Orthopedic Work Plan 1 After half a year's study, we found that there are still many deficiencies and defects in nursing work. In order to make greater progress in the future work of the hospital nursing department, the nursing work plan is formulated as follows:
First, strengthen the management of emergency department, strengthen the professional knowledge training of nursing staff, so that every nurse can memorize all kinds of emergency rescue plans and the placement of rescue equipment, and can quickly cooperate with doctors to rescue;
Second, strengthen the ward professional knowledge training.
Third, strengthen the management of operating room. Ensure that the qualified rate of operating room equipment, instruments and articles is 98%, and make emergency preparations.
Fourth, improve the publicity manual of orthopedic health education. From the publicity of patients' admission (such as preventing falls, falling out of bed, carrying valuables with you, etc.). ), routine inspection project location and matters needing attention, specialist care, postoperative patient diet guidance, discharge guidance (such as re-examination expert outpatient service, department contact telephone number, etc.). )
Five, increase the intensity of hospital infection control. Strictly abide by the disinfection and isolation system, do a good job in ward environmental health monitoring, and the results should meet the standards. At the same time, do a good job of disinfection at any time, terminal disinfection and daily disinfection. After use, the articles shall be disinfected according to the treatment principle, and disposable goods and medical wastes shall be managed, used and treated as required.
Sixth, carry out high-quality nursing service activities to improve the quality of nurses' service.
(1) Do more for patients: patrol more, observe more, care more, take care of more, and solve more practical problems for patients.
(2) Speak for patients: give more guidance, education, communication, explain patients' questions, actively do health education and actively seek patients' opinions. Through scenario simulation and role-playing, the ability of effective communication between nurses and patients is improved, and the service consciousness and health education ability of nurses are improved.
(3) Make patients more convenient: meet the basic needs of patients and provide convenient services for patients.
(4) Satisfying patients: By carrying out characteristic nursing warm service activities, we can create nursing service characteristics, improve the service quality of nurses and improve the quality of nursing.
(5) Conduct a questionnaire survey on patient satisfaction service once a month.
Orthopedic Work Plan II In the past year, we have achieved good results and actively provided quality nursing services for patients. In the coming year, we also firmly believe that we will strive to do better. The following is the orthopedic 20xx nursing work plan:
First, do a good job in quality management
In view of the difficulties and focus problems in nursing work, setting the focus of work and persisting in integrating the humanistic nursing concept of "patient-centered" into more practical and specific work details are to implement standardized nursing quality standards, make nursing quality management have rules to follow, take patient satisfaction as an important index to evaluate nursing quality, and let patients really benefit from quality management.
Second, highlight the characteristics of specialties and build a nursing brand.
Focus on training responsible nurses to guide patients in functional exercise, further improve the means and methods of functional exercise guidance, and adopt various forms of education to achieve results. Let patients better understand the significance and methods of functional exercise.
Third, conduct standardized training.
Strengthen nursing operation standard, carry out process service, strictly control aseptic operation and check system, improve nursing quality, and provide different training for nurses with different seniority and ability, so that everyone can develop the habit of active learning.
Four, seriously implement the rules and regulations of the hospital and medical ethics.
Strictly abide by the "ten prohibitions", "ten prohibitions" and "fourteen core systems" and earnestly perform the post responsibility system.
Five, nursing document writing.
Still in accordance with the medical record writing standards, strictly implement it, be objective, true, accurate, timely and complete, make the handwriting clear and neat, express accurately, make sentences fluent, put an end to scraping, pasting, painting and changing forms, and correctly use medical terms to describe patients' symptoms and signs.
Six, earnestly implement the "patient-centered" service.
Complete the change of nurses' concept, change the past "I want to serve" into "I want to serve", and improve nurses' etiquette quality. The "patient-centered" service is specific to every detail of nursing behavior, and standards have been established in every work link from admission to discharge.
Seven, strengthen ward management, and actively carry out business rounds.
