Nurse’s work summary
Summary refers to the summary that social groups, business units and individuals carry out after a certain period, a certain project or certain work has come to an end or has been completed. A kind of written material that reviews, inspects, analyzes and evaluates to affirm achievements, gain experience, find out gaps, draw lessons and some regular understandings. It plays a linking role in our study and work, allowing us to Take the time to write a summary. So how to write a new summary? The following is a summary of the work of nurses that I compiled. Welcome to read and collect it.
1. Strengthen nursing management and strive to improve the level of nursing management
(1) In order to further improve the nursing management ability of the head nurse, the nursing department is divided into In mid-June, 9 head nurses were sent in batches to xxx for short-term rotation training. Expand their horizons, provide timely feedback on good experiences and methods, and improve our work.
(2) The monthly evaluation of the head nurse’s target management has been strengthened, the work focus and evaluation standards of the head nurse have been clarified, and their key role in department quality management has been established. The evaluation results are linked to their performance wages. It effectively stimulates the work enthusiasm of head nurses and improves management efficiency.
2. Strengthen nursing safety management and ensure nursing safety
1. Strengthen nursing safety risk awareness, pay attention to feedback of dangerous information, and establish a reporting system for adverse events and hidden safety standards, that is, The nursing department - head nurse - nurses collected nursing risk factors step by step. Starting in the second half of the year, the nursing department established key monitoring of five adverse events such as patient pressure ulcers, falls, tube slippage, medication errors, infusions, and blood transfusion reactions. ***Reported 3 patient falls, all of which were elderly patients in the internal medicine department. There were 2 cases of tube slippage, 1 case of medication error, 5 cases of infusion reactions, and no in-hospital bedsores (except for unavoidable pressure ulcers). None of the above adverse events caused serious adverse consequences. The Nursing Department organizes head nurses every month to conduct summary and analysis of incidents that occur, adhering to the principle of handling incidents rather than people. Some minor oversights in the work are discussed through organizational learning and improvement measures are implemented. Organize nursing quality control personnel to study and discuss unsafe incidents and safety risk analysis in the hospital every quarter, and propose effective rectification measures.
2. Insist that the head nurse conducts ward rounds four times a week, supervise and inspect the nursing staff on duty and the performance of their duties, promptly discover deviations in nursing work, promptly correct them, and insist on monthly nurse meetings Regular meetings are held to make targeted and effective improvement measures for deficiencies in the work to ensure the quality and safety of care.
3. Go to the department to urge the head nurse to conduct daily inspections of key patients, such as new admissions, transfers, before operations, after operations, critically ill patients and patients who cannot take care of themselves, and who are in potential danger of medical disputes, and urge them to Check the implementation of nursing work, strengthen the quality control of links, reduce the occurrence of nursing defects, and there have been no medical accidents in the past year. From January to November, 58 cases of nursing defects were reported, mainly errors in copying and executing medical orders, errors in nurse charges and medication, etc. No medical accidents occurred.
4. Enhance the risk awareness, legal awareness, and evidence awareness of nursing staff, and strengthen the nursing staff's compliance with rules and regulations. In the first half of the year, the management system for narcotics and high-risk drugs was standardized, with special counters, special areas for storage and dedicated management, and high-risk drugs marked with conspicuous signs. A manual "Rescue Drug Use and Precautions" has been compiled and each person has a copy for easy reference. In the second half of the year, the Nursing Department further standardized the management system for rescue instruments, equipment, and drugs, and implemented regular inspections, cleaning and maintenance by dedicated personnel. Effectively ensure that the rescue equipment is in standby functional state.
3. Strengthen nursing quality control and improve clinical nursing quality
(1) The nursing quality inspection and assessment system has been improved, and nursing department personnel conduct in-depth department inspections, supervision, and supervision from time to time. Evaluation, monthly cross-examination of all head nurses in the hospital is organized, which promotes learning and exchange among head nurses and departments, learns from each other's strengths, and effectively promotes the unification and improvement of nursing quality in the whole hospital.
The Nursing Department reported the nursing quality inspection in writing, including the inspection results and deficiencies. Each department is required to propose improvement measures in response to problems. And carry out key inspections in the next round of inspections. According to the Ministry of Health's "Requirements for Strengthening Clinical Nursing Work", in this year's nursing quality control, quality control projects such as basic nursing, health education, and nursing system implementation were focused on adding.
(2) Improve the nursing quality control system network and focus on giving full play to the quality control role of the department quality control team. Each department has clarified the responsibilities and working methods of the nursing quality control team. The nursing department holds a quality control meeting every quarter. Meetings to analyze and discuss existing problems in hospital care, put forward suggestions for rectification, and clarify the quality control points of care. It has also better promoted the awareness of nursing quality controllers to participate in quality management, which has played a great role in ensuring quality control of links.
(3) Simplify the writing of nursing documents and save time for patients.
The Nursing Department carefully organized nursing staff to learn the requirements of the new "Graded Nursing System" and "Nursing Writing Standards" and deeply understand the connotation. Organize head nurses to discuss the implementation plan, and on the basis of fully ensuring the evidentiary role of nursing documents in medical disputes, try to use tabular recording methods to simplify nursing writing.
(4) Effectively implement health education and graded care systems.
