In the year of 20 1x, pediatric nursing will focus on the work plan of hospitals and nursing departments. According to the evaluation standard of "second-class general hospital" and "Detailed Rules for Evaluation of Quality Nursing Service" (20 1x version), the main work focus will be to consolidate "second-class first-class hospital", promote quality nursing service and continue to carry out all the work of baby-friendly hospital. Now the plan is as follows:
First, further strengthen the quality of nursing service.
1. Continue to provide quality nursing services. According to the quality control problems found in the evaluation of "second-class first-class hospital" in August, 2065438 and the proposed rectification measures, we will implement them one by one and strengthen the implementation of the overall nursing responsibility system.
2. Continue to implement the work mode of holistic nursing responsibility system, with nurses in charge of children, consolidate basic nursing and provide comprehensive holistic nursing services.
3, according to the detailed rules for the evaluation of quality nursing service (20 1x version), regularly check the implementation of quality nursing service every month, carry out quality nursing group activities, and record them in time.
Two, strengthen the construction of provincial clinical nursing key specialty projects.
1, according to the nursing department "provincial clinical nursing key specialty project construction" implementation plan, earnestly implement the work.
Third, further improve the pediatric quality control management system.
1, the department continues to implement the head nurse-quality control team leader to control the quality of pediatric nursing.
2, to carry out the investigation on the distribution of nurses' nursing quality assessment in departments, and formulate the distribution methods of nurses' nursing quality assessment in departments.
3, formulate rules and regulations of pediatric nursing, especially the core system, nursing routine, nursing emergency plan training plan and implement.
Fourth, strengthen human resource management.
1, implementing the Nurses' Regulations. In the case of insufficient nurses, the department still implements flexible scheduling work mode for nursing human resources. According to the utilization rate of wards, the number of children admitted, the difficulty of nursing work, and the characteristics of specialties,
2. Implement the nurse classification management plan, strengthen the training of junior nurses, and conduct strict assessment management in strict accordance with the Handbook for Junior Nurses.
3, continue to promote the quantitative assessment of nursing work, the implementation of nursing workload, quality, patient satisfaction and nursing difficulty, technical requirements and other important performance assessment, and combined with the assessment, promotion and salary distribution of nurses.
Fifth, strengthen the quality control of pediatric clinical nursing and achieve the goal of continuous improvement.
1, improve the pediatric quality control management system.
2. Every month, the quality control team of each department uses PDCA management tools to carry out quality control activities every month.
3. According to the problems recorded in the nursing quality and safety briefing, analyze and rectify the reasons.
4, regularly carry out clinical critically ill patients nursing rounds; Implement the system of nursing case discussion and consultation.
5, strengthen the nursing rules and regulations, especially the nursing core system, nursing routine, operating procedures, nursing emergency plan to grasp and check the implementation.
6. Strengthen the quality management of neonatal intensive care unit according to the evaluation standard of secondary general hospital.
Six, strengthen nursing safety management, to ensure the safety of patients.
1, hold a meeting of ward nurses every month to analyze and rectify the problems existing in the department in time.
2, the establishment of non-punitive nursing adverse events active reporting mechanism, the symptoms of nursing adverse events, departments timely organize discussion and analysis every month, and formulate relevant corrective and preventive measures.
3. Implement safety target management for key patients, and the risk assessment rate of patients at admission should reach 100%.
4, regular nursing safety warning education for all nursing staff.
5. According to the statistics of 20 1x pediatric nursing adverse events, give safety warning education to the problems that are easy to occur in the department.
Seven, strengthen on-the-job training, improve the professional quality of nursing staff.
1, formulate the training plan of "three basics" and "three strictness" nursing theory and operation skills, and conduct implementation assessment according to the plan.
2, regularly carry out the theory and technology of critical care patients, critical care routine and technical specifications, workflow and emergency plan training and assessment.
