Work plan of hemodialysis room

Time flies and our work has entered a new stage. In order to grow better in our work, we should plan our future working methods well. So how to make a high-quality work plan? The following are four work plans of hemodialysis room that I have carefully arranged, hoping to help everyone.

Work plan of hemodialysis room 1 1. The staff in the hemodialysis room must strictly abide by the principle of sterility, and they must change their work clothes and work shoes when entering the hemodialysis room.

4. Non-staff members are not allowed to enter without permission. Patients should change their shoes before entering the hemodialysis room.

3. Smoking and spitting are prohibited in the hemodialysis room, and the room is kept clean and quiet.

2. Strictly distinguish clean areas, contaminated areas and sterile areas, strictly implement the principle of disinfection and isolation of hemodialysis rooms, and adhere to the principle of special plane dialysis and pool reuse for infectious patients.

5. Take good care of the items in the hemodialysis room, and it is forbidden to check them out. Special circumstances must be approved by the head nurse and director of the department. Medical personnel who go out for rescue should be responsible for keeping the instrument well.

6. Do a good job in patient education and health guidance, and serve patients with civility, courtesy and enthusiasm.

Once the reasonable arrangement of dialysis time, and inform the patient's department, dialysis patients for detailed registration. Selective dialysis patients need to change the dialysis date, they should contact one day in advance, and the doctor on duty in the department where the emergency dialysis patients are located should contact the hemodialysis room, and the staff of the hemodialysis room will make dialysis arrangements.

⒏ Prepare dialysis supplies, dialyzers, drugs, supplies and instruments at a fixed position in the hemodialysis room, and maintain the dialyzer by designated personnel, and make maintenance registration. To ensure the smooth progress of dialysis.

Pet-name ruby after dialysis, namely dialyzer, vascular circuit reuse. Arrange the materials, clean and disinfect the dialysis machine, and disinfect the dialysis room, treatment room and dialysis treatment preparation room for two hours every day and register.

⒑ Thoroughly clean every week, disinfect dialyzers and pipes every month, disinfect reverse osmosis machines regularly, and do bacterial culture once a month (including air, reverse osmosis, dialyzers, blood vessels, etc.). ).

Working system of central blood collection room

1. Nurses in blood collection room should work according to the post responsibility system under the leadership of nursing department and outpatient department, and should master the content of post responsibilities.

2. Be familiar with the blood collection requirements and standards of various laboratories, and take blood in strict accordance with their specifications to ensure the accuracy of test results.

[14] is responsible for the blood collection of all laboratory outpatients in the hospital, as well as the management and distribution of report forms.

4. Specimens, application forms and receipts after blood collection shall be classified according to each laboratory, and each laboratory shall assign special personnel to the blood collection room to collect specimens, and receive and check them strictly in parallel.

5. According to the specific situation of patients, make a correct assessment and do a good job in health education.

6. Strictly implement the check system and disinfection and isolation system to prevent errors and cross-infection.

Once strictly abide by labor discipline, stick to their posts, observe the time of blood collection in this room, and ensure the timely collection of specimens.

Hemodialysis is the main treatment for uremia patients. Dialysis patients actually lead a very abnormal life. They are "tied" to dialysis machines to a large extent, and they have to rely on medical staff to survive all their lives. The financial burden of patients and their families is very heavy, and long-term pathological factors also make patients emotionally unstable and irritable. Therefore, this year, the hemodialysis room of our hospital made the following nursing work plan according to the working characteristics of the undergraduate course room:

First, establish and improve various rules and regulations to ensure the safety of patients.

1, formulate the responsibilities, workflow and operation specifications of the dialysis center.

2, formulate dialysis risk plan and emergency plan.

3, according to the patient safety goals, establish and improve the patient safety system.

Second, strengthen business study and improve professional quality.

1, according to the requirements of the nursing department, organize the study of "three basics theory" and "new nursing foundation".

2. Strengthen fifteen nursing techniques, train and improve professional skills, be skilled and strive for perfection.

3, regularly organize nursing staff to learn nursing theories and technical operating procedures related to hemodialysis patients.

4, strengthen the emergency, first aid ability training and emergency handling ability training.

