In the second half of the year, our department will continue to focus on the work plan of the medical department and combine the actual situation of this department to carry out the work seriously from the following aspects:
1, unify thinking, enhance overall strength, and build a winning number system.
Emphasize the importance of the overall strength of the department, unify our thinking and strive for progress. To improve the overall strength of the department as the * * * goal, to create a digital winning department.
2, to further improve the level of theoretical knowledge and practical work ability.
Taking the textual research of young doctors as an opportunity, we should strengthen the training of young doctors and study the basic theoretical knowledge hard to lay a solid theoretical foundation for the future work. Actively participate in pediatric academic conferences, learn new ideas, new technologies and new progress, especially pediatric first aid knowledge, improve the first aid ability of pediatric critically ill patients, so that every doctor can master and standardize them skillfully.
3. Accelerate the pace of medical training.
Doctors and nurses in departments should go out for training in a planned way, master new knowledge and technology, understand the latest medical development skills and carry out their work better.
4. Improve the quality of medical care.
Strictly implement the core system of medical care, emergency plan, medical care technology and operating procedures, so that medical care can be found in an orderly manner and the quality and safety of medical care can be steadily improved.
5. Strictly write medical documents.
Starting with medical records, we should standardize the writing of medical documents in terms of content and format, check the quality of medical records at least once a week, find existing problems, and analyze and correct them in time.
6. Continuously improve social and economic benefits.
Give full play to the advantages of departments, do a good job in health education and telephone return visits, and attract more patients to the maximum extent and in the most ways. Constantly improve the reputation of the department and create more social and economic benefits. Only in this way can the department develop rapidly and steadily.
7. Refine the quantitative assessment.
Earnestly do a good job in the distribution of departments, so that rewards and punishments are clear, which is reflected in the bonus distribution, advocate more work and more pay, and avoid eating the same pot.
In the second half of 20xx, in order to further implement the general purpose of "patient-centered" service, strengthen basic nursing, fully implement the nursing responsibility system, improve the overall nursing service level and improve patient satisfaction. According to the spirit of nursing department and the reality of our department, this plan is formulated.
First, strengthen nursing safety management, improve nursing risk prevention measures, effectively avoid nursing risks and provide high-quality, safe and orderly nursing services for sick children.
1。 Constantly strengthen safety awareness education, promptly remind unsafe factors found in the work, and put forward rectification measures. Taking the nursing errors inside and outside the hospital as an example, we can organize discussion and study for reference, so that nurses can fully understand the new situation and new characteristics of nursing error factors, learn from them, and make the safety alarm ring constantly.
2。 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.
3. Strengthen the management of key sick children, such as critically ill children in intensive care unit and critically ill children in Pu 'er ward, take the above-mentioned children as the focus of discussion in the morning meeting and handover, evaluate the existing and potential risks of patients, and reach a * * * knowledge, which will attract the attention of each class.
4。 Improve nursing records and reduce safety risks. Standardize nursing records and conscientiously implement the "cross principle" in nursing records, that is, objectivity, truthfulness, accuracy, timeliness and completeness.
5. Improve the nursing emergency risk plan, pay attention to cultivating nurses' emergency ability in daily work, and make a retrospective evaluation of each emergency work, draw lessons from it, and improve nurses' ability to deal with emergencies.
Second, take patients as the center, advocate humanized service, strengthen nurse-patient communication, improve patient satisfaction and avoid nursing disputes.
1. The nurses in the office class sincerely receive the newly admitted children, send them to the bedside, and take the initiative to admit their families to the hospital.
Mission and health education.
2. Ask the responsible nurse to communicate with the children's families every day, including health education, understanding the patient's condition, life needs, the effect and reaction after taking the medicine, etc. , and conscientiously implement the notification procedures of various nursing operations, respect parents' right to know, and relieve their concerns.
3. 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, in-depth development of "people-oriented" holistic nursing work. Refine the workflow and clarify the job responsibilities.
