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Summary of the work of the nursing department officer in the first half of the year
Time has passed. The work of this half year is over. It is also time to make a summary of the work in the first half of the year. The following is the "Summary of the Nursing Department Director's Work in the First Half of the Year" compiled by me for your reference. It is for reference only. Welcome everyone. read.
Summary of the work of the Nursing Department Officer in the first half of the year (1)
Looking back on the work in the past six months, the Nursing Department under the leadership and care of the hospital’s party and government leadership team , focusing on the work goals and key requirements of the "Hospital Management Year" activities and the central work of the hospital's creation of "Second Class A", and combining the work plans and goals of the Nursing Department to actively carry out work. The main work is now summarized as follows:
1. Actively complete various directive tasks of the hospital
As a functional department, the Nursing Department can better communicate and communicate with others. Submit work. Work around the center of the hospital and better complete various tasks assigned by the hospital. All nursing staff in the hospital were mobilized to use their rest time to participate in intestinal clinic work, ensuring the smooth progress of the intestinal clinic. Participated in the blood donation service of the Central Blood Station of the Health Bureau for 10 people, conducted more than hundreds of cadre physical examinations, and provided more than 15 public welfare services.
2. Actively carry out work around the focus of establishing a "second-class" hospital
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1. In order to implement the various preparations for the "Second A" review, the Nursing Department decomposes and arranges the relevant work in accordance with the "Second A" nursing management review standards, requiring each department to complete its daily work on the premise Next, ensure that all work is completed according to schedule with quality. Nursing regularly inspects and assesses the preparedness of each department and provides corresponding guidance on existing problems.
2. In mid-January, the Nursing Department organized head nurses from the Department of Internal Medicine and Surgery to go to __ Hospital and __ Hospital to learn the advanced management concepts and management methods of superior hospitals to make up for the shortcomings in their work. place to prepare for the establishment of a first-level hospital.
3. Continue to pay close attention to the quality of nursing and ensure the safety of nursing
1. According to the __ provincial level hospital assessment standards and __ Health Bureau nursing quality control inspection standards and hospital actual conditions, nursing The department has re-established new quality standards based on the original nursing quality inspection and formulated the "Monthly Nursing Department Target Management Assessment Standards" and "Monthly Nursing Quality Checklist". The Nursing Department inspects and scores each department according to quality standards once a month, and links the department's nursing quality with performance work, which greatly promotes the enthusiasm of each department and improves the quality of nursing.
2. In order to better standardize clinical nursing work, the Nursing Department has re-formulated the "Morning Meeting Handover Rules", "Bedside Handover Procedures", "Treatment Class Assessment Requirements" and other nursing systems , and evaluate clinical nurses based on the new system.
Summary of the work of the Nursing Department Officer in the first half of the year (2)
Under the leadership and support of the hospital leaders, the Nursing Department successfully carried out its work in the first half of this year. The work focuses on the development of high-quality nursing care, nursing quality control management, prevention and reporting of adverse events, and the cultivation of nursing talents. The work of the Nursing Department is now summarized as follows:
1. Strengthen nursing quality control management and strengthen supervision
1. Go to the department to urge the head nurse to make good work arrangements. Focus on checking the implementation of nursing work for newly admitted, transferred, pre- and post-operative patients, critically ill patients, those unable to take care of themselves, and those with potential risks of medical disputes. Strengthen link quality control and reduce the occurrence of nursing defects.
2. Establish and improve various rules and regulations and quality control standards to ensure the quality of care. According to the plan formulated at the beginning of the year, the Nursing Department fully mobilized the head nurses of various departments to jointly participate in the quality control of the Nursing Department, refine the quality control standards, clarify responsibilities, and carry out quality control inspections according to the division of labor. The Nursing Department promptly feedbacks the problems discovered during the inspection to the department and raises them in the head nurse meeting, analyzes and finds the reasons, gives suggestions, requires them to make corrections, and tracks and follows up on the effects of the corrections.
3. Strict implementation of core systems.
The Nursing Department focuses on the implementation of the checking system, doctor's order execution system, shift handover system, hierarchical nursing system, and nursing quality defect registration and reporting system. Going deep into the department, conducting strict assessments, and taking the form of on-site spot inspections and monthly regular inspections have enabled nursing staff to truly understand the connotation of the core system, fundamentally realize the importance of the core system in their work, and know how to carry out work in accordance with the core system.
