Work plan of neurology in 20021year (I) The neurology department in 20021year should do the following work well under the leadership of the hospital leaders, so as to continue to develop our hospital into a comprehensive and specialized hospital.
First, persist in taking patients as the center and strive to provide first-class services.
In 20021year, our department still insisted on taking patients as the center, taking patients' needs as the starting point of all work, providing patients with satisfactory medical services, continuing to implement the daily list of hospitalization expenses, promoting quality nursing services, and carrying out health education and other activities. Provide patients with comprehensive services such as psychology, prevention and health care. Let patients enjoy health and health care services while enjoying quality medical services, and respect patients' rights. Strive to create good social and economic benefits for the department.
Second, further improve the quality of medical care.
With the continuous development of science and technology, patients have higher and higher requirements for hospitals. In 20021year, our department should take meeting patients' demand for medical technology and service quality as the starting point of all work. Strive to improve the overall level of general medical technology. Through the special lectures held by the department itself, the director's rounds, expert consultations inside and outside the hospital, and discussion of critical and difficult cases, the level of diagnosis and treatment of various critical and difficult diseases has been continuously improved. It is necessary to give full play to the role of each doctor, formulate a plan, and require all doctors to give special lectures with characteristics and focus in turn, without going through the motions, and prepare carefully, covering the knowledge of common diseases and frequently-occurring diseases, the rescue of critically ill patients, and the new progress of disciplines. So as to constantly improve their professional level and quality, master advanced theories and technologies at home and abroad, and improve the overall medical level of general practitioners. In nursing work, we should also establish new nursing concepts. In addition to strictly implementing various nursing operation techniques, we should also give patients more humanistic care, starting from small things, such as maintaining a warm atmosphere in the ward, prohibiting shouting the patient's name loudly, and speaking to the patient with words first. People-oriented. Strengthen the patient-centered service concept, strengthen the construction of medical ethics, establish and improve the doctor-patient communication system and complaint handling system; Establish an early warning mechanism to prevent medical disputes, resolve conflicts between doctors and patients in time, reduce medical disputes, build a harmonious relationship between doctors and patients, avoid the occurrence of medical accidents, and gradually realize the goal of zero complaints and zero defects in medical services.
Three, unremittingly grasp the "three good and one satisfied" and "two high" activities, and earnestly strengthen the management of medical quality.
Earnestly implement the activity indicators, strictly implement the relevant policies, systems and medical operation norms, establish and improve the quality monitoring system, carry out quality education, and improve the professional quality and three basic levels of medical staff. First, earnestly implement the 13 hospital management core system, gradually improve the internal management mechanism, and improve medical quality and medical safety through scientific management; Second, we should strengthen the quality management of medical records, starting with strengthening the management responsibility at all levels and the systematic education of medical personnel, and formulate various practical measures to improve the quality level of medical records; The third is to insist on reasonable examination, rational drug use and treatment due to illness, and strive to reduce the cost of patients.
Fourth, increase the number of medical personnel and strengthen the training of medical personnel.
Let the existing attending physicians shoulder heavy burdens and tasks in clinical medical treatment, scientific research, teaching and other aspects, strengthen the study of basic theories and professional and technical theories, try to send them out for specialist training, participate in short-term academic exchanges, master the research and development trends of neurology at home and abroad, and participate in professional and technical courses.
An attending physician was sent to xx psychiatric department for further study. The training of residents is based on hospitals and departments. Emphasis is placed on the cultivation of their basic clinical functions, basic medical theories, clinical thinking methods and basic skills, so as to strengthen the usual assessment, and strictly start with the teaching rounds and case analysis of superior doctors, so that they can become qualified psychiatric attending physicians after five years of residency training. The training of nursing staff is mainly on-the-job training. Encourage them to take the self-study examination for nursing majors, or accept full-time and part-time education for nursing majors in medical colleges, and send outstanding personnel to the neurology department of well-known hospitals for further study.
Verb (abbreviation of verb) introduces and popularizes applicable new technology.
The purchase of dynamic EEG will be applied to clinical and scientific research. Continue to promote neurological rehabilitation, and use modern rehabilitation techniques to carry out exercise therapy, occupational therapy, daily living ability training and swallowing language training; Continue to carry out minimally invasive intracranial hematoma removal; Classification treatment of hypertensive cerebral hemorrhage, systematic treatment of hypertensive cerebral hemorrhage Continue to carry out cerebral angiography and thrombolytic therapy for cerebral infarction.
