Chapter 1: Summary of Obstetrics and Gynecology Nursing Work 1, Obstetrics and Gynecology Nursing Work Plan
A year is fleeting. Looking back on this year's work, there are many gains and many shortcomings. Summing up experience, drawing lessons, combining with the actual situation of the department and the requirements of the nursing department, we now make a 20xx nursing plan:
First, continue to strengthen the detailed management and hierarchical management of nursing staff to ensure nursing safety. In 20xx, the performance appraisal system will be strictly implemented, the competition system for the responsible team leader will be implemented, the quality control work will be divided into personnel, and the responsibility will be implemented to people, so as to give full play to the role of the responsible team leader and the responsible nurse, strengthen inspection in daily work, increase the self-management ability of each class in the department, and standardize the management of the department.
The second is to strengthen business study, update knowledge, expand service connotation and increase economic income. Make a midwife training plan, focus on training midwives to observe the labor process and judge dystocia, increase the observation records of labor process in nursing documents, record the progress of the whole labor process in detail, improve the midwife's ability to observe and handle abnormal labor process, and organize all nurses to study the nursing of common and critical diseases in our department, and organize nursing rounds for critically ill patients in time; Strengthen the training of new businesses and technologies, strictly implement the access system, and improve the theoretical and operational capabilities of the whole department.
Third, strict disinfection and isolation to prevent hospital infection.
1, management of delivery room and neonatal room: delivery room and neonatal room are the most important things to prevent hospital infection. Midwifery class personnel implement weekly shift system, and the head nurse is responsible for overall quality control. Strict disinfection and isolation and goods handover management, strengthen hospital infection control and monitoring. Through inspection and supervision, the management of delivery room and neonatal room has been comprehensively improved, and all kinds of nursing quality control and management have been completed.
2, standardize medical waste disposal, strict disinfection and sterilization. And do a good job of registration.
3. Strengthen ward management, strictly implement disinfection and isolation system, disinfect the wards of maternal and infant roommates and patients with fever every day, and do terminal disinfection on the day of discharge to prevent cross-infection.
Fourthly, strengthen nursing safety management and practice teaching strictly.
Practice teaching is an important part of nursing safety management. Implement one-to-one teaching mode for interns and advanced students, strengthen labor discipline management, make study plans, take regular exams for changing disciplines, conduct surveys on interns' satisfaction with teachers, and select the most satisfied teachers in the year.
Fifth, the morning meeting nursing class should hand over the manuscripts to improve the nurses' mastery of patients' "ten knowledge" and language communication ability.
Six, continue to carry out high-quality nursing services, constantly expand the connotation of services, increase the content of high-quality services, and improve the quality of services.
Quantity. Continue to provide the first step of delivery for newborn babies free of charge, do a good job in health education of postpartum breast care and neonatal care, carry out traditional Chinese medicine nursing operation technology, meet the reasonable needs of patients as much as possible, solicit opinions from patients regularly, improve service quality, and provide a satisfactory medical environment for patients' families.
Seven, strengthen the management of medical equipment, the responsibility of emergency medical equipment to people, put the equipment in each area to designate a person responsible for management, maintenance, regular inspection and maintenance, to ensure that each equipment is in a good standby state, to achieve the greatest economy of medical equipment; Strengthen the management of emergency medical devices, assign special personnel to be responsible for them, place them at fixed points, disinfect them regularly, check and maintain them regularly, and stand by at any time.
Eight, strengthen health education and postpartum visit. In 20xx, the department will record scientific and educational films such as Breastfeeding and Neonatal Care, and play them in the ward. At the same time, daily work should cooperate with education, guide treatment and nursing at any time, and seize every opportunity to do education well. Midwives are responsible for calling 15- 40 days after delivery to learn about postpartum recovery and breastfeeding, and urge the parturient to come to the hospital for follow-up visit and family planning guidance 42 days after delivery.
Nine. Offering lectures on maternal knowledge: The "quasi-mommy class" is scheduled to start on October 4th, 20xx, and will be taught by experienced doctors and midwives in the department. Teaching methods include lectures, demonstrations, question-and-answer interaction and study tours. And solicit opinions and suggestions extensively to adjust the teaching content and meet the needs of prospective fathers and expectant mothers for health care knowledge.
