The outpatient nursing work plan is 1 20xx. Outpatient nursing work will closely focus on the work objectives of the nursing department, take improving nursing quality and service level as the first priority, put people first, strengthen the management of nursing service quality, unite people's hearts, enhance the vitality and vitality of outpatient nursing service with new ideas, new concepts and new measures, and accelerate the development of the department. Make the following annual plans:
First, focus on improving the quality of nursing.
Objective: All the nursing quality reached the standard: the nursing quality of high-risk departments was ≥90 points, and the qualified rate was 90%; The intact rate of first-aid drugs100%; The qualified rate of disinfection and isolation quality is 100%.
Measures:
1, strengthen supervision, follow up the quality of nursing in all areas of outpatient service every week, and make timely rectification when problems are found.
2. Analyze and improve the quality of outpatient care every month, so as to achieve sustainability and strengthen and promote the standardization and standardization of nursing services as a whole.
3. Incorporate the nursing quality into the assessment scheme, so that the assessment can reflect the work quality and efficiency indicators as much as possible.
Second, improve the service attitude and enhance the image of the hospital
Objective: The quality of outpatient service has been improved compared with XX years, and the average satisfaction rate has reached over 90%. Measures:
1. After a year's trial, the activity of "Evaluation of Medical Guidance Service Mode" has played a great role in mobilizing the enthusiasm of medical guidance work. In 20xx, the outpatient department will continue to carry out evaluation activities, and on this basis, it will expand its thinking and increase service items, so as to truly "take patients as the center" and facilitate patients.
In 2.20xx years, the corresponding reward and punishment measures were formulated for the image of outpatient personnel. Starting from the group image, doctors and nurses in outpatient clinics are required to dress neatly, be full of energy, have a kind expression, have a kind attitude, speak softly and act steadily.
3. Improve the service level. Greet patients, thank patients for their cooperation, apologize for their own shortcomings, give patients warm, considerate and family-like care, inform patients, and carry out health education on their diseases. Continuously improve the cultural quality and accomplishment of nurses, so as to improve patients' satisfaction.
Third, strengthen training and improve technical level.
Objective: The qualified rate of standardized training and examination of nursing staff is 100%, and the practical operation ability is greatly improved.
Measures:
1, according to the characteristics of outpatient service, formulate a standardized training plan in line with the actual situation of outpatient service, and conduct comprehensive and systematic training for nurses in various forms;
2. Organize department business study once a month, including service concept update, marketing awareness, preparation and precautions before relevant inspection, intravenous drug use allocation, and common skills in using operating specifications.
3. Conduct three basic theoretical knowledge and operation examinations for department nurses every month;
Fourth, improve the level of safety management.
Objective: To reduce the occurrence of nursing adverse events, and the incidence of nursing accidents is zero.
Measures:
1, concentrate on nurses' study every month, strengthen nursing safety education, and enhance the awareness of law and self-protection. The contents include observation and analysis of illness, examination and implementation of doctor's orders, and study of health laws and regulations.
2, strengthen quality control, ensure prevention in place, check the implementation of each class every day, find all kinds of hidden dangers, timely correct and analyze, and put forward effective and feasible preventive measures.
3. Strengthen the communication between nurses and patients and their families, fulfill the obligation of informing, and minimize the occurrence of nursing disputes.
Five, keep up with the pace of the hospital, to carry out traditional Chinese medicine nursing.
Objective: The qualified rate of TCM nursing technique operation is ≥90%, and the qualified score is 90 points.
Measures:
1. All staff participated in the series training of knowledge and skills of traditional Chinese medicine and integrated traditional Chinese and western medicine in the nursing department (training time100h), and the participation rate was ≥ 90%;
2. Plan to learn TCM nursing routine, TCM nursing operation rules and rehabilitation and health guidance with TCM characteristics, so that nurses can master and use them skillfully.
Outpatient nursing work plan 2 1. Do a good job in the implementation of the five-year plan of the hospital and the "dimethyl review".
The five-year development plan from 20xx to 20xx issued by our hospital is planned to reach the "dimethyl review" standard before the end of xx. According to the actual situation of our department, optometry clinics and optical shops will be set up in ophthalmology this year to carry out excimer refractive surgery and optical optometry, expand the business scope and increase business income; Otolaryngology department added 1 comprehensive treatment table and introduced 1 specialty; In addition, an outpatient emergency room should be added, relevant rescue equipment should be prepared, and a pre-examination desk and a fever clinic should be added to lay a good foundation for the creation of "second class".
Second, strengthen departmental management.
