In order to consolidate the achievements of establishing baby-friendly hospitals and ensure the implementation of various institutional measures for the management of baby-friendly hospitals, we should protect, promote and support breast-feeding, improve breast-feeding rate and reduce infant morbidity and mortality with the core of protecting maternal and infant health, the aim of giving priority to children and ensuring the safety of mothers, and the focus of long-term management. According to the requirements of the implementation plan of baby-friendly action in our hospital, the work plan is formulated as follows:
First, strengthen organizational management and consolidate the achievements of baby-friendly hospitals.
1. Continue to set up a leading group to consolidate the management of baby-friendly hospitals with Dean Li Daogan as the leader, adjust the members of the management group of baby-friendly hospitals according to the changes in the personnel arrangement of hospitals, gain the support of hospital leaders for the work of baby-friendly hospitals, list the management of baby-friendly hospitals as the management goal of the whole hospital, strengthen supervision and assessment, and form a long-term management mechanism to make the work of baby-friendly hospitals develop continuously.
2. Under the leadership of the leading group of baby-friendly hospitals, we will promote the breastfeeding technical guidance group, the breastfeeding health education group and the breastfeeding support organization, so that they can carry out their respective duties and carry out the daily work of baby-friendly hospital management.
Second, strengthen the daily work of baby-friendly hospital management.
1, improve obstetric work according to the "Evaluation Requirements for Grade Standards of Secondary Midwifery Hospitals". Strengthen the quality control of obstetric medical records, strictly grasp the indications of cesarean section, strive to reduce the rate of cesarean section, improve the rescue organization, and the rescue equipment and drugs are on standby and have good functions. Ensure the safety of mother and baby.
On the whole, baby-friendly hospital management should be implemented, and bottles, pacifiers and milk powder should not enter the maternity ward. Early skin contact between mother and baby should be adhered to, and skin contact should be achieved 30 minutes after delivery. The early sucking rate is over 90%, the 24-hour sharing rate between mother and baby is about 95%, and the exclusive breastfeeding rate of newborns in the hospital is maintained at about 95%.
2, strengthen the work of prenatal outpatient service, do a good job in prenatal education, prenatal examination must be borne by doctors who have obtained the qualification certificate of practicing doctors. Health education on breast-feeding knowledge for pregnant women and their families requires staff to publicize breast-feeding knowledge seriously, educate every pregnant woman before, during and after delivery in time, and conduct registration management, requiring every pregnant woman to basically master breast-feeding knowledge.
3, strengthen the work of pregnant women's schools, pregnant women's schools are arranged as required, the environment is warm and comfortable, and efforts are made to broaden the teaching content, covering pre-pregnancy, early pregnancy, mid-pregnancy, late pregnancy, puerperium and newborn characteristics and health care knowledge, once a week in large classes, rolling cycle. The teaching forms are mainly interactive, illustrated with pictures and texts, audio-visual combination, role-playing, operation drills, prize-winning questions and answers, group discussions and case analysis. The form is lively, so that pregnant women can easily master the knowledge of breastfeeding.
Third, strengthen the implementation of breastfeeding measures.
1. In terms of hardware construction, the environment of hospitals and wards has reached a new level. The layout of relevant departments is reasonable, the rooms are clean and tidy, the colored lights are well ventilated, the wards are equipped with cribs, and the pregnant women school has multimedia teaching facilities. There are also teaching dolls and breast models to supplement. Do a good job in all aspects of baby-friendly hospitals.
2. Efforts should be made to implement the relevant systems of our baby-friendly hospital, such as ten measures to promote the success of breastfeeding, the international sales manual of breast-milk substitutes, and ten measures to consolidate our baby-friendly hospital.
3. Formulate breast-feeding retraining and training plan: In order to further standardize the management of baby-friendly hospitals, earnestly implement breast-feeding measures, formulate employee retraining plan and hospital-wide new employee training plan and organize their implementation, manage the qualifications of new employees in obstetrics and gynecology according to relevant requirements, and put an end to unlicensed posts. And adhere to 18 hours of pre-job training, only after passing the exam can they take up their posts, and other personnel will be trained for another 6 hours, so that all staff can flexibly use breastfeeding knowledge and reduce the defects of clinical breastfeeding work.
