Work plan of general surgery in 2023 1 20xx. Under the leadership, help and guidance of hospital leaders, nursing directors and head nurses, we mainly did the following work.
A, ward nursing management
Come to work in general surgery for one year, study X professional knowledge hard, and overcome the shortcomings in business. When the rescue and ward staff are nervous (such as holidays), they can take the lead and directly participate in patient care.
According to nursing quality standards, establish various work routines. Monitor and record all kinds of quality indicators, and improve them in time if any deficiencies are found. Use the quality improvement method of xx to implement the xx project in the whole hospital, give full play to the enthusiasm of nurses, improve the management of deep vein, promote the standardization of patient evaluation, improve the health education of patients, and improve the standardized implementation of the handover system. Promote standardized records of medical records, conduct regular inspections, and feed back the inspection results to relevant nurses in time to help nurses improve the standards for handling, reporting and discussing xx events.
Second, personnel management.
In 20xx, this floor received X newly transferred comrades and xx new comrades who took part in the work. All of them were able to arrange standardized pre-job training for departments and give serious teaching and guidance, so that new nurses could adapt to work as soon as possible.
In 20xx, according to the requirements of the Ministry of Nursing Education, on the basis of collecting the education needs of nurses in departments, * * * arranged nursing rounds for xxx times and arranged xxx class hours for business study.
In the aspect of employee motivation, through the combination of continuous nurses' timely evaluation feedback and quarterly evaluation, nurses can be helped to continuously improve their work, praise good behaviors in time and promote a good working atmosphere. By means of authorization, nurses are encouraged to participate in department management, and almost every nurse is directly responsible for a new department management content to stimulate nurses' work enthusiasm. Support and encourage nurses to continue their studies. There are nurses who carry out continuing education with academic qualifications. As head nurses, they try to make the work arrangement convenient. At the same time, nurses are encouraged to learn English, and the department organizes Professor Qi to give lectures to help nurses improve their English. In the absence of teaching, we can give full play to the enthusiasm of department nurses and undertake the teaching work of students together. Various small lectures have won the praise of students and improved the teaching ability of nurses in the department. Arrange nurse xx to go out to work in class X.
Third, the work management
According to the X cost accounting management. Fixed the number of weekly deliveries in the supply room. Manage according to the x specification. Standardize the finance and goods of the management department and check them regularly. Adjust the position of items on the floor to make the floor environment cleaner. Reaffirm the system of departmental shift arrangement and shift change, and promote nurses to shift change according to the standard. According to the patient's situation, provide appropriate nursing manpower, ensure nursing effect and arrange manpower reasonably. Actively participate in the X meeting, hold a nurse meeting once a month, and convey the X concept and work arrangement to clinical nurses in time. According to nurse X., she actively promoted the cooperation between the nursing department and other departments, helped the director of general surgery to undertake some management work, publicized the main members of the X Committee, actively participated in the activities of the Committee, and promoted the development of the Committee.
Fourth, their own career development.
Under the condition of effectively completing the task of ward nursing management, learn X kinds of business knowledge and improve the ability in all aspects. In X years, he obtained a bachelor's degree certificate of nursing night university and a Chinese undergraduate diploma. Continue x and complete the training of xx puncture in the hospital. Learn to use computers to improve work efficiency. Under the arrangement of the leadership of the nursing department, I participated in class X for xx times, went out to attend academic conferences for xx times, and was invited to go out to teach for xx times. Write a thesis and pass the preliminary examination of practical nursing.
The second part of the general surgery work plan in 2023: 1. The content and arrangement of continuing education and training for nurses at all levels;
1, organize nursing business study once a month, and give priority to self-study in the rest of the time.
2, organize a nursing ward round once a month.
3, once a month, the basic theory of nursing and nursing technology operation assessment once each.
4. Participate in various academic lectures organized by the hospital, and take part in the three-basic theory test and operation test.
5. Seriously study the nursing core system, 32 nursing technical operation contents and general surgical nursing routine.
Second, according to different qualifications, training requirements for nursing staff at all levels:
(1) New nursing staff and nursing staff after graduation 1-3 years N 1: (7 children, Sasha, He, Li Shuaimin, Tang Xiaohui, Gu Yue) 1 Requirements: Mainly based on clinical basic nursing skills, with specialized nursing knowledge and technology.
2 Training objectives:
(1) Strengthen professional ethics education, establish professional concepts and develop a good work style.
(2) study the rules and regulations of the hospital and related laws and regulations.