Under the guidance of hospital leaders and committees in charge, leading groups such as medical quality management, medical safety management, hospital infection management, pharmaceutical affairs management, medical record management and blood transfusion management were set up in accordance with the three-level management system of Sichuan Provincial Grade II and Grade II General Hospitals Evaluation Standard, and the management system and work responsibilities of each leading group were improved. Activities were organized regularly, problems in departments were self-examined, and corrective measures were discussed and urged to be implemented, which improved the management of departments.
Third, pay close attention to medical quality management to further improve the overall quality of general medical staff.
Resolutely implement the medical core system, and the medical quality management team regularly organizes study, so that everyone can understand and master the core system, randomly check the number of outpatient days, outpatient medical records and prescription writing, check the implementation of "reasonable inspection, reasonable treatment and rational drug use", and manage the diagnosis and treatment activities according to the operating norms. Formulate medical quality assessment standards, conduct assessment according to the standards, and set up a reward and punishment system. Make the rules and regulations truly implemented in practical work, make the work institutionalized and standardized, and prevent the occurrence of medical errors and medical accidents.
Four, strengthen business study, study laws and regulations, improve business level, standardize medical behavior.
Organize department lectures regularly, study and train professional knowledge, professional skills, first-aid knowledge and first-aid operation, organize staff of various departments to learn medical laws, regulations and rules, and improve the professional level and professional quality of medical staff.
Five, improve the service level
Formulate and implement the duties and codes of conduct of post personnel, and learn the Clean Medical Practice System, Doctor-patient Communication System, Medical Ethics Code, Doctor Code of Conduct, Medical Technician Code of Conduct, Nurse Code of Conduct, etc. , the implementation of medical ethics assessment system and reward and punishment system, window service personnel to learn the knowledge of civilized manners to enhance communication skills, comprehensively improve the level of outpatient service, enhance the image of the hospital.
Six, strengthen the management of hospital infection and infectious diseases, strictly implement the "hospital infection reporting system" and "infectious disease reporting system".
Clinical laboratory and endoscopy room are the key departments of nosocomial infection in our hospital. The disinfection and sterilization system should be strictly implemented, and the hospital infection management team should be responsible for inspection, supervision and rectification to control the incidence of nosocomial infection. Organize the study of infectious disease reporting system, let all medical staff know, and put an end to concealment and omission. Make the reporting rate of infectious diseases reach 100%.
Seven, the implementation of government affairs, the system of public, regular meetings to open affairs, the department's planning, business development, personnel, performance appraisal, rewards and punishments.
The further education, training and study of department staff shall be discussed and decided by the Council and made public.
Outpatient nursing work plan 3- 1. Strengthen nursing quality management and strive to improve nursing quality.
The nursing unit implements target management, and the nursing department formulates relevant quality standards and inspection and scoring rules.
1. Each nursing unit carefully organizes the implementation and assessment, promotes the change of nurses' concept through target management, and 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. 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, 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.
Second, continue to implement the holistic nursing responsibility system, further enrich the connotation of holistic nursing, and introduce the nursing concept of our hospital:
Everything is patient-centered, and patient satisfaction is the premise! Choose our hospital for medical treatment, and we will show you meticulous care!
Third, formulate and improve the job responsibilities of nursing staff at all levels in our hospital.
Fourth, strengthen the management of nursing human resources, ensure the rational allocation of nursing human resources, and ensure that everyone is certified.
Make a training plan for nursing staff, pay special attention to the construction of nursing team and improve the quality of nursing team.
1. Nurses who have served for less than 5 years should be rotated, with emphasis on basic skills training.
2. On the basis of general training and comprehensive improvement in the whole hospital, we should pay special attention to the key training of the backbone team, not only to master nursing technology, but also to master nursing technology in difficult new business and new technology, and play a leading role in the nursing team.
3. The nursing department will provide learning opportunities for nursing staff through various channels.
(1) Encourage on-the-job staff to take self-study nursing exams and correspondence study to improve their academic qualifications. Change the structure of nursing team mainly in middle schools.
(2) Do a good job in continuing education. Select outstanding nursing staff to participate in short-term nursing knowledge training courses in the province, focusing on 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. 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.
Fifth, nursing safety is the focus of nursing management.
Combining macro-management with micro-management, we should make full use of the secondary nursing management system, perform their duties, check at different levels, do a good job in nursing safety management, reduce medical disputes and hidden dangers, and ensure the safety of patients seeking medical treatment.