1。 Revise the responsibilities of each class, change the scheduling mode, refine the workflow of each class, find out the weak links, clarify the division of nursing, and strive to make the new responsibilities more reasonable and practical.
2. Pay special attention to basic nursing, specialist nursing and nurse responsibility system. Provide holistic nursing service for patients, closely observe patients' condition, communicate with patients at any time, do a good job in patients' life nursing and basic nursing, ensure patients' safety and embody humanized nursing.
3. Deepen the hierarchical use of nurses, assign responsible nurses according to the patient's condition, nursing difficulty and technical requirements, and the nurses with high seniority and strong ability are responsible for critically ill patients, reflecting the corresponding energy level.
Fourthly, nurses implement performance distribution.
Distribution principle: give priority to efficiency and quality, distribute according to work, and give consideration to fairness and justice.
Distribution basis: patient satisfaction, workload, existing risks, nursing quality and sense of responsibility.
Fifth, strengthen patient health education.
1。 The nurse in charge should take care of the special diet and diseases according to the routine treatment and nursing of common diseases in the department every day.
Precautions in prevention and medication, detailed instructions for patients, health education and rehabilitation guidance for patients, and psychological care.
2。 A nursing meeting is held once a month, and each nurse reports her work and feelings. Conduct patient satisfaction survey every month, and listen carefully to patients' opinions and suggestions on quality care. Timely feedback the existing problems, put forward rectification measures, continuously improve the quality of nursing, and improve patient satisfaction.
Six, new business, new technology
1, focusing on the development of children's rehabilitation and health care, sent 1-2 nurses to study children's rehabilitation and health care.
2. Enhance scientific research awareness and strive to develop 1-2 new technologies during the year.
Template of work plan for neonatology department (3) 1. Seriously assess the situation, unify our thinking, strengthen our confidence, and strive to complete all the work. All departments put forward higher and stricter requirements for us in management, service and pursuit of quality. Seriously assess the situation, unify thoughts, shape personal image, shape department image, build hospital brand, start from ourselves, set high standards and strict requirements, and establish the concept of "prospering the hospital, prospering the hospital and humiliating the hospital". However, the new cooperative medical system has brought us opportunities and challenges. We rely on superb technology and excellent service to win patients, strive for "win-win", enhance cohesion and confidence, and strive to complete various tasks. We firmly believe that with the strong support of leaders at all levels, the correct leadership of hospitals and departments, and the joint efforts of all employees, we will be able to complete all the work and make the people really feel at ease and satisfied.
Second, change the service concept and strengthen the service consciousness.
1. humanized management: department directors and head nurses should first change their concepts, constantly learn management experience, improve their own management level, oppose centralized management, advocate people-oriented management, carry out humanized service and humanized management, and apply different service methods according to different levels of patients. Strengthen communication among comrades, between doctors and patients, and between doctors and nurses. The director of the department and the head nurse dare to grasp and manage, and don't be a good man. The department promotes righteousness and makes the department a United, diligent and positive team.
2. Improve service measures ① Warm reception of newly admitted patients ② Careful education ③ Timely disposal of new patients, striving for infusion within 5 minutes and 30 minutes ④ Critical patients should be treated immediately, infusion within 5 minutes ⑤ Escort critical patients for examination, the doctor in charge and the nurse in charge ⑤ keep the ward clean, bright and comfortable, adhere to Tuesday's Health Day ⑦ completely change the concept, and completely eliminate the phenomenon of cold, hard and unresponsive health; Today when discharged from the hospital to send them out of the room, said:
Three, improve various rules and regulations, establish various management organizations, according to the requirements of hospital management activities and hospital arrangements, familiar with 15 kinds of core system, the first doctor responsibility system, medical record writing, discussion, consultation and critical patient rescue system. The department set up ① medical quality management team ② medical safety team ③ comprehensive treatment management team ④ first aid team ⑥ medical record management team ⑥ hospital infection control team ⑥ single disease quality management team, with the director of the department taking overall responsibility, the head nurse actively cooperating, and everyone doing their work dutifully. Fourth, the quality of medical care. The quality of the hospital is the most important and the foundation of the hospital. It is the lifeline of hospitals, focusing on connotation construction.