4. Strengthen the management awareness of head nurses. The head nurses of each department are required to have daily work arrangements, weekly work plans, and monthly work priorities. Give full play to the subjective initiative of head nurses, encourage head nurses to expand their thinking, be brave in innovation, and present good management experience in regular meetings of head nurses to share with everyone. Provide guidance to newly appointed head nurses and help them take on the nursing management work of the department in a short period of time.
5. Strengthen hospital infection control management. Through monthly quality control inspections, daily inspections and night rounds, a comprehensive assessment of the disinfection implementation of nursing staff was conducted, focusing on strengthening the management and assessment of disposable sterile items, aseptic techniques, hygienic hand washing, and disinfection monitoring; The management of washing, disinfection storage, and collection and delivery of sterile items in the disinfection supply room has been strengthened to ensure the quality of disinfection items; air disinfection of surgical patient wards is required to ensure the safety of medical care.
6. Strictly implement medical service charging standards, cooperate with the Medical Insurance Office and the New Rural Cooperative Medical System, and provide patients with convenient and fast services. Frequently go to the department to check the charging and billing situation, strictly supervise, and require the department to avoid undercharging, overcharging, and missing fees.
7. Half-year quality control work situation: From January to November, *** completed _ quality control inspections, including spot checks of _ nursing medical records, _ critical patient care, _ basic nursing care, and inspections Emergency medicines, articles, and equipment management _ times, ward management and nursing safety management _ times, hospital infection and special department management _ times, and written satisfaction surveys for patients _ times (*** survey _ person-times).
8. Completion of various nursing quality indicators: ①. The average basic nursing score is _ points, and the pass rate is 100. ②, the average score of critical care nursing is _ points, and the pass rate is 100. ③. The average score for first aid equipment and drug management is _ points, and the pass rate is 60. ④. The average score for writing nursing documents is _ points, and the pass rate reaches 100. ⑤. The pass rate of the three basic assessments for nursing staff reaches 100. ⑥. The pass rate for disinfection and sterilization of conventional instruments reaches 100%. ⑧. Disposable syringes and infusion (blood) sets have a deformation rate of 100% after use.
2. Implement the development of high-quality nursing and improve patient satisfaction
1. Strengthen basic nursing and simplify the medical treatment process (nurse takes medicine for the patient, sends examination, etc.), and requires all parties to The ward must make work arrangements concrete, assign responsibilities to each person, and implement high-quality nursing work.
2. In order to improve the quality of care and patient satisfaction, the Nursing Department has increased the number of patient satisfaction surveys, using regular or irregular, written or oral methods. In response to the problems raised by patients such as short hot water supply time, few shakers, inconvenient heating of meals, slippery floor in the bathroom area, easy slipping, and troublesome payment procedures, we promptly contacted the General Affairs Department, Pharmaceutical and Medical Equipment Department, Finance Department and other relevant departments or departments. After contacting the director in charge and obtaining assistance, the incident was properly handled based on the actual situation; issues raised by the patient during the medical treatment including insufficient patient care and privacy protection, poor puncture skills of individual nurses, and the desire to obtain more health knowledge were addressed , feedback to the head nurse, provide the nursing department with opinions, request and assist in its processing. According to the feedback from patients, this measure has achieved certain results.
3. In order to better carry out health education and nurse-patient communication, the Nursing Department assisted each nursing team in producing health education prescriptions and posters for patients to consult; organized all nurses to learn nurse etiquette Standardize, provide guidance on speaking styles and techniques, and require head nurses to observe more nurses’ professional behaviors and correct and teach negative phenomena.
3. Improve awareness of nursing safety precautions and prevent errors and accidents
1. Regularly supervise and inspect medical nursing safety, focusing on strengthening pre-holiday safety inspections.
Nursing safety inspection standards such as the nursing safety inspection status table and the scoring standards for nursing safety inspections before holidays have been formulated. The quality control teams of the nursing department and the head nurses of each department must do a good job in nursing safety prevention work, conduct frequent inspections, check for safety hazards, and strengthen medical care. Personnel precaution awareness to eliminate potential accident risks. The nursing department takes the lead and insists that the head nurse does daily night rounds and is on duty on holidays to ensure the safety of nursing care at night and on holidays.
