Make your own work plan as soon as possible according to the basic requirements of the company system. When making a work plan, we must pay attention to the implementation of the phased goals, and how to play the role of the work plan? In our column, I specially collected and sorted out the model articles of icu nurses' work plan for your reference, hoping to help friends in need.
Model work plan for Icu nurses 1 The ICU is a place where critically ill patients are concentrated. The patient's condition is critical and changes rapidly. There are many rescue instruments and equipment, and there is no family to accompany him. Nurses need to carefully observe the condition, master various rescue facilities, operation skills, emergency response ability to emergencies and risk avoidance ability to ensure the quality and safety of patient treatment and nursing. The new nurses in ICU have mastered the theory and operation of common diseases in clinical work for 2 years. It puts forward higher and faster requirements for new nurses in training, which is of great significance to improve their working ability and provide comprehensive, systematic, continuous and strict monitoring and treatment for critically ill patients in time, and is the core guarantee of nursing quality and safety. It is of great significance to improve the success rate of rescuing critically ill patients. Working in the ICU of xx, the training experience of new nurses is as follows:
First, pre-job education
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.ICU special system, early warning plan, enhance safety awareness and self-protection awareness.
4.4. Prevention and control of hospital infection. ICU, implement disinfection and isolation measures to prevent cross-infection and implement 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.
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 ICU 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. Shift change; 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 nurses in responsible positions; 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:
(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. ICU work emphasizes unity and cooperation, adaptability and work experience accumulation, which lays a good foundation for clinical nursing work and can better serve patients.
Icu Nurse Work Plan Mode Article 2 Work Plan of Critical Care Department Critical Care Department is an important platform to provide centralized monitoring, rescue, organ function support and replacement for critical patients and high-risk patients in various clinical departments, and to treat all kinds of critical patients. Praise from the leader. These changes and achievements have been achieved with the great care and support of the hospital president, medical department and nursing department, in order to have a good development in icu in the future. In order to strengthen the discipline construction and meet the requirements of the rapid development of hospitals, 20xx will carry out its work according to the contents and detailed rules of the evaluation of tertiary hospitals in the Department of Critical Care Medicine. Although it is difficult, all the staff in the department are not afraid of difficulties and go upstream. If it is expected to pass the evaluation of tertiary hospitals in the future, I have made a work plan, and now I will report the work plan to the leaders for approval and modification.
1. Talent Team Construction: The Department of Critical Care Medicine is a young and energetic team. However, the intensive care unit (icu) is still a child, not yet well developed, and walking is still unstable. For the professional skills of ICU, it can be regarded as illiteracy. In order to have a group of high-quality medical professionals who can adapt to the development of departments, we must attach importance to the construction of talent team. At present, there are 6 fixed doctors and 0/2 nurses in icu. Strive to introduce 1 icu advanced students before the first half of the year, and send 1 to 2 people for further study. Nurses can choose excellent nurses from our hospital and know the root of the problem, which is conducive to the rapid development of the department. At present, the team of doctors is only 1 deputy chief physician, and there is no attending physician, only 1 resident physician. The rest are undocumented doctors, and there are great hidden dangers in medical safety. It is suggested that leaders should increase the training of personnel in our department or introduce such talents.
Second, the use and introduction of facilities and equipment: icu has concentrated many high-end medical facilities and equipment, which can treat all kinds of critically ill patients and realize multi-organ function replacement therapy. At present, the icu medical facilities and equipment in our hospital are: 13 multifunctional beds; 9 halls, 3 vip3, 1 negative pressure wards. 13 bedsore prevention air cushion; 7 ventilators (including 1 portable ventilator, 4 invasive ventilators and 2 non-invasive ventilators); The monitoring system includes 13 central monitors and bedside monitoring; Ge defibrillator1; There are 13 infusion pumps and injection pumps; 1 set of electronic cooling blanket; ; Ventilator loop sterilizer 1 set, fiberoptic bronchoscope 1 set, 2 vibrating sputum expectorants, and visual laryngoscope 1 set. Due to the rapid development of medicine, the methods and equipment for treating critically ill patients are more and more advanced and practical. Now bedside blood purifier is as important as ventilator in icu, so it is suggested that leaders develop business technology: at present, icu in our hospital has independently developed and benefited a lot. There are many new technologies and projects that our hospital didn't have before. Such as the dynamic monitoring of serum lactic acid and the prognosis and curative effect evaluation of apacheⅱ score in critically ill patients; Parenteral nutrition support of deep venous puncture and intubation: central venous pressure monitoring to guide fluid infusion for critically ill patients; Diagnosis and treatment of septic shock; The use of fiberoptic bronchoscope, invasive and noninvasive, and the wide application of mechanical ventilation of transfer ventilator, etc. In the past two months, icu has been developing new technologies every day to meet new challenges and reach a new level. For more than two months, the patients treated by icu medical staff are no different from the diseases encountered by everyone during their study abroad. There is a lot of room for the development of icu business technology. We are unwilling to lag behind and strive to catch up. In the case of not delaying normal work, actively participate in various provincial icu academic conferences or trainings, keep up with the domestic icu development situation, and strive to learn new theories and technologies and apply them to clinic.