Six, continue to pay close attention to the implementation of the thirteen core systems.
For example, the first consultation responsibility system, the three-level rounds system, the consultation system for difficult patients, the discussion system for critically ill patients and death cases, and the medical record writing system.
Seven, strengthen medical ethics education
Strengthen staff's medical ethics education, improve staff's personal quality and professional quality, and serve patients wholeheartedly.
202 1 neurology work plan (2) 202 1 neurology nursing work will focus on hospital development planning, focusing on nursing quality, adhering to the service concept of patient-centered, focusing on service, quality and safety, with the theme of improving professional quality and optimizing nursing service, and taking the opportunity of three-level evaluation to improve service level, continuously improve nursing quality and innovate management methods.
First, 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. Constantly strengthen nursing safety education, remind unsafe factors in work in time, and propose corrective measures. Taking the nursing mistakes in and out of the hospital as an example, this paper discusses and draws lessons from them, so that nurses can fully understand the error factors, new situations and new characteristics, learn lessons from them, and make the safety alarm ring constantly.
2, the implementation of various rules and regulations, regular and irregular inspection, supervision in place, and supervision and inspection records.
3. Strengthen the risk management of key links such as night shift, middle shift and holidays. Reduce the frequency of shift change, reduce work loopholes, reasonably match young nurses and old nurses on duty, and pay attention to cultivating the spirit of caution and independence when nurses are on duty independently.
4. Strengthen key management, such as handover of critically ill patients, prevention of pressure ulcers, blood transfusion, special medication, patient pipeline management and potential risk assessment of patients.
5. Strengthen the care of key patients: such as critically ill patients and elderly patients, take the above patients as the focus of discussion at the early meeting or shift change, evaluate the existing and potential risks of patients, reach a consensus, and attract the attention of each class.
6. Management of key employees: such as internship nurses, rotation nurses, new nurses, etc. Educate them in legal awareness, improve their awareness of prevention and ability to resist risks, and make students clear that they can only care for patients under the guidance or supervision of the teaching teacher. At the same time, nurses with clinical experience, strong sense of responsibility and nurse qualifications are employed as teaching teachers to cultivate students' communication skills and clinical operation skills.
7. Further standardize the writing of nursing documents to reduce potential safety hazards. 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 with doctors' records, etc., so as to standardize and standardize nursing documents.
8, improve the nursing emergency risk plan, usually pay attention to cultivate nurses' emergency ability, in view of various emergency work, such as blood transfusion, infusion reaction, special liquid, drug leakage, sudden power failure, etc. We should make a retrospective evaluation, draw lessons from it and improve nurses' ability to deal with emergencies.
Second, take patients as the center, advocate humanized service, strengthen nurse-patient communication, improve patient satisfaction and avoid nursing disputes.
1. The responsible nurse sincerely receives patients, sends them to bed, and actively carries out health education for discharged patients.
2. Strengthen service awareness education, improve the concept of humanized active service, add basic nursing day and health education day every Tuesday, and make education guidance and safety precautions at any time in each class.
3. Establish health education prescriptions, issue nurse-patient contact cards, hold monthly forums to solicit opinions from patients and their families, and praise and criticize nurses with good or bad service quality.
Three, the establishment of inspection, evaluation, feedback system, establish a traceability system.
The head nurse and quality control team often go deep into the ward for inspection, supervision and evaluation. The evaluation method is to evaluate nurses on the spot, check patients, check records and listen to doctors' opinions, find problems in nursing work and improve rectification measures.
Fourth, strengthen the "three basics" training plan to improve the overall quality of nursing staff.
1. Ask questions every morning, including basic theoretical knowledge, specialized theoretical knowledge, nosocomial infection knowledge, etc.
2, every quarter for specialist emergency plan demonstration, familiar with the use of first aid equipment and instruments.
3. In the morning, the responsible nurse will collect the undergraduate medication instructions and explain the pharmacological effects and precautions.
4, and ask questions about the core system of the hospital, so that every nurse can master and implement it seriously.
5, often review the nursing emergency risk plan and make a simulation demonstration to improve the emergency ability of nurses.
Five, according to the requirements of the stroke screening base, actively do a good job in nursing.
1, designated personnel to do a good job of health education and follow-up after discharge.
2. Organize patients and their families to give centralized lectures irregularly to teach rehabilitation knowledge and family nursing knowledge, so as to improve patients' quality of life.
3. Do a good job in screening and data statistics.