1, from the basic quality, cultivate good quality and beautiful medical ethics, especially young doctors and nurses, who are mostly only children, spoiled at home, poor psychological quality, love to lose their temper and have a weak sense of responsibility. When the department finds a key point, it will set an example for them.
2. Grasp the quality of grass-roots units, improve the comprehensive ability of young doctors and train general practitioners.
3, grasp the medical record writing, starting from the medical record, taking the medical record writing manual of the health department as the criterion, the department director and the second-line doctor know fairly well about the patients in charge, and sign in time after rounds.
4. Pay special attention to the rescue of critical patients and the diagnosis and treatment of difficult patients. The director of the department personally grasped the critically ill patients for rescue, and the diagnosis and treatment of difficult patients was not discussed in the department for 3 days, and the diagnosis was not discussed in the hospital 1 week. 5, strengthen quality management, the first-time physician responsibility system, clear division of responsibilities, both division of labor and cooperation, adhere to the system of daily three rounds, second-line doctors know fairly well about daily critically ill patients, newly admitted patients have a look one by one, eliminate potential hazards, strictly operate various systems and consultation systems, strengthen communication with patients, sign and write each informed consent form and special examination and treatment agreement, and be responsible for the department on the top and for themselves on the bottom. The occupational control team checks and feeds back the medical quality monthly or quarterly. And formulate punishments and rewards.
Five, grasp the medical safety department director as the department responsible for safety, responsible to the dean, responsible to the comrades, departments and hospitals signed a safety responsibility book, departments signed a safety responsibility book with each comrade, clear responsibility, safety measures in place, enhance awareness of prevention, conscientiously implement the medical system, diagnosis and treatment norms, informed consent and other procedures, precious drugs, highly toxic drugs and special drugs and property by special personnel. In particular, it is necessary to strengthen the communication between doctors and patients and conduct a medical safety self-examination once a month. Reduce and avoid common mistakes and misdiagnosis disputes. Improve the assessment plan, reflecting that the departments with more work and heavy workload will include medical quality, safety service, medical ethics and work performance in the assessment, and the departments will press 1 and technical posts; 2. Working years; 3. The assessment plan should be made according to the working ability, and it should be distributed according to the grades below 5 years and 10 years; 4. Reward the diligent and punish the lazy. A. the patient was rejected without reason, and/kloc-0 was found, and 30-50 yuan was deducted each time. B. In case of a quarrel with a patient, the party concerned 10-20 yuan will be detained. Monthly bonus deducted for adverse effects C, 5- 10. Monthly bonus deducted for employees' mistakes, and monthly bonus deducted for major mistakes. D. In case of disputes and complaints, the supervisor will decide the amount of punishment according to the facts, which will affect the reputation of the department, that is, the bonus for the current month. E in the event of a medical accident, the parties concerned shall bear certain compensation, and the amount shall be deducted.
XX is a crucial year for our hospital under the leadership of the new pragmatic leadership, which puts forward new and higher requirements for all medical departments and makes our department face unprecedented opportunities and challenges. Pediatrics will, as always, persist in enhancing the ability of independent innovation, focus on speeding up reform and opening up, implement the leadership intention, continue to carry out the activities of medical management year and medical quality management benefit year in depth, effectively solve the people's illnesses, and constantly push forward pediatric work.
First, adhere to the "patient-centered" service concept.
Seriously imprint "patient-centered" in your heart, engrave it in your mind, put it into practice, fully respect the patient, understand the patient, think about what the patient thinks, and worry about the patient's urgency. All work is carried out around patients, taking patients as the starting point of all our work, and also as the standard to test us, and doing practical things around patients who are convenient, efficient, high-quality and feasible at low prices.
