The legend of the dragon bedtime story

Through the standardized pre-job training for new nurses, they can adapt to the role of nurses as soon as possible, be competent in all kinds of nursing work, standardize nursing behavior, improve the quality of nursing service, meet the nursing needs of patients and adapt to the development of modern nursing.

Methods: Make various training plans. Conduct pre-job training for new nurses as planned, and adopt a rotation assessment system.

Results: Through standardized pre-job training, nurses' service consciousness was enhanced, and their three basic abilities, learning ability, operation skills and specialized nursing ability were improved.

Conclusion: Pre-job training for new nurses can make them have good professional ethics and service consciousness, improve their theoretical level, technical level and comprehensive ability, and improve their professional quality.

First, training objectives

From April 20XX to April 20XX, there were 68 newly recruited college students and nursing staff who graduated from nursing colleges.

Second, the training method

1. Establish a standardized training system;

(1) Organize new nurses to learn hospital rules and regulations.

(2) The basic theory and technical operation level of newly graduated nurses must meet the prescribed standards before they can take up their posts.

(3) Implement the rotation system within one year to train general nursing talents.

(4) The nursing department will assign a special person to be responsible, and the department will conduct random checks from time to time to assess the business ability.

(5) Every time the department rotates, the teaching teacher should fill in an assessment, spot check, assessment results, assessment records and personal assessment files.

(6) The nursing department organized 1 theoretical examination and 65438 technical operation examination (the theoretical score was 85 points and the operational score was above 90 points) before the post was established. According to the examination results and clinical practice, write papers, and those who meet the standards can be formally appointed.

2. Learn relevant nurse etiquette: organize and watch the video of Nurse Code of Conduct, so that they can understand the role of clean appearance, beautiful language, friendly attitude, skilled operation technology and thoughtful service in the treatment and rehabilitation of patients. Please ask the head nurse and senior nurses in our hospital to explain the common communication skills, language skills, language requirements of nurses, language accomplishment and civilized language when accepting patients, standardize services and stimulate their enthusiasm for study and work.

3. Learn relevant laws and regulations: organize the study of Nurses Regulations, People's Republic of China (PRC) Nurses Management Measures, Hospital Infection Management Regulations, Medical Waste Management Measures, Accident Handling Rules, etc. , and familiar with patients' right to know, to choose, to be safe, to be respected, and to copy medical records. Be familiar with the relationship between business and France and Germany, so as to prevent problems before they happen, and explain it with the actual situation of the hospital and relevant data examples accumulated over the years. Make them realize that laws and regulations are the lifeline of medical work, and any omissions and mistakes in work will not only aggravate the illness, even endanger the lives of patients, but also bring immeasurable influence to hospitals, departments and parties, and even bear legal responsibility. Through learning, you can improve your legal concept and standardize your behavior.

4. Strictly abide by various rules and regulations: organize and study various rules and regulations, as well as post responsibility system, hospital-related rules and regulations and work system, and "Operating Rules of Internal Medicine Nursing Technology" as the main contents, fully understand the rigor of nursing work, and require nurses to treat daily nursing work from a legal perspective with the deepening of medical reform, especially pay more attention to potential legal problems in their work, and explain them in simple terms with positive and negative experiences and lessons in practical work, so that new nurses can strictly abide by various rules and regulations.

5. Standardize operation skills:

(1) Organize to watch the operation video of "three basics and three strictness" basic nursing technology;

(2) Ask our technical operators to demonstrate the operation;

(3) Training the basic operation commonly used in clinic, and the nursing department arranges XX nursing operation items, focusing on the operation principle of aseptic technology and cardiopulmonary resuscitation technology. Strict aseptic operation, wearing mask gloves, keeping clothes and hats clean, no jewelry, no high heels and no nail polish are the minimum requirements. After repeated practice item by item, everyone passed the standard. Through intensive training, they have mastered the requirements and standards of nursing operation technology, and have a certain understanding of the operation level of new nurses, which has laid a solid foundation for clinical work.

6. Standardize the writing norms of copywriting: study the writing norms and assessment standards of nursing documents, the system of succession, the checking system, the grading nursing system and the writing norms of nursing medical records in an all-round way, so that they can adapt to the working environment as soon as possible after taking up their posts and do their jobs well.

