Nursing staff is the most contact with patients, the earliest, the closest workers, the quality and image of nursing staff, directly affect the image of the hospital. The following is the article I shared related to the operating room quality control annual summary, welcome to continue to visit the fresh graduates official website!
The operating room quality control annual summary of a:XX year is "buried hard work, to create a leap" of a year, the hospital used a year of time to focus on discipline construction and personnel training, the nursing department in the hospital under the leadership and support of the leadership of the emphasis on the training of nursing backbone, optimize the nursing team, improve the quality of nursing services, strengthen supervision and management, to ensure the safety of nursing, as well as to ensure the safety of nursing, and to ensure the safety of nursing. Supervision and management, to ensure the safety of nursing, while improving the legal concept of nursing staff, increase the quality of nursing care monitoring efforts, so that the quality of nursing services in the hospital is rising steadily, patient satisfaction is constantly high. The work of the nursing department is summarized as follows:
First, pay attention to talent training, optimize the nursing team
1, strengthen the nursing management training. Hospital in this year has sent two chief nurse to the Fourth Military Medical University for further study, at the same time the hospital part of the Standing Committee of the hospital also on the whole hospital acting head nurse and the old head nurse training.
2, optimize the overall nursing team, improve the overall quality of nursing staff. Hospital in four batches **** selected 58 nursing backbone (including 10 nurse) to Tianjin Hospital, Beijing Hospital, the People's Liberation Army General Hospital for further study, which is nearly ten years out of nursing staff for further study of the largest number of people. Particularly noteworthy in May, June, July and August this year with the General Hospital experts *** with the completion of 14 cases of cardiac surgery and post-operative care, the patients have recovered from the hospital.
3, actively complete the training. Nursing Department to organize the hospital nursing staff to participate in 14 lectures, the number of participants was 1389. Clinical departments to organize monthly nursing room 1, 4 hours of lectures, encourage nursing staff to publish scientific research papers. Continuing to implement multi-channel academic training. By the end of this year, the hospital's 193 clinical nurses are college degree, of which there have been 5 bachelor's degree, 27 bachelor's degree in the study.
4, fully cultivate the nursing staff organization participation. "5. 12" Nurses Day held to advocate humane service as the theme of a number of activities, to nurse etiquette show, nursing operation technology show. Nursing staff to do their best, not only to strengthen the nursing knowledge, but also to cultivate the sentiment, enhance the collectivist sense of honor.
5, strengthen the internship teaching work. Interns to the hospital after the centralized organization of pre-job training 2 times, mainly from the internship system, 50 basic operational skills of each department to establish a sound teaching system, each intern has a fixed teaching, a small instructor for the department of professional and regular lectures, out of the department by the head nurse for the theory and operation of the examination. The company's goal is to provide the best possible service to its customers, and to ensure that the company's products and services are used in the best possible way.
Second, strengthen the supervision and management of nursing safety
1, the Department of Nursing regularly supervise and inspect the nursing work, focusing on strengthening the pre-holiday safety inspection, to enhance the nursing staff to prevent awareness, to eliminate the potential for accidents, standardize the management of poisonous drugs, so that the special cabinet special management, the resuscitation of medicines to do the car "four": special management, placed at a fixed point, quantitative, quantitative, shift handover, there are records. Rescue equipment timely repair, maintenance, ensure functional status spare.
2, adhere to the head nurse night checkups, supervision and inspection of nursing staff on duty and the performance of their duties, timely detection of deviations in the nursing work, timely correction and treatment, adhere to the monthly joint inspection of the head nurse once every two weeks to convene a regular meeting of the head nurse, the shortcomings in the work of the targeted, effective improvement measures to ensure the quality of nursing care and nursing care safety.
3, in-depth supervision of the head nurse daily work arrangements. Focus on checking the new entry, transfer, pre-operative, post-operative, critical and life can not take care of themselves, there is a potential risk of medical disputes patients, supervise and check the implementation of nursing work, strengthen the link quality control, reduce the occurrence of nursing defects.
4, the organization of the apprenticeship nurses for pre-job training, through training, so that they set up a legal awareness, quality awareness, safety awareness, in the position to seriously comply with the rules and regulations and operating procedures, to perform the sacred duties of the white medical angels. Better contribute to the construction of the hospital.
Three, standardize the writing of nursing documents, strengthen the nursing legal awareness
With the improvement of people's legal awareness, the new medical malpractice regulations 'promulgated, how to strengthen the construction of legal system in the nursing service, to improve the legal awareness of the nursing staff, has become an important link in the nursing management. Nursing Department in this year, in strict accordance with the XX military region nursing document writing standard requirements, developed a hospital nursing document writing implementation rules, to take centralized lectures, sub-district learning and other forms of training, so that nursing staff more clear about the significance of nursing document writing, standardize the behavior of the nurses to improve the quality of care; in the organization of the lectures, but also combined with the hospital's actual situation of writing nursing documents, a summary and analysis The company's website has been updated with the latest information about the company's website.