3. Regularly carry out the training and assessment of common clinical nursing techniques: strengthen the training and assessment at all levels in accordance with the regulations on graded management of nurses.
4. Strengthen the induction training for junior nurses and new nurses.
5. Organize department nursing courses 1-2 times a month, not less than 12 times a year.
6, regularly carry out business rounds, nursing case discussion, nursing consultation, strengthen the integration of theory with practice.
7. It is planned to send 1 ~ 2 nursing backbones to the superior hospital for further training of newborn nurses and children's digestive nurses.
Eight, adhere to the "patient-centered", improve the satisfaction of nursing service.
1, through various forms of learning and activities, strengthen the education of nurses' communication skills, active service awareness, quality awareness and safety awareness.
2. Hold a symposium on nurse-patient general holidays regularly every month, carry out health knowledge education, listen to patients' opinions, and implement convenience measures.
3. Issue satisfaction questionnaires to patients, conduct surveys on the satisfaction of doctors and nurses with nursing work, and go deep into departments to actively listen to the opinions and suggestions of doctors and nurses on nursing management.
4, patients discharged from hospital phone call back every month.
5. Pay attention to the training of nurses' daily etiquette, standardize nurses' service behavior and nursing operation language, and cultivate nurses to establish a good professional image.
Nine, to further strengthen the nursing work of "baby-friendly hospital"
1. Strengthen the "baby-friendly work" training for nursing staff.
2. Strengthen breast-feeding health education.
3. According to the Detailed Rules for the Evaluation of Baby-friendly Hospitals (version 20 1x), conduct special inspections on the implementation of baby-friendly services on a regular basis every month, timely supervise, carry out group activities and record them.
Ten, do a good job in teaching and scientific research.
1. Strictly implement the intern management system, check the quality of teaching, assign nurses above N2 level to be responsible for interns' teaching, and the head nurse is the general teaching teacher, pay attention to the quality of teaching, arrange lectures for departments, and make a good assessment.
2. Enhance nurses' awareness of scientific research and strive to introduce or develop new technology projects 1 ~ 2 during the year.
extreme
In the new year, the new starting point is 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 propose corrective 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. , the implementation of flexible scheduling system, reasonable collocation of old, middle-aged and young people on duty, and pay attention to cultivate nurses' cautious spirit when they are on duty independently.
3. Strengthen the management of key sick children, such as critically ill children in the intensive care unit and critically ill children in the general ward, take the above children as the focus of discussion at the morning meeting and the meeting, 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 potential safety hazards. 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 duties of each class, change the shift arrangement mode, refine the work flow of each class, find out the weak links, clarify the division of nursing, and strive to make the new duties 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, by the responsible nurse every day according to the department of common disease treatment and nursing routine, special diet, disease.
Precautions in prevention and medication, detailed instructions for patients, health education and rehabilitation guidance for patients, and psychological care.
2. Hold a nursing meeting 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.
Tisso
Pediatrics is a young team full of energy, love and hard work. With the correct leadership and strong support of leaders at all levels in the hospital, pediatrics has developed rapidly and all work has reached a new level. In the new year, in order to implement the service concept of "caring for life and family" in our hospital, we actively responded to the "quality nursing service project" carried out by the Ministry of Health. Accelerate the pace of pediatric development and comprehensively improve the level of pediatric nursing. The nursing work plan for 20 1x years is specially formulated:
Strengthen nursing quality management. Continuously improve quality to ensure clinical safety
1, improve the evaluation standard of nursing quality. Further refine and quantify the assessment indicators.
2. Give full play to the role of the quality management team. Set up a first-class nursing quality management team headed by the head nurse. Two head nurses' assistants conducted irregular inspection and evaluation. Timely feedback the examination results and put forward rectification measures, as the basis of personal reward and punishment assessment, and continuously improve the quality of nursing.
Strengthen the on-the-job education of nursing staff and improve the level of specialized nursing.