1, the nursing department completes macro management, supplements and improves nursing safety management measures, pays special attention to pre-job training of nursing staff at all levels, and regularly and irregularly checks safety work.
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: supervision and management should be strengthened in holidays, weekends, busy work, fatigue time and night shift. 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.
Sixth, improve the nursing rules and regulations.
1. Nursing management system.
(1) nursing conference system.
(1) meeting of head nurses. Held once a month, participants carefully record and communicate.
(2) Hospital nurses' conference.
A business academic conference, once every two months, organized by the nursing department.
B. year-end summary commendation meeting. At the end of each year, the nursing department organizes the nursing staff of the whole hospital to summarize and commend the advanced.
③ Department nurses' meeting. Held once a month, attended by ordinary nurses.
④ Early nursing meeting
A, presided over by the head nurse, time 10- 15 minutes, all nursing staff should wear work clothes and stand;
B, night shift nurses report night shift work;
C, the head nurse summarizes the nursing work, comments, clear nursing focus, matters needing attention;
D, the head nurse asks questions and tests to the nursing staff to improve the professional level of nursing;
E, the head nurse conveys the temporary notice or important decision of the hospital and nursing department, and makes specific arrangement and implementation.
⑤ Holiday symposium.
A, held once a month, presided over by the head nurse or senior nurse, patient representatives to attend;
B, solicit patients' opinions on medical treatment, nursing, life and diet, and understand patients' thoughts;
C, organize patients to learn newspapers and publicize health knowledge, and ask patients to consciously abide by the ward management system.
(2) Nursing rounds system.
(1) Department teaching rounds: organized once a month. For difficult cases or nursing problems, special personnel are arranged in advance to prepare and put forward key problems to be solved, which are presided over by head nurses or responsible nurses, and detailed records are made.
② Teaching rounds in the whole hospital: organized by the nursing department once every quarter.
③ Routine rounds
First, general nursing rounds: once a week, the head nurse will make rounds.
B. Head nurse's rounds: check, supervise and implement the quality of ward care, critically ill patients, performance of nursing duties, clinical nursing and ward management at least twice a day.
C. Nurses' growth rounds: organized by the nursing department and attended by the head nurses of all subjects, once a month. Control the content of target management.
D. Night nurse rounds: once a week, the head nurses of all subjects change shifts.
E. Holidays rounds: On holidays and weekends, 1-2 days, the nursing department will organize inspections of the whole hospital or ward, check the personnel on duty and the implementation of rules and regulations in various departments during holidays, and guide the rescue of critically ill patients.
(3) Nursing training and nursing evaluation system.
① Pre-job training. All new nurses assigned to hospitals from colleges and universities must undergo pre-job training. Contents: hospital history education, medical ethics education, nursing rules and regulations, basic quality and etiquette norms of nurses, professional ethics of nurses, basic nursing skills operation, etc.
② On-the-job training. Answer: The nursing department organizes the "three basics" exam for nursing staff in the hospital every February, and nurses who have been employed or worked for less than 5 years take the exam once a month. B. Organize the nursing staff in the whole hospital to study once a year in February, and the departments conduct business study once a month.
C all nursing staff under 45 years old must master common nursing skills.
2. Nursing work system. Including grading nursing system, duty system, disinfection and isolation system, doctor's advice execution system, check system, treatment room work system, dressing room work system, emergency room management system, etc.
3. Ward management system.
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 70 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).
Outpatient nursing work plan 4- 1. Strengthen the construction of medical ethics of nursing staff;
1, continue to implement the code of conduct for nurses and implement the civilized language of nurses in daily work. And the implementation of light makeup posts, smiling service.
2. Continue to carry out health education.
3. Issue satisfaction questionnaires to the physical examinees, and rectify the opinions put forward in the satisfaction survey, such as strengthening guidance services.
4. Conduct pre-job training for newly assigned nurses, including professional quality, rules and regulations, nurses' behavior etiquette, basic nursing knowledge and professional knowledge. Those who pass the training will be given posts.
Second, improve the professional quality of nursing staff.
Outpatient doctors are trained according to the content of "three basics and three strictness", and they study twice a week, ask questions in the morning meeting, and nurses conduct training and assessment every month. Re-train the nursing system and emergency plan, and ask the hospital nursing core system in the morning meeting of the department, so that every nurse can master and implement it skillfully.
Third, strengthen the study of hospital infection and related infectious diseases.
The outpatient hall not only carries out guidance work, but also faces the initial triage work of infectious diseases, leads everyone to learn the relevant knowledge of diagnosis and prevention of infectious diseases, and strictly implements the disinfection and isolation system.