Four, strengthened the quality management monitoring
1, the Department of Nursing in accordance with the norms of nursing document writing, timely revision and improvement of a variety of nursing documents quality control standards, by a nurse specifically responsible for checking the nursing instruments.
2, strengthened the disinfection supply room sterile goods washing, disinfection storage, under the collection and delivery of work management, to ensure the quality of disinfection goods and medical care safety.
3, strengthened the management of hospital infection control, organized the head nurse and the whole hospital nursing staff to learn the new disinfection technical specifications, hospital infection management norms, through the monthly quality inspection and the head nurse night checkups, the nursing staff disinfection implementation of the inspection and assessment, focusing on strengthening the disposable aseptic items, aseptic technology, hygienic handwashing, environmental hygiene, disinfection monitoring management.
V. Enhance the quality of service, shaping the image of the hospital
Nursing staff is the most contact with the patient, the earliest, the closest workers, the quality of the nursing staff and the image of the direct impact on the image of the hospital.
1, the Department of Nursing first from the quality of business, insisted that every six months for the operation and theoretical examination, monthly by the department to organize business learning and an operation technology training and assessment, requiring everyone to pass, training nursing staff have a set of excellent business skills.
2, standardize the dress code of nursing staff, require civilized language, answering the phone specification, so that the nursing staff to end of the dress, kind, friendly, generous image and full of spirit into the work, with civilized and polite language warm reception of patients.
operating room quality control annual summary II:20XX year operating room in the hospital leadership and nursing and related departments of the strong support, in the operating room staff *** with the efforts of the Department of Nursing and the beginning of the year for the development of the measures, goals, plans to implement seriously, is now the quality of care management work summarized as follows:
a. Improvement of the attitude of service, and to effectively achieve Patient-centered humanized service.
1, the establishment of clinical communication mechanisms, preoperative visits, postoperative follow-up and health education work with records. The preoperative visit rate reached 90%.
2. Strengthen the warmth of the patient to prevent the occurrence of intraoperative hypothermia. The patient's body will be warmed up, and the patient's shoulder will be warmed up.
3, to protect the patient's privacy, after the operation for the patient to put on good clothes. The painless catheterization in the operating room not only protects privacy and reduces pain, but also improves the success rate of catheterization and reduces urinary tract infections.
Second, continue to grasp the quality of care, to ensure nursing safety
1, monthly business learning, by each nurse to take turns in lectures, according to the level of training. Semi-annual "three basic" theory assessment, to strengthen the consolidation of professional knowledge.
2, monthly planned nursing operation training and assessment by level.
3, sound nursing quality control organization, improve the nursing quality group. Each month, each quality control team on the operating room nursing quality, perioperative, identification, safe medication, catheters, pressure ulcers, falls, blood transfusion management, etc., to inform the existence of the problem and the cause of the analysis and rectification, so as to achieve the section of the staff everyone knows. Improved the quality of work.
4, conscientiously implement the core system, do a good job of verification of the safety of surgical patients, the year without a case of medical errors.
Third, strengthen the nursing adverse event reporting.
1. Organize all nurses to learn nursing adverse events.
2. Quarterly statistics and analysis of adverse events in the whole department, and informed at the meeting, to learn lessons and improve the work.
3. Encourage the nursing staff of the department to take the initiative to fill in the adverse events, for delay or concealment of the individual to give severe criticism and financial penalties.
4. Annual **** reported 2 adverse events.
Fourth, the hospital infection management
1, the replacement of disinfection machine in the operating room, the provisions of at least 3 times a day disinfection, continuous surgery must be disinfected for more than half an hour.
2, the antibiotic infusion time to make adjustments to ensure that half an hour before the operation before the infusion.
3, to strengthen the cleaning workers hospital infection control knowledge training. The staff on duty evaluates the effect of the cleaners' work every day, and supervises and makes them improve their work in insufficient places.
4, regular training in hospital-acquired knowledge, the study of relevant rules and regulations. Operating room staff to comply with regulations and labor discipline.
V. Problems in the quality control inspection:
1, disinfection and isolation management:
Sterile items and non-sterile items in the same cabinet.
Saline opened without date time, name and signature.
Disposable items were not categorized for disposal after use.
2. Safe medication management:
Drugs were scattered outside the box and not kept in the original bag.
Intraoperative medical advice is not signed in time after implementation.
Intravenous infusion bottle is not labeled with the patient's name, department bed number.
3, nursing safety management:
Surgical patient fall protection is not in place.
The use of operating room items are not positioned to place.
After the glass ampoules are not standardized treatment, protection is not in place.
4. Resuscitation vehicle management:
Oxygen pillows are not in a standby state
5. Intravenous fluids and pressure ulcer management:
The nurse did not sign the full name after the placement of the tube, and the record is not comprehensive.
High-risk patients preoperative pressure ulcer assessment reporting procedures are not standardized.
For the above problems, our department has carried out corrective measures to strengthen the management of first aid items, focusing on detail management, so that the first aid items intact rate of 100%, to strengthen the management of hospital sensory work, to prevent hospital cross-infection. Strengthen the weak links in the management of nursing safety (such as equipment management) so that there are preventive measures and emergency plans, and implemented in the work.