4. Efforts should be made to increase the publicity of breast-feeding knowledge: pregnant women and their families who come to our hospital can further grasp the benefits of breast-feeding, strive to create a baby-friendly atmosphere, strengthen the education of breast-feeding knowledge by using billboards, slogans, hospital websites, etc., post posters on breast-feeding in maternity wards and maternity clinics, and organize the masses to go to the streets for consultation. The pregnant women's school established by the hospital to publicize the knowledge of breastfeeding purchased multimedia teaching equipment to educate pregnant women, parturients and their families on breastfeeding. And distribute "breastfeeding" publicity materials, and use pregnant women's schools to teach and publicize breastfeeding knowledge regularly every month. The training coverage rate is required to reach 65,438+0,000%, so that the families of pregnant women who are trained can master the benefits of breastfeeding and related skills.
5, formulate effective supervision and assessment mechanism, the implementation of rewards and punishments. The baby-friendly management leading group is responsible for organizing monthly supervision and inspection, evaluating the implementation of various measures by means of on-site questions and questionnaires, putting forward rectification opinions, and implementing the corresponding reward and punishment system.
Fourth, strengthen the management of breastfeeding support organizations.
1, do a good job in systematic management of children, evaluate the growth and development of discharged infants, and give breastfeeding guidance.
2, actively carry out neonatal disease screening and hearing screening, neonatal disease screening rate, hearing screening to meet the requirements.
3. Transfer the health care card of discharged mothers to breastfeeding support organizations, and conduct regular postpartum visits to help solve the difficulties and problems of breastfeeding for pregnant women and ensure exclusive breastfeeding within 4-6 months. Set up a 24-hour breastfeeding hotline.
Work Plan of Baby-friendly Hospital in 2020 (II)
At the end of the year and the beginning of the year, xx Hospital developed steadily through various effective measures over the past year and achieved good results. On this basis, the hospital leaders, through comprehensive analysis and scientific budget, have formulated the guidelines and objectives for next year: the average monthly income of xx is about 300,000 yuan, and the average monthly obstetric production is 125. This is not just a few sets of numbers. As a department of the hospital-delivery room, to achieve this grand goal, we need to make greater efforts to make a more scientific and systematic work plan to ensure the smooth realization of the work goal.
First, strengthen the construction of delivery room team and build a professional technical team with excellent technology and first-class service.
Talent is a powerful guarantee to realize scientific management and ensure the smooth implementation of all work. Xx Hospital should be a first-class maternity hospital, and the delivery room, as a very important department, shoulders a vital responsibility. However, the delivery room has long been faced with problems that need to be solved urgently, such as shortage of talents, weak technical force and insufficient hardware facilities. To build a professional technical team with excellent technology and first-class service, in addition to the unremitting efforts of all the staff in the delivery room, it also needs the great attention and strong support of hospital leaders.
1. It will take about one year to add 3-4 midwives to the existing staff for professional training. Because of the unstable status of the existing staff in the delivery room, one is a medical worker who is studying in the delivery room and left the delivery room at the end of the month; A person is facing childbirth and may take a vacation at any time. There is a serious shortage of personnel. In addition, the work of delivery room is unpredictable, centralized, sudden and urgent, so it is absolutely impossible to complete all the work and services with good quality and quantity.
2. Delivery room staff actively participate in various business studies and professional skills training organized by the hospital, study time and credits are linked to bonuses, and rewards and punishments are assessed.
3. Strictly formulate and implement the study, assessment and examination plan, and conduct questions, assessments and examinations according to the study plan: business study lectures are held once a month (by turns), questions are assessed once a week, professional knowledge closed-book examinations are held once a quarter, and technical competitions are held once every six months. Test scores are linked to bonuses and wages. Those who fail to pass the exam will be deducted from the bonus of the current month (according to the specified number), and those who achieve excellent results will be rewarded in the current month (according to the specified number) as a reference for the annual salary increase.
4. Actively carry out activities such as comparison, learning, catching up and helping, and help those with high qualifications, good help skills and poor help skills. Compared with whose professional and technical level is high and whose service attitude is good; We should learn from colleagues who are enterprising and have good technical business, catch up with and surpass the advanced, and strive to be advanced. Make professional technology reach the first-class level and service quality reach a higher level.
5. According to the specific situation of delivery room tasks and midwives, optimize the combination of nursing forces, arrange shifts scientifically and reasonably, and strictly implement the post responsibilities of each class.