5. Strengthen nurses' legal awareness and legal concept.

Three, a solid legal knowledge, establish a sense of safety.

1. Organize nurses to study relevant laws and regulations regularly.

2. Organize and study the relevant rules and regulations of the hospital and the working system of the hemodialysis room, so that nurses can know the law and abide by the law, be cautious in words and deeds, consciously improve their self-cultivation and pay attention to self-protection in practical work.

Fourth, establish a people-oriented nursing model and strengthen service awareness.

1. Cultivate nurses to establish the concept of "patient-centered" and strengthen the awareness of active service.

2. Deepen family service and truly "serve with heart and create emotions" in practical work.

3. Actively participate in the etiquette training organized by the hospital to improve the professional quality of nurses.

Fifth, strengthen scientific research consciousness and improve nursing scientific research ability.

1. Actively participate in the business study organized by the hospital, learn about the new nursing trends at home and abroad through various channels, and strive to publish more than 1 national papers this year.

2, the use of incentive mechanism, for nurses who have academic papers published in magazines or exchanged at meetings, in the selection of outstanding nurses and year-end awards, priority is given.

Six, nursing indicators

1, the qualified rate of basic nursing, and the qualified rate of super-level nursing ≥85%.

2. The intact rate of first-aid articles, medicines and instruments 100%.

3. The qualified rate of nursing document writing is ≥90%.

4. The pass rate of "three basics" examination for nursing staff is 100%.

5. The qualified rate of disinfection and sterilization of conventional instruments is 100%.

6. The recycling and incineration rate of disposable medical supplies after use is 100%.

7. Patients' satisfaction with nursing work and service attitude is more than 90%.

The work plan of hemodialysis room 3 is to further improve the medical quality and the professional and technical level of nursing staff. Nursing work in hemodialysis room should focus on nursing quality, around the hospital development plan, adhere to the service concepts of "patient-centered" and "service, quality and safety", innovate management methods, and continuously improve social satisfaction. Make the annual nursing quality work plan as follows:

1. Further standardize the rules and regulations and workflow.

1. According to the requirements of the Standard Operating Procedures for Blood Purification (20xx Edition) of the Ministry of Health, and in combination with the actual situation of our department, standardize various rules and regulations, work flow and operation flow to ensure the standardization, standardization, normalization and institutionalization of the work in the hemodialysis room.

2. Make the dialysis risk plan and emergency response plan, study hard, and let the nurses in hemodialysis room master it skillfully.

3. Establish a perfect nursing quality monitoring system, and the quality control team of the department will intensify self-examination, find problems and improve them in time, regularly find hidden dangers of nursing and make analysis and feedback, so as to make all work procedural and standardized.

Second, strengthen nursing safety management, improve nursing risk prevention measures, effectively avoid nursing risks, and provide patients with high-quality, safe and orderly nursing services.

1. The patient's blood is in extracorporeal circulation during dialysis, and nursing safety is the most important. Therefore, doctors and nurses are needed to accompany dialysis patients throughout the dialysis process, and two nurses must be on duty in each shift to check each other, including whether there is blood seepage at the puncture site, whether the treatment parameters set by the machine are accurate, and the dosage of anticoagulants and other drugs. During dialysis, closely observe the patient's condition changes, monitor the patient's vital signs at any time, find out the adverse reaction of dialysis, alarm of abnormal machine and blood leakage at puncture site in time, and deal with it in time to ensure the patient's life safety.

2. Do a good job in the daily cleaning, disinfection and maintenance of the water processor and dialysis machine, so as to facilitate the communication between doctors, nurses and technicians at any time, keep the machine running normally and safely, and ensure the safety and high-quality dialysis of patients.

3. Attach importance to safety education, organize the study of nursing safety management system, strengthen supervision and guidance, check that nursing staff strictly implement various rules and regulations, technical operation procedures, implement the responsibilities of each post, formulate various emergency plan systems according to the specific situation of the department, and practice routine emergency plan processing procedures to ensure nursing safety and improve nursing quality.

