1. Understand the department environment, layout, work nature, medical staff, work content and work flow of each class after entering the department.
2. learn etiquette; Correctly handle the relationship between doctors and patients. Mild language, decent behavior, standardized service behavior, hanging watches and small flashlights are uniformly distributed by the department.
3.I C U special related system, early warning plan, enhance safety awareness and self-protection awareness.
4. Prevention and control of nosocomial infection in 4.ICU, implementation of disinfection and isolation measures, prevention of cross-infection and implementation of self-protection measures.
Second, strengthen professional knowledge and skills training.
1. specialization theory; Nurses need to master the common and admitted diseases in their own departments, the care of critically ill patients in various systems, the pain management of critically ill patients and the psychological nursing in intensive care, which is conducive to improving the ability of new nurses to observe the condition of critically ill patients and implement treatment and nursing measures in ICU.
2. Important technical operation training; Training of cardiopulmonary resuscitation, ventilator, defibrillator, blood purifier, monitor, hypothermia and other instruments.
The classified query of periodical articles is in the periodical database.
Master the clinical application and nursing of infusion pump, nursing of surgical catheter, oxygen therapy, airway management and artificial respiration machine monitoring technology, hemodynamic monitoring of circulatory system, ECG monitoring and defibrillation technology, blood purification technology, water, electrolyte and acid-base balance monitoring technology, chest physical therapy technology, nutritional support technology for critically ill patients, and rescue cooperation technology for critically ill patients.
Third, establish and improve the teaching system.
Choose senior teachers or department teachers who have worked in I C U for more than 5 years, and quality control personnel will teach one-on-one Teachers should use warm and gentle attitude and language to eliminate nervousness and understand the theoretical knowledge and operational ability after training.
1, succeed; From the delivery of goods, the early shift of departments, written, oral, bedside shift, bedside shift, we are seriously handing over patients from beginning to end. Don't pay clearly, don't pick up, don't pay clearly.
2. Risk awareness training; Strengthen the sense of responsibility, implement safety measures, observe and evaluate the condition, be good at discovering the advantages of new nurses, learn from their strengths and praise them more, so as to encourage and promote the healthy growth of nurses.
3. Cultivate the spirit of prudence and independence; Implement the check system and accurately implement the doctor's advice.
4. Responsibilities of post nurses; Strengthen the sense of responsibility, understand the patient's ten tricks, evaluate the condition, make nursing plans, implement measures, and assess the quality of super nursing.
Fourth, pay attention to details, one step at a time.
1. Details training: prepare things in a convenient place during the operation, save time and effort at work, practice makes perfect, pay attention to protecting the privacy of patients during the operation, keep warm and inform them well.
2. Simulation training: such as:
(1) Simulate a critical patient with dyspnea. How do you prepare when the patient enters the room? What should you do when the patient arrives at the department? How did you record it?
(2) What should you do when a patient in a simulation department suddenly stops breathing?
(3) What if the patient suddenly loses power when using the ventilator?
3. Regular assessment: departments should take time to assess the implementation of theory, operation and core system to understand the new nurses' mastery of training and working ability.
The growth of new nurses can not be separated from the communication, help and guidance of nursing teachers in departments, from the cultural construction, atmosphere and self-efforts of departments, giving full play to subjective initiative and enterprising ability, obeying the overall situation and enhancing cohesion. The work of I CU emphasizes unity and cooperation, adaptability and accumulation of work experience, which lays a good foundation for clinical nursing and can better serve patients.
Icu Department Nursing Work Plan 4 I. 20x 1 1 monthly workload statistics 20x 1 1 month:
This year, the department has treated 143 critically ill patients, 42 more than the same period last year, with an increase of 29%. The bed utilization rate was 69.02%, an increase of 30% over the same period of last year; Bed turnover 14.49, an increase of 10% over the same period of last year. Critical patients were rescued for 873 days/124 person-times. Mechanical ventilation is 4 1 1 person-time; Tracheal intubation (tracheotomy) nursing 752 times; 235 times of blood transfusion, 72 18 times of infusion, 7388 times of intravenous injection (venipuncture), 0.029 times of intramuscular injection (intradermal and subcutaneous injection), 65,438 times of enema+0.53 times, 3,536 times of oral care, 65,438 times of catheterization +0 15 times of nasal feeding. 93 19 person-times of sputum aspiration nursing and 953 person-times of ECG monitoring; CVP monitoring 13 14 person-times, blood sugar determination 44 12 person-times, bedside hemodialysis 3/kloc-0 person-times.
Second, the work completion
(a) Improve the preparation for the review in the first three departments.
ICU is a place where critically ill patients are rescued and closely monitored, and it belongs to the key departments of the hospital. According to the plan of the hospital at the beginning of the year, our hospital will accept the requirements of top three evaluation next year. Since the beginning of this year, with the support of hospital leaders, according to the Guide to ICU Construction and Management issued by the Ministry of Health in 20xx and the technical management requirements of third-class and first-class hospitals for ICU, self-examination and rectification have been carried out item by item. At present, some requirements of the three-level review have been improved, such as: further improving various forms and systems of consent; Standardize the number of beds in departments and personnel qualification requirements; The admission assessment standards for ICU nurses have been formulated and implemented; The requirements of sensory control have been standardized and improved, and the head nurses of departments have passed the training examination of hospital infection management knowledge in the whole army; A fully functional waiting area for family members has been added; Added high-end ventilators, blanket warmers, nasal feeding pumps, temporary pacemakers and other necessary instruments for 3A hospitals; Make the nursing work evidence-based, rule-based, standardized ward management effectively protect the daily nursing work in ICU.
(2) Development of new technologies and new businesses.
Over the past year, nurses in our department have made great progress in nursing critically ill patients, summed up certain experience, developed a number of new technologies and services, and improved the comprehensive nursing level. The new technologies and services are as follows: The application of 20xx CPR guidelines in clinical CPCR highlights the high-quality CPR and the close cooperation of medical staff, which effectively improves the rescue success rate of patients undergoing CPR; The application of intracranial pressure monitoring in patients with severe craniocerebral injury avoids the risk of traditional blind intracranial pressure reduction, accurately monitors the steady decline of intracranial pressure, reduces complications and improves the success rate of patients' rescue. In particular, with the goal of improving patients' safety, our department further standardized the transfer process of critically ill patients, improved the safety of critically ill patients' transfer, avoided medical care disputes caused by transfer, and promoted it to the whole hospital. In the second nursing gold idea activity organized by the nursing department this year, our department won a third prize and a special prize.
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