Second, actively develop new technologies and new businesses.
1, painless delivery has been carried out for three years and achieved good economic and social benefits. In the new year, painless delivery is still a focus of obstetric work. It is necessary to actively publicize and popularize painless delivery, carefully grasp the timing of painless delivery, especially for patients who induced labor in the second trimester, and ensure that everyone has no contraindications for epidural analgesia.
2.vip package was the top priority last year. In the new year, we should take the development of vip package service as the focus of delivery room work, vigorously publicize and promote pregnant women and relatives and friends who are in hospital, and fully tap vip customers.
Three, seriously study and implement the rules and regulations and operating procedures to ensure medical quality and medical safety.
1, quality and safety are the lifeblood of the hospital, always put medical quality and safety in the first place, and learn to assess 13 core systems and the responsibility process of each system every month; Strictly implement the principle of aseptic operation to prevent hospital infection; Seriously implement the "three checks and seven pairs" system and various operating procedures to prevent medical errors and accidents.
2. Improve risk awareness and self-protection awareness: always treat yourself as an obstetrician, put the safety of parturient and newborn in the first place, consciously improve your own quality and operational skills, carefully observe before, during and after delivery, and actively deal with them without leaving any doubts.
3. Seriously study and implement the clinical application principles of oxytocin, strictly follow the doctor's advice, master the contraindications and indications of oxytocin application, and prohibit the abuse of oxytocin.
4, strictly implement the three-level physician responsibility system, in case of abnormal situation timely report to the superior physician, not to deal with.
5, closely observe the labor process, timely find all kinds of abnormal situation in the progress of labor process, and timely assist the doctor to actively deal with.
6, according to the requirements of nursing department and obstetric quality management, formulate nursing work plan and organize its implementation in place, regularly or irregularly supervise and inspect the implementation of various rules and regulations, job responsibilities of each class and various nursing technical operation specifications, summarize and comment in time, and continuously improve the quality of delivery room work.
7, do a good job in the delivery room of all kinds of items, equipment and first aid supplies management, appoint someone who's in charge, ensure the supply, regular inspection, and make records.
8, the problems existing in the work, find and solve in time, medical accidents caused by technical reasons, find out the reasons in time, sum up experience, and learn lessons.
9, completes the medical records and medical records writing, strict standardization of medical records, it is forbidden to alter and misspell, to prevent undue medical disputes caused by carelessness.
Fourth, enhance service awareness and improve service quality.
As the saying goes, "Gold cups and silver cups are not as good as patients' word of mouth". In the new year, we should do a good job in the delivery room services, put the needs of pregnant women first, and provide services as needed.
1, vip package service: accompanied by a special person to provide life care, experts and senior midwives to follow up technical services, to ensure the satisfaction of vip customers 100%, and to make the hospital a vip brand.
2. The parturient who gives birth painlessly should do a good job of doula service, so that the parturient can truly feel the thoughtful and warm doula delivery service.
3, do a good job in maternal prenatal, intrapartum and postpartum life care, assist in eating and defecation, in addition to closely observing the progress of labor, but also closely observe maternal vital signs, regularly measure body temperature, pulse, breathing and blood pressure. Instruct the parturient to relieve pain and teach the parturient to exert reasonable force when the uterus is opened.
4, do a good job in the observation and nursing of newborns, check the newborn's breathing, complexion, urine and stool at any time, guide early breastfeeding, and do a good job in breastfeeding guidance and education.
5. Actively participate in all-staff marketing and develop potential income projects.
1. General practitioners go deep into the market, use their spare time to develop customers, contact family and friends around them, provide new customer resources, set their own numbers and indicators, and formulate reward and punishment systems.
2, actively formulate delivery room charges, for painless delivery of induced labor patients to timely labor analgesia, so as not to cause delays. Conditional can accompany the delivery, accompany the delivery. Do not miss the items that should be charged, so that every patient can charge strictly.
Six, do a good job of coordination between departments, employees and employees to coordinate the working relationship between undergraduate personnel and doctors, logistics personnel and other departments, communicate with each other, and get timely support and cooperation.
Seven, adhere to the 5s management.