Ten, standardize the fees, carefully study the charging standards, the price controller and the head nurse of the department should do a good job of checking the fees charged by the department, do a good job of not leaking fees, resolutely refuse to charge fees that should not be charged, and do a good job in the management of reasonable fees.
Chapter 2: Summary of Obstetrics and Gynecology Nursing. In the first half of 20xx, under the leadership and support of hospital leaders, our team entered a brand-new field and worked smoothly. With the care and help of hospital leaders, it has been perfected and matured; With the support and cooperation of relevant departments, the parturient has recovered through our treatment. The work in the past six months is summarized as follows:
First, strict ideological style.
Based on the tenet of "all for patients, all for patients", cultivate team consciousness and advocate the spirit of cooperation.
Second, strengthen the awareness of learning.
Nurses mature as soon as possible through various studies, become technical backbones, and work hard on talent training.
1, organize business study every week and keep learning records.
2. Take the exam once a month.
3, found the problems in the work, timely summary, discussion, put forward the rectification plan, draw lessons from experience.
Third, cooperate with the hospital work and increase publicity.
1. Provide lectures and distribute brochures to pregnant women's schools.
2, outpatient prenatal examination, timely guidance, early infiltration.
3. During hospitalization, notify the outpatient clinic for reexamination 42 days after delivery during treatment. Women who think that they have not recovered well are treated in time and fully recovered.
4. Actively participate in various activities organized by the hospital. In the large-scale activities of "elegant demeanor of expectant mothers", the activities of "bodybuilding lottery" and "bodybuilding I have confidence" were launched in time, which improved the transparency.
5, cooperate with the women's health department to complete the postpartum rehabilitation guidance materials; The questionnaire of postpartum rehabilitation service items was improved.
Fourth, pay attention to communication and friendly exchanges.
Do a good job in their psychological counseling in physical pain, psychological suffering and social role transformation. Help them build up their self-confidence and adjust in time, effectively avoid the occurrence of postpartum depression, and improve the quality of life of women and their families.
Five, actively promote and guide breastfeeding.
Successfully treated dozens of cases of postpartum mammary duct obstruction. It was well received by patients and their families and sent a thank-you letter. At the same time, it also effectively shared the work of clinical nurses and enhanced our friendship.
Sixth, pay attention to the improvement of personal accomplishment and the dignity of gfd.
Be sure to dress neatly, put on your hat and put it on the list when you go to work. Operating norms and civilized terms. Establish equal and harmonious doctor-patient relationship with patients. There were no disputes and medical errors throughout the year.
Seven. existing problems
1. Missionary work still lacks necessary professional knowledge.
2. Communication and exchange need to be strengthened.
3. Individual nurses don't have a strong concept of sterility.
Eight, the future direction
1. Strengthen the study of humanistic knowledge and improve the comprehensive quality of nurses. Organize learning to serve etiquette culture and strengthen the consciousness of modern nursing culture.
2, update professional theoretical knowledge, improve the level of professional nursing technology and education ability.
3. Strengthen theoretical study, update management concepts and skills, and cultivate humanistic spirit in service. Do a good job in emotional communication and exchange with everyone.
4, do a good job in management target assessment.
5. Strengthen the process control of treatment quality to ensure the safety and effectiveness of treatment. Make patients comfortable, make their families satisfied, and make society recognize them.
Chapter III: Summary of Obstetrics and Gynecology Nursing Work. In the past 20xx years, with the correct leadership of hospital leaders and the joint efforts of medical staff, the obstetrics and gynecology department has comprehensively promoted and improved the overall level of medical nursing work in accordance with the standards of delivery quality management and continuous improvement in "Dimethyl" specialized hospitals. The work of our department in the past year is summarized as follows:
First, standardized management and departmental management
This year, our department has improved various rules and regulations and emergency rescue procedures around the requirements of obstetric standardization construction, greatly strengthened the quality control management of departments, and more effectively guaranteed medical safety, with no mistakes and accidents throughout the year. Specifically, the following work has been completed:
1, according to the standardized requirements and expert guidance, implement the delivery quality management requirements one by one and formulate various rectification measures, and establish and improve the delivery risk early warning system, pre-cesarean section evaluation system, emergency cesarean section grading management system, mother-to-child blocking system, newborn safety system, placenta handling system, etc.
