Tisch

In 20XX years, under the leadership of hospital leaders and nursing department, with the support and help of brother departments in the hospital, the nursing staff in five departments in the hospital coordinated, took the initiative, were not afraid of hardship and fatigue, and established a high sense of professionalism and responsibility. Combined with the work nature of neurology, they worked hard around the hospital center, seeking truth and being pragmatic, and successfully completed all nursing tasks of undergraduate departments, ensuring the steady progress of nursing work in departments. Satisfactory results have been achieved, and the nursing work in 20 14 years is summarized as follows:

1. Nurses should learn the spirit of Deng Xiaoping Theory and XXXX politically, establish a correct world outlook, outlook on life and values, carry forward the party's fine traditions, firmly establish the concept of "everything serves patients", strengthen the communication between doctors and patients, standardize their words and deeds with "eight honors and eight disgraces" as the standard, constantly improve their ideological and moral cultivation, and seriously carry out self-criticism.

Second, all nursing staff conscientiously implement the rules and regulations. The core system is that ordinary care staff can consciously abide by the rules and regulations and labor discipline in the hospital, so as to stress style in minor matters and principles in major matters, and never engage in unprincipled disputes. They support and understand each other in their work, and the nurses have a clear division of labor, carry out their duties, unite and be pragmatic, overcome the problems of insufficient staff and heavy nursing tasks, and ensure the smooth development of normal nursing work. Adhere to the check system, requiring the main class and medication class to check twice a day, and the head nurse to participate in the check 1 time every day, and check the first-level care, blood pressure measurement, various nursing, drugs and treatment of acute and critical diseases in detail. And record the signature; Nursing operation strictly requires three checks and seven pairs; Strictly hand over the bedside shift of critically ill patients and bedridden patients, and strictly hand over the skin condition for treatment! Strengthen the implementation of basic nursing, daily morning nursing and noon nursing, arrange and replace bed units for patients in time, and create a clean and warm ward.

Third, pay attention to improving the professional quality of nursing staff, train nursing staff in three basics, buy nursing books for neurology majors, organize learning in time and take random exams. Hold regular branch meetings every month, organize business study, insist on nursing rounds and organize nurses to discuss, which not only improves their professional and technical level, but also enhances nurses' confidence in themselves and the development of their departments. Actively organize nursing staff to participate in hospital business study and constantly improve the professional level of nurses!

Fourth, pay attention to service details, improve patient satisfaction, adhere to the purpose of taking patients as the center and quality as the core, provide quality services for patients, strengthen the construction of medical ethics for nursing staff, implement the code of conduct for nursing staff, and require nursing staff to smile in their daily work. The satisfaction questionnaire is distributed to inpatients every month, and the satisfaction survey results are all above 97%. It also received letters of commendation and banners from patients many times. And put forward rectification measures for the problems existing in the satisfaction survey. Every month, the department will hold regular work-off seminars to solicit the opinions of patients and their families and meet their requirements. In-depth health education centered on patients has been carried out. Through the formulation and distribution of health education manuals, as well as the words and deeds of nurses and the propaganda of blackboard newspapers, patients are familiar with disease prevention, rehabilitation knowledge and related medical, nursing and self-care knowledge. Advance the time of infusion treatment every day and arrange treatment and nursing reasonably. Accompany and escort patients to take photos, do B-ultrasound, electrocardiogram, CT, MRI and other examinations, help patients go through the admission procedures, provide disposable paper cups, and help patients without family members or the elderly to open water. Call me back regularly. Its small and high-quality service has been well received by patients and their families.

Five, strengthen the management of hospital infection, strictly implement the disinfection and isolation system formulated by the hospital management leading group. The department insists on regular air culture in the treatment room of the ward every month. Also insist on ultraviolet disinfection of treatment rooms and wards every day, and make records. Disposable articles can be destroyed in time after use, centralized treatment, regular inspection and supervision. The treatment room in the ward can be mopped with 84 disinfectant twice a day, and the floor in the ward can be mopped with 84 disinfectant regularly, and the bed unit of discharged patients is finally disinfected (cleaning the bedside table and wiping it with disinfectant).