And the environment should be clean, tidy, quiet and comfortable, all hospital bedding should be used, sick clothes should be worn, bed cleaning should be done in the morning, nurses should be urged to go to work, and smoking should be banned. Do a good job in admission guidance and health education for newly admitted patients, eliminate strangeness, make patients actively cooperate with treatment, and ask nurses to patrol the ward in time to prevent patients from leaving intravenous drip and calling for medication. Each nursing team is required to know the patient's condition from admission to discharge, and insist on business rounds twice a month, so that every patient can get effective treatment and care during hospitalization.
Eight, strengthen infection monitoring.
All kinds of disinfectants should be replaced in time to ensure that the equipment is used by one person to prevent cross-infection. Disposable articles should be recycled in time, clearly classified and disposed of in time. The treatment room and dressing room are irradiated with ultraviolet twice a day and recorded. The corridor of the ward is disinfected with disinfectant twice a day, and the floor is wet.
Nine, to carry out the cost-benefit study of nursing and strengthen the cost management of departments.
Avoid the idleness and waste of resources, improve the utilization rate of resources, rationally allocate nursing resources, and provide more health services suitable for social needs with as little labor consumption as possible.
Orthopedic work plan 3 After repeated consideration, the orthopedic work plan was formulated around the working policy of the nursing department. Details are as follows:
First, strengthen nursing safety management.
1, safety is the core of all work. Nursing work should be meticulous and patient, and strictly follow the core nursing system, nursing routine and workflow. Three-level quality control has indeed been put in place, and potential safety hazards have been eliminated in the bud.
2, comb the existing workflow, modify the unreasonable process. Develop practical workflows or guidelines for new projects. There are rules to follow.
Second, actively improve patient satisfaction.
1, often take a patient as an example, follow up the investigation and ask the patient's opinions on staff, health environment, work flow, medical quality and so on. , find problems and actively improve.
2. Conduct a satisfaction survey once a month and analyze the results. Have a public holiday once a month.
Third, do a good job in standardized training and orthopedic specialist knowledge training.
1, according to the nursing department training plan, combined with the characteristics of department personnel to develop personalized training programs.
2, around the top ten safety goals of orthopedics, undergraduate course room existing diseases and orthopedic special technical operation to develop undergraduate course room specialized training plan.
Orthopedics Work Plan 4 In order to better develop and inherit the professional characteristics of orthopedics and traumatology of traditional Chinese medicine and better serve people's health, our department will focus on the development of orthopedics and traumatology of traditional Chinese medicine, give full play to the advantages of orthopedics and traumatology of traditional Chinese medicine, strengthen patient-centered, and promote the diagnosis and treatment technology of orthopedics and traumatology of traditional Chinese medicine and the application of traditional Chinese medicine in orthopedics and traumatology. According to the development plan of the hospital, the work plan of our department for 20xx is formulated.
I. Guiding ideology
Guided by the principles, policies, laws and regulations of the state and higher authorities in charge of health work, perform their duties in strict accordance with the relevant norms and regulations of health-related departments, hospitals and undergraduate departments, adhere to the people-oriented principle, conscientiously implement Scientific Outlook on Development, change development ideas, clarify development ideas, establish crisis awareness, and seize development opportunities; By introducing and training department professionals, we will strengthen the purchase of advanced medical equipment, strive to improve our own quality and medical service level, and strive to provide better medical services for the health of the broad masses of the people.
Second, strengthen medical management and improve medical quality.
1, we will take reform and innovation as the driving force, take the construction of key departments as the goal, win the market with service quality, and realize the "four prohibitions" and "five excesses" in the development of medical quality, that is, we will prohibit indifference, prevarication, hasty consultation and careless diagnosis and treatment; More explanation, more comfort, more understanding, more warmth, more help, so that the quality of medical services is in a position.
2. The quality control team is responsible for management according to their respective posts.
Establish a feasible quality control scheme at all levels and a regular effect evaluation system, so that the system of three-level rounds, consultations and discussions in our department can be implemented and the medical quality can be fully guaranteed.
3. Regularly educate medical personnel about the significance of post responsibility system, improve various rules and regulations, and regularly and irregularly check the implementation of medical conditions and post responsibility system.
