Training purpose:
Consolidate and improve the medical knowledge learned in school, so that new comrades are familiar with the ward environment, various rules and regulations and the job responsibilities of each shift; Familiar with the basic theory, knowledge and skills of common diseases in cardiology department, so as to further combine theoretical knowledge with practice; Gradually master the professional nursing knowledge of cardiology, and be able to independently complete the common nursing technical operation of cardiology; Have the ability of nursing writing, adapt to the role of nurses, and cultivate the ability to work independently.
Training content:
First month
1, familiar with the ward environment, ward settings, and understand the general working conditions of the ward.
2. Understand the placement of various instruments, articles and medicines in this area.
3, understand the ward all kinds of rules and regulations, nursing system.
The second month
1, know the job responsibilities of each shift in this area, and be able to complete the auxiliary work independently.
2. Understand the clinical characteristics and nursing points of cardiovascular diseases.
3. Under the guidance of teachers, learn systematic nursing evaluation.
The third month
1, under the guidance of teachers, can independently complete the writing of new patient care records.
2, can take the initiative to communicate well with patients, and independently complete the health education for inpatients.
3. Master the operation of ECG machine and ECG monitor under the guidance of the teacher, and be able to tell the operating procedures and precautions.
Fourth month
1, master common diseases (such as cardiac insufficiency, angina pectoris and myocardial infarction) and nursing points in our hospital.
2. Under the guidance of the teacher, list the nursing problems, nursing objectives and measures of cardiac insufficiency, angina pectoris and myocardial infarction, and complete the implementation of nursing measures.
3, familiar with our hospital commonly used rescue drugs such as alamin, dopamine, cedilanid, isoproterenol, lidocaine, epinephrine, side effects and the application of rescue equipment (such as defibrillator, negative pressure aspirator, simple breathing balloon).
4. Under the guidance of the teacher, be familiar with and carry out various preparations and nursing before the examination of cardiology, including electrocardiogram, B-ultrasound, gastroscopy, artificial pacemaker installation and nursing before and after cardiovascular intervention.
5, proficient in oxygen inhalation, aseptic technology, infusion and other seven skills.
6, familiar with our common emergency treatment.
tighten the spring
January consolidate the requirements and explain the basic knowledge of common arrhythmia and electrocardiogram.
Evaluation: specialist nursing routine, various rules and regulations.
Second season
Can correctly use nursing procedures for holistic nursing, and complete the duties of the responsible nurse under the guidance of the responsible team leader.
Evaluation: First aid, routine nursing and health education for common arrhythmia.
last or third quarter of the moon
Master professional emergency contents and handling methods.
Evaluation: Health education for patients inside and outside the hospital, and nursing care before and after cardiovascular intervention.
Fourth quarter
Competent and independent to complete the duties of the responsible nurse, familiar with the duties of other shifts (such as main shift, 7-3 shift, night shift, etc.). )
Examination: the contents and treatment methods of first aid, and seven basic skills.
Participate in the theoretical and nursing operation examination of the department every quarter.
Training objectives:
1, master the nursing core system, undergraduate course room related system and workflow.
2, master the safety signs of cardiology.
3, can standardize the implementation of department specialized skills operation: defibrillator, CCU monitoring system, low molecular weight heparin injection technology.
4, master the disinfection and isolation system of CCU ward
5, master the dosage calculation method of vasoactive drugs.
6. Can use the common instruments in the department: ECG monitor, injection pump, breathing balloon, central and electric negative pressure aspirator, defibrillator and ventilator.
7, master the anatomical and physiological characteristics of the circulatory system.
8. Master the treatment principles and nursing routines of common and frequently-occurring diseases in cardiovascular medicine.
9. Perioperative nursing of cardiac interventional surgery
10, familiar with the observation points of common cardiovascular diseases.
1 1, master the main functions, side effects, commonly used dosage, usage and precautions of commonly used drugs in cardiovascular medicine.
12, master first aid techniques: cardiopulmonary resuscitation, electric defibrillation, various oxygen inhalation methods, etc.
13, which can cooperate with the rescue of cardiovascular doctors: myocardial infarction, acute left heart failure, various arrhythmias, etc.
14, master the collection methods of commonly used test specimens in cardiology.
15, which can complete the writing of nursing documents in cardiology department.
16, by turn level.
17, timely and accurately complete the duties of cardiovascular class.
18, can effectively communicate with patients and their families, health education.
