care for this small group. Let everyone's heart full of love, work full of passion, let the ward full of laughter, let the department full of warmth! For the existing level of nursing work, there is still a certain distance from our expected goals, there are still some such and such problems, I hope that the director, the head nurse's help can mobilize everyone's enthusiasm, so that everyone has a sense of ownership, I believe that the department's tomorrow will be even better.