Fourth, implement quality nursing.
Be brave in innovation, improve the first aid service creed of implementing nursing service details and helping others, and implement quality nursing. Nurses start with details and think about patients bit by bit. Assist elderly and infirm patients to register for medicine, help patients with mobility difficulties to go through hospitalization procedures, strengthen communication with patients, and provide humanized services for patients. At the same time, by improving the working system, optimizing the service process, innovating the working mode, enriching the work connotation and strengthening the implementation of safety management, the nursing work is closer to patients, clinic and society.
Five, the quality of care
This year, we will continue to improve hospital accreditation, standardize all work according to the accreditation standards and detailed rules of first-class general hospitals, and standardize daily work. Experts found many problems after the initial evaluation, and combined with the actual situation, the existing problems were rectified. Sixth, strengthen nursing safety management, improve nursing risk prevention measures, effectively avoid risks, and provide patients with high-quality, safe and orderly nursing services. Constantly strengthen safety awareness education, relearn common unsafe factors in outpatient clinics, and practice emergency plans to minimize unsafe factors.
Outpatient nursing work plan 5- 1. Strengthen nursing safety management.
Improve nursing risk prevention measures, effectively avoid nursing risks, and provide patients with high-quality, safe and orderly nursing services.
1. Implement various rules and regulations: regular and irregular inspections, supervision in place, and supervision and inspection records.
2. Strengthen safety awareness education: when unsafe factors are found at work, remind them in time and strictly implement the "four don't let go".
3. Strengthen the management of key periods, such as night shift, middle shift and holidays. Implement flexible shift scheduling system, reasonably match the old, middle-aged and young people on duty, and pay attention to cultivating the cautious and independent spirit of nurses when they are on duty independently.
4. Classified management: Classified management is carried out according to the nurse in charge-nurse-new nurse (1 year)-practice nurse, so as to strengthen the training, study and education of new nurses and improve their professional ability.
5. Improve nursing records and reduce potential safety hazards: standardize nursing records and conscientiously implement the "cross principle" in nursing records, that is, objectivity, truthfulness, accuracy, timeliness and completeness.
6. Strengthen nurses' own occupational protection: organize general nurses to learn relevant knowledge, and formulate occupational exposure reporting system, occupational exposure prevention measures and specific treatment measures and procedures after occupational exposure.
7. Improve the nursing emergency risk plan: pay attention to cultivating nurses' emergency ability in daily work, make a retrospective evaluation of each emergency work, draw lessons from it, and improve nurses' ability to deal with emergencies.
Second, patient-centered.
Advocate civilized and high-quality service, strengthen nurse-patient communication, improve patient satisfaction and avoid nursing disputes.
1, ensure and improve the convenience measures, manage the responsibility to people, and handle problems in time when found.
2. Strengthen service awareness education and improve the concept of humanized active service. Continue to implement the nurse's code of conduct, implement the civilized language of nurses in daily work, and improve the quality of health education.
3. Seriously implement the notification procedures before and after clinical treatment, respect patients' right to know, and relieve patients' concerns.
4. Hold a symposium on holidays every month, distribute patient satisfaction questionnaires, praise and encourage nurses with high service quality, and criticize and educate nurses with poor service quality.
Three, regular and irregular nursing quality inspection, to maintain the continuous improvement of nursing quality.
1, give full play to the role of nursing quality control team, conduct quality inspection every week, find problems in time, correct and deal with them in time.
2, constantly modify and improve all kinds of nursing quality standards, and organize learning, according to the standard implementation of nursing work.
3. The head nurse conducts regular and irregular quality inspections, analyzes the reasons for the deficiencies, makes timely rectification, and strengthens the service awareness and quality awareness of nursing staff.
4, on a regular basis to the quality control team, the head nurse quality inspection, nursing department quality inspection feedback information comprehensive analysis, find out the reason, formulate feasible corrective measures, and check the implementation of the rectification.
Fourth, strengthen the management of hospital infection.
1, strictly implement the disinfection and isolation system formulated by the leading group for hospital infection management.
2. Standardize disposable articles, destroy them in time for centralized treatment, regularly inspect and urge them, and regularly check and register the concentration of disinfectants.
3. Add a "comprehensive class" to be responsible for the cleaning, detoxification and maintenance of various articles and instruments.
Five, strictly implement the three basics and three strict training plan.
Strengthen teaching, further study and continuing education to improve the professional quality of nursing staff.
1, according to the "three basics and three strictness" training plan, nurses at all levels are trained, and theoretical examinations and technical operation examinations are organized every month.