New employees must receive pre-job education. Clarify the hospital's various systems and professional ethics, constantly sum up experience, learn from each other's strengths and improve the management system. Establish preventive measures for medical defects, that is, deal with the plan to prevent medical accidents, implement the accountability system for medical defects, and educate the medical staff in the hospital to put medical safety first.
4. Strengthen the management of medical documents to standardize and standardize medical documents in all subjects.
Regular inspection, timely feedback, improvement and improvement, so that the writing of medical documents can meet the requirements and objectives set by the Ministry of Health. Carry out informed choice activities, provide personalized services, and carefully fill in all kinds of informed consent forms. Make the qualified rate of Grade A medical record writing in the department reach 98%, and there is no Grade C medical record; The qualified rate of prescription should reach above 98%; All auxiliary inspection reports meet the requirements of the health department.
Third, prevent medical accidents and ensure medical safety.
We should conscientiously do a good job in medical quality evaluation, and carry out management work in strict accordance with management norms, work systems and evaluation rules. Strictly implement medical preventive measures, medical accident treatment plans and preventive plans, implement the accountability system for medical defects, and carry out medical activities in strict accordance with medical operating procedures and standards. Change the focus of medical quality management from the final quality evaluation of medical care to the quality inspection and supervision of every link in the whole medical process.
1, continue to do a good job in medical safety education and related laws and regulations, standardize medical behavior according to law, strictly implement personnel access and technology access, strengthen medical safety education for medical personnel, and hold lectures, trainings and examinations on prevention and treatment of medical disputes.
2, strengthen medical safety prevention, starting from the control of medical defects, strictly implement the system of medical disputes, medical accident treatment and accountability, for disputes that have a significant impact on the hospital and are identified as medical accidents, accountability should be carried out. Pay attention to learning from experience and lessons.
3, from the control of medical defects, strengthen the difficult, iatrogenic injury, special, critical, serious complications, disputes and other patients at any time reporting system.
4. Hold regular medical safety meetings, report the handling of medical safety incidents and medical disputes, and sum up experience.
Orthopedic Work Plan 5 In order to cooperate with the work of nursing department and head nurse, train qualified nursing staff, help interns standardize operation steps, establish good professional ethics, complete role transformation, and adapt to clinical work and orthopedic work plan as soon as possible. According to the requirements of the school practice plan, the student teaching plan of orthopedic ward for 20XX years is made.
First, the overall goal
Through the practice in the surrounding orthopedic wards, master the basic operation skills of orthopedic nursing, be familiar with the etiology, clinical manifestations, evaluation, diagnosis, treatment principles and corresponding preoperative and postoperative care of common orthopedic diseases, understand the use of various commonly used medical devices, master the writing of nursing medical records, and master the knowledge of health education of common orthopedic diseases. Do a good job in communication with patients and psychological care. Using nursing procedure to carry out holistic nursing for orthopedic patients.
1, attitude goal:
Cultivate students' love for nursing and establish the idea of serving patients wholeheartedly. It has the humanitarian spirit of saving lives. Always think of the patient and do everything possible to alleviate the patient's pain. Can respect, care and cherish patients and establish a good nurse-patient relationship. Explain to patients patiently before nursing operation, with gentle movements and kind attitude. Patiently listen to patients' opinions and inquiries. Psychological nursing for different patients and situations. Be rigorous and realistic, strive for progress, learn from the instructor with an open mind, and care and respect each other between teachers and students.
2. Knowledge objectives
(1) Master the basic operation techniques of orthopedic nursing: aseptic technique operation principle, disinfection and isolation principle, injection principle, routine specimen collection principle, oral care, atomized inhalation, wound drainage tube, axial rotation, oxygen inhalation, intravenous infusion and indwelling needle care, indwelling catheter care, vital sign measurement, blood transfusion, enema and lung puncture, and have the opportunity to master VSD nursing techniques.
(2) Understand the etiology, clinical manifestations, diagnosis and treatment of common orthopedic diseases, and be familiar with the corresponding nursing care (nursing care of patients with total hip replacement, nursing care of patients with total knee replacement, nursing care of patients with spinal fracture and spinal cord injury, nursing care of patients with limb fracture, new progress in orthopedics, nursing care of patients with broken limbs). )
(3) Understand the usage of various commonly used medical instruments (fracture therapeutic instrument, ECG monitor, micropump, pulse oximeter).