The fourth part of the nurse training plan in 2022
First, deepen the understanding of hospital service concept
Seriously thinking about the concept of hospital service and integrating these concepts into practical work on the basis of last year will help patients get more comfortable service and increase their recognition of the hospital. On the basis of ensuring quality, improve work efficiency, strengthen work responsibility, make nursing work more quality and implement it in every detail.
Second, safe work and error-free service.
Safety is the most important thing in my work, so in the new year, I will be more strict with myself and be more careful when operating medical devices to prevent medical accidents. At the same time, we should carry out nursing in strict accordance with the procedures stipulated by the hospital at work, find out the problems existing in the work, find ways to solve them in time, and don't drag the problems behind.
Third, continue to study.
On the road of nurses, the knowledge about medicine will never end. In the new year, I will continue to strengthen quality study and improve my self-cultivation.
In learning knowledge, I am never satisfied with what I have mastered. I keep up with the times, try to understand new medical knowledge, learn how to operate new machines, and consolidate my existing knowledge in order to become an excellent nurse.
Fourth, teach new nurses.
I took the head nurse as my goal and approached the goal step by step. Besides strengthening my working ability, I am also accumulating management experience. First of all, starting with bringing new people, I will teach them my work experience to help them find mistakes and solve problems in the process of understanding.
Fifth, form good habits.
In the past few years, I have corrected many bad habits, but there are always new shortcomings. Because I always can't remember the lessons and mistakes may be repeated, I want to make a record in the new year and write down my mistakes to remind myself not to make them again.
Chapter 5 of the nurse training plan in 2022
1, improve the system, revise the routine, simplify the writing of documents, and promote the improvement of the quality of basic nursing.
According to the scope and diseases of patients admitted to ICU at present, the nursing routine in ICU was revised to provide clinical nursing guidance for nurses.
2. Provide human, material and cultural support for basic nursing, and comprehensively improve the quality of basic nursing.
Add morning and evening nursing materials to the ward, and the nurses at the bedside will do life care items such as washing faces and feet for patients; The head nurse's daily rounds focus on basic nursing; Formulate and implement standardized handover procedures; Implement safe nursing for patients, ensure effective treatment, and improve nurses' awareness of disease observation; Carry out quality control circle activities to make nurses clear the responsibilities of each class and create a high-quality environment for patients.
3, "patient-centered" to strengthen humanities exchanges, and create a good humanistic environment for critically ill patients and their families.
Our department revised the visiting system to appropriately extend the time of accompanying critically ill patients; Establish an opinion form for patients and their families; Use the afternoon visiting time of family members to solicit opinions, evaluate the quality of nursing and promote the improvement of nursing work.
4. Strengthen human resource management and improve typesetting methods.
According to the spirit of nursing department and the characteristics of undergraduate course, on the basis of comprehensive evaluation of general nurses' academic qualifications, professional titles, work experience and professional theoretical and technical level, the department assigns tasks in turn, arranges shifts and allocates human resources according to the number of patients and the severity of illness, so as to ensure that patients can obtain continuous, seamless and safe nursing services.
5. Change the concept of nurses, improve their quality and arouse their enthusiasm.
Regularly organize the study and assessment of high-quality nursing norms and operating procedures; Through graded training and assessment, improve ICU nurses' first aid awareness and first aid cooperation ability; Through publicity and education, make nurses realize the importance and necessity of basic nursing; In order to improve the work enthusiasm of nurses, the night shift allowance of nurses was increased through discussion in departments.
6, hospitals and departments attach great importance to, and constantly improve the quality of nursing.
Constantly talk with brother departments about experience, understanding and mutual exchange and learning; Hold regular departmental meetings to find problems in time and correct deviations; Nurses always listen to the opinions of the doctors in charge and make positive corrections.
In a word, the implementation of high-quality nursing is not a mechanical decomposition of basic nursing projects, but around the patient's condition and medical care.
In order to meet the needs of safety, diagnosis and treatment effect, prognosis and rehabilitation, basic nursing should be more specialized and specialized nursing should be more humanized. The combination of the two can effectively implement holistic nursing and perform duties with a high sense of responsibility, love, caution, dedication and dedication.
The sixth part of the nurse training plan in 2022
First, strengthen the on-the-job education of nurses and improve the comprehensive quality of nursing staff.
(1) Do a good job in the training and assessment of nurses' "three basics" and specialized skills.
1, focusing on strengthening the assessment of new nurses, hired nurses and junior nurses, and strengthening the awareness of learning. In the first half of the year, the nursing department focused on strengthening basic nursing knowledge and increasing the number of examinations until it reached the standard.