2. Improved the active reporting and management system of nursing safety adverse events, nursing adverse event report form, pressure ulcer declaration form, pressure ulcer (inevitable) assessment form, pressure ulcer observation and nursing record sheet, fall/fall Develop and revise standard forms such as bed risk assessment form, fall/fall risk factor assessment and planning form, catheter detachment risk assessment form, blood transfusion adverse reaction report form, workload statistics form for each department, etc. In the work, we constantly emphasize the proactive reporting of adverse nursing events. From January to November, we received _ cases of nursing adverse events, _ cases of adverse drug reactions, _ cases of adverse blood transfusion reactions, and _ cases of pressure ulcers (cases of bedsores outside the hospital, cases of unavoidable pressure ulcers ) reported, there has been a greater increase than the number reported in previous years.
3. In response to reported adverse events and problems discovered during daily inspections, the Nursing Department analyzes and discusses these events at regular meetings of head nurses to sound the alarm for nursing staff to reduce and avoid the occurrence of adverse events. .
4. Implement talent training plans and improve the overall quality of nursing staff
1. In order to adapt to the new medical reform system and the increasingly competitive medical market, continuously improve the quality and level of nursing care, and promptly To receive advanced nursing concepts and operating techniques, the Nursing Department has planned arrangements for head nurses from various departments to go to Neijiang Second People's Hospital to receive short-term nursing management training, and select nursing backbones with strong work ability and sense of responsibility to participate in out-of-hospital business training or to superiors Hospital further education.
2. The Nursing Department has strengthened the training of new and junior nurses, and conducted individual interviews with new employees before joining and being appointed to their posts. The focus of the interviews was on nurses’ professional ethics, nurse etiquette, standardized terminology, and various Implementation of rules and regulations, nursing safety, etc.; at the same time, organize such personnel to collectively study the "Nursing Regulations", relevant laws and regulations, nursing safety knowledge, watch nurse etiquette training videos, etc.; take pre-employment theoretical and operational examinations for nurses to be hired , only those who pass the exam will be hired.
3. Organize nursing operation training and operation, rules and regulations examinations 36 times (assessment_person times), organize business learning, and three basic theory examinations_times. All nurses are required to actively participate in various business lectures and distance education held by the hospital.
4. Organize the 5.12 International Nurses Day event, select the first prize, second prize, excellence award and outstanding nurse in the skills competition, reward them accordingly, and encourage the winners to continue their efforts. , requiring nurses with five years of experience or less (including five years of experience) to participate in skills training and examinations to improve their skill levels.
5. Strengthen human resources management, focusing on cultivating nursing experts, emergency nursing staff, and management reserve personnel.
6. Strengthen the development of specialist care. One year, the pressure ulcer team participated in _ cases of consultation, _ patients with pressure ulcers were cured (the remaining Y patients did not receive comprehensive treatment and cannot be counted), and _ cases of non-healing wounds were treated. , the patient's wound has fully healed. The intravenous treatment team participated in PICC puncture_cases and PICC maintenance_person-times.
5. Problems
1. The quality of nursing staff is uneven, and individual nurses have poor proactive service awareness, work responsibility, communication and coordination skills, professional technical level and theoretical knowledge.
2. The core system is not fully implemented, and individual nursing staff fail to strictly implement the checking system.
3. The writing of nursing documents is not standardized, the content is single and incomplete, and the specialist nursing records lack nursing connotation; there are many missing items in the nursing records, and the observation of the condition lacks continuity. The key points of disease observation cannot be fully grasped, resulting in low quality of nursing documents.
4. A small number of nursing staff do not have a strong concept of sterility and have poor awareness of hospital infection prevention.
5. The awareness of nursing safety precautions is not strong and needs to be strengthened.
6. The missionary work was not carried out satisfactorily.
7. The management of first-aid drugs, articles, and equipment is unsatisfactory.
6. Work plan for the second half of the year
1. Continue to focus on providing high-quality services, establish proactive service awareness, cultivate high-quality nursing concepts, emphasize nurses’ appearance and etiquette, and master communication and coordination skills, and actively carry out health and safety knowledge education.