1, 5s management has achieved remarkable results in the past year. Great changes have taken place in the overall appearance and personnel quality of the hospital, and the delivery room has ensured a neat, clean and beautiful environment in a limited room. In the new year, we should continue to do a good job in 5s management.
2. Do a good job in aseptic management of delivery room. In the new year, we should manage the delivery room in strict accordance with the operating room management standards, and prohibit other personnel from entering the delivery room. Relevant personnel should strictly implement the principle of aseptic isolation system when entering the delivery room, so that strict management is everyone's responsibility.
3. Do a good job in commodity management, take stock of commodities regularly, prohibit the waste caused by expired commodities, save ink and paper, and save water and electricity.
At the beginning of the new year, under the leadership and support of the dean, the nursing department and the director of the department, all the staff will go all out to successfully complete the hospital's policies and objectives, complete various work plans, conscientiously do all the work in the delivery room according to the proposed work plan, ensure the smooth realization of the work objectives, make greater contributions to the development of the hospital and make due contributions to the brilliant tomorrow of xx Hospital.
Work Plan of Baby-friendly Hospital in 2020 (III)
In order to further strengthen the management of baby-friendly hospitals, standardize obstetric and pediatric services, continuously improve the breastfeeding rate, gradually reduce the cesarean section rate without medical indications, strengthen quality and safety, and improve the health level of mothers and infants. This year's work plan is formulated as follows:
First, strengthen organizational management and consolidate the achievements of baby-friendly hospitals.
1. Due to personnel changes, the leading group, technical guidance group and (breast-feeding) quality inspection group of Baby-friendly Hospital were revised again, and the personnel organization met the requirements and the division of responsibilities was clear. Every year, the leading group meeting of 1-2 baby-friendly hospital is held to discuss and study the development of baby-friendly work in our hospital, list the management of baby-friendly hospital as the management goal of the whole hospital, strengthen supervision and assessment, form a long-term management mechanism, and make the work of baby-friendly hospital sustainable.
2. Seriously implement the breast-feeding and newborn safety management system in our hospital and the relevant regulations for protecting the health and safety of babies, and timely convey them to all medical staff.
3, obstetrics, pediatrics and related departments according to the evaluation standard of breastfeeding every month, respectively, for employees, pregnant women, maternity breast-feeding quality evaluation, and should have records and improvement measures, at the same time will check the feedback report to the baby-friendly hospital leading group.
4. Organize the implementation. WHO's ten measures to promote the success of breastfeeding, the international marketing code of breast-milk substitutes, the management measures for the sales of breast-milk substitutes, the neonatal safety management system of medical institutions and the ten regulations for promoting the success of breast-feeding in our hospital.
5. Display and post relevant laws and regulations in obstetrics and gynecology clinics, wards, waiting areas and public areas, publicize the success and benefits of breastfeeding, and update the relevant knowledge of breastfeeding in time.
6, it is strictly prohibited for medical personnel to sell and promote breast milk substitutes.
7. Incorporate the exclusive breastfeeding rate and non-medical cesarean section rate during hospitalization into the obstetric and pediatric medical quality management system and into the post responsibility target system of obstetric and pediatric medical staff, and check it once a month as one of the reference bases for performance pay.
Two, strengthen the management and technical training of baby-friendly hospitals.
1. Organize different forms of breast-feeding policy and knowledge training for all medical staff twice, and conduct theoretical written test 1 time. Conduct 18 hours of pre-job training on breastfeeding policy, knowledge and technology for newly assigned and newly transferred personnel and interns, and take up their posts only after passing the examination.
2, strengthen the professional training of medical staff in key departments, and conduct breast-feeding knowledge and retraining for staff in obstetrics, pediatrics, administration, logistics and other functional departments every year for not less than 3 hours. The staff of obstetrics and gynecology and pediatrics are tested on breast-feeding knowledge every quarter, and the obstetrics and gynecology department organizes a breast-feeding skill examination and a written test of theoretical knowledge every quarter.
3. Send personnel to participate in relevant academic activities and training courses of baby-friendly hospitals, learn new knowledge and technologies, and ensure that the professional and technical level keeps pace with the times.
Third, increase publicity so that all pregnant women and mothers know the benefits of breastfeeding.
1. Educate pregnant women about breastfeeding knowledge and skills through maternity clinics, midwifery clinics, schools for pregnant women and maternity wards.
