In order to strengthen the quality of work, standardize nursing behavior, eliminate potential safety hazards and ensure the safety of patients seeking medical treatment, the nursing department of this hospital has carried out strict self-examination and self-correction, as follows:
The existing problems are as follows:
1, aseptic technology is not strict enough.
The communication between doctors and patients needs to be strengthened.
3. The concept of teamwork is not strong.
4, professional medical risk awareness is weak.
5. The medical care service process is not standardized.
6. Polite language needs to be strengthened.
7, ward uniform, comfort is not strict.
In view of the above, we should do:
1. In operations such as medical care, patients should be informed of their condition, medical measures and medical risks truthfully, and their consultation should be answered in time. It is forbidden to use irritating language or language that has a bad influence on the treatment and rehabilitation of patients, and pay attention to the ways, methods and skills of conversation.
2. The correct writing of nursing documents must be objective, true, accurate, timely and complete. Do not cover up or remove the original handwriting by pasting or smearing.
3. Strengthen team spirit and internal unity.
4. Actively learn advanced medical and nursing knowledge, improve their professional and technical level, improve medical quality, and provide better services for patients. At the same time, strengthen the study and cultivation of humanistic knowledge and etiquette knowledge, and enhance their communicative ability.
5. Have a sense of responsibility and compassion for patients, memorize the core medical care system and strictly implement it in actual clinical work.
6. In addition, "Ten Essentials" should be achieved in future nursing work.
Pay attention to what you say; Explain clearly; Check carefully; Records should be complete; The system should be strict; Skilled in technology; The operation should be standardized; Timely rescue drugs; Internal coordination; Strong sense of responsibility.
Analysis of nursing safety hidden trouble;
1. Nurses' legal awareness and self-protection awareness are weak: nurses lack legal knowledge education in school education and on-the-job education, and traditional medical habits have long made nurses' work in the leading position of medical services. Nurses only pay attention to solving patients' health problems and ignore potential legal problems. Lack of self-protection awareness and evidence awareness in the actual nursing process, ignoring the collection and management of evidence.
2. Incorrect examination: Examination is a necessary step for nurses to implement doctor's orders, treatment and nursing, and a basic means to ensure the safety of patients. Nurses are too mechanical to execute doctor's orders and can't accurately find out the wrong doctor's orders. They can't seriously implement the "three checks and seven pairs" and "two pairs" in drug inspection. Sometimes they don't carry treatment books or treatment orders when they are carrying out various treatments, and sometimes they use habitual thinking to deal with and execute doctor's orders, which violates the principle of "three checks and seven pairs" and has potential safety hazards.
3. Nurses' comprehensive knowledge level is low: due to many factors such as low seniority, low education, high mobility, etc., nurses working in the clinical front line lack professional knowledge when observing their illness; Lack of clinical experience and foresight; It is impossible to accurately judge the premonitory symptoms of disease changes in time, resulting in potential risks. For example, chemotherapy patients in oncology department have higher requirements for nurses to puncture. If the puncture is unsuccessful, it will cause extravasation of chemotherapy drugs; During chemotherapy, high-concentration drugs repeatedly stimulate blood vessels for a long time, leading to drug extravasation. If drug extravasation cannot be found in time, the tissue at the puncture site will be necrotic, which will do great harm to patients. In addition, different chemotherapy drugs are used in different ways, and lack of knowledge may affect treatment. With the introduction and development of new technologies and projects, there are more and more services with high technical complexity and high technical requirements in nursing work, which not only brings great work pressure to nursing staff, but also may lead to increased technical risks in nursing work, thus affecting nursing safety.
4. The allocation of nursing staff can't meet the needs of patients: the lack of nursing human resources, especially the growing demand for treatment and nursing in the middle and night shifts, makes nurses overworked, leading to weak sense of responsibility, inattention, uncontrollable link quality and inadequate service, which brings insecurity to patients.
