Days are like fleeting moments. Inadvertently, it ushered in a new starting point. Making a good plan is a way to improve your work efficiency! Want to learn to make a plan but don't know who to consult? The following is the head nurse's work plan for one month. I have compiled it for reference only, hoping to help everyone.
Head nurse's one-month work plan 1 On the occasion of the New Year, I made the following work arrangements for the nursing work in the internal medicine inpatient department:
First, improve the theoretical and technical level of nurses
1, in order to improve the overall professional level of nurses in our department, from 20xx to 1, we have been insisting on studying specialist theory every morning, taking a quiz on specialist theory at the end of each month, and taking a unified exam on specialist theory every quarter, which has restrained nurses through the reward and punishment system and achieved the expected goal.
2, nurses take turns to give theoretical lectures every month, the purpose of which is to deepen and consolidate personal theoretical knowledge, establish personal self-confidence, and improve personal language skills.
3. Conduct practical training once a month, requiring everyone to pass the exam, and the assessment results will be included in the monthly bonus review.
4. Complete all kinds of theoretical study and practical operation tasks arranged by the nursing department on time and in quality.
5. Actively participate in the hospital's business knowledge training, and learn based on the principle of expanding business knowledge and improving their own ability.
Second, improve the quality of basic nursing.
1. Complete the "first line" of the department ward as required, and supervise and manage the whole ward on the principle of no damage to the ward lighting, no water stains on the ground and no peculiar smell in the bathroom.
2, adhere to the wet bed sweeping in the morning, at noon, the bed unit is unified and tidy, and the fixed items in the ward are placed at fixed points.
3, change the bed unit once a week, blood, wet must be replaced immediately.
4. The responsible nurse wipes the bedside table once a day with chlorine-containing disinfectant, and wipes the bed block, bedside, guardrail and central oxygen supply setting once a week with chlorine-containing disinfectant.
Third, strictly implement the disinfection and isolation system
1, change the disinfectant on time every Monday, and the head nurse will check it on Tuesday.
2. Master the principle of aseptic operation, reduce the occurrence of transfusion reaction and various infections, and enhance the nurses' concept of aseptic operation.
3. Reduce the walking of the staff in the treatment room and develop the good habit of wearing masks indoors.
4, drug configuration, do a needle a tube, in strict accordance with the principle of aseptic operation.
5, puncture failure, the needle must be replaced when operating again, strict disinfection.
6, arrange health classes every week, cleaning the dead corner.
7, to do a good job of terminal disinfection ward.
Fourth, strengthen the sense of responsibility of nurses.
1. Strictly implement the system of "three inspections, eight to one attention".
2. To prevent accidents, first of all, we should start from the nurse's heart, enhance the sense of personal responsibility, reduce its importance, link nursing safety with personal welfare, reduce mistakes, and conscientiously complete every job.
3, the authenticity of the work completed, the nurse on duty must carefully and accurately measure the various vital signs of hospitalized patients, must not make trouble, and will severely punish such phenomena.
4, the night shift system, regular patrol ward, to prevent the occurrence of special events, in view of the condition changes and special problems to timely report to the doctor on duty, do a good job of communication for processing.
5. Analyze and summarize the occurrence of errors and accidents.
6. Organize regular study and strengthen the cultivation of sense of responsibility.
Fifth, do a good job in medical communication.
1. Communicate with doctors "Ask if you don't understand", "Ask if you don't understand" and "Ask if you don't understand".
2, respect the doctor, do everything in the interests of patients as the principle, communication.
3, do a good job in medical cooperation, for the diagnosis and treatment of patients.
4. unite as one and be aggressive.
Sixth, improve the quality of nursing documents.
1, check the completion of nursing documents and intravenous infusion sheets every day.
2. The writing of nursing documents for special diseases will be guided by the head nurse, and regular meetings will be held every day to discuss good nursing documents, which gradually improves everyone's writing ability and standardization of nursing documents.
3, carefully according to the doctor's advice to make nursing records.
4. Submit the discharge medical records on time and with good quality.
Seven, improve the service level
1, do a good job in the reception of new patients in the department, smile and serve, and preach carefully.