(3) According to the clinical practice, we should pay special attention to the "three basics" training and master 34 nursing operation procedures.
(4) Clear clinical nursing procedures and the responsibilities of nurses in each class.
(5) Learn the theory and skills of specialized nursing, and be familiar with the nursing routine of common diseases in general surgery.
(6) Learn to give health education to patients and implement holistic nursing.
(7) Master the writing of nursing documents and fill in all kinds of nursing documents skillfully.
3 training plan:
(1) Encourage self-study, participate in business study organized by hospitals and departments, and complete annual continuing education credits.
(2) Pass, help and lead by senior nurses.
(3) Practical training, using nursing rounds and morning meetings to ask questions, and strengthening basic skills training and system theory learning through practical business guidance.
(4) The technical operation, nursing theory and hospital sense knowledge are assessed irregularly, and the assessment content includes 34 related knowledge of nursing operation and 3 basic knowledge.
(2) N2: (Yao Feixin, Lu Xiaoli Xiaoyan Zong, Liu Jing 7)
1 cultural goals:
(1) Consolidate professional ideas, strictly demand quality and improve the quality of nurses.
(2) Combining with the clinical practice, do a good job in the "three basics" training. On the basis of mastering basic knowledge and skills, further study and master professional knowledge and skills (including specialized disease knowledge, key points of disease care, use of specialized equipment, precautions for drug use and common adverse reactions, etc.). ).
(3) Master the writing of nursing documents.
(4) Provide patients with comprehensive health education and implement holistic nursing.
(5) monthly assessment of technical operation, nursing theory and hospital awareness knowledge, and regular training of laws and regulations.
(6) Master 34 nursing techniques. 2 training plan:
(1) Encourage self-study, participate in business study in hospitals and departments, complete annual continuing education credits, and focus on learning nursing knowledge and skills of specialized diseases.
(2) Pass, help and lead by senior nurses.
(3) Strengthen basic skills training and systematic theory learning through nursing rounds and practical business guidance.
(4) Conduct monthly assessment on technical operation, nursing theory and hospital sense knowledge, including 34 items of nursing operation related knowledge and 3 items of basic knowledge.
(3) Nurses who have worked for more than 5 years and have the title of nurse: (Guo Yajuan, Yuan Pengsha, Mark Qiang, Hou Fangfang, 6 people)
1 cultural goals:
(1) Master basic nursing and specialized nursing techniques, and master critical patient care and various first-aid techniques.
(2) Mastering the new technology and knowledge of specialized subject, being able to provide holistic care for patients by using nursing theories, techniques and nursing procedures, becoming the backbone of ward business, and consciously improving the ability of education, management and scientific research.
(3) Being able to participate in the teaching and learning of nursing students.
(4) Being able to independently participate in the rescue and cooperation of critically ill patients.
2 training plan and methods:
(1) Encourage self-study and improve academic qualifications and professional titles.
(2) to participate in the business study in the hospital and departments, and complete the annual continuing education credits. Focus on specialty, teaching, management and scientific research.
(3) Participate in ward teaching. Do a good job in teaching junior nurses and intern nurses, influence other nurses with good professional image and correct nursing behavior, and do a good job in passing on, helping and teaching.
(4) Participate in scientific research and sum up experience or write papers.
(5) monthly assessment of technical operation, nursing theory and hospital knowledge, and quarterly assessment according to the learning content in the hospital and department.
General surgery work plan in 2023 Part III: the direction of efforts in 20xx;
1, standardize the patient treatment execution process; Various treatment items of patients, such as intramuscular injection, intravenous drip, oral administration, atomized inhalation, enema, abdominal cavity irrigation and drainage, nasal feeding, blood sugar determination, blood sample collection and examination, etc. All of them are made into treatment cards, which are hung on the patient's bedside after examination, and the nurses check and implement them one by one at the patient's bedside. When the shift is over, the shift nurse can check and verify the implementation of the patients' various treatments again, and the head nurse can also check and assess the nurses when visiting the ward.
2, refine the process of drug allergy positive patients:
1) Before injecting cephalosporin or penicillin, the doctor must prescribe a skin test of cephalosporin or penicillin or ampicillin. When doing skin tests, they must carry 1mg adrenaline and ask patients about their drug allergy history. If there is an allergy messenger, there will be no skin test.
