Personal plan for icu nurses 1
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.
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 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: If (1) simulates the treatment of a critically ill patient with dyspnea, how do you prepare when the patient enters the ward, what should you do after the patient arrives at the department, and how to 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.
Personal plan for icu nurses II
First, continuously strengthen the construction of emergency nurses' stations and improve nurses' first aid ability.
1. Deepen nurses' awareness of first aid and group awareness, conduct regular planned and organized business target training, and train qualified emergency nurses.
2, constantly establish and improve the rules and regulations of the emergency department, strengthen the study of personnel health administrative laws and regulations, and enhance the legal awareness of personnel.
3. Promote the standardized management of first aid work to improve the success rate of rescue.
Two, pay attention to the combination of "three basics" training and clinical practice, in order to improve the professional quality of personnel.
1, familiar with the judgment of common diseases, the rescue process and the main points of nurses' work, and conduct regular assessment.
2, master the rescue skills of cardiopulmonary resuscitation.
3, skilled wound treatment and bandage hemostasis technology and psychological care of the wounded.
4. Master a series of operation techniques such as first aid vomiting, enema, injection, oxygen supply and posture, and professional skills such as disease monitoring, and put them in place accurately and in time.
The third is to strictly manage the emergency room and disposal room to strive for valuable rescue opportunities for patients.
1, master the use of various instruments and ensure their good performance and ready use.
2, all kinds of rescue drugs, equipment by the specialist is responsible for, regular inspection, fixed-point placement, regular disinfection, maintenance of drug stores and cards, strict management of first aid medicine box, to ensure the normal use of first aid outside the hospital.
3. Clean, supplement and record all kinds of first-aid drugs in time after use, and keep them clean and tidy.
Fourth, strictly implement the work standards to ensure the safety and effectiveness of nursing work and the full implementation of overall nursing work.
1. Strictly implement the system of "three inspections and seven pairs" to prevent errors and accidents.
2. Strictly implement the operating principles and nursing procedures of aseptic technology, develop holistic nurses with the goal of improving or restoring patients' health, care for patients physically, psychologically and in life, and implement humanized services.
3. Strictly implement the "Twelve Core Systems"
4. Strengthen the proper management of disposable goods to prevent hospital infection.
Personal plan of icu nurses 3
First, the implementation of nursing quality inspection has improved the nursing work in the department.
1. Strengthen the training of basic theoretical knowledge and improve the comprehensive quality and professional ability of nursing staff. Starting with "three basics and three strictness", we organize business training twice a month, including basic theory, specialized nursing, laws and regulations, service awareness, etc., to strengthen the implementation of basic nursing and graded nursing and ensure quality.
2. Strengthen the management of head nurses, establish the system of head nurses' inspection, and make them know nine things; Do it: focus on patrolling critically ill patients, critical patients, nursing consultation patients and potential safety hazards every day, and make records. Head nurses should pay attention to the work of nurses and the needs of patients.
3. According to the tasks assigned by the nursing department and the weekly work arrangement and monthly work focus in the head nurse's manual, supervise and inspect the nursing work, and record the subtle problems in the head nurse's manual in combination with the inspection results of the quality control nurses, and feedback them to the parties in time. If there are any recurring problems, analyze and discuss them at the monthly department quality feedback meeting, discuss the improvement methods, and record them in the nursing defect register to continuously improve the nursing quality of the department.
4. Basic nursing qualified rate 100%, special nursing qualified rate ≥99%, first-aid articles intact rate 100%, and nursing document writing qualified rate ≥99%. The qualified rate of disinfection and sterilization of medical instruments is 100%, and the qualified rate of "three basic tests" of nurses is 100%. The number of bedsores per year is zero (except the inevitable bedsores).
Second, strengthen nursing safety awareness and strengthen safety education for all staff.
1, strictly implement sixteen core systems, and enhance nurses' awareness of law, evidence and risk. Actively implement the check system and check the doctor's advice at work; Check the injection, medication and disposal; Check the blood transfusion; Check the diet and other aspects. BANCHA is responsible for the doctor's advice class, registering and signing, and rectifying in time when problems are found.
2. Strengthen the rescue of critically ill patients and the basic nursing and life nursing of critically ill patients, postoperative and bedridden patients. Strengthen the safety management in the nursing process, continuously improve the weak links in nursing work, and implement nursing defect management and nursing risk management. Adhere to safety and seamless to achieve "three haves" (there are systems, measures and personnel to implement); "Three noes" (no mistakes, no accidents and no disputes); "Three percentage points" (system implementation, error reporting and party handling); "Three noes" (the reasons are unclear, the rectification measures are not passed, and the parties and other nurses do not accept the lessons), the management mode of implementing quality control standards and the conscious participation of all nursing staff can improve the quality of nursing and ensure the safety of patients.