7. Conduct departmental rotation and assessment:

(1) rotate departments according to the actual situation of the hospital. Generally, it is a clinical department, and each department lasts for 3 months. The nursing department is responsible for the administration, the head nurse of the ward and the teaching staff to manage, evaluate and monitor at all times to ensure the smooth completion of the work.

(2) After the rotation of the department is completed, the nursing department will organize a training assessment team to make a summary assessment. According to the assessment results and departmental assessment results, the outstanding, qualified and unqualified personnel are judged respectively. Those who are excellent and qualified will be hired, those who are unqualified will be retrained for a second interview, and those who are still unqualified will be returned by the hospital.

Third, the effect

After two years of standardized training for new nurses in our hospital, 68 nurses participated. Through two years of planned, targeted and step-by-step training for students, the comprehensive quality of students has been comprehensively improved. Among them, * * * 32 nurses won the Excellence Award in the examination of nursing theory and technical operation held by the whole hospital.

1. Enhance service awareness. Through the training of professional ethics and related nursing concepts, the overall quality of nurses has been improved. In the training process, we put the concept of humanized service throughout, highlighting the characteristics of "people-oriented, caring for life, caring for health and dedicating patients" and enhancing the students' awareness of active service.

2. Improved professional knowledge and hands-on operation ability. In the process of standardized training, we should pay attention to the improvement of nursing professional knowledge and operational skills of trainees. The training content is decomposed and refined step by step from basic to complex (speaking more, asking more questions and practicing more), which enables them to master the basic nursing skills, stimulate the learning enthusiasm of new nurses, improve their professional skills and operational skills, and enhance their comprehensive ability to analyze and solve problems.

3. Improve working ability and learning ability. Through clinical teaching, we should constantly learn new knowledge, be good at thinking and be brave in exploration, and combine basic nursing with patients' needs to provide better services for patients.

4. It meets the needs of clinical nursing. In clinical nursing work, nurses who have received standardized training in oral, manual and leg work have won the praise of head nurses, teaching teachers and patients with full enthusiasm, and met the needs of clinical nursing work.

5. Improve nurses' awareness of protection. The importance of protection requires that protection education and training should run through all stages of nurses' growth, from school practice, from pre-job to occupation. By studying the Nurses' Regulations and other laws and regulations, nurses' awareness of self-protection has been improved.

At present, with the rapid development of medical science and technology and the increasing competition mechanism and disputes brought by medical and health reform, the standardization of pre-job training is an essential work, and the hospital's various rules and regulations and operating norms are gradually improved and summarized through years of experience and lessons. Standardizing pre-job training is conducive to improving the quality of nurses, ensuring medical safety during hospitalization, ensuring nursing quality and preventing medical disputes. Make new nurses fully realize that only by mastering rich theoretical knowledge, skilled operation skills and strictly observing various rules and regulations can they do their job well, lay a solid foundation for becoming an excellent nursing worker in the future, and thus improve the quality of the whole nursing team.

Part II: Training Plan for Newly Recruited Nurses

In order to ensure that new nurses can adapt to clinical nursing work smoothly, abide by nursing-related laws and regulations, nursing work system, diagnosis and treatment nursing norms and operating procedures, and ensure nursing quality and safety, this training plan is specially formulated.

1. This training plan is formulated according to the pre-job training plan of Shenzhou Traditional Chinese Medicine Hospital.

Second, the training objectives

1, to consolidate their professional thinking, familiar with job responsibilities and nursing system.

2, grasp the "three basics" (that is, basic theory, basic knowledge, basic skills) and clinical practice.

3, proficient in basic nursing operation technology, familiar with specialist nursing theory, nursing requirements and nursing technology.

4, master the observation points of gynecological diseases.

5. To master the administration methods, commonly used doses and toxic reactions of main therapeutic drugs for gynecological diseases.

Three. Trainers and trainees Trainers: Zhang and trainees: all new nurses.

Fourth, the training content

1, regularly strengthen medical and nursing rules and regulations, hospital infection management requirements, job responsibilities, language and behavior norms of nursing staff.

2. Vocational quality training

2. 1 Be familiar with the nursing routine, basic nursing theory, specialized nursing theory, new nursing business and new technology of critically ill patients in obstetrics and gynecology.

2.2 Master the routine nursing of gynecological diseases.

2.3 master the general nursing routine of obstetrics and gynecology.

2.4 Familiar with ECG monitor, infusion pump, infrared therapeutic instrument, Doppler fetal heart monitor and simple ventilator.