2) When the drug is stopped for more than 24 hours or the drug batch number or drug is changed, the allergy test must be done again, and the preparation of allergy test solution, intradermal injection dose and judgment result should be accurate;
3) When printing the infusion card and copying it to the treatment list, the negative skin test results recorded in writing must be checked when the doctor's advice is executed for the first time, so that the treatment list can be copied and the infusion card can be printed, and then the patient can be treated.
4) For patients with positive skin test of cephalosporin or penicillin or patients with allergic history, nurses must completely do the following work:
1, insert a sign of cephalosporin skin test or penicillin positive at the bedside of patients, and patients with allergic history should mark penicillin positive for private prosecution;
2. Add a cephalosporin skin test or penicillin positive red paper before the temperature list;
3. The bed number and name of cephalosporin skin test or penicillin positive patients should be marked on the whiteboard of key work in the ward;
4. Mark cephalosporin skin test or penicillin positive on the cover of patient's medical record folder with adhesive tape and red pen;
5, after the patient's temporary doctor's advice, indicate the positive result with a red pen;
6. In the execution list (infusion card, intramuscular injection list), the last line of the patient's treatment content is added with cephalosporin skin test or penicillin positive;
7. From the day when the skin test result is positive, it will be handed over 9 times in the dynamic handover report for three consecutive days. Those with a history of drug allergy shall be handed over from the date of admission;
8. The nurse in charge should inform the doctor in charge, patients and their families of the positive results.
3. Discuss and study the implementation process and matters needing attention of setting up the second-level nursing station, prepare to implement the second-level nursing station, reduce the time for nurses to go back and forth between the ward and the treatment room and the nursing station, and facilitate the care of nurses and patients: the multifunctional treatment vehicle used now can facilitate the work of nurses, and the treatment vehicle can be set as the second-level nursing station. The nurses in the ward are divided into three groups, each with one person. On the upper floor of the treatment cart, the liquid and basic treatment tray that patients need to input on the same day are placed, and all the items such as nutrition bag, intramuscular injection medicine, oral medicine and treatment are placed in the drawer, and the patient's treatment sheet, infusion card, nursing record sheet and medical record are placed next to them. First, the trial operation is carried out, gradually changing the concept of nurses and trying to change the busy situation of nurses in the treatment room. This plan needs the support of nursing department and scientific guidance.
4. This year, we will focus on strengthening nurses' on-the-job training, improving nurses' comprehensive working ability, and promoting reading notes and discussion reports in nurse training:
1) Make a 20xx nurse training plan.
2) Adjust and enrich the contents of nurse training, mainly from the aspects of nursing safety, emergency response ability, professional knowledge, core system, technical operation, nurse-patient communication and health education.
3) Training nurses in groups according to seniority and ability.
The goal of nurse training after graduation 1 year is to independently complete the work of group nurses in clinical nursing. The focus of the training:
(1) to consolidate professional thinking, strict quality requirements, strengthen the quality training of nurses.
② According to the clinical practice, do three basic exercises well.
③ Clarify the procedures of clinical nursing and the responsibilities and processes of nurses in each class.
④ Learn the nursing theory and skills of general surgery specialty.
⑤ Learn to give health education to patients and implement holistic nursing. Training requirements for nurses who have graduated for 2-3 years: independently complete all the nursing work of the department, master the specialized nursing knowledge, master the management system and work requirements of general surgery, master the basic monitoring theory and technology of general surgery, independently complete the monitoring and rescue of common critical patients as required, and gradually reach the level of nurses.
Every two weeks, the head nurse puts forward nursing learning topics according to the difficult problems encountered in patient care in the department. All nurses consult materials, record study notes and get familiar with the contents. During the continuing education in the department, they discussed and asked two nurses to answer the questions raised by everyone. Every nurse has to ask questions, and the head nurse will ask questions about the contents of reading notes at the morning meeting, so that nurses can understand common nursing problems, core systems, workflow and emergencies through reading notes, and continue to strengthen them.
The work plan of general surgery in 2023 (4 20xx -20xx) is a key stage for the accelerated development of our department. It is of great significance to arrange the five-year development plan scientifically and reasonably. Combined with the actual situation of our department, put forward our five-year development plan.
I. Current situation of the department
General situation: General surgery has 40 beds. Personnel situation: 7 general surgeons. (including general surgery, anorectal specialty, urology specialty) Last year, there were 1 120 person-times, and it is estimated that the business volume (outpatient and hospitalization180,000 yuan) will increase by about 7% annually.