2, nurses regularly carry out the duties of health guidance related diseases.
3, seriously answer all kinds of questions for patients, do your respectful name.
4. Provide dietary guidance and medication guidance for discharged patients.
5. Strengthen the study of humanistic knowledge and improve the comprehensive quality of nurses.
Organize the study of hospital service etiquette culture, strengthen nurses' awareness of modern nursing culture, discuss it at the head nurse level first, and then carry out literacy improvement activities in the whole hospital after reaching a certain knowledge, and formulate training plans and specific implementation plans.
Arrange lectures in the whole hospital and try to learn nurses' social etiquette and professional service etiquette by sending them out and inviting them in. Carry out a nurse etiquette competition, use the "5. 12" Nurses' Day to set off an activity month of learning etiquette and stressing literacy, and organize an entertaining holiday party.
The head nurse's one-month work plan II. Annual nursing workload and working standards.
1, workload: emergency person-times. Number of people involved in rescue. Cooperate with emergency surgical cases. Nursing observation of patients. Number of times to deal with emergencies.
2. Work compliance: First-aid articles are in good condition. Qualified rate of sterile goods. Qualified rate of medical record writing. Comprehensive satisfaction of nursing. Qualified rate of nursing technical operation examination
Second, strengthen the service consciousness of nursing staff and provide quality services.
1, strengthen the service concept
General nurses attend quality service training courses organized by the hospital, and constantly conduct etiquette and behavior training, standardize common polite and communication terms in operation, and apply them in practical work. Constantly study and discuss communication skills, cultivate nurses' foresight of disputes, effectively handle various contradictions and differences in their work, establish mutual trust between nurses and patients, achieve zero complaints throughout the year, and achieve comprehensive satisfaction of 99. 1%.
2, people-oriented, fully meet the needs of patients.
Continuously improve the environment of infusion hall, install TV and other facilities, and provide convenient services such as paper towels, cups and glasses of water at the bedside of unaccompanied patients. Continuously optimize the medical treatment process, timely triage, and take measures such as using emergency priority service card to pay for medicine for critically ill patients to reduce the waiting time for medicine. Improve service quality through environmental health supervision, nursing inspection and health education. Pay attention to illness treatment, basic care, three meals, know their situation in time, help contact their families or rescue stations, help such patients this year, and contact their families outside the province through ID cards. This measure has been praised by patients' families and other patients. Discuss and correct patients' opinions and problems in work, and constantly improve the service image.
Three, scientific and institutionalized nursing management, focusing on the implementation of the supervision system.
1, through grouping regional management, continuous grouping and scheduling are carried out, so as to reduce shifts and effectively use human resources. Through dynamic quality control of senior nurses, the work pressure of young nurses is reduced, nursing hidden dangers are reduced, and the nursing quality of each shift is guaranteed.
2, clear quality control division of labor, the specialist is responsible for the management of goods, workflow and other areas, found the problem, timely feedback and discuss the modification, to ensure the quality of care in each area. Effectively implement the performance appraisal system, truthfully feedback the hierarchical ability of personnel, and make the nursing quality control in place.
3. After one year's adjustment, the structure of nursing team tends to be reasonable. According to the division of emergency areas, posts are basically set according to individual work ability, and the hierarchical management of nurses is basically realized, so as to achieve the rational distribution and use of personnel.
4. The emergency green channel is unblocked, which improves the success rate of rescue. For all kinds of acute, dangerous and severe patients, the measures of rational use of green channel have won valuable time for rescue.
5. Continuously improve the emergency plan for nursing work, including emergency plan for emergencies.
6. Formulate detailed work guidelines for each region, matters that need to be informed in each region, and matters needing attention for new employees. , systematically guide new recruits and young nurses to better complete nursing work.
Four, emergency professional nurses on-the-job training and continuing education
1. All departments organized business study sessions, medical record discussion sessions and operation training programs throughout the year.
2. In the second quarter, the general practitioners were organized to complete the emergency post skills training as required, and everyone passed the operation assessment, so that the professional skills of general nurses were further improved.