Time flies, it's almost a year since I took office as head nurse in April. Looking back on the past, in the process of changing from an ordinary nurse to a head nurse in neurology, I have been strict with myself in all aspects, taking the lead in doing a good job in the department, especially in nursing, boldly managing, being brave in innovation, actively cooperating with the director of the department to do a good job in medical cooperation, guiding everyone to do a good job in medical communication and enhancing the cohesion of the department! Fully mobilize the enthusiasm of nursing staff, let doctors and nurses work in a state of physical and mental pleasure, and also create a warm and harmonious hospitalization environment for patients.

extreme

Under the guidance of the nursing department, the director of the department and the help of the doctors in the department, all the staff in our department attached great importance to the annual nursing work plan formulated at the beginning of the year, paid close attention to its implementation, and steadily promoted all the work according to the time node. Judging from the current situation, the established objectives and tasks have been completed well, laying a solid foundation for the smooth completion of the objectives and tasks throughout the year. The nursing work for half a year is summarized as follows:

First, focus on improving the level of nursing.

(1) Strengthen training. Guided by the in-hospital business study of nursing department, taking theoretical study as the main line, aiming at improving the actual level, taking supervision and assessment as the starting point, further consolidating the grassroots foundation and improving the level of nursing staff; Further implement the responsibility and do a good job in professional training of nursing staff in our department. First, do a good job in establishing rules and regulations. According to the requirements of the nursing department, our department has established a standardized grading training system for nurses. The system requires bedside nursing business rounds at least twice a week, business study once a month, teaching rounds once a month and discussion of critical cases, and operation and theoretical assessment once a quarter. The system also provides different training for nurses with different seniority and abilities, and the whole department has formed a learning atmosphere of "bringing the old with the new and promoting the old with the new". The second is to do pre-job training. In 20 14 years, 5 new nurses in general surgery resigned 1, and the certified rate reached 100%. The department has carried out planned and standardized pre-job training for new nurses, and all new nurses can adapt to their jobs as soon as possible. The third is to do a good job in further study. In order to support and encourage nurses to continue their studies, the department selected two nurses to study in other hospitals according to the situation, and 1 nurse obtained PICC qualification certificate. After returning to the department, I made a corresponding study report and achieved good academic results. The next step will be to send more people out for further study.

(2) Strengthen the assessment. According to the requirements of the hospital, seriously implement the "three basics" assessment plan, including laws and regulations, rules and regulations, professional theory, operational skills, etc. And focus on strengthening the training and assessment of employed nurses and junior nurses. The first is the daily assessment. The study form of asking questions in the morning is adopted, and the senior nurse or head nurse asks professional knowledge questions to the nursing staff every morning when the shift is over. The second is the monthly assessment. Check the knowledge theory and nursing operation every month, and select the star of quality nursing in that month. The third is the annual assessment. Assess the annual nursing work at the end of each year, including laws and regulations, rules and regulations, professional theory, operational skills, patient satisfaction survey and other items. Ranked according to the comprehensive evaluation, and selected the high-quality nurses of that year.

(3) Strengthen services. Further improve the quality of high-quality nursing service, fully perform the duties of nurses, and strengthen the connotation construction of nursing specialty. The first is to implement hierarchical management for nurses. Implement the responsibility system of nursing team leader, assisted by nurses and nurses. Nurses at different levels have clear job responsibilities and complete corresponding nursing tasks. The second is to simplify the writing of nursing documents, combine the nursing records of critically ill patients and ordinary patients into one, and adopt the time-point recording method, so that nurses can have more time to go deep into the ward and provide direct nursing services for patients. The third is to improve nursing quality management. The head nurse is responsible for the daily nursing work and checks the implementation of various nursing measures every day. The quality management committee of basic nursing conducts regular spot checks, and the leading group of basic nursing pilot works timely supervises, evaluates and discusses, so as to promote the continuous improvement of nursing quality. The fourth is to improve patient satisfaction. Strengthen nurse-patient communication and health education, strengthen nurses' sense of responsibility and service, change passive service into active service, and improve the relationship between nurses and patients. In the first half of this year, our department completed basic nursing 893 1 time, and the satisfaction of the department was over 95%. The follow-up rate of discharged patients was 73.5%.