3. Further improve the handover quality of each link, strengthen observation and emergency care for patients in transit, and accurately record them, so as to reduce the risk of critically ill patients in the process of transit and handover.
4. Protect and restrain awake patients and restless patients with drainage tube, tracheal intubation and tracheotomy to prevent patients from accidental extubation.
5, all kinds of rescue equipment to keep clean, good performance; First-aid drugs meet the requirements and should be replenished in time after use; Sterile articles should be clearly marked and stored as required to ensure that they are within the validity period.
6, for nursing errors and adverse events, according to the seriousness of the parties to give criticism, fines, departments timely organize discussions, put forward opinions, take necessary preventive and corrective measures, and report to the nursing department. The monthly quality control meeting will analyze and comment on the hidden dangers of nursing safety in the whole hospital and departments in that month and put forward preventive measures.
7. Continue to strengthen the training and inspection of nursing document writing, further improve the content of nursing record sheet, and ensure that nurses complete nursing records timely, accurately, objectively, truly and completely to ensure medical safety.
Third, according to the hospital ICU infection control standards, do a good job in department infection management.
Strictly implement various disinfection and isolation systems, classify medical wastes according to hospital requirements, and the disfigurement rate of disposable syringes and transfusion (blood) devices reaches 100%, so as to prevent the outflow of all kinds of medical wastes, strengthen the management of cleaners, and keep the 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.
1. Organize nurses in departments to give lectures regularly every month, and take turns to learn ICU rules and regulations, nursing routines and operating procedures. During the study, the lecturer deepened his impression in the teaching process, and the listeners were also improved.
2. Ask and urge each nurse to attend lectures, distance education and copy self-study notes. Organized by the nursing department of the hospital, continuing education credits are completed in a planned way.
3, encourage nurses to participate in various forms of adult examination education, and strive to achieve a bachelor's degree within three years.
Five, in-depth development of high-quality nursing services, the establishment of nursing post classification management system.
According to the requirements of excellent nursing, a holistic nursing work mode is established, and a flexible nurse scheduling system is implemented, so that nurses at all levels can master their responsibilities and work processes skillfully. Do a good job in the service characteristics of departments and carry out quality nursing services in a down-to-earth manner.
Strengthen the accurate communication between nurses and patients, so that patients and their families can master the disease-related knowledge, cooperate with medical staff, improve the satisfaction of families and patients, and avoid nursing disputes. Strengthen the rescue of critically ill patients and the basic nursing and life nursing of critically ill patients, postoperative and bedridden patients.
Personal plan of icu nurses 4
First, the safety of emergency nurses is the focus of work this year.
1. Strengthen the safety monitoring and management of nurses, and hold regular analysis seminars on adverse events of nurses every month, focusing on key people (such as new employees) for reference and preventing mistakes.
2. Strictly implement the inspection system to prevent errors and accidents. The quality controller will check once a week and give timely feedback when problems are found.
3. Every week, the emergency medicines and instruments in the department are routinely checked to ensure that their performance is in good condition, and the safety performance is checked. If any problem is found, repair it in time to ensure the intact rate 100%.
4. According to the provincial emergency nurses' safety management objectives, formulate the department safety management objectives, and organize training and implementation.
5. Practice hard the first aid technology to ensure that the rescued patients can get effective first aid treatment in the first time.
Second, do a good job in business construction and improve the overall quality of nurses.
1. Specialized skill training: make an examination plan for specialized knowledge training, implement closed-book examination, pay attention to actual results, and lay a solid foundation for cultivating nurses' professional ability.
2. Technical operation training: arrange technical operation training once a month, organize medical personnel's first-aid technical training on time according to the assessment requirements of the emergency center, and complete the municipal first-aid skill assessment on time to ensure that everyone passes the examination.
3. Strengthen the study and mastery of relevant knowledge, and regularly organize the study of all kinds of emergency plans, first-aid drugs, rescue procedures and green channel related regulations.
Third, enhance the awareness of active service and promote the harmony between doctors and patients.
Standardize service behavior, pay attention to service skills, implement the notification system, properly handle all kinds of contradictions in time, analyze and summarize regularly, and strengthen safety measures. Expand the scope of services, such as telephone return visits for patients after discharge. Emergency patients should be observed, accompanied and cared for by nurses when they are hospitalized, and sent explanations and blessings by nurses when they are discharged, so as to create a window image.
Fourth, establish legal awareness to protect the rights and interests of doctors and patients.
1. Further standardize the writing of nurses' documents, start with details, and regularly analyze and improve the defects of pre-hospital emergency medical records and rescue records.
2. The patient's condition, medication and invasive operation are informed, and the nurse is required to inform and sign the gastric lavage, catheterization and other operations, and inform the relevant contents of special medication according to the instructions, such as infusion drip speed and common adverse reactions.