According to the nurse in charge (or over 45 years old)-nurse (or over 35 years old)-nurse-new nurse (1 year)-intern nurse, training and management are carried out at different levels.
2. Ask the nurse questions during nursing rounds, including basic theoretical knowledge, professional theoretical knowledge and nosocomial infection knowledge.
3, often review the knowledge of nursing emergency risk plan, first-aid technical drills every quarter, master the use of first-aid equipment and instruments, and improve the emergency ability of nurses.
4. Through department recommendation and comprehensive evaluation of nursing department assessment, select nursing backbone, conduct regular training and study, arrange nursing lecture tasks, and establish a graded nursing teaching management network of nursing department-head nurse-nursing backbone-new nurses.
Six, improve the personal quality of nurses and actively carry out activities.
1, set up a nursing culture management organization and regularly carry out rich nursing culture activities. Such as "various programs or parties", "Nurses' Day" skill operation competition, "Nurses' Sit-and-Talk Meeting" and so on, aiming at enhancing team cohesion.
2. Actively participate in the creation of spiritual civilization.
3. Strengthen connotation construction, actively build a brand of nursing culture, and build a harmonious nursing team.
Seven, complete the annual nursing management goals.
1, nursing document writing ≥90%
2. The qualified rate of disinfection and isolation is 100%.
3. The intact rate of first-aid articles and instruments is 100%.
4. The number of wrong accidents is "0"
5, three basic theory, nursing operation qualified rate of 90% or higher.
6. One person, one needle and one tube implementation rate 100%.
7, nursing safety management 95 points or higher.
Outpatient nursing work plan 6 Under the correct leadership of the two committees of the hospital, all outpatient work in our hospital was carried out in an orderly manner. In order to further clarify our thinking and better do all the work next year, the following scheme is formulated:
First, further improve the medical environment, improve the service process, strengthen online and telephone appointment registration, increase the number of consultants, further improve various convenience service measures, and further improve services such as registration, payment, taking medicine, accompanying inspection and hospitalization. For the old, weak, sick and disabled patients, we should strictly fulfill the promise of waiting time for various examination results in the window of the auxiliary examination department, improve the inquiry method of providing examination results for patients, and further enhance the image of the hospital.
2. It is planned to complete outpatient service in 20xx years and realize business income of more than 2 million yuan.
Third, the outpatient clinic on the east side of the third floor is mainly composed of obstetrics and gynecology comprehensive outpatient service, obstetrics and gynecology outpatient service and Chinese medicine expert outpatient service. Because there are many patients, the waiting order of patients is rather chaotic. It is suggested that the hospital send full-time guides on the third floor of outpatient service to maintain the waiting order and ensure the orderly medical treatment.
Fourth, if conditions permit (there are visiting doctors), set up a convenience clinic in the outpatient hall to solve some simple outpatient treatment and examination problems, which is convenient and quick, and buffer the pressure of other clinics.
Five, apply for the addition of electronic mirrors in gynecological clinics, improve the positive rate and diagnostic coincidence rate of gynecological examinations, and make more accurate diagnosis and treatment of gynecological diseases.
Six, apply for acupuncture department to increase 10 TDP magnetic heat therapeutic instrument, acupoint nerve stimulator 1 set, pain therapeutic instrument 1 set, computer Chinese medicine fumigation multifunctional therapeutic instrument 1 set, multifunctional moxibustion instrument 1 set, microwave therapeutic instrument 1 set, and so on.
Seven, pay close attention to outpatient medical quality management, strengthen the study of laws and regulations of outpatient medical staff, further strengthen the awareness of medical risk prevention of medical staff, standardize various medical behaviors, strictly implement various medical core systems, master outpatient first aid programs and emergency measures, randomly check the writing of outpatient logs, outpatient medical records and prescriptions, give positive persuasion and warning education to doctors with quality problems, correct those who refuse to reform, and reduce disputes and complaints between doctors and patients.
Eight, further strengthen the medical ethics education of outpatient medical staff, organize outpatient medical staff to study regularly, and learn the Clean Medical Practice System, the Doctor-patient Communication System, the Medical Ethics Code, the Doctor's Code of Conduct, and the Nursing Staff Code of Conduct. Continue to carry out warning education with examples to stop all kinds of unhealthy trends in outpatient diagnosis and treatment.
Nine, strengthen business learning, improve business level, organize regular lectures, learn and train professional knowledge, professional skills, first aid knowledge and first aid operation, and improve the professional level and professional quality of medical staff.