Second, pay attention to improving management efficiency.

In order to improve the quality of nursing, our department gives full play to the role of quality control leading group members in basic management and quality management, and combines with the actual situation of the department to achieve monthly plans, weekly arrangements and daily priorities.

(1) Strict daily management. Strict implementation of basic nursing quality management, departments adhere to the quality review of nursing 2-3 times a week, immediately analyze the reasons for the shortcomings in the inspection, immediately implement the rectification, and immediately establish a system. In particular, the safety management in the nursing process is usually guided by the head nurse's on-site quality control attendant, and the quality control is carried out by senior nurses at weekends to ensure that the key time and key links are not out of touch and missed, and constantly strengthen the service awareness, quality awareness and safety awareness of nursing staff.

(2) Improve risk management. On the basis of the existing workflow of undergraduate course, we will continue to refine and improve the nursing risk plan and nursing process, such as the handover process of surgical patients and the rescue process of patients with sudden changes in their condition. The process of finding, reporting and handling abnormal situations is fully designed, which may degrade the nursing risk, reduce the contradiction between doctors and patients and ensure the stability and harmony of the whole hospital.

(c) Innovative "quality control circle" management. Effectively improve the quality of nursing service through "quality control circle" management. In 20XX, a guardian circle was established in our department, with the participation of 9 nurses in the whole department. Nursing problems are discovered by supervisors and members of quality control circle from all nursing levels and solved according to the steps of quality control circle. The nursing work in quality control circle was comprehensively evaluated through nursing quality evaluation, patient satisfaction questionnaire, suggestion book and nursing error rate. "As a new working mode, the application of quality control circle in clinical nursing has fully mobilized the enthusiasm, initiative and creativity of nursing practitioners, promoted communication and cooperation among nurses, realized zero distance between nurses and patients, and improved the satisfaction of patients and their families with nursing work.

Third, focus on improving the level of teaching and research.

(1) Improve the teaching level. First, strengthen the contact between colleges and universities, give full play to the teaching center role of nursing schools, and carry out targeted student training and teaching activities according to the development trend of modern nursing frontier and current task requirements. The second is strict education. According to the unified operation standard, arrange a teacher to give a demonstration for each operation, standardize teaching, and insist on the teacher's demonstration for both import and export operations. At the same time, the teachers' teaching attitude, sense of responsibility and professional level are checked and assessed irregularly. The third is to introduce a competitive mechanism. Applying students' competitive psychology, we arranged a nursing operation skill competition once a month, and determined 1 ~ 2 common operations as competition items each time, and carried out class-to-class operation skill competition to promote students' learning practice and create a good learning atmosphere.

(2) improve the level of scientific research. First, further standardize scientific research management, in strict accordance with the overall strategic development requirements of the hospital, further standardize the daily scientific research management of departments, and further standardize and institutionalize the management of scientific research papers, scientific research project declarations, scientific research data archiving and other links. The second is to improve the scientific research ability, actively invite professors from medical colleges and experts from superior hospitals to hold special lectures, strengthen academic exchanges with foreign countries, vigorously carry out continuing medical education, and hold dynamic research and teaching on new medical technologies, new businesses and clinical scientific research every month. The third is to pay attention to scientific research practice. Cooperate with medical treatment to develop new technologies and businesses, and explore new methods of medical diagnosis, treatment and nursing. Give full play to the role of nursing backbone, train new technology professionals with certain work experience, strong acceptance and working ability as the backbone of nurses, and carry out new technology practice. At present, our department has carried out the corresponding nursing care of non-invasive vascular examination and laser minimally invasive treatment.