Fourth, scientific research and business study: At present, icu has formed a good learning atmosphere, and experts come to teach in our department. Department 5: Strictly implement the Regulations on Hospital Infection Management and Rational Use of Antibiotics: Continue to strictly implement the Regulations on Hospital Infection Management and Rational Use of Antibiotics, and at the same time strictly stipulate the system of visiting patients' families, disinfection and isolation, strictly implement the hand hygiene regulations and isolation of patients with special infections such as mrsa, and closely monitor vap, catheter-related infections and infections caused by indwelling catheters. Set up special quality control personnel to supervise and inspect at any time. There are monitoring records of hospital infection every day.
Sixth, implement the core system and post responsibility, and strengthen the management of departments: strictly implement the management system of critically ill patients, icu disinfection and isolation system, hospital infection management system, rescue work system, doctor on duty system, icu patient emergency plan, crisis value reporting system, icu common critical illness nursing routine, etc. Continue to implement and strictly enforce the job responsibilities and assessment standards of doctors and nurses at all levels in icu. Icu instruments and equipment have a special person who is responsible for regular cleaning, maintenance and repair management. Vigorously develop and support quality nursing services,
Seven, strictly implement the opinions of the hospital on strengthening emergency construction.
Strengthening the construction of emergency first aid system is one of the development policies aimed at establishing a perfect and efficient emergency first aid mechanism, ensuring the high efficiency and high quality of emergency first aid, establishing an efficient green channel to save lives and winning valuable rescue time for critically ill patients. It is also a new discipline of hospital key construction and construction. In order to adapt to the development plan of the hospital, strengthen the rotation study of emergency department and intensive care department and improve the first aid ability. Strive for the support of hospital leaders and medical departments, strengthen the standardized management of emergency room and outpatient observation, and count the annual workload of 1-20xx:
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%, up 30% year-on-year; The bed turnover increased by 10% compared with the same period of last year, and 873 days were saved for critically ill patients/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 department's "three-level review" preparations.
ICU is the 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 work requirements of "top three assessment" next year. Since the beginning of this year, according to the standard of "three-level evaluation", 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 ICU in third-level first-class hospitals, 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 consent forms and systems; 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 the safety of patients, our department further standardized the transfer process of critically ill patients, improved the safety of transfer of critically ill patients, avoided medical disputes caused by transfer, and promoted it to the whole hospital by taking advantage of teaching rounds. In the second nursing gold idea activity organized by the nursing department this year, our department won a third prize and a special prize.
The third model of Icu nurses' work plan is that there is a dream in the heart, and there is a direction for action. In the second half of 2000, I will further clarify my work objectives, make further work plans, study hard, work hard and serve patients and hospitals seriously.
First, the implementation of nursing quality inspection has improved the nursing work in the department.
According to the tasks assigned by the nursing department and the weekly work arrangement and monthly work focus in the head nurse's manual, the nursing work is supervised and inspected, and the small problems are fed back to the nurse's anecdote book in time in combination with the inspection results of the quality control nurses. If there are any recurring problems, analyze and discuss them in the monthly department quality feedback meeting, discuss the improvement methods together and record them in the information book to continuously improve the nursing quality of the department. Efforts should be made to make the basic nursing pass rate ≥90%, graded nursing pass rate ≥90%, first-aid articles intact rate ≥ 100%, and nursing document writing pass rate ≥90%. The qualified rate of disinfection and sterilization of medical devices is 100%, and the number of bedsores per year is 0 (except inevitable bedsores).
Second, according to the hospital ICU infection control standards, do a good job in department infection management, strictly implement various disinfection and isolation systems, and classify medical wastes according to hospital requirements. Disposable syringes and transfusion (blood) devices were scrapped by 65,438+000% to prevent the outflow of various medical wastes. Strengthen the management of cleaners and keep ICU ward clean and dust-free.
Fourth, strengthen continuing education and learning, and constantly improve the professional skills of nursing staff by using various opportunities and ways. Earnestly complete the graded training plan formulated by the department, focus on improving the training effect, increase the training of new technologies and new businesses, and improve the safety of high-tech development.
Encourage department nurses to participate in various forms of adult re-education, strive for all department nurses to achieve bachelor degree or above, and further improve the comprehensive quality of nursing staff. Select excellent nurses for further study, participate in short-term or long-term training, enhance the scientific research awareness of nurses in departments, and actively develop new technologies.
5. The nursing post in ICU is risky and has high technical knowledge, and there is no escort in ICU ward. All the nursing work of the patient falls on the nursing staff. In order to ensure the safety of nursing, the shift system is implemented, excellent nurses are selected as team leaders, and the team leader responsibility system is implemented to ensure that the head nurse is responsible, supervised and inspected during her absence. The nursing work in ICU is complicated, tense and trivial. Only relatively sufficient nursing staff can ensure the orderly progress of nursing work and put an end to all kinds of nursing errors.
Model essay on icu nurses' work plan Workload statistics of 20xx 1 1 month-20xx11month:
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 were collected and sorted by medical education network.
Second, the work completion
(a) improve the department's "three-level review" preparations.
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 work requirements of "top three assessment" next year. Since the beginning of this year, according to the standard of "three-level evaluation", 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 ICU in third-level first-class hospitals, 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 consent forms and systems; 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 and nursing disputes caused by transfer, and promoted it to the whole hospital. In this year's xx nursing gold idea activity organized by the nursing department, our department won a third prize and a special prize.