2. Various processes have been established and improved, such as the rescue process of neonatal resuscitation, postpartum hemorrhage, eclampsia, amniotic fluid embolism, labor intervention process, mother-to-child blocking process, etc.
3. Further strengthen the implementation of the fifteen core systems; Do service standardization, operation standardization and quality standardization. Obstetrics and gynecology is a high-risk medical clinical department, and the work responsibilities and professional skills of medical staff are related to the health and life safety of two generations. Therefore, it is necessary to establish a medical safety responsibility system in departments, from department directors to head nurses. The department set up a quality management team headed by the director of the department to strictly implement the rules and regulations, operating procedures and quality control standards of medical care management. Conduct a comprehensive inspection of medical quality once a month, pay attention to medical safety every day, insist on training professional knowledge, first aid knowledge and technical operation every week, and strengthen the sense of responsibility and first aid. Ensure the safety of patients seeking medical treatment and prevent the occurrence of medical disputes;
4. Improve the potential training of obstetric emergency, strengthen the level of medical operation skills, strengthen the professional strength of obstetrics and gynecology and the construction of hardware facilities, make the layout of departments more reasonable, complete first-aid articles and medicines, and maintain the functional status, especially the application of tracheal intubation and simple ventilator, which effectively improves the comprehensive strength of obstetrics. In addition to participating in the study organized by the hospital, our department also focuses on obstetric first aid, such as obstetric hemorrhage, pregnancy-induced hypertension, pregnancy complicated with heart disease, amniotic fluid embolism, neonatal asphyxia resuscitation, cardiopulmonary resuscitation and other skills, so as to comprehensively improve the coordination potential of first aid, ensure the safe delivery of high-risk pregnant women, effectively reduce maternal death and neonatal death, and ensure medical safety. In addition, I studied the indications, preoperative evaluation, postoperative monitoring and health guidance of cesarean section. The non-medical indications of cesarean section were zero, and no complications occurred. In particular, the diagnosis of AIDS, syphilis and hepatitis B in pregnant women and the mother-to-child blocking work were strengthened, and the mother-to-child blocking process was improved, and the blocking level of our department was greatly improved;
5. Do a good job in grading management of surgery, unify the standardized operation of surgery, strengthen postoperative monitoring, reduce surgical complications, improve the quality of surgery, and have no surgical complications throughout the year. According to the requirements of standardization, the hospital infection work in our department has been greatly improved this year. Regularly study the knowledge of hospital infection, and interview the directors of various departments about hospital infection. Especially the mother-to-child isolation of pregnant women with AIDS, syphilis and hepatitis B, the disinfection and isolation of blood pollutants and surgical instruments. At the same time, do a good job in aseptic operation of delivery room and operation, do a good job in disinfection and isolation training of infectious diseases, find problems at any time, solve problems at any time, put an end to the possibility of medical errors and accidents in the bud, and no medical accidents and errors will occur all year round.
Second, the department of medical work
1, x inpatients and x outpatients; X hospital operations, X hospital deliveries and X painless induced abortions;
2. In the aspect of systematic management of pregnant women, we should implement the responsibility system of tracking management of pregnant women throughout the whole process, carry out early detection, early diagnosis and early card building for pregnant women, conduct regular prenatal examination, carry out project management for high-risk pregnant women and make various records. Timely report the monthly report, quarterly report and year-end summary of maternal system management, with complete items and accurate figures;
3, in the work of maternal and child health care, to carry out health education and women's disease survey, timely and accurate reporting of data and information.
Third, the construction of medical ethics.
Over the past year, we have strengthened the construction of spiritual civilization, courtesy and medical ethics in our departments, conscientiously studied and implemented the provisions on clean medical practice, earnestly studied various legal knowledge, and educated everyone to love their jobs, stick to their posts and not be afraid of infection. After the patients with hepatitis B and syphilis were rejected by other hospitals, they did not shirk their responsibilities, regardless of personal gains and losses, and completed the mother-to-child blocking work and other medical work of pregnant women with infectious diseases with high quality; And sympathize with, care for and be considerate of pregnant women suffering from infectious diseases, patiently explain the illness and related precautions for patients and their families, and relieve the pain for patients with the best treatment plan. Department personnel repeatedly refused to open all kinds of false certificates and false inspection results. Adhere to strict requirements, strict organization and strict working attitude, and implement them in daily work.