3. The nurses' knowledge of first aid drugs is all qualified within three years after graduation, and the compliance rate is. This year's graduates passed the job skills operation and all reached the standard. Good grades.
4. Basically complete the annual training plan for nurses, arrange nurses to study the care of critically ill patients in ICU, and arrange young nurses to carry out scalp puncture technology in pediatric injection room to improve the technical level of scalp puncture in children. Send many nurses out for short-term study and bring new nursing concepts back to the department. For a whole year, I completed the first aid training for 100 nurses.
5, every quarter, three people, two people cooperate to carry out rescue drills, through drills to continuously strengthen the emergency ability of nurses, and repeatedly strengthen the training of first aid skills.
Head nurse's one-month work plan 3 1. We should constantly strengthen the construction of emergency nursing stations to improve the first-aid ability of nurses.
1, deepen the first aid consciousness and group consciousness of nursing staff, regularly carry out planned and organized business target training, and train qualified emergency nurses.
2, constantly establish and improve the rules and regulations of the emergency department, strengthen the study of personnel health administrative laws and regulations, and enhance the legal awareness of personnel.
3. Promote the standardized management of first aid work to improve the success rate of rescue.
Two, pay attention to the combination of "three basics" training and clinical practice, in order to improve the professional quality of personnel.
1, familiar with the judgment of common diseases, rescue process and nursing points, and conduct regular assessment.
2, master the rescue skills of cardiopulmonary resuscitation.
3, skilled wound treatment and bandage hemostasis technology and psychological care of the wounded.
4. Professional skills such as emesis, enema, injection, oxygen supply, body position and disease monitoring during first aid are required to be accurate and timely.
The third is to strictly manage the rescue room and disposal room to win valuable rescue opportunities for patients.
1, master the use of various instruments and ensure their good performance and ready use.
2, all kinds of rescue drugs, equipment by the specialist is responsible for, regular inspection, fixed-point placement, regular disinfection, maintenance of drug stores and cards, strict management of first aid medicine box, to ensure the normal use of first aid outside the hospital.
3. Clean, supplement and record all kinds of first-aid drugs in time after use, and keep them clean and tidy.
Fourth, strictly implement work standards to ensure the safety and effectiveness of nursing work and the overall implementation of nursing work.
1. Strictly implement the system of "three inspections and seven pairs" to prevent errors and accidents.
2. Strictly implement the operating principles and nursing procedures of aseptic technology, carry out holistic nursing with the goal of improving or restoring patients' health, care for patients in physiology, psychology and life, and implement humanized service.
3. Strictly implement the "Twelve Core Systems".
4. Strengthen the proper management of disposable goods to prevent hospital infection.
Head nurse's one-month work plan. Deepening the reform of personnel system and promoting the improvement of nursing quality.
The reform of personnel system is the direction and the way out. Reform will face many difficulties, but if it is not reformed, the difficulties will be even greater. First of all, the nursing department should clarify this view, find a reasonable position, "jump out of nursing" and actively participate in the reform with a good attitude. We should be good staff of leaders, put forward feasible reference opinions for leaders, and gain their understanding, trust and support. Explain the spirit, thinking and development trend of personnel system reform to nurses through multiple channels, unify their thinking, fully understand the necessity of reform, and eliminate dissatisfaction and resistance. Taking the reform as an opportunity, the nurses in the whole hospital have a sense of urgency and crisis; It not only established the consciousness of competition, but also strengthened the consciousness of service and quality, optimized the nursing team and promoted the improvement of nursing quality.
Two, pay special attention to the construction of nursing team, improve the quality of nursing team.
Nurses in the whole hospital should realize that "congenital deficiency" has become the driving force rather than the resistance of our continuous learning, and establish the spirit of self-improvement, striving for progress and assiduous study of professional knowledge. Only by studying hard and accumulating knowledge can we improve our own quality and professional ability. Only in this way can the current secondary school education be gradually transformed into a nursing team with junior college and undergraduate as the main body. The nursing department will take various channels to provide learning opportunities for nursing staff.
1. Encourage young and middle-aged nurses to take self-study and RTVU exams. By the end of the year, 55% of nurses have college education or above.