Second, the development goals
1, specialty development, general surgery, urology, anorectal specialty give full play to their respective advantages and combine traditional Chinese and western medicine to treat more patients. General surgery major: continue to promote the application of laparoscopic minimally invasive technology combined with rehabilitation surgery in the treatment of gastrointestinal tumors, promote the construction of minimally invasive gallbladder-preserving lithotomy center, and promote the application of abdominal hernia center. Talent training: talent is the key to the development of the department, and the construction of talent team is the top priority of our work, so that the development of the department will have a way out.
2. Introducing talents: every year, we will continuously enrich the talent team of the department by introducing high-quality master students or conveying practical talents with real talents and practical knowledge.
3. Go abroad for further study: send young and middle-aged doctors with good ideological quality, strong professional foundation and pioneering spirit to study in hospitals at home and abroad, so that everyone has expertise, focused training and echelon construction. Do a technology and carry out at least one professional training and follow-up, so as to promote the overall construction and development of the discipline.
4. Expert lecture study: invite experts from outside the hospital to give lectures from time to time to guide surgery and other businesses, so as to improve the overall business and technical level of our department as soon as possible.
5. Insist on internal business learning: pay attention to business learning, hold special lectures on a regular basis, conduct technical operation assessment and competition on a regular basis, and gradually improve the theoretical and practical level of medical staff. In the form of lectures in the department, everyone can learn from each other, talk about their own expertise, or talk about the new knowledge and technology they have learned outside, so that everyone can participate and improve their ability to give lectures.
6. Encourage members of the department to actively carry out scientific research and write papers. Master's degree and junior high school must write more than 1 core journal papers every year and actively carry out scientific research. Give corresponding rewards and punishments according to the completion of the department.
7, adhere to the patient-centered, strengthen medical quality management and medical safety management, enhance comprehensive strength, provide quality services, implement the medical core system, and promote the construction of DRGS and clinical pathway management. , and gradually realize the full participation, all-round, the whole process of total quality management.
8. Equipment input: the development of new technologies in various disciplines is inseparable from the support of equipment, and the purchase of various instruments and equipment that are in line with development and technological progress complement each other. Our department needs to gradually introduce advanced equipment such as ultrasonic scalpel, energy platform and high-definition laparoscope, which needs hospital support and is solved step by step.
9. Create excellent culture and brand, and inject spiritual power into the all-round development of the hospital. Culture is an important part of construction. Through cultural innovation and construction, the harmony between culture and hospital development strategy can be achieved. Through the official media of the hospital, the medical staff's own flow advantage, publicize the hospital and publicize the department.
Work Plan for General Surgery in 2023 The annual work plan for general surgery nursing in 20xx follows the working principle of "focusing on nursing service and developing characteristic specialties", focusing on strengthening the quality construction of nurses, focusing on grasping specialties and training, providing patients with safe, professional and full-course quality nursing services and improving patients' satisfaction with nursing services. Combined with the work plan of nursing department and major surgery, make the annual work plan of this department.
First, improve the quality of nursing and realize continuous quality improvement.
Objective: The quality of nursing reached the requirements of target responsibility and was further improved.
Measures:
1. The head nurse comprehensively checks the quality of nursing in the ward according to the quality standards, conducts spot checks every day, finds problems, gives timely feedback and puts forward corrective measures.
2. Nurses should check the completion of nursing work in this shift before coming off work, and give centralized feedback after night shift.
3. Further deepen the head nurse's daily communication system, go deep into the ward at least X times a day and make records to check whether the patient's needs and nursing work are in place.
4. Establish and use the head nurse's work record book, nursing ward round record book, nurse's suggestion record book and good deeds record book.
5. Improve the assessment indicators of nursing staff, and take workload, quality, satisfaction and work enthusiasm as key assessment items.
Second, strengthen nursing safety management, improve nursing risk prevention measures to ensure patient safety.
Objective: To effectively avoid various risks and ensure the safety of patients, medical care and nursing work.
Measures:
1. Seriously implement the nursing core system and apply it to practical work.
2. Strengthen the care of key patients: such as surgical patients, critically ill patients and elderly patients, take these patients as the focus of discussion at the early meeting or shift change, evaluate the existing and potential risks of patients, reach a * * * understanding, and attract the attention of each class. Do a good job in the handover of critically ill patients, pressure ulcer prevention, blood transfusion, special medication, patient pipeline management and patient's existing and potential risk assessment, and strengthen the daily inspection of departments to achieve early prevention and early treatment.