Second, pay close attention to "medical quality" and strengthen the construction of rules and regulations.
We will fully implement medical and health laws and regulations, medical systems and operating procedures for medical care, the responsibility system for first-time doctors and the special inspection system for medical quality to improve medical quality.
The third is to strengthen the construction of departmental culture, advocate the spirit of dedication, unity and cooperation, and selfless dedication, and strive to create an atmosphere of high spirits, vigor and integrity.
Fourth, the pediatric teaching and research group shoulders the tasks of pediatric teaching, scientific research, curriculum construction and teaching and educating people in our hospital.
According to the syllabus, implement the teaching plan and arrange interns to teach. Deal with teachers' teaching accidents or serious teaching quality problems in time. Arrange various teaching rounds of the teaching and research group. Complete other tasks assigned by hospital leaders and science and education department. Strive to carry out scientific research and strive for results.
Over the past year, general practitioners have taken patients' needs as the starting point of all their work, provided patients with satisfactory medical services, carried out health education, discussion on difficult and serious diseases, reported crisis values, entered clinical pathways and other activities, greatly improved cardiology facilities and developed new hemodialysis technologies; After studying peritoneal dialysis technology, our department will seize the opportunity of high-quality nursing demonstration departments in the new year to upgrade medical equipment and technology. In terms of equipment purchase, it is planned to apply for bedside electrocardiograph and cardiac marker detector. For example, the development of these new projects has put forward higher requirements for nursing work. In the new year, we must further improve the level and quality of nursing. The plan is as follows:
First, strengthen the on-the-job education of nurses and improve the comprehensive quality of nursing staff.
1. According to the implementation plan of standardized training and on-the-job continuing education for nurses, do a good job in the training and assessment of nurses' "three basics" and specialist skills.
(1) Focus on strengthening the assessment of new nurses, employed nurses and junior nurses, and strengthen their awareness of learning. The work plan of the nursing department in the first half of the year focuses on strengthening basic nursing knowledge and increasing the number of examinations until reaching the standard.
(2) Strengthen the training of specialized skills: each department formulates the training and assessment plan of specialized theories and skills 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 achieve all 16 basic skills within the year, and the assessment requires testing in actual work. Nurses at other levels plan to arrange an operation exam and two theoretical exams.
(4) Strengthen the study and mastery of relevant knowledge, organize an actual examination of rules and regulations, combine theoretical examination with clinical application, and check the compliance of implementation.
2. Strengthen the study of humanistic knowledge and improve the comprehensive quality of nurses.
Organize the study of hospital service etiquette culture, strengthen nurses' cognition of modern nursing culture, discuss it at the head nurse level first, and then carry out quality improvement activities in the whole hospital after reaching an understanding, 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 "_ _" Nurses' Day to set off a month-long activity 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 in a planned way to improve their academic level.
Two, strengthen nursing management, rigorous head nurse work plan, improve the management level of the head nurse.
1. At the beginning of the year, a hospital head nurse management class was held, mainly to update the management concept, management skills and humanistic spirit in nursing service, the service demand of the current social population for nursing, 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 on the work experience of head nurses 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 ability of head nurses 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.
2, establish inspection, evaluation, feedback system, establish traceability mechanism, nursing staff often in-depth inspection, supervision and evaluation of each department. The evaluation method is to evaluate nurses on the spot, check patients, check records and listen to doctors' opinions, find problems existing in nursing work and put forward rectification 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 of 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 process of nursing:
(1) Continue to strengthen the three-level monitoring management of nursing safety. Departments and nursing departments conduct monthly investigation on hidden dangers of nursing safety and make attribution analysis of nursing errors, defects and nursing complaints, analyze the reasons and lessons from themselves and departments, and put forward preventive and improvement measures. 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.