2. Strengthen the training of the three basics and three strictnesses, and improve the professional skills and theoretical level of nursing staff. Focus on strengthening the training and assessment of new and junior nurses, strengthening the training of emergency department nursing staff, and strengthening the training of emergency team nursing staff. Establish an evaluation of outstanding teaching staff to encourage teaching staff to carry out better teaching work.
3. Continue to strengthen quality control management and ensure proper planning, careful deployment, and timely supervision of the nursing work in the hospital. Increase the intensity of daily inspections, discover and solve problems in a timely manner, strengthen safety knowledge training, mobilize department staff's nursing safety prevention thinking and awareness, and do proactive prevention work. Cultivate department staff's sense of responsibility and initiative, prevent errors and accidents, and encourage proactive reporting of adverse nursing events.
4. Increase the management of emergency medicines, articles, and equipment and strengthen inspections.
5. Strengthen hospital infection supervision.
6. Continuously improve the quality standards for writing nursing documents and improve the quality of writing nursing documents.
7. Develop new nursing items and expand nursing fee items in compliance with regulations.
With the further deepening of the new medical reform policy, competition in the medical market has become increasingly fierce. Only by doing a good job in one's job can one continuously improve one's own quality, continuously optimize the medical process, and continuously improve medical treatment.
Summary of the work of the Nursing Department Officer in the first half of the year (3)
In the first half of 20__, under the attention and direct leadership of the dean, all nursing staff adhered to the principle of "everything is patient-centered, In line with the service tenet of "Everything for the patient", we have successfully completed various nursing tasks assigned by the hospital leaders, and completed the 20__ annual nursing plan__ and above. The work situation is summarized as follows:
1. Seriousness Implement various rules and regulations
Strict implementation of rules and regulations is the fundamental guarantee for improving the quality of care and ensuring safe medical care.
1. The Nursing Department reiterated the responsibilities of nursing staff at all levels, and clarified the responsibility system and nursing work system for various positions. For example, responsible nurses and circulating nurses should perform their duties to prevent patients from changing their own sling bottles. The undesirable phenomenon of self-pulling needles.
2. Adhere to the checking system:
(1) Require medical orders to be checked every shift, and the head nurse will participate in the total checking __ times a week, and keep records;
(2) Three checks and seven pairs are required during nursing operations;
(3) Insist on filling in the infusion card, and no major nursing errors have occurred in the past year.
3. Conscientiously implement orthopedic nursing routines and microsurgery nursing routines, insist on filling in various information data registration books, and equip five operation trays.
4. Adhere to the bedside handover system and morning care to prevent complications.
2. Improve the management level of the head nurse
1. Adhere to the recording and assessment of the head nurse's handbook: The head nurse's handbook is required to be submitted to the nursing department for assessment by _ days every month, and according to the nurse The annual plan, quarterly arrangement, and monthly plan that are suitable for the department are specially formulated to focus on supervising the implementation and monitoring the implementation effect. The head nurse is required to make a brief summary of the monthly work to facilitate summarizing experience and carrying out work.
2. Adhere to the head nurse’s regular meeting system: according to the requirements of the graded hospital, a regular meeting of the head nurse is held once a week. The content is: arrange the focus of this week’s work, summarize the advantages and disadvantages of last week’s work, and propose corresponding rectification measures, feedback on the nursing quality control inspection situation to each head nurse, and learn relevant information about head nurse management.
3. Check the quality of nursing care every month and provide timely feedback to continuously improve the management level of the head nurse.
4. Organize the head nurse to go out to study and visit, learn from the advanced experience of brother units, and expand their knowledge: At the end of the month, the head nurse of the ward was sent to attend the ___ study class. After the study, all nurses A report was made.
3. Strengthen the construction of medical ethics and medical style among nursing staff
1. Continue to implement the nurses’ behavioral norms and implement nurses’ civilized phrases in daily work.
2. Organize all nurses to participate in etiquette training at __ Hotel and __ Hotel in _ month and __ month respectively.
3. Continue to carry out health education, issue satisfaction survey forms to inpatients, (regular or irregular assessment) the satisfaction survey results are all above __, and raise issues existing in the satisfaction survey Corrective measures were taken and the best nurses were selected.
4. Improve the professional quality of nursing staff
1. Conduct three-level training for in-service personnel and organize theoretical examinations.
2. Cooperate with the medical department and hire experts to teach orthopedics, internal medicine and surgery to improve professional knowledge.