(4) Be familiar with the responsibilities of each class.
(5) Familiar with the coordination and nursing of various commonly used gypsum bandages, traction and small splints in orthopedics.
(6) Familiar with rehabilitation nursing of common orthopedic diseases.
(7) Master the writing of medical records and complete a complete nursing medical record every month.
(8) Attend small lectures, medical record discussions and teaching rounds organized by head nurses or teaching teachers.
(9) to participate in health education activities organized by the ward.
3. Cultivate talents at different levels
Secondary school students focus on strengthening three basic training and specialized nursing, and master the concept of holistic nursing and interpersonal communication skills in holistic nursing; In addition to the "three basics" training, college students should broaden their knowledge and strengthen the cultivation of practical ability. In the aspect of holistic nursing, master the theory of holistic nursing and the working methods of nursing procedures, and implement health education plans for patients and their families. In addition to the "three basics" training, undergraduates should also pay attention to the practice of holistic nursing, and at the same time pay attention to the cultivation of students' teaching, management ability and scientific research consciousness. Nursing students should take the 1 single skill and theory examination every week when they practice in the department, and also take the comprehensive theoretical knowledge and skills examination when they leave the department. The teaching objectives are as follows:
3. 1 Teaching objectives of middle school students:
(1) To master all kinds of bed-making methods, requirements of hospitalization care, morning and evening care and graded care. Familiar with ward diet management, master the dietary taboos of traditional Chinese medicine and the nasal feeding methods of patients. Master the measurement and record of T, P, R and BP. Basically master the observation of tongue coating, pulse condition and condition of TCM and the treatment of doctor's advice.
(2) to master the oral administration method and the requirements and precautions for drug storage, marriage, dispensing and dispensing. Master injection, six aseptic techniques, enema, oxygen inhalation, sputum aspiration and other operations. Application, contraindications and precautions of cold and hot compress. Understand and master all kinds of specimen collection methods.
(3) Mastering the preoperative preparation of patients undergoing surgery, such as skin preparation and drug allergy test, and postoperative care including observation and nursing of dressing outside the wound, treatment and observation of various drainage tubes, mastering the methods of health education, psychological care, functional exercise and dietary guidance of patients after surgery, learning to observe various discomforts of patients after surgery, and finding various postoperative complications in time. Master aseptic technical operation, master the use and observation items of ECG monitor, learn to observe, nurse and cooperate with rescue, and record the condition of critically ill patients in time.
(4) Mastering the clinical manifestations, treatment principles and nursing routine of specialized diseases, such as external fixation with small splint or plaster, observation of blood supply of affected limbs, common complications and preventive measures in clinical nursing of patients with bone traction paraplegia, including orthopedic skin preparation, aseptic catheterization, alcohol at bone traction needle, correct turning over of patients who have been in bed for a long time, treatment of fracture patients, correct traction line and traction weight, is helpful for patients with fracture paraplegia. Basically master the use of infusion pump, intravenous indwelling needle and analgesic pump.
(5) Under the guidance of the teaching teacher, according to the nursing diagnosis, set practical nursing goals for patients and implement holistic nursing.
3.2 Teaching objectives of college students:
(1) Master the basic knowledge and skills of the above nursing theory.
(2) Participate in the rescue of critically ill patients and learn the writing of nursing documents.
(3) Master the holistic nursing theory and working methods of nursing procedures, implement health education plan for patients and their families, and complete the specialized practice with quantification as the main part.
3.3 In addition to mastering the basic knowledge and skills of nursing theory, undergraduate teaching objectives should also be:
(1) Apply nursing procedures to carry out holistic nursing for common diseases in specialized departments, and learn communication skills. Participate in nursing rounds and put forward nursing measures.
(2) For the beds managed, attend the attending doctor's rounds 1 time every week, and cooperate with the doctor's diagnosis and treatment. Cooperate with doctors to participate in the rescue work of critically ill patients and learn the writing of nursing documents.