4. Establish a system for truthfully registering and reporting nursing defects and a management system, analyze the causes of nursing defects, organize nursing staff to discuss and learn in time, draw lessons, put forward improvement measures, and report them to the nursing department in time. Head nurses insist on strict supervision of all aspects of work quality, take timely measures when finding potential safety hazards, and nip nursing quality accidents in the bud.

5. Strengthen the management of emergency medical equipment to ensure the intact rate of emergency medical equipment 100%. Check carefully during the shift change to ensure that the accounts are consistent with the contents, strengthen the performance and safety inspection of various rescue instruments every week, and maintain them in time when problems are found to ensure that the rescue items are in good standby state. The head nurse checks 1-2 times a week.

6. Strengthen the training of nursing staff in first aid knowledge, rescue procedures, rescue drugs and the use of rescue equipment, so that everyone can master and use them skillfully.

7. Organize the study of relevant laws and regulations, and enhance the risk awareness and prevention awareness of nurses.

Third, strengthen the management of hospital infection and do a good job of disinfection and isolation.

1. Strengthen the training of hospital infection knowledge, organize nurses to learn the Management Measures for Hospital Infection, Technical Specification for Hospital Disinfection and Standard Operating Specification for Blood Purification (20xx Edition), and strengthen disinfection and isolation inspection.

2. Keep the water treatment room, liquid preparation room, treatment room and dialysis room clean, disinfect them on time every day, and do a good job in daily cleaning and disinfection maintenance of water machine and dialysis machine.

3. Strictly follow the operating procedures of blood purification infection control, and regularly test and record the dialysis water and dialysate.

4. Strictly implement aseptic operation technology to prevent hospital infection. The implementation rate of one needle and one tube for dialysis patients 100%, one patient, one bed, one use and one replacement 100%, and the centralized disposal rate of dialysis consumables and medical wastes according to regulations 100%.

Fourth, strengthen the on-the-job education of nursing staff and improve their overall quality.

1. Take various forms to continuously learn and consolidate basic knowledge and solid basic operation. At the same time, we should broaden our horizons, master advanced technology, and constantly communicate with colleagues in other hospitals, be familiar with the clinical manifestations of common complications of hemodialysis, and be proficient in various modes of operation and alarm handling.

2. Insist on holding monthly department nursing knowledge, new business, new technology, professional and technical training, improve professional knowledge and practical ability.

3. Strengthen the examination and assessment of nursing staff, and require the qualified rate of theoretical examination to be 95% and the qualified rate of nursing technical operation to be 95%.

4. Encourage nursing staff to participate in self-study, correspondence and various classes and seminars, so that nursing staff can grasp the new trends of nursing work development in time. Encourage nursing staff to actively write papers, and strive for general practice to publish or exchange papers 1-2 in journals above the municipal level.

Five, do a good job in health education for hemodialysis patients.

1. Implement the patient care responsibility system, require the nurses in charge to carry out health education according to the patients in charge, and provide relevant health education materials.

2. Encourage nurses to provide health education to dialysis patients and their families through interesting and easy-to-understand forms.

3. By asking patients and their families, check patients' knowledge of diseases and evaluate nurses' health education.

6. Further standardize the writing of nursing documents.

1. Nursing documents should be written from the details, and each nursing document should be written carefully, timely and standardized.

2. Pay attention to the problems existing in nursing documents at this stage, make the records objective, true, accurate, timely and complete, and avoid irregular writing, such as typos, unclear alterations, inconsistencies and inconsistencies with doctors' records, so as to standardize and standardize nursing documents.

Regularly analyze and improve the defects of nursing records, emphasize that unqualified nursing documents are not filed, and ensure the qualified rate of nursing documents 100%.

Seven. Workload and economic indicators

1. Patient intake: increased by 20%.

2. Treatment visits: increased by 20%

3. Machine utilization rate: the utilization rate is kept above 80%.

4. Department income: total income increased by 20%, and outpatient treatment income increased by 10%.

Under the leadership of the hospital and nursing department, all nursing staff in our department will work closely with doctors to ensure medical safety, improve nursing quality and achieve double harvest of economic and social benefits.