(3) Realize the integration of teaching and scientific research. Improve the integrated function of training room, classroom and research room, try to find the combination point of theory and practice in students' theoretical class, change the previous mode that only theoretical knowledge can be taught in classroom, combine classroom with operation room, practice operation in classroom, and improve the vividness of teaching; Teaching in the training room to improve students' interest in learning; Observe teaching in operation and improve students' actual combat experience. Through the integration of teaching and scientific research, the teaching level and scientific research level will be continuously improved.

Four. Existing problems and plans for the second half of the year

(A) the details of nursing management are not taken seriously.

(B) the performance appraisal is not strong.

(3) Strengthen detail management and performance appraisal.

(4) Establish a quality control circle within the department to strengthen quality control.

Tisso

20XX years will soon pass, and another year will slip away behind our busy schedule. Over the past year, under the correct leadership of hospital leaders, with the care and support of colleagues in relevant departments of the hospital, and through the joint efforts and cooperation of general nurses, we have successfully completed all the nursing work formulated at the beginning of the year. To sum up,

First, strengthen the "three basics" training and assessment to improve the quality of nursing staff.

According to the training and assessment requirements of nursing staff at all levels issued by the nursing department, we will earnestly carry out monthly business study and nursing rounds in the department, organize theoretical examinations and technical operation examinations every month, and pay attention to the study of professional theory and operation knowledge. The professional technical level of nursing staff has been greatly improved, and the improvement of professional theoretical knowledge has also promoted the improvement of overall nursing, so that nursing staff can better understand the condition and carry out health education and nursing. Use the morning meeting to ask questions about the core system of hospital nursing, so that every nurse can master and implement it skillfully. In response to the call of "year of connotation promotion" in the hospital, departments actively participated in high-quality nursing demonstration wards, with the joint efforts of general nurses. This work has been carried out vividly, and the quality of basic nursing and life nursing has been obviously improved.

Two, strictly implement the rules and regulations, and steadily improve the quality of nursing.

In accordance with the requirements of nursing quality management norms, a nursing quality control team was set up to give full play to the role of the nursing quality control team, conduct quality inspection every week, find problems in time, correct and deal with them in time, comprehensively analyze quality control inspection information every month, find out the reasons, formulate feasible rectification measures, and check the implementation of rectification. Thus, it obviously supplements ward management, basic nursing and graded nursing, and improves the quality of nursing documents. There were no major mistakes and accidents in this department throughout the year.

Three, adhere to the "patient-centered", strengthen the construction of medical ethics of nursing staff.

Do a good job in professional ethics education for nursing staff, fully mobilize the enthusiasm of nursing staff, correct their work and service attitudes, enhance their confidence and pride in work, give play to the role of nursing backbone, adhere to the principles of "patient-centered" and "quality-centered", and provide quality services for patients. Earnestly complete the tasks assigned by the upload, and actively participate in the creation of "Hospital Connotation Promotion Year".

Fourth, do a good job in nursing teaching and scientific research and constantly improve the teaching system.

Pay close attention to the specialized nursing study of on-the-job nurses and consolidate the clinical knowledge of common and difficult diseases in departments.

Strengthen random questions in the morning meeting to improve the professional level of nurses. Organize department nursing rounds and business study every month to learn new nursing knowledge and understand new nursing trends. Two nursing papers were published this year. According to the working characteristics of the ward, a three-month training plan for new nurses was formulated, requiring new nurses to master the use of all instruments in the department within three months, and at the same time strengthen theoretical study and assessment. For interns, let go and don't look around. Give a small lecture once a week in the form of PPT.

Question: 1. The overall quality of nursing staff still needs to be further improved, and the study of "three basics" and professional theoretical knowledge still needs to be strengthened. 2. The quality of nursing still needs to be further improved. 3. Individual nurses have a weak sense of crisis and lack initiative in their work.

In the new year, we will strive to take a new step, unify our thinking, establish the image of the department, start from ourselves, set high standards and strict requirements, establish the idea of "prospering and humiliating the hospital", change the service concept and strengthen the service consciousness.