This year, we will continue to do a good job in the evaluation of graded nursing and health education, and make these two tasks the main line of this year's nursing work throughout the monthly nursing quality evaluation, formulate disease health education paths, and strengthen clinical Health education work, strengthen nurses' awareness of health education, and implement a comprehensive responsibility system for responsible nurses. In June, the Nursing Department carried out the implementation of health education as a key project for continuous quality improvement of the Nursing Department this year, and achieved good results. The health education coverage rate has reached 100, but the patient health knowledge awareness rate is still not ideal. Among them, there are factors such as poor education level of patients, many elderly patients, lack of ability and willingness to accept knowledge, as well as factors such as poor nursing staff and lack of theoretical knowledge. At the same time, each department has established a nursing inspection list to implement disease inspections. This further enables nurses to enter the wards and get closer to patients, thereby improving patient satisfaction.
(5) In October, the Nursing Department compiled and distributed the "Nursing Assessment Tool" to provide guidance for clinical nursing work.
(6) Completion status of various nursing quality indicators:
1. Basic nursing pass rate.
2. Qualification rate of specialist nursing.
3. Pass rate of head nurse management assessment.
4. Night care quality inspection.
5. Qualification rate of rescue items management.
6. The passing rate of nursing documents.
7. Nursing job satisfaction 94.
8. Ward management.
9. The incidence of nursing accidents.
10. The annual incidence of bedsores is 0.
4. Adopt multiple channels to improve the overall quality of the nursing team
(1) A standardized training plan for nurses was formulated at the beginning of the year. According to the plan, 14 professional learning sessions for nursing staff at all levels were organized during the year, with lectures on new nursing theories, new technologies, and clinical practical knowledge. In March, xxx was specially invited to the hospital to give a lecture on "Continuous Quality Improvement of Nursing", which was welcomed by everyone. The Nursing Department regularly organizes nursing staff to strengthen the study of the three basic theories within five years, organizes a three-based theory assessment every quarter, organizes 16 basic nursing operation learning and assessment projects, and awards 100 yuan to those with excellent performance, and 100 yuan for those with poor performance. Those who meet the standards will take a make-up exam. In order to strengthen the nursing staff's understanding of health education knowledge and the use of rescue drugs, a theoretical examination was organized for all nursing staff in the hospital in June. Nursing theory examinations for each specialty are conducted at the end of the year. At the end of the year, each department arranges training on cardiopulmonary resuscitation and simple breathing bag operation. The Nursing Department will randomly select 56 people for the operation competition on the basis of passing the assessment in each department.
At the end of the year, the implementation plan for standardized training for nurses was completed and improved. The plan stipulates that a fixed period and training plan for nursing staff will be implemented starting next year. In particular, the standardized training for new nurses and junior nurses has been increased, and the content of standardized training has been clarified. and requirements. And manage nurses' learning, assessment, work quality, service attitude, attendance, etc. in the form of credits as an important basis for nurse promotion, appointment, and re-registration.
(2) The Nursing Department strictly focuses on the rotation training, assessment and management of newly assigned nursing staff. Each department selects nursing staff with excellent professional skills to teach, and requires the teaching staff to conduct theoretical and practical training on the rotating nurses. Operational assessment is conducted before graduation, and the results are recorded in the nursing student's personal rotation handbook. After the rotation is completed, the results are reported to the Nursing Department for record. The Nursing Department also plans to send key nursing personnel to go out for further study, namely: 1 midwife, 1 from the emergency department, and 2 from the hemodialysis room. However, due to the tight schedule of nursing staff in the department, some further training plans could not be completed as planned. We arranged for head nurses and key nursing staff to attend various academic conferences in other places for 27 people, and for nurses and above to participate in continuing credit education for 75 people. After returning to the hospital, those who studied abroad reported their learning status orally or in writing to the nursing department, and arranged for the communication of learning within the department and hospital. However, due to the shortage of nursing staff and the gap between senior nursing staff, the completion of overseas training and training of specialist nurses has been severely restricted.
5. Teaching and scientific research work
(1) This year, we will accept 5 training nurses from township health centers and nurse interns from nursing schools, and arrange for the department rotation of 25 newly assigned nursing staff this year. The Nursing Department carefully carries out pre-job training and arranges clinical teaching work. Each department can organize the theoretical and operational assessment of nursing students. Students reported that most teachers care about students and have a strong sense of responsibility, and the quality of teaching has improved. According to the feedback results of interns, departments with a good teaching atmosphere include internal medicine and emergency departments. By distributing the teacher evaluation form, the students think that the better teacher is: xxx.
(2) Be good at summarizing experience and based on innovation in clinical nursing work. This year, the whole hospital wrote 5 nursing papers. However, there is still a big gap between the number of papers, the level of papers and the goals. There is no nursing research project application, and the plan at the beginning of the year has not been completed.
6. Actively cooperate with the hospital to do other work
(1) Assist in the establishment of the three internal medicine departments, from department construction to work guidance after establishment, establishing rules and regulations, and The adjustment of the nurse group enables the newly established department to get on the normal track in a short time and ensure that the work is carried out in an orderly, effective and safe manner.
(2) Send out nursing staff to participate in free clinics and other work.
7. Workload completed throughout the year:
From January to November, the average number of hospitalizations per day in the hospital was approximately 232 bed-days, and the number of monthly hemodialysis cases was 457. The number of infusions was 14,969. The number of hospitalized patients per month is 1,304, and the number of critically ill patients per month is 332. The number of operations per month is 222.
8. Existing shortcomings
(1) There is only one nurse on duty at night, and there is a hidden danger in safety management.
(2) Nurses’ communication skills need to be improved.
(3) Relevant departments lack coordination, and clinical nurses travel to the field to reduce the limited direct nursing time of nurses.
(4) Lack of specialist nurse talents.
(5) "Three Basics" training needs to be further strengthened.
(6) There is a big gap between nursing research, innovation and goals.
(7) The performance appraisal system for nursing staff is imperfect and cannot effectively serve as an incentive. ;