Fourth, the shortcomings in the work and countermeasures
1, patients' requirements for medical quality and the quality of medical staff are constantly improving, which is an urgent problem for us to solve when dealing with customers, regardless of the management and service quality of departments;
2. Obstetric pregnancy complications and pregnancy complications are increasing gradually, which makes medical risks and diagnosis and treatment difficult. It is particularly important to prevent medical hidden dangers and improve medical level;
3. The doctors and nurses in our department are young and lack of work experience, so they don't evaluate the condition when dealing with critical patients. In the future, they must strengthen professional study, organize discussions on related critical cases, including discussions in other hospitals, sum up experience, improve various diagnosis and treatment routines, clarify the standardized use of commonly used rescue drugs, and gradually form their own mature rescue procedures and common management and diagnosis and treatment routines for critical patients, pregnancy complications;
4. Require medical staff to engage in clinical work with high professional level, moral cultivation and social responsibility.
Over the past year, through the joint efforts of general practitioners, all the tasks of the department have been successfully completed, but there is still a big gap between the quality of work and the requirements of the hospital. In the new year, we should change our ideas, increase the study of business theory and appropriate technology, improve the quality of work, work in a down-to-earth manner, and complete the tasks of the undergraduate course and the mandatory tasks temporarily assigned by the leaders with high standards.
Chapter IV: Summary of Obstetrics and Gynecology Nursing Work Summary of Quality Nursing Service in Obstetrics and Gynecology in 20xx. Under the leadership of the nursing department and department directors, all nurses keep in mind the service tenet of "patient-centered", consolidate basic nursing, solidly promote quality nursing service, and make continuous progress towards the goal of "patient satisfaction, social satisfaction and government satisfaction", taking quality service as their unshirkable responsibility and obligation, and deeply understand the patient's psychology and condition in the ward. Through the development of quality nursing service, As long as you go deep into the ward and find any problems that need to be solved in the patient's life or nursing, you will deal with them in time and solve them in place. Part of the work done in the "Quality Nursing Service" activity in our department for 20xx years is summarized as follows:
I. Guiding ideology
Department leaders attach great importance to it, repeatedly emphasize the determination and importance of promoting quality nursing service, and organize the formulation of quality nursing service work plan. Deepen the service concept of "patient-centered", take improving the professional quality of nurses and optimizing nursing service as the theme, and strive to provide seamless, continuous, safe, high-quality and satisfactory nursing service for patients.
Second, clear thinking, conscientiously implement the work.
Establish and improve nursing rules and regulations, work norms and job responsibilities. Ensure the basic quality and safety of nursing.
Third, earnestly implement all the work.
1, conscientiously implement high-quality nursing service, issue satisfaction questionnaires, let patients and their families know the content of basic nursing work, and accept the supervision of patients and society.
2. The nurses shall be managed at different levels, and the patient-centered personnel organization structure and nursing division of labor shall be implemented according to the ability of nurses, the patient's condition and the nursing workload. Each group of nursing staff shall be responsible for people according to the patient's division of labor. So that the nursing work can really provide patients with holistic and continuous nursing services that meet the needs of patients.
3, the reform of nursing scheduling mode: according to the characteristics of department disease nursing, centralized nursing time,
The working ability of nurses, etc. Advocate flexible scheduling system to ensure the implementation of basic nursing work and ensure the continuity and quality of nursing work.
(1) Ensure adequate allocation of nurses during intensive care.
(2) Ensure the quality and safety of nursing in weak period.
4. Strictly implement basic nursing: such as cutting nails and combing hair for patients and integrating health education into basic nursing, which not only strengthens basic nursing, but also enhances the relationship between nurses and patients.
5. The responsible team leader shall check the basic nursing work of the class per shift, and the head nurse shall check it irregularly to find out the existing problems, analyze the reasons and put forward improvement measures.