Precautions for nursing safety:
1. Carry out nursing safety education on a regular basis, analyze and discuss the work links that are prone to nursing defects and errors, put forward rectification measures, and review various nursing safety precautions to enhance the sense of responsibility and make the alarm bell ring.
2. Strengthen legal study and raise awareness of self-protection. Nursing safety is closely related to laws and regulations, which enhances the legal awareness and legal concept of nursing staff.
3. To improve the overall quality of nurses, managers should correctly understand the importance of nursing work, not only to strengthen the continuing study of professional theories, but also to cultivate their own operational skills and improve their communication skills with patients. Strengthen the training of basic knowledge and basic operation skills for junior nurses, and strengthen the standardized training and continuing education for young nurses.
4. Strengthen inspection consciousness. In nursing work, we should keep in mind the "three checks and seven checks" and strictly implement them. Don't rely on your own imagination or hold the idea that others have already checked, or you should be too busy to check.
5. Strengthen system management. In daily nursing work, we should strictly implement the operating procedures, conscientiously implement various rules and regulations, and regularly supervise the implementation and implementation of the system, find problems in time, and make timely and effective rectification.
According to the document No.2 _ _ (18) issued by the Party Committee of our hospital, our hospital seriously organized all staff to study the spirit of the document, and conducted self-examination and special rectification activities on all aspects of hospital work as required. Since the implementation of the rectification activities, the problems existing in the self-examination of the nursing department of our hospital and the rectification measures are reported as follows:
I. Existing problems
(1) medical quality problems:
1, which simplifies the operation process and cannot strictly implement the "three checks and seven pairs" system.
2, the succession is not careful, can't strictly implement the succession system, handover is not clear.
3, the patrol was not timely, ignoring the observation of the patient's condition and liquid dripping speed.
4. The concept of aseptic technology is not strong, disinfection and isolation are not thorough enough, and the operation still needs to be further improved.
The destruction of disposable goods is incomplete and irregular.
Service quality defects:
1, political theory study is not deep enough.
2. The service purpose is not firm enough.
3. The business lost its pursuit goal and the promotion was sluggish.
Second, the reason analysis
1, lack of understanding of the importance of strengthening learning; Learning is not solid, initiative and consciousness are not enough, which makes the renewal of one's own ideas lag behind.
2. Theoretical study is not placed in an important position, and one-sided study is a concrete manifestation of the immaturity of political theory.
3, theory and practice "two skins", not completely combined.
Third, the rectification measures
(1) Strengthen nursing safety education, establish a patient-centered service concept, and vigorously advocate the concept of changing passive service into active service.
Specific measures:
1, nursing staff must adhere to the regular meeting system, participate in medical safety education and study, and be punished according to hospital rules and regulations once found.
2. Combining with the "quality nursing service demonstration project" carried out in our hospital, we should establish a patient-centered service concept, provide active service, strengthen the sense of responsibility of nursing staff, advocate nursing staff to serve patients with "love, carefulness, patience and responsibility", and carry out the selection of advanced individuals for quality nursing service.
3. By strengthening clinical nursing work and consolidating basic nursing services, we will establish a good image of the medical and health industry serving the people wholeheartedly in the whole society, realize "three good and one satisfaction", carry forward the humanitarian spirit of saving lives and promoting the harmonious relationship between doctors and patients.
(two) establish and improve the relevant rules and regulations, clear job responsibilities. Summarize experience, gradually explore and improve the hospital nursing management system suitable for our hospital, establish a long-term mechanism for continuous improvement of nursing quality, and continuously improve the level of nursing work.
Specific measures:
1. It is necessary to further implement the requirements of Nurses Regulations, Notice of the Ministry of Health on Strengthening Clinical Nursing in Hospitals, Guiding Principles of Graded Nursing in General Hospitals (for Trial Implementation), Basic Nursing Service for Inpatients (for Trial Implementation), Basic Nursing Service Specification and General Clinical Nursing Technical Service Specification, strengthen nursing management, standardize nursing services and consolidate basic nursing.