(3) under the guidance of the teaching teacher, organize the whole hospital nursing rounds.
Second, the plan
1. Scheduling: interns are introduced on the first day, and the head nurse takes care of the teachers for two weeks and other classes for two weeks, such as treatment class, nursing class, main class and night shift before and after. The responsibility of interns in each class refers to the responsibility of teachers in each class to complete the work of the class.
(1) The duty of the responsible class focuses on the application of nursing procedures to holistic nursing, health education, psychological nursing, observation of illness (including complications), functional exercise, nursing record writing and so on. , as well as the completion of various treatments and the care of patients entering and leaving the hospital and surgery. Master the first aid and treatment of common diseases, post-anesthesia care and management of critically ill patients.
(2) Duty on duty focuses on liquid preparation, skin test and checking doctor's advice.
(3) The duty of the office class is to correctly handle the doctor's advice, place intravenous infusion the next day, and accept new patients.
(4) The duty of the auxiliary class focuses on laying anesthesia beds, surveying and mapping body temperature, pulse, respiration and blood pressure, and escorting surgical patients.
(5) The duty of the former night shift focuses on the care of patients during shift change and emergency, the preparation of liquids and blood samples, and the application of nursing procedures to the overall care of patients.
(6) After the night shift, the focus is on venous blood collection, preoperative preparation for the morning meeting, and holistic nursing of patients by using nursing procedures.
2, once a week combined with clinical cases of small lectures.
(1) General contents: from the first week to the third week, general knowledge of orthopedics and replantation of severed limbs; Nursing care of patients with traction plaster fixation: nursing care of patients with spinal fracture.
(2) Under special circumstances, you can also choose the following contents: a. Nursing care of patients undergoing total hip replacement; Nursing care of patients with high paraplegia; New progress in orthopedics.
3, teaching rounds combined with clinical typical cases a rounds. (Arrange the fourth week)
Step 4 evaluate
(1) self-evaluation: interns should write an internship summary after their internship in the undergraduate department;
(2) departmental evaluation: the contents include: a. evaluation at any time; B operation assessment: the content is oxygen inhalation nursing; C comprehensive evaluation; D internship.
Orthopedic Work Plan 6 I. Work Objectives
1, strengthen nursing quality and safety management, continuously improve nursing service quality and ensure nursing safety;
2. Strengthen the connotation of high-quality nursing service and implement the overall nursing responsibility system;
3. Improve the post management and performance management of nurses;
4. Strengthen the training of head nurses and nurses' working ability and humanistic quality, and effectively improve the overall quality of the nursing team;
5. Vigorously promote the construction of nursing informatization;
6, innovative thinking actively carry out nursing research and teaching, and promote the development of nursing specialty.
7, nursing index completion.
Second, the specific measures
(1) Strengthen the management of nursing quality and safety, continuously improve the quality of nursing service and ensure nursing safety.
Nursing quality management is the eternal theme and the core content of nursing management. In the nursing work of 20xx years, the nursing department will carefully assess, analyze, evaluate, rectify, track and reevaluate according to various quality assessment standards and follow the PDCA cycle mode, reflecting continuous improvement and implementing target management.
1, members of the assessment team of the Nursing Quality Management Committee conduct monthly nursing quality supervision, grade nursing quality evaluation standards, and each nursing unit conducts monthly self-examination of nursing quality, timely rectify and track existing problems, timely revise nursing quality standards, improve systems and norms, and propose improvement measures to promote continuous improvement of nursing quality.
2. Strengthen the nursing quality management of key links, key periods, key people and key departments (disinfection supply room, operating room and emergency department), and the nursing department will supervise the departments irregularly according to the requirements of dimethyl standard to ensure nursing safety.
3. Further strengthen infection control, strictly abide by the disinfection and isolation system, strengthen occupational protection, ensure the safety of nursing staff, and do a good job in the management, use and disposal of disposable articles and medical wastes.
4. Improve the patient risk assessment system; Strengthen the management of critically ill patients and nursing adverse events, timely check critically ill patients and adverse events reported by wards, and put forward reasonable suggestions to avoid medical disputes.