2. Encourage nursing staff to participate in undergraduate and postgraduate nursing studies, and reach 6 undergraduate degrees by the end of the year.
3, send nursing backbone to study in short-term nursing knowledge training classes inside and outside the province, focusing on learning the progress of management knowledge and specialist knowledge.
4, insist on nursing knowledge, new business and new technology, professional and technical training held in the hospital every month. In-department business study 65438+ 0-2 times a month, nursing rounds/kloc-0 times, operation training, etc. The nursing department should focus on standardizing nursing rounds and improving the quality of rounds, so as to improve the level of professional knowledge and practical ability.
Three, nursing quality management is the core, strengthen quality control.
1, the nursing unit promotes the quantitative assessment of nursing work. The nursing department draws up the quantitative assessment scheme and implementation rules of nursing work, and adopts the comprehensive assessment combining workload, work quality and quality defects. Each nursing unit carefully organizes the implementation and assessment, and through the quantitative assessment of work, it promotes the change of nursing staff's concept, enhances their sense of professionalism, active service and quality and safety, thus promoting the improvement of nursing quality.
2. Grasp the whole process quality management of each nursing work with the rigorous attitude of being too fine, too precise, too solid and too strict, that is, basic quality, link quality and terminal quality, in which link quality is the key. The nursing department will go deep into the department and standardize the management of each link.
3, adhere to the three-level quality control team quarterly, monthly nursing quality inspection, assessment, timely notification of the problems existing in the inspection and improvement measures, ranking the inspection results, forming competition between departments, the top three departments of year-end nursing quality will be rewarded, and three departments will be punished after two consecutive years.
4, the nursing department for the quality problems existing in the nursing work in 20xx targeted to modify the personal assessment points, increase the assessment and punishment.
5. Strengthen the control of hospital infection. Strictly abide by disinfection and isolation, and do a good job in environmental health monitoring in the ward, and the results should meet the standards. At the same time, do a good job of disinfection at any time, disinfection in epidemic areas, terminal disinfection and daily disinfection. After use, the articles shall be disinfected according to the principle of treatment, and disposable goods shall manage, use and treat them as required.
Fourthly, nursing safety is the focus of nursing management.
Combine macro-management with micro-management, make full use of the three-level nursing management system, perform their duties, check at different levels, do a good job in nursing safety management, reduce medical disputes and hidden dangers of medical accidents, and ensure the safety of patients seeking medical treatment.
1, the nursing department completed macro management, supplemented and improved nursing safety management measures, paid special attention to the pre-job training of nursing staff at all levels, regularly and irregularly checked the safety work, and continued to insist on nurses' long-night rounds, pre-holiday safety inspections and post-holiday inspections.
2, the head nurse to do micro management. Adhere to the handover of toxic drugs, rescue drugs and materials, keep the rescue instruments in a functional state, and keep the intact rate of rescue materials at 100%. Pay special attention to the monitoring of nursing staff, patients, time and nursing operation.
(1) link monitoring of nursing staff: strengthen the management of newly transferred nurses, newly graduated nurses, practical nurses and nurses with emotional thoughts or family changes, so as to focus on confession, follow-up and rounds.
(2) Link monitoring of patients: focus on supervision, inspection and monitoring of critically ill patients newly admitted to hospital, newly transferred to hospital, after major surgery, and patients with potential risks of medical disputes.
(3) Time link monitoring: during holidays, weekends, busy work, fatigue time and night shift, supervision and management should be strengthened. The nursing department organizes the head nurse to make irregular rounds.
(4) link monitoring of nursing operation: transfusion, blood transfusion, various allergy tests, preoperative preparation, etc. Although it is daily work, if there is a problem, it is a matter of life and death and should be the focus of monitoring in nursing management.
Fifth, change the concept of nursing and improve the quality of nursing service.
1. Through learning, nurses are trained to establish the concept of "patient-centered", with the patient's voice as the first signal, the patient's needs as the first need, the patient's interests as the first consideration and the patient's satisfaction as the first standard. To establish the concept of holistic nursing, correct and overcome the nursing practice of "treating headache and foot pain" in the past, it is necessary to make a comprehensive consideration and plan, gather the strength of hospitals, families, society and other aspects, and implement a whole-hearted, all-round, whole-process and multi-channel systematic nursing in the ward.