3. Further standardize the writing of nursing documents, reduce potential safety hazards, pay attention to the problems existing in nursing documents at this stage, and make records "objective, true, accurate, timely and complete" to avoid irregular writing, such as typos, unclear alterations, inconsistencies with doctors' records, etc., so as to standardize and standardize nursing documents.
4. Improve the emergency risk plan of nursing, pay attention to cultivating the emergency ability of nurses in daily work, and make a retrospective evaluation of each emergency work, such as blood transfusion, transfusion reaction, special liquid, drug leakage, sudden power failure, etc. So as to learn from it and improve the ability of nurses to deal with emergencies.
5. Strengthen the management of nursing safety monitoring, organize departments to investigate the hidden dangers of nursing safety every month, analyze and discuss the causes of nursing errors and nursing investment, analyze the reasons and lessons to be learned, and put forward preventive measures and improvement measures.
6. Strengthen departmental management. Conduct irregular spot checks on ward management, basic nursing, nursing safety, medical record writing, nurses' instruments, disinfection and isolation of departments every week, immediately point out the existing problems and give feedback within a time limit, and summarize them at the monthly nurses' work meeting. Quality control of high quality nursing wards.
7. Implement patient safety notice and admission notice.
8. Clear all kinds of safety signs and protective measures.
9. Improve the risk plan of nursing emergencies, pay attention to cultivating nurses' emergency ability in daily work, and make a retrospective evaluation to learn from it and improve nurses' ability to deal with emergencies.
10. Work out each workflow in detail, and the nursing staff will follow the guidelines to avoid mistakes and defects.
1 1. Strengthen the management of key links, key patients, key time periods and key nurses to effectively avoid nursing risks.
The third is to deepen the quality nursing service, strictly implement the overall nursing responsibility system and enhance the nursing connotation.
Objective: The connotation of high-quality nursing was further deepened and extended, and the patient satisfaction reached over xx%, and there was no complaint in nursing.
Measures:
1. Continue to implement the overall nursing responsibility system, optimize the scheduling mode, implement flexible scheduling in night shifts, holidays and other wards, reduce shift frequency, reduce work loopholes, reasonably match young nurses and old nurses on duty, and pay attention to cultivating nurses' cautious and independent spirit when they are on duty independently. Work overtime when you are busy and rest when you are free.
2. According to the concept of high-quality nursing service, the ward set up X responsible group leaders and X bed responsible nurses, and each responsible nurse cared for xx patients. The responsible nurse provides patients with continuous and complete work from admission to discharge, including various treatments, medication, observation of illness, basic nursing and health education, so as to effectively provide high-quality nursing services. Critical patients, high-risk patients after major surgery and complications are implemented by senior responsible nurses.
3. The responsible nurse provides patients with continuous and whole-process work such as various treatments, medication, condition observation, basic nursing and health education from admission to discharge, and earnestly provides high-quality nursing services and psychological care.
4. 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.
5. Improve the quality of early, middle and late care, communicate effectively with patients and understand their psychological and physiological needs.
6. Continue to strengthen the daily etiquette training of nurses, such as telephone etiquette and knocking etiquette, further standardize bedside succession and improve the service quality of nursing staff.
Fourth, strengthen the construction of specialized nursing team.
Objective: To improve professional knowledge and skills, keep up with the pace of medical development and meet the treatment needs of patients.
Measures:
1. Based on common clinical knowledge and skills, and with the learning principle of "what is lacking, what to learn", the training plan and objectives of all kinds of nursing staff at all levels are formulated, and training and assessment are carried out at different levels.
2. Pay attention to on-site training, comment after the morning shift, and follow up the questions when on duty at the bedside.
3. Pay attention to the study, summary and improvement of new disciplines and skills, and timely summarize and promote advanced facilities and habits that encourage innovation.
4. Encourage nursing staff to study on the job and improve the education level of nursing team.
Fifth, do a good job in teaching and educating people.
Objective: To complete the teaching content of our college according to the internship/further education program.
Measures:
1. The department perfected and implemented the teaching plan for nursing students.
2. Strengthen the management of internship/advanced students, and choose nursing staff with the title of nurse or above as teaching teachers.
3. Strict examination items, theories, skills and subject system.
Six, new nursing projects, new technologies and scientific research work
Goal: publish more than X papers this year.
Measures:
1. Encourage every nursing staff with the title of nurse or above to publish X papers.
2. Actively explore tips and inventions in nursing work, and log on to major nursing websites to seek new resources.
3. Work closely with medical care to seek the space for nursing development.