1, each department formulates detailed training and assessment plans and implements them. The contents are: various operating techniques, the use methods and adverse reactions of commonly used and first-aid drugs, the nursing routine of common diseases, the first-aid of critical diseases, the hospital knowledge and core system, etc.
2. Create a strong learning atmosphere. Set off a struggle to be a "learning nurse" among general nurses. "Keep pace with the times and start with me!" In order to meet the learning needs of nurses with different titles and seniority, the department has formulated a professional learning plan for nurses with 1 year, 3 years and more than 5 years, and insisted on asking questions twice a week in the morning. (no more than 15 minutes) Send technical experts to train, guide and assess the basic operation of general nurses. Promote everyone to learn. This set up a platform for general nurses to absorb new knowledge and information.
3. Continue to strengthen the training of specialized nurses. According to the plan, nurses will be sent to higher-level hospitals in turn for further study and various short-term training courses, and nurses will be encouraged to participate in continuing education. Let our nursing level keep pace with the times, reach the standards of tertiary hospitals, and ensure the stability of specialized nurses.
4.PICU is an unaccompanied ward, and all treatment and nursing are done by nurses. For the cure and rehabilitation of children, a nursing team with exquisite business, comprehensive knowledge and strong emergency ability is extremely important. Departments organize risk plan drills every quarter to improve nurses' emergency response ability. Strengthen the study of pediatric first aid technology and new progress, so that everyone can be admitted.
Third, establish the service concept of "patient-centered" and improve the service quality.
1, the service concept and humanistic care of "caring for life and family" in our hospital are integrated into the child care service. Cultivate nursing staff to establish the concept of "patient-centered", with the patient's voice as the first signal, the patient's needs as the first need, the patient's interests as the first consideration, and the patient's satisfaction as the first standard. Strengthen the consciousness of active service, quality and safety, improve the communication skills between nurses and patients on the basis of further standardizing nursing operations, promote the improvement of nursing quality and ensure the safety and effectiveness of nursing work.
2. Pay attention to the collection of nursing service demand information, obtain patients' demand and feedback information by understanding the opinions of follow-up, talking with inpatients, issuing satisfaction questionnaires, etc., often listen to doctors' opinions and put forward improvement measures in time, at the same time encourage nurses to work, mobilize their enthusiasm, and achieve real active service in thought and action. Apply the service concept of "serving with heart and creating emotion" to practical work. Enhance nurses' sense of responsibility, promote nursing work closer to patients and close nurse-patient relationship.
3. Continue to provide etiquette services in this department. General nurses carry out Putonghua service, so as to achieve standardized appearance, light makeup and warm service. The leader of the code of conduct randomly checks the etiquette service into the personal quality assessment of nurses to improve the overall quality of nurses. At the same time, strengthen health education, let parents understand and trust medical staff, and promote the harmony between doctors and patients.
Fourth, strengthen the management of hospital infection and reduce the hospital infection rate.
1, formulate and improve the department hospital infection management and disinfection and isolation system, to achieve continuous improvement.
2. The hospital feeling quality controller will check the hospital feeling work of the whole department from time to time, and the head nurse will conduct spot checks. Find problems and solve them in time and blame them on others.
3, regular training and assessment of hospital awareness knowledge, enhance the hospital awareness of nursing staff, strictly implement the operation process and disinfection and isolation system.
4. Strengthen the management of disposable articles. Strict implementation of medical waste disposal regulations.
Fifth, strengthen nursing safety management to prevent mistakes and accidents.
1. Strengthen the management of emergency medicines, articles and equipment, strictly implement the distribution system, and maintain a good emergency state. The head nurse insisted on "five checks".
2, strictly implement the operating procedures and the implementation of the core system.
3. Strengthen the management of nursing defects and strictly implement the management system of errors and accidents.
4, the nurse personal assessment timely registration, monthly summary and publicity, the implementation of the reward and punishment system.
5. Make clear the person responsible for the mistake, analyze the reasons, discuss the preventive measures, and implement the rectification measures in time to prevent similar mistakes.