3. Each department asks questions __ times a week in the morning, and the special content of the ideological report is basic theoretical knowledge and orthopedic knowledge.
4. A nursing technology operation competition (sterile operation) was held on "Women's Day", and the first prize (___), second prize (___), and third prize (___ ) were rewarded respectively.
5. Strengthened nosocomial infection management
1. Strictly implemented the disinfection and isolation system formulated by the hospital management leading group.
2. Each department insists on monthly air culture in the ward treatment room and dressing room. High-risk departments such as operating rooms and outpatient operating rooms conduct secondary air culture every month in summer to ensure There was no case of infection in the sterile incision.
3. The department insists on conducting ultraviolet disinfection of the treatment room and dressing room every month, and records that the ultraviolet lamp tubes are dusted with absolute alcohol every week, and records that the ultraviolet lamps are disinfected every two months. Strength is monitored.
6. The nursing staff completed the nursing work well
1. Adhering to the purpose of taking the patient as the center, taking quality as the core, and providing quality services to patients, we carried out in-depth Patient-centered health education, through the distribution of health education manuals and through the words and deeds of nurses, allows patients to familiarize themselves with disease prevention and treatment, rehabilitation and related medical treatment, nursing and self-care knowledge.
2. In the first half of the year, *** admitted ____ inpatients, kept ___ under observation, and performed ____ operations in the operating room. Emergency nurses provide full services to emergency patients, including escorting patients to take X-rays, doing B-ultrasounds and electrocardiograms, accompanying patients to go through admission procedures, and sending patients to the operating room. Responsible nurses and circulating nurses are fixed in each ward, so that patients can get Attentive service.
7. Problems:
1. The quality of individual nurses is not high and the concept of sterility is not strong.
2. Holistic nursing is still in the exploratory stage, and nursing writing is not standardized.
3. Due to the small number of nursing staff, basic care is not in place. For example, patients in first-level care cannot receive services from first-level nurses, which is second only to daily work.
4. Ward management is still unsatisfactory.
In the past six months, due to the attention, support and help of the dean, the nursing work has strengthened internal management and external image, and has achieved certain results in the construction of nursing quality and professional ethics, but there are also certain shortcomings that need to be further improved. improve.
Summary of the work of the Nursing Department Officer in the first half of the year (IV)
In the first half of 2020, in order to implement the Ministry of Health’s “Quality Nursing Service Demonstration Project” activities, our hospital actively responded and went all out Invest in the activity of creating a "Quality Nursing Service Demonstration Hospital", adopting the form of pilot first and then promotion, constantly changing the service concept, changing the work model, optimizing the work process, taking "basic nursing" as the foothold and "pilot ward" as an opportunity , a hospital-wide high-quality nursing service activity with the theme of "Consolidating Basic Nursing and Providing Satisfactory Services".
By creating a "high-quality nursing demonstration ward", we have fundamentally improved nursing services, improved the quality of nursing, and truly implemented basic nursing care to satisfy patients, society, and the government. During this period, we thought carefully, summed up experience, overcome difficulties, and continued to explore.
1. Strengthen leadership and carry out publicity
1. Formulate an implementation plan and establish a leadership group with the dean as the leader.
2. The nursing department launched two batches of "Quality Nursing Service Demonstration Wards", and held mobilization meetings for all nurses to raise awareness, unify their thinking, and actively participate in the creation activities.
3. The Nursing Department went deep into the department to discuss with the nurses, interpreting the Ministry of Health’s spirit on carrying out the “Quality Nursing Service Demonstration Project”, and then focusing on how to implement basic nursing, enrich service connotation, and improve nursing quality. A special discussion was held. The head nurse and nurses put forward their own ideas and suggestions for developing nursing demonstration wards based on the actual conditions of the hospital. To achieve the purpose of unifying the whole hospital's thinking and changing the concept of nursing services.
4. Organize the head nurse and key staff of the demonstration ward to visit and study, learn from the good practices of brother hospitals, broaden their ideas, and lay the foundation for the creation of the work. Organize cross-visit visits and exchanges of experiences among the head nurses and nurses in the clinical wards of the hospital to comprehensively promote high-quality nursing services.