Fourth, enhance the connotation of high-quality nursing service and formulate some new service measures, so that patients can truly feel our medical services and taste our high quality. For example:
1, carry out telephone return visits for discharged patients.
2. Hold a public holiday meeting once a week.
3. Provide convenience service box for patients.
4. Send a cup of brown sugar water to the parturient.
5. Implement bedside care and neonatal touch.
6, in order to improve the professional quality of nurses, a nursing ward round every quarter.
7, combined with the characteristics of obstetrics and gynecology work, formulate illustrated health guidance manual.
8. In order to improve the breastfeeding rate, it is necessary to do a good job of early contact and early milk opening.
Five, the establishment of supervision mechanism, and constantly improve the quality of service.
1, set up patient suggestion book and contact telephone number to listen to patients' opinions in time.
2. In the satisfaction survey of inpatients, the satisfaction of patients can reach more than 95%.
Chapter V: Summary of Obstetrics and Gynecology Nursing Work In the past 20xx years, with the care and support of hospital leaders, the efforts of all medical staff in the department, and the solidarity, cooperation and support of various departments, the construction and development of the department, as well as social and economic benefits, have achieved certain results, which are summarized as follows:
I. Ideological construction
All medical staff in obstetrics and gynecology strictly abide by the management spirit of higher authorities and hospitals, adhere to the leadership ideology of serving the people wholeheartedly, maintain leadership, actively participate in various political activities, abide by hospital rules and regulations, and gradually improve the rules and regulations in departments and the responsibilities of staff at all levels. There were no major medical accidents, mistakes and major medical disputes caused by staff responsibilities.
Second, medical work.
Strictly implement the instructions of the superior health administrative department on medical quality, medical safety and baby-friendly hospitals. , and strictly abide by national laws and regulations. The health administrative department at the higher level visited the hospital many times, and affirmed all the work of our department, especially the implementation policy of family planning. And was praised and encouraged by superior leaders. Good professional ethics and professionalism have been the tradition of obstetrics and gynecology for many years. In strict accordance with the relevant regulations of the hospital "no red envelope hospital", it does not accept red envelopes and is well received by patients.
Third, strengthen the study of theoretical knowledge.
In order to improve the professional level of medical staff in the department and continuously strengthen the study of business theory, medical staff in the department are often arranged to attend academic conferences, training lectures and classes held inside and outside the hospital, listen to academic lectures by experts and scholars, broaden their horizons and expand their knowledge. Adhere to the new theory and technology to guide professional work, train young doctors to master the diagnosis and treatment technology of common diseases, frequently-occurring diseases and difficult diseases in obstetrics and gynecology as soon as possible, and independently complete common operations in obstetrics and gynecology and various family planning operations as soon as possible.
Four. Work arrangement for 20xx years
1, considering the needs of department development, gradually straighten out the professional level of departments, train young doctors to go out for further study in a planned way, residents to go out for further study in batches in a planned way, lay a good foundation, and attending doctors to strengthen their study;
2. Improve the technical level of midwifery technology through learning and teaching, and train midwives in a planned way;
3, to strengthen the continuing education of this major, once a month to master new knowledge in the department, broaden their horizons, and can insist on using new theories and technologies to guide business work. Improve the overall level of undergraduate course;
4. With the cooperation of the Propaganda Department of the Institute, further explore the market, strengthen marketing efforts, go deep into communities, towns, factories and mines in a planned way to engage in free clinics and treatments, carry out women's census work, and hold regular lectures on women's health care knowledge;
5. Further strengthen the coordination between the outpatient department and the ward, enhance the team spirit of the department, strengthen the service concept, and do a good job.
Obstetrics and Gynecology is a young, energetic, passionate and cooperative team. All medical staff strictly follow the requirements of the Medical Record Writing Standard, and the overall level of medical record writing has been greatly improved. No B-level medical records. Over the past year, the medical staff in the department have done a lot of good things. Young people are eager to learn. In the case of shortage of personnel, they are conscientious about the work of the department, obey the arrangement of the leaders, work overtime and have no complaints. Improve the professional level, service concept and teamwork spirit of young people. In the new year, we will continue to develop our advantages and make efforts to make up for the shortcomings in our work and bring them to patients.