2.5 master the dosage and toxicity of commonly used drugs in obstetrics and gynecology; Master the writing of nursing documents and master the first aid technology of cardiopulmonary cerebral resuscitation.

3. On-the-job training: After entering the department, special personnel will teach and conduct on-the-job training.

Verb (abbreviation of verb) training measures

1, the head nurse completes the introduction of environment, rules and regulations and various job responsibilities.

2. The head nurse should work out a specific training plan in combination with each nurse.

3, encourage self-study, encourage to participate in all kinds of nursing college degree study.

4. Pass, help and bring by senior nurses.

5, urge to participate in various continuing education activities organized by the hospital.

6, urge to participate in the department's business study, business rounds and nursing case discussion.

7, quarterly technical operation assessment, theoretical examination, hospital infection knowledge assessment.

8. During the training period, new nurses will hold regular forums to learn about their life and work.

Evaluation and evaluation of intransitive verbs

1. After the training, everyone must take the theoretical examination and operational assessment. Those who fail the training shall be trained within a time limit and can work independently only after passing the training.

2. After the training, write a training summary and promise whether to obey the work arrangement of the department, whether to focus on work, and whether to have the confidence and ability to work independently.

3. Summarize and evaluate the department on schedule.

Chapter 3: Training plan for new nurses.

A, nurses at all levels of continuing education training content and arrangement:

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 for basic nursing theory knowledge examination; Organize a monthly nursing technical operation assessment.

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, 50 nursing technical operation contents and surgical nursing routine.

Second, according to different qualifications, training requirements for nursing staff at all levels:

(a) the new nursing staff training plan:

Requirements of 1: focus on clinical basic nursing skills, and learn specialist nursing knowledge and technology at the same time. Can master basic nursing operation skillfully.

2 Training objectives:

(1) Strengthen professional ethics education, establish professional concepts, set strict quality requirements, strengthen quality training for nurses, 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, do a good job in "three basics" training and master various nursing operation procedures.

(4) Clear clinical nursing procedures and the responsibilities of nurses in each class.

(5) Learning the theory and skills of specialized nursing. Familiar with the nursing routine of common diseases in general surgery and orthopedics.

(6) Learn to give health education to patients and implement holistic nursing.

(7) Master the writing of nursing documents and be familiar with the filling and writing of various nursing documents.

(8) Master one-handed cardiopulmonary resuscitation.

3 training plan:

(1) Encourage self-study. Participate in business study organized by hospitals and departments, and complete annual continuing education credits. Complete 1-2 reading notes every month.

(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 guidance.

(4) Conduct technical operation, theoretical knowledge assessment of nursing and knowledge assessment of hospital sensation from time to time. The examination content includes 50 related knowledge of nursing operation and 3 basic knowledge.

(a) 1-5 years after graduation nursing staff training plan:

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.

(5) Provide patients with comprehensive health education and implement holistic nursing.

(6) monthly technical operation assessment, nursing theory knowledge assessment and hospital sense knowledge assessment.

(7) Master 50 nursing techniques.

3 training plan and methods:

(4) Encourage self-study. Participate in the business study in the hospital and departments, and complete the annual continuing education credits. The focus is on the nursing knowledge and skills of specialized diseases.

(5) Passing, helping and leading by senior nurses.

(6) Strengthen basic skills training and systematic theory learning through nursing rounds and practical business guidance.

(4) monthly technical operation assessment, nursing theory knowledge assessment and hospital sense knowledge assessment. The content of the examination is 50 related knowledge of nursing operation and 3 basic knowledge.

(2) Training plan for nurses who have worked for more than 5 years.

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) To participate in the teaching and learning of nursing students, participate in scientific research, sum up experience or write papers.

(4) Being able to independently participate in the rescue and cooperation of critically ill patients.

2 training plan and methods:

(1) Encourage self-study.

(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. The person in charge above practical nurse publishes a paper every year. The deputy chief nurse carries out the "Three New Nursing Projects" once a year.

(5) monthly technical operation assessment, nursing theory knowledge assessment and hospital sense knowledge assessment. Combined with the learning content in hospitals and departments, take the exam once every quarter.

Third, send 1-2 nursing staff to higher-level hospitals or outside the province to study and train, learn new nursing techniques and businesses, carry out three new projects, and improve nursing level and nursing concept.