2. After hospitalization, the nurse in charge should carry out breast-feeding knowledge and skills education.
3. Continue to run the school for pregnant women, and start classes twice a week. Experienced teachers teach the knowledge of pregnancy health care, prenatal health care, breastfeeding, postpartum health care, neonatal health care, etc., and strive to broaden the teaching content, requiring to cover the health education knowledge such as pre-pregnancy, early pregnancy, second pregnancy, third pregnancy, puerperal period, neonatal characteristics and health care, and rolling cycle.
4. Prenatal clinics and maternity wards introduce the knowledge and skills of breastfeeding to pregnant women, mothers and relatives through lectures, videos, CDs and brochures. Through the above publicity and education, 100% of pregnant women received breast-feeding education.
Fourth, help pregnant women to start breastfeeding within 1 hour after delivery.
1. Obstetricians help normal newborns to have skin contact and early sucking within 1 hour after birth for at least 30 minutes. In case of skin contact, make eye contact between mother and baby as required, and pay attention to keep the newborn warm.
2, formulate the system and measures to reduce cesarean section, obstetricians and midwives strictly grasp the indications of cesarean section, improve midwifery technology, and medical staff * * * do a good job in publicity and education of pregnant women to promote natural delivery.
Five, guide the maternal how to breastfeed, and maintain good lactation.
1. Incorporate breastfeeding guidance into routine nursing procedures, and conduct standardized breastfeeding guidance for parturients.
2. Through demonstration and guidance, the medical staff taught the maternal breastfeeding posture, newborn posture, milking/sucking method and breastfeeding method.
3. Instruct the separated mothers to start milking 6 hours after delivery, once every 3 hours, and each milking lasts for 20-30 minutes, not less than 8 times a day, and pay attention to milking at night.
Six, in addition to breast milk, it is forbidden to feed any food or drink to the newborn, unless there are medical indications.
1. Obstetrics clinics and wards take breastfeeding guidance as a routine work, and provide personalized breastfeeding advice and guidance for pregnant women.
2. Newborns with medical indications must follow the doctor's advice when adding formula milk, and record the medical indications and the times and times of using formula milk in medical documents.
3, mixed feeding newborns can add milk next to the milk or add milk with spoons and milk cups.
4. Formulate a management system for the deployment and use of breast milk substitutes, set up a milk distribution area, equip it with necessary equipment and materials, and complete the preparation of formula milk in the milk distribution area, so as to make it ready to use, clean and hygienic.
5. The bottle must be sterilized by one person, one for each use, and the three certificates of milk powder are complete. It must be purchased from the retail channel by a special person, with a shopping receipt and invoice. Do not accept gifts and sponsorship from breast milk substitutes production and business units, and strictly implement management and use procedures.
Seven, the implementation of 24-hour mother-infant sharing room.
1. Except for the separation of mother and infant with medical indications, the maternal and newborn stay together for 24 hours, and the time for bathing and treating the newborn every day does not exceed 1 hour.
2. Strengthen the training of obstetrical medical staff on the early symptoms of neonatal diseases, so that they can identify the early symptoms of neonatal diseases.
Eight, encourage breastfeeding on demand.
1, obstetricians and paediatricians understand the significance of on-demand feeding. There is no limit to the interval and duration of breastfeeding for newborns, and the effective sucking times should be no less than 8 times a day (including breastfeeding at night), so that mothers can understand the importance and methods of on-demand breastfeeding.
2. Strengthen the nursing and breast-feeding guidance for parturients undergoing cesarean section.
Nine, strengthen education, let pregnant women know the dangers of using bottles, pacifiers and pacifiers, and don't suck artificial pacifiers, pacifiers or pacifiers for breast-fed newborns. Encourage mothers with poor conditions to build up confidence and help them solve their difficulties.
Ten, promote the establishment of breastfeeding support organizations, the discharged to these organizations, and provide follow-up services.
1. Maternal health clinics should carefully fill in the Handbook of Maternal Health Care, and timely transfer the information of discharged women to primary medical units for postpartum visits, and continue to guide breastfeeding.
2. Set up breast-feeding consultation room in obstetric clinic to solve the difficulties and problems encountered in breast-feeding.
3, set up a breastfeeding hotline (xxxx), and inform the discharged women, keep the hotline open, and provide breastfeeding support services for discharged women.