6. Strengthen the study of legal knowledge and enhance legal awareness. Standardize nursing behavior.
Do a good job in teaching and scientific research
1, the department selects a teaching leader who will be fully responsible for the teaching work in the department.
2. Develop training courseware for post, internship and advanced trainers. Organize study and assessment in a planned way.
3. Hold a teaching forum once a month to solicit your opinions, constantly sum up experience and improve the teaching level.
4. Enhance scientific research awareness and actively write papers.
Strengthen the management of departmental property, equipment and consumables.
1. Valuable equipment shall be kept by special personnel and regularly inspected and maintained.
2, all kinds of goods management, quarterly inventory registration.
3, all kinds of consumables personnel management, weekly inventory and will receive the consumables expenditure published in time, so that everyone knows, put an end to waste, open source and reduce expenditure.
Article 4
In 20 1x years, with the care and support of hospital leaders at all levels, the environmental facilities in pediatric wards have been greatly improved. In the new year, with the improvement of department conditions, higher requirements are put forward for nursing work. According to the 20 1x annual nursing work plan of the nursing department, combined with the actual work of our department, the 20 1x annual pediatric nursing work plan is formulated as follows:
First, continue to carry out quality nursing services.
1, organize all nursing staff to learn the detailed rules for the evaluation of high-quality nursing services, find out the gaps according to the evaluation standards, do a good job of implementation, and improve and improve nursing services.
2, according to the requirements of nursing department for nurses' cultivation and etiquette norms, strengthen service consciousness. Adhere to the dress ceremony before going to work, and carry out the "hello" that starts from me and starts from people around me. Keep nurses clean, elegant, dignified and generous in their work, and lay a good foundation for providing comfortable services to patients.
Second, the implementation of the overall nursing responsibility system, improve clinical nursing service:
1, try to carry out responsibility system holistic nursing, standardize nursing procedures, improve the quality of holistic nursing records, enrich the content of health education, and better carry out holistic nursing for children.
2. Organize pediatric study, be familiar with the etiology, pathology and pathogenesis of related diseases, and enrich the contents of health education. The responsible nurse went deep into the ward, strengthened the health education for the children's families, improved the problem-solving ability by using nursing methods, and promoted the children's early recovery.
2. Let experienced old nurses give lectures to new nurses and impart holistic nursing experience. When the concept is vague, let's discuss and solve the problem together.
3. Organize a teaching ward round once a month, analyze the existing problems and put forward improvement measures.
Third, pay attention to the quality training of nursing staff.
Based on Basic Nursing (5th Edition), we continue to learn professional knowledge. Strengthen the training of eleven nursing skills and first aid ability, improve nursing quality, and cultivate a nursing team with excellent professional skills and high quality.
1, make a training plan for 20 1x years, and take nurses with outstanding professional ability in the department as training teachers. Strengthen eleven nursing techniques, improve the success rate of scalp venipuncture in children, strengthen the legal awareness of nursing staff, strengthen the legal concept, organize and learn relevant legal knowledge, and apply it flexibly to work. Encourage nurses to study by themselves and make good reading notes.
2, senior nurses to strengthen emergency and first aid ability training. Set an example for junior nurses in their work, set an example and carry forward the fine style of unity and cooperation in pediatrics.
3. Praise and reward the nurses who have achieved excellent results in previous assessments, stimulate the enthusiasm of nurses to love their jobs and provide better care services for children.
Fourth, strengthen basic nursing and standardize work order.
1, strictly implement the disinfection and isolation system. Wash your hands before each operation; Do a good job in daily air disinfection in treatment rooms and wards to prevent iatrogenic infection.
2, do a good job in morning and evening care, basic care in place. Keep the bed clean and tidy, and the environment is warm and comfortable.
3, cooperate with the nursing department to do a good job of monthly nursing quality inspection, night rounds, business rounds and other systems.