4 XXXX hemodialysis room work plan Hemodialysis room should focus on the development plan of the hospital, based on the work plan of nursing department, according to the "Dimethyl" evaluation standard and the work characteristics of undergraduate course room, take patients as the center, focus on medical quality and safety, and make the following work plan with the concept of providing quality services for patients:

First, strictly implement various rules and regulations to ensure the quality and safety of medical care.

1, attaches great importance to medical and nursing safety education, and the head nurse will organize safety education knowledge learning in hemodialysis room every month to sound the alarm at all times.

2, strict requirements of medical staff to implement the rules and regulations, technical operation process, the implementation of the responsibilities of each post, and gradually make the work institutionalized, clear responsibilities, technical standardization, and establish a long-term mechanism to ensure the quality of medical care to a new level.

3, set up a medical care quality control team in the department, familiar with and master the quality evaluation standard of dialysis room. At the beginning of each job, the director and the head nurse make a quality control plan, and each quality controller conducts self-inspection as planned, so that everyone can participate in quality control. At the end of the month, the director will organize a departmental quality and safety management meeting, and each quality controller will report the inspection results, make an assessment according to the standards, record the assessment results, make a summary and analysis, and put forward rectification opinions on the existing problems.

4. Actively report the adverse events of this department, analyze and evaluate the adverse events of this department, and put forward preventive measures to facilitate future work.

Second, in the hemodialysis room, high-quality nursing service will be carried out in an all-round way and implemented.

1. Strengthen health education for patients, and adopt different education methods according to their educational level and acceptance ability.

2, organized by a special person to hold a symposium once a month, to explain related diseases to patients and their families.

Knowledge, and solicit the opinions of patients and their families, effectively improve the environment and work style of hemodialysis room, understand the patient's condition dynamics, and improve patient satisfaction.

Two, strengthen the management of hospital infection, do a good job of disinfection and isolation.

1, regularly monitor the quality of dialysate and dialysate every month, and regularly monitor the endotoxin in dialysate every quarter. Check the hardness and residual chlorine of dialysis water every week. All monitoring results shall be recorded. At the end of the season, the director will organize a hospital awareness work meeting to put forward continuous improvement measures for the existing problems. Reduce the occurrence of hospital infection and ensure the safety of patients.

2. Strengthen the compliance of medical staff's hand hygiene, and the head nurse regularly conducts standardized training, and transforms it into a kind of consciousness to prevent the occurrence of hospital infection.

3. Strengthen the management of medical wastes, and classify, destroy and transport medical wastes in strict accordance with the Regulations on the Management of Medical Wastes.

4. Strictly implement aseptic operation technology to prevent hospital infection. The implementation rate of one needle and one tube per dialysis patient 100%, and the implementation rate of one patient, one bed, one use and one exchange 100%.

5. Do a good job in disinfection and isolation, keep the water treatment room, liquid preparation room, treatment room and dialysis room clean and hygienic, disinfect on time every day, and do a good job in daily cleaning and disinfection maintenance of water dispensers and dialysis machines. Disinfectants are prepared and used in accordance with regulations, ensuring that disinfectants are prepared according to demand, quantity and concentration, and the concentration is detected with special test paper every day.

6, for all dialysis patients regularly according to the requirements of the specification for hepatitis B, hepatitis C, syphilis and AIDS infection related inspection. Report any problems to the sensory control department in time.

Fourth, strengthen the on-the-job education of nursing staff and improve their overall quality.

1. Take various forms to learn and consolidate the basic knowledge and solid basic operation, broaden your horizons, master advanced technology, communicate with colleagues in other hospitals, and be familiar with hemodialysis.

Look at the clinical manifestations and treatment measures of complications, and master the operation and alarm handling of various models skillfully.

2. The department organizes business study once a week, and everyone should have study notes. Theoretical assessment should be carried out every month.

3, organize a professional skills training every month, the head nurse regular assessment, improve business ability.

4, strengthen the emergency and first aid ability training and emergency handling ability training. There are monthly trainings and quarterly drills. Try to get everyone involved.

In a word, in 20xx, our hemodialysis room will fully cooperate with the development of dimethyl ether assessment and seriously implement various standards under the guidance of the care and nursing department of hospital leaders. Actively carry out various new businesses and technologies to contribute to the development of hospitals.