2, establish and improve the relevant rules and regulations, clear job responsibilities.
1) Hospitals and wards have complete creation plans, objectives, tasks and implementation measures, and nursing staff are registered and standardized in practice.
2) Establish and improve clinical nursing rules and regulations, disease nursing routine and clinical nursing service norms and standards.
3) Establish the post responsibility system for nurses, formulate and implement the post responsibilities and work standards of nurses at all levels, and standardize clinical nursing practice.
4) Establish a performance appraisal system for nurses, and combine the assessment results with the promotion assessment of nurses according to the quantity and quality of clinical nursing work completed by nurses and the satisfaction of inpatients.
3, clear clinical nurses should be responsible for basic nursing projects and work norms, must perform basic nursing duties, standardize nursing behavior, improve nursing service.
4, clear clinical nursing service connotation, service items and working standards. The service connotation and service items of graded nursing should include patient's condition observation, treatment and nursing measures, life nursing, rehabilitation and health guidance. And bring it into the hospital affairs disclosure, and introduce the evaluation mechanism of patients and society as the content to be disclosed to patients.
(three) to strengthen the study of laws and regulations and various rules and regulations and work norms.
Specific measures:
1. Learn the Nurses' Regulations, Notice of the Ministry of Health on Strengthening Clinical Nursing in Hospitals, Guiding Principles of Graded Nursing in General Hospitals (for Trial Implementation), Basic Nursing Service for Inpatients (for Trial Implementation), Basic Nursing Service, Common Services of Clinical Nursing Technology and other laws and regulations, so that nurses can master various rules and regulations and laws and regulations.
2. Establish and improve various rules and regulations, strictly implement operating procedures, constantly standardize nursing workflow, and formulate patient safety management plans.
3. Strengthen the management of quality monitoring measures, strengthen key quality control, establish departmental quality control teams, regularly check the implementation of systems and quality management in all links, nip quality problems in the bud, and eliminate and reduce hidden dangers.
4. Repeatedly strengthen nurses' legal awareness, use morning meetings and peacetime business study to teach legal knowledge and cases to prevent medical disputes, and tell nurses with specific cases that any negligence in a small link may cause irreparable losses. Hold regular safety analysis meetings, so that nurses can find the links that are prone to errors, especially the existing problems, analyze the reasons and formulate improvement measures. Update the management concept, encourage nursing staff to report potential safety hazards, and set up a reward system for self-inspection and reporting potential hazards. If they conceal it, they will be punished according to the corresponding system.
(4) Strengthen the study and assessment of "three basics" and "three strictness" in nursing.
Specific measures:
1, strengthen the theoretical examination and technical operation assessment.
2, encourage nursing staff to participate in various forms of business learning and training inside and outside the hospital.
3. Formulate preferential policies to encourage nursing staff to participate in adult higher education and improve their professional skills and theoretical knowledge.
4. Please come in and go out, strengthen the study of new nursing business and new technology, invite superior experts to give lectures in our hospital every February, and the nursing staff take turns to go to the superior hospital for short-term training.
(five) to strengthen the study of nurses' rules and regulations, strictly implement the doctor's advice system, and resolutely put an end to the phenomenon that drugs do not conform to the doctor's advice.
Specific measures:
Intensify supervision and inspection, and deal with it seriously once the nurse's medication is found to be inconsistent with the doctor's advice.
(six) to strengthen the training of aseptic operation procedures, the management of aseptic materials, the distribution and use process management of various aseptic materials, and the supervision and inspection of sterilization monitoring of autoclaves; Do a good job in disinfection and isolation of infectious patients, and urge health personnel to do a good job in the final treatment of wards.
Specific measures: Qi Xin should work together to strengthen the sense of responsibility of nursing staff.
(seven) to strengthen the duty shift system.
Specific measures:
1, learn the core system once a week.
2, at least once a week nursing staff collective succession.
3, strengthen the inspection and supervision of administrative rounds.
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