2. Strengthen the training of specialized skills: each department formulates the assessment plan of specialized theory and skills training within the cycle, and organizes 2-3 examinations every year. Theoretical examination should have examination papers, and the head nurse should organize a closed-book examination, which requires practical results and is not a mere formality, laying a solid foundation for training specialist nurses.
3. Basic skills assessment: Nurses who are standardized training objects must all meet the standards in 16 basic skills during the year, and the assessment needs to be randomly tested in actual work. Nurses at other levels arrange an operation exam and two theoretical exams.
4. Strengthen the study and mastery of relevant knowledge, organize a practical assessment of rules and regulations, combine theoretical assessment with clinical application, and check the compliance of implementation.
(2) Strengthen the study of humanistic knowledge and improve the overall quality of nurses.
1, 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 * * * knowledge, and formulate training plans and specific implementation plans.
2. Arrange lectures in the whole hospital, and study the social etiquette and professional service etiquette of nurses 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.
(3) update professional theoretical knowledge and improve the technical level of specialized nursing.
The development of nursing level and medical technology is unbalanced, and the head nurses in various departments organize to learn professional knowledge. In case of developing new technology projects and special diseases, we can update our knowledge and skills by inviting doctors to give lectures, searching documents, organizing nursing rounds by the nursing department, and discussing nursing consultations. At the same time, some nurses are sent out for further study to improve their academic level.
Second, strengthen nursing management and improve the management level of head nurses.
(1) At the beginning of the year, a management class for hospital head nurses was held, mainly to update management concepts, management skills and cultivate humanistic spirit in nursing services, the current social demand for nursing services, the prospect of nursing work in the new year and the emotional exchange of head nurses.
(2) Strengthen the assessment of head nurses' target management, combine monthly assessment with year-end assessment, and link the nursing quality of departments with the assessment of head nurses.
(3) Promote the exchange of learning between head nurses and departments, organize mutual inspection of nursing quality every quarter, and hold an exchange meeting of head nurses' work experience to improve the level of nursing management.
Third, strengthen the process control of nursing quality to ensure the safety and effectiveness of nursing work.
(1) Continue to implement the two-level management system of nursing quality, especially to cultivate and improve the head nurse's ability to find and solve problems, and at the same time give play to the quality control role of the quality control team of the department, clarify their respective quality control points, enhance the awareness of all staff to participate in quality management, and improve the quality of nursing.
(two) the establishment of inspection, evaluation, feedback system, the establishment of traceability mechanism, found problems in nursing work, put forward corrective measures.
(3) Further standardize the writing of nursing documents, starting from the details, strengthen the three-level evaluation system of quality controller-head nurse-nursing department for each nursing document, regularly analyze and improve the defects of nursing records, increase the weight of deduction points for defects in discharged medical records, and emphasize that unqualified nursing documents will not be filed. At the end of the year, nursing documents were rated as the first, second and third in the group.
(4) Strengthen the safety management in the nursing process.
1, continue to strengthen the three-level monitoring and management of nursing safety. Departments and nursing departments conduct monthly investigation of nursing safety hazards and do a good job in attribution analysis of nursing errors, defects and nursing complaints, and analyze the reasons, lessons to be learned and preventive improvement measures from the perspective of themselves and departments. The management and personal responsibility of the head nurse shall be investigated for the departments and individuals with the same recurring problems.
2. Strictly implement the check system, emphasize the second check in place, strengthen the management of nursing students, clarify the responsibility of teachers' safety management, and put an end to serious mistakes and accidents.
3. Strengthen the head nurse's awareness of routine inspection of the hardware facilities of the department, strengthen the performance and safety inspection at ordinary times, timely find problems and maintain them in time to keep the equipment in good condition.
Fourth, deepen family services and improve service quality.
(1) On the basis of training nurses' daily etiquette, further standardize nursing operation terms and nurse-patient communication skills. Cultivate nurses and establish a good professional image.
(2) Pay attention to the collection of nursing service demand information. The nursing department obtains patients' needs and feedback information by understanding the opinions of return visit cards, talking with outpatients and inpatients, issuing satisfaction questionnaires, etc., and puts forward improvement measures in time, at the same time encouraging nurses to work and mobilizing their work enthusiasm.
Five, do a good job in teaching and scientific research
(1) Designate nurses with the title of nurse or above to be responsible for the teaching of interns, hold regular review meetings, and listen to the opinions of teachers and interns.
(2) The head nurses in all subjects are the general teachers, attach importance to the teaching work, regularly check the teaching attitude, sense of responsibility and professional level of the teachers, arrange small lectures, understand the completion of the practice, and do a good job in the theory and operation of the department.
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