2. Determine the model ward
1. Through the application of each department, wards with heavy nursing workload and many critically ill patients were selected: the first internal medicine department, the second internal medicine department, and the general surgery department. The ward serves as a "demonstration ward for high-quality nursing services".
2. By conducting regular assessments and implementing a dynamic management work model, the head nurses of each ward can establish a group of advanced models and play a leading role in the pilot wards.
3. Strengthen management and strengthen measures
1. The Nursing Department organizes all nursing staff to learn "quality nursing service" knowledge and conduct assessments, and formulate working rules for creating "quality nursing service".
2. The pilot ward will formulate an implementation plan and specific work plan for the creation activities based on the work characteristics of the department.
3. Develop an inpatient satisfaction survey form for high-quality nursing services, conduct surveys and analysis, identify existing problems and weak links in nursing work, and actively carry out rectifications.
4. Improve the basic nursing quality assessment and scoring standards, further refine and quantify the nursing quality assessment indicators, and link the assessment results with the performance of departments and nurses.
5. The Nursing Department carries out self-evaluation and self-examination, identifies deficiencies, promptly improves the nursing work of our hospital one by one in accordance with the requirements of the evaluation standards, and takes this opportunity to comprehensively improve the nursing level of our hospital and provide patients with "High-quality, safe" nursing services.
6. Actively recruit nurses, give priority to the human resource allocation of the "Nursing Demonstration Ward", and ensure the effective implementation of basic nursing.
4. Highlight the key points and expand the connotation
1. Innovate the model and learn advanced practices
Dynamically adjust the performance appraisal system and allocation plan to ensure that nurses complete the nursing work The assessment results such as quantity, quality and inpatient satisfaction are included in the performance assessment content.
2. Clarify work responsibilities and implement responsible nursing
Implement the responsible nurse contract system, everyone is a responsible nurse, so that everyone has something to do and everyone is taken care of.
3. Reform the shift scheduling model and implement flexible shift scheduling
Implement seamless and full-process responsible care.
4. Nursing manpower allocation
According to the department’s nursing workload and nursing manpower allocation, nurse responsibilities are divided into groups, and responsible team leaders and responsible nurses are set up.
5. Simplify nursing documents and shorten writing time
Formulate various forms of nursing records, formulate unified writing templates, standardize the writing of nursing documents in the whole hospital, and make the writing of nursing documents more concise , which minimizes writing time and allows nurses to devote more energy to nursing services.
6. Update work processes to achieve accountability
Revise the hierarchical management responsibilities, nursing work processes, and nursing quality assessment standards of nursing staff, clarify responsibilities, and implement job responsibility systems.
7. Consolidate basic nursing care and provide satisfactory services
Publicize the connotation and service items of nursing services and accept the supervision of the society and the majority of patients. Purchase basic nursing service tools and determine basic nursing days every week to ensure the implementation of basic nursing. Through the implementation of basic nursing care, nurses' careful care and concern for patients are reflected, the nurse-patient relationship is harmonized, and the satisfaction of nursing services is improved.
5. Coordinate functional departments and implement vertical management
Actively coordinate relevant functional departments and establish a clinical support center. The Nursing Department actively coordinates the general affairs department, pharmacy department, material supply center, laboratory department, equipment department and other nursing support systems to provide a strong guarantee for the creation of a "high-quality nursing service demonstration ward".
6. Practice in accordance with the law and ensure safety
1. In order to implement the "Nursing Regulations", the Nursing Department conducts training and assessment on the "Nursing Regulations" for all nursing staff in the hospital to further standardize The practice behavior of nurses shall effectively implement the relevant regulations on nurse practitioner registration and employment with certificates.
2. Further improve the nursing management systems, nursing quality assessment standards and nursing operation procedures of key departments (Internal Medicine 1, Internal Medicine 2, Surgery, Traditional Chinese Medicine), and strictly implement the technical access system to ensure nursing care Safety.
7. Strengthen training and improve quality
1. Carry out monthly basic nursing operation skills training to make basic nursing operations more standardized and professional.
2. Conduct hospital-wide nursing business lectures every month, encourage young nurses to serve as lecturers, improve nurses' initiative in learning, and cultivate nurses' self-confidence.
3. Carefully implement pre-job training and on-the-job training for nurses, including core nursing systems, nursing professional knowledge, and skills, and conduct assessments. Only qualified candidates can take up the job, which effectively reduces nursing risks.