(2) Strengthen the connotation of high-quality nursing and implement holistic nursing responsibility system.
1, strengthen nursing human resource management, implement nurse post management, and meet clinical nursing needs as much as possible.
2, the implementation of the "patient-centered" service concept, in accordance with the grading nursing, specialist nursing standards, the implementation of the overall nursing responsibility system, strengthen health education, to provide patients and their families with safe, high-quality, efficient and satisfactory services.
3. Further strengthen the assessment of high-quality nursing service, hold special meetings of head nurses regularly, and constantly summarize and improve clinical nursing work.
4. The nursing department conducts a monthly survey of patients' satisfaction, extensively listens to the opinions of patients and their families, and constantly improves the service attitude and quality to achieve six satisfaction.
(3) Strengthen post management and performance management of nurses.
1, further implement the hierarchical management of nursing staff, correspond the nursing post demand with the nursing staff's ability, embody the scientific employment mechanism of "giving full play to one's talents", provide patients with a higher professional level of nursing service, and embody more work and more rewards and punishments.
2. Improve and refine the workflow, integrate the system, standards, responsibilities, routines and norms into the workflow, strengthen the detail management, and make the nurse work executive and operable.
(D) to speed up the training of head nurses and nurses' working ability, and effectively improve the overall quality of the nursing team.
1, strengthen the assessment of head nurses' work.
2, the nursing department for nursing staff three basic theory, skills training, basic theory of traditional Chinese medicine, skills training.
3. Revise the graded management and assessment of nurses according to the graded training plan for nurses.
4, strengthen the training and assessment of nursing system, responsibility, process and emergency plan.
5, the nursing department regularly and irregularly organize nursing rounds.
6. Strengthen the training of specialized nurses, arrange to go out for further study, and accelerate the construction and development of specialized nursing.
7. Encourage nurses and head nurses to participate in various forms of learning, and improve their academic level and management level.
8, the head nurse meeting once a month.
9, nursing quality management committee held once every quarter.
(5) Vigorously promote the construction of nursing informatization and improve work efficiency.
Strengthen the management of nursing adverse events, pressure ulcers and night rounds, implement electronic medical records for all kinds of nursing documents, give full play to the role of modern information technology in nursing quality management, optimize the process and improve work efficiency.
(6) Carry out scientific research with innovative thinking to promote clinical nursing teaching.
1. Strengthen the study of new theories, new knowledge and new technologies of nurses, constantly broaden their horizons, innovate their thinking, actively write nursing papers, publicize good people and good deeds in the nursing team, and show the grace of angels.
2. Actively carry out clinical nursing teaching. Strengthen practice management, further study and new nurses, summarize practice teaching work, and train new nurses for 3 days before taking up their posts.
3. Cooperate with the general affairs department to implement tobacco control and create a smoke-free hospital.
4. It is planned to add 7 nurses, so as to realize the bed-to-nurse ratio of 1:0.4, which can meet the needs of clinical work.
5. Carry out some meaningful recreational activities, enrich spare time and improve the cohesion and centripetal force of the nursing team.
(seven) the completion of nursing indicators:
1, and the qualified rate of basic nursing was 95%
2. The qualified rate of specialized nursing is 95%.
3. The qualified rate of graded nursing is 95%
4, critically ill patients nursing qualified rate of 95%.
5. The intact rate of first-aid articles 100%.
6. The qualified rate of disinfection and sterilization of conventional instruments is 100%.
7. The qualified rate of nursing document writing is 100%.
8, patients' satisfaction with nursing work 90%
9, nursing technology operation qualified rate of 95%.
10, "three basics" assessment pass rate 100%
1 1, and the nursing error rate was "0"
12, the incidence of pressure ulcers was "0"
13, qualified rate of medical waste treatment 100%
14, one person, one needle, one tube and one use disinfection qualified rate reached 100%.
After 15, the disfigurement rate of disposable syringes and transfusion devices reached 100%.
16, health education coverage rate 100%
17, the success rate of health education was 95%
18, and the coverage rate of quality nursing service is ≥30%.
19, the overall nursing qualification rate of responsibility system ≥ 100%.