2. Conduct etiquette training for nursing staff in the whole hospital.
3.5. 12 International Nurses' Day, a speech contest was held with the theme of "All patients are the center and all are for the convenience of patients", which changed the concept of nurses and made patients want me to serve them and provide better service.
4, in the hospital to carry out the selection of service star activities.
Six, strengthen nursing management, rational use of human resources.
1, all nursing units in the whole hospital implement flexible scheduling. The nursing department formulates the implementation method of flexible scheduling, and the head nurse rationally allocates human resources according to the patient's situation and the nursing workload of the department, so as to provide satisfactory nursing services for patients with good quality and quantity, reduce the waste of human resources and avoid overstaffing. Nursing staff in the whole hospital are on call when they need to work, and take vacations when they don't need them.
2, nursing managers should enhance management awareness, the head nurse and director of * * * to think together, to find a way to change the income structure of the department. To carry out department cost accounting, the head nurse is both a decision-maker and a participant, and should make detailed and accurate statistics on department material cost accounting, so as to achieve the coexistence of planning and control, accounting and analysis, and gradually explore the law of department cost consumption, so as to make the department medical cost reasonable, scientific, low-cost and effective; It not only reduces the burden of patients, but also increases social benefits, economic benefits and personal income.
Seven, the completion of nursing indicators.
1, the qualified rate of basic nursing 100% (the qualified standard is 85 points).
2. The qualified rate of special and first-class nursing is ≥85% (the qualified standard is 80 points).
3. The intact rate of first aid articles 100%.
4. The qualified rate of nursing document writing is ≥90% (the qualified standard is 80 points).
5. The qualified rate of the "three basics" examination for nursing staff reached 100% (the qualified standard was 80 points).
6. One person, one needle, one tube and one use disinfection qualified rate reached 100%.
7. The qualified rate of disinfection and sterilization of conventional instruments is 100%.
8. The disfigurement rate of disposable syringes and blood transfusion devices reached 65438 000%.
9. The number of bedsores per year is 0 (except inevitable bedsores).
Head nurse's one-month work plan 5 1. Responsible for ward nursing administration and business management under the leadership of head nurse (director of nursing department) and the professional guidance of the director. According to the situation of nursing department and departments, formulate wards and organize their implementation.
Second, responsible for the implementation of scientific management of wards, including rational division of labor and scientific scheduling of nursing staff; Check and implement various management systems; Manage all kinds of instruments, equipment, medicines, fabrics and furniture; Business management of nurses and health workers, etc. All meet the requirements of standardization and standardization. Keep the ward environment clean, quiet, comfortable, safe and beautiful.
Three, urge the nursing staff to abide by professional ethics, strictly implement the rules and regulations, nursing routine and traditional Chinese and western medicine nursing technology operating rules. Regularly check the implementation of basic nursing, graded nursing and critically ill patient care, conduct strict quality evaluation, strengthen medical cooperation, and prevent mistakes and accidents.
Fourth, fully grasp the nursing work and patient dynamics in this area. Participate in bedside handover of key patients; Participate in and guide the nursing of critically ill and major operations and rescue patients, highlight the dialectical nursing, and check the writing quality of nursing medical records and the implementation of measures.
Five, along with the director of the ward round meeting and major surgery, new surgery preoperative discussion, difficult cases and deaths.
Six, organize the implementation of professional learning and technical training for nursing staff, check and guide nursing staff to do a good job in health education, and strive to improve the quality of nursing and service level.
Seven, the organization of local nursing rounds and nursing consultation. Actively carry out new technology, new business and nursing research.
Eight, responsible for the management of nursing interns and trainees. And select nurses with good quality and strong teaching ability as teaching staff.
Nine, regularly solicit patients' opinions and suggestions on medical care, nursing, traditional Chinese medicine, diet, etc. , constantly improve the service function, improve the service quality and management level of the ward.
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