The Nursing Department conducts hierarchical assessments of all on-the-job nursing staff in the hospital to steadily improve the technical capabilities of nursing staff at all levels. Departments of Internal Medicine, Pediatrics, Surgery, and Orthopedics conduct training and assessment of specialist theory and specialist operational skills respectively, so that everyone can pass the test, master it proficiently, and use it flexibly to ensure nursing safety to the greatest extent.
8. Strengthen monitoring and ensure quality
1. The nursing department makes self-made nursing safety warning signs to remind nursing staff and patients to avoid risks. Improve the management system for poisons, dramas, anesthetics, high-risk drugs, first-aid supplies, and drugs.
2. Strengthen the monitoring of nursing quality. Monitor the nursing staff and strengthen management of new nurses to ensure key explanations and follow-up. Monitor patient links, and focus on supervision, inspection and monitoring of newly admitted patients, newly transferred patients, critically ill patients, and patients with potential risks of medical disputes. Monitoring of all aspects of nursing operations, including infusions, blood transfusions, injections, and various allergy tests, are the focus of monitoring in nursing management.
3. The nursing department conducts inspections of nursing safety hazards from time to time, finds problems, effectively solves them, analyzes problems from the perspective of nursing process and nursing management, learns lessons, sums up experience, and proposes prevention and improvement measures. .
9. Develop plans to improve emergency response capabilities
1. Developed a "plan for allocating nursing human resources in emergencies" to respond to a sudden increase in patients or public health emergencies. The whole hospital rationally deploys nurses to ensure the safety of nursing care.
2. The Nursing Department revised and formed a nursing emergency management plan for 25 risk events. The plan runs through all links and processes such as nursing operations, treatment, and cooperation with rescue. Conduct first aid drills and power outage and fire drills for high-risk departments: operating rooms, emergency rooms. The clinical ward has developed emergency plans and procedures for sudden death, drug-induced anaphylactic shock, patients falling during hospitalization, inpatients falling from bed, infusion, and blood transfusion reactions.
After the drill, the nursing department conducted on-site reviews, raised existing problems, and discussed improvement measures together.
Through drills, nursing staff can fully understand the handling procedures that should be adopted in emergency situations, so that when encountering various emergencies in nursing work, they can take various effective measures and effective methods, and skillfully use various first aid techniques and equipment. Ensure standardized handling and resolve crises in a timely manner.
10. Initial achievements
1. Changes in the concept of nursing staff: patient-centered and meeting patient needs.
2. Changes in work model: Responsibility grouping is implemented, and all nursing work is implemented by people, which increases the awareness of responsibility.
3. Changes in nursing content: treatment and basic care are gradually equated.
4. Changes in the nursing scheduling model: flexible scheduling, reducing the number of shift handovers, and implementing full seamless nursing care.
5. Changes in the nurse-patient relationship: The nurse-patient relationship has been harmonized and a good nursing working atmosphere has been formed.
6. The ward environment has changed: the number of escorts has decreased, and the ward environment is quiet, clean and orderly.
7. Changes in satisfaction: Nurses care about patients and patients understand nurses, which improves nursing service satisfaction.
11. Problems
1. Some hospital employees have not fully changed their concepts and lack understanding and support for high-quality service demonstration work.
2. The hospital’s support system needs to be further improved.
3. Vertical management of nursing is not in place.
4. Nurses are also responsible for some things other than nursing work.
In the next step, we plan to carry out high-quality nursing services in the three internal departments and outpatient nursing stations, steadily promote high-quality nursing services, and strive to improve the overall nursing level of the hospital to meet the needs of hospital reform, development and innovation. The Nursing Department will continue to improve and explore, and strive to provide high-quality nursing services in a practical and detailed manner.
In short, the "Quality Nursing Service Demonstration Project" is not simply about strengthening basic nursing care. It cannot mechanically complete basic nursing projects as a task. It is about the patient's condition, medical safety, diagnosis and treatment effects, Implement basic nursing according to the needs of prognosis and recovery; professionalize basic nursing and organically combine basic nursing, specialist nursing, humanized services, humanistic care, etc. to implement nursing services for patients. The ultimate goal is: let us The service reaches "patient satisfaction, social satisfaction and government satisfaction".
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