Five, strictly implement the core system to ensure the safe, effective and comprehensive implementation of nursing work.
1. Establish inspection, evaluation and feedback mechanism, listen to the opinions of medical staff at any time, and put forward rectification measures in time.
2. Formulate the job responsibilities and quality standards of each shift, enhance the awareness of all staff to participate in quality management, and improve the quality of nurses.
3. Actively participate in the business rounds organized by the nursing department, learn the work experience of nurses, and improve the level of nurses.
Six, strengthen the safety management of pre-hospital first aid and telemedicine escort.
1. Increase pre-hospital first aid facilities (such as injection pump, etc.). Regularly organize pre-hospital first aid knowledge and skills training to improve the level and speed of pre-hospital first aid.
2. Summarize and analyze each long-distance medical escort, listen to the opinions of medical staff, and constantly improve the document writing, illness notification and related work content of medical escort.
Personal plan of icu nurses 5
First, the implementation of nursing quality inspection has improved the nursing work in the department.
According to the tasks assigned by the nursing department, the weekly work arrangement in the head nurse's manual and the monthly work focus, the nursing work is supervised and inspected, and the questions are fed back in time in combination with the inspection results of quality control nurses. If there are recurring problems, analyze and discuss them in the monthly department quality feedback meeting, discuss the improvement methods and record them, and continuously improve the nursing quality of the department. Strive to make the qualified rate of basic nursing reach ≧90%, graded nursing reach ≧90%, the intact rate of first-aid articles reach 100%, and the qualified rate of nursing document writing reach ≧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, strengthen nursing safety awareness and strengthen safety education for all staff.
1, strictly implement the check system, and specifically implement three checks and seven pairs in the work; Check the injection, medication and disposal; Check the blood transfusion; Check the diet and other aspects. On-the-job inspection in ordinary jobs, BANCHA of the doctor's advice class is right. The head nurse always checks once a week and corrects the problems in time when found.
2. Drainage tube and tracheal intubation are performed on conscious patients, and protective constraints are given to restless patients to prevent patients from accidentally extubating.
3, internal and external medicine placed separately, the bottle label is clear. Potassium chloride and 10% sodium chloride are clearly marked.
4, all kinds of rescue equipment to keep clean, good performance; First-aid drugs meet the requirements and should be replenished in time after use; Sterile articles should be clearly marked and stored as required to ensure that they are within the validity period.
5, for nursing errors and adverse events, according to the ICU reward and punishment system to the parties to give criticism, fines, departments timely organize discussions, put forward treatment opinions, necessary preventive and corrective measures, and report to the nursing department. The monthly quality control meeting will analyze and comment on the hidden dangers of nursing safety in the whole hospital and departments in that month and put forward preventive measures.
6. Continue to strengthen the training and inspection of nursing document writing, further improve the content of nursing record sheet, and ensure that nurses complete nursing records timely, accurately, objectively, truly and completely to ensure medical safety.
Third, 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 infection requirements. Strengthen the management of cleaners and keep ICU ward clean and tidy.
Fourth, strengthen continuing education and learning, and constantly improve the professional skills of nursing staff by using various opportunities and ways.
1. Organize department nurses to study professionally regularly every month, take turns to teach, and learn ICU rules and regulations, nursing routines and operating procedures. During the study, the lecturer deepened his impression in the teaching process, and the listeners were also improved.
2. Ask and urge each nurse to attend lectures and nursing rounds organized by the nursing department of the hospital, and complete continuing education credits in a planned way.
3. Encourage department nurses to participate in various forms of adult examination education to further improve the comprehensive quality of nursing staff.
4. Ask questions in the morning meeting, learn the basic knowledge of this major and strengthen the responsibility system. Strengthen the operation training of nurses' basic skills, carefully assess and train according to the requirements of standardized training for nurses, formulate effective learning plans for the three basic theories and professional knowledge, and divide the three basic theories and professional knowledge into articles according to their contents, and pass each article every month.
5. Enhance nurses' awareness of scientific research and strive to complete 20-20 10/-2 nursing papers in 20-20 years. 6. The department plans to send two nurses out for further study.
7. Try out the quality control circle in the department, take the department as the circle, and under the guidance of the circle leader, use a series of methods such as brainstorming to optimize the nursing methods and improve the nursing quality.
8. According to the actual situation in our department, it is planned to train 1 critical nurses in our department. 5.ICU nursing posts are risky and have high technical knowledge, and ICU wards are not accompanied. All the nursing work of the patient falls on the nursing staff. In order to ensure the safety of nursing, each group is arranged in 5 classes with 3 people. The new building is about to be put into use, the scale of ICU is expanding, and the nursing staff in our department are facing vacancies. I hope the leaders will give support to the talent reserve work of our department.
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