Model Operating Room Nursing Work Plan 1 20xx The operating room nursing work plan for 20xx will be made under the correct leadership of the hospital leaders and the nursing department, and the operating room will closely focus on the theme of "people-oriented, patient-centered". The plan is as follows:
First, improve the quality of nursing.
Pay attention to humanized service, actively participate in the "quality nursing service project" activities, comprehensively improve the quality of nursing service, meet all reasonable needs of patients, and create a comfortable and warm surgical environment for patients.
1. Receive patients warmly, patiently and meticulously, prohibit bad behaviors in language and behavior, actively advocate smiling service, conscientiously implement the systems of operation notification, apology for operation errors and explanation of precautions, and actively carry out health education for patients and their families.
2. Strengthen detail management, meet all reasonable requirements of patients, issue patient satisfaction forms, solicit opinions from patients, and immediately rectify the opinions put forward by patients.
Second, strengthen the safety management of operating room
Conscientiously implement the operating room nursing management norms and nursing core system, conscientiously perform job responsibilities, further improve the rules and regulations, technical specifications and operating procedures to ensure the safety of patients' surgery, and strictly abide by them to ensure medical quality, nursing work and patient safety.
1, strengthen safety awareness, actively find unsafe factors in work, remind them in time, and attach importance to the principle of three-no pass; Improve the surgical safety inspection system and surgical site identification system, and further implement it with relevant clinical departments to ensure that the surgical site, surgical methods and materials of surgical patients are correct;
2, safety management, safe use and safekeeping of flammable and explosive equipment and facilities, effectively prevent patients from accidental burns during surgery and prevent fire accidents;
3. Further improve and refine the emergency plan and disposal process of various emergencies, strengthen the training of quick and effective response to accidents, improve the ability to prevent risks, and ensure medical safety.
4, strengthen the safety management of medical equipment, arrange someone to be responsible for the cleaning, disinfection and maintenance of medical equipment, once a week, accurately record the performance and usage of instruments and equipment, to ensure the normal operation. Report and deal with problems in time, and make maintenance records.
5. Strengthen the writing management of nursing documents to ensure that the writing is serious, timely and standardized.
6. Seriously implement the relevant rules and regulations and work norms of hospital infection prevention and control, and reduce the risk of infection through effective air quality control, environmental clean management, disinfection and sterilization of medical equipment and surgical instruments;
7. The head nurse randomly checks the implementation of various rules and regulations and nursing quality standards, and holds a quality control team meeting of the department once a month to put forward rectification measures for existing safety hazards. In order to arouse the enthusiasm of general nurses, everyone strives to be the master of the department and implements the team leader responsibility system. Operating room management is divided into sensory control, business learning, technical operation, operating room management, equipment management and other management groups. The team leaders regularly check, record, timely feedback and analyze their respective management work, so that the department * * * will take a new step.
8. For the new operation, please ask the surgeon to give a lecture on the surgical approach and anatomical steps.
9. Make a training plan for junior nurses, and strengthen questioning at ordinary times, so that they can fully grasp the operation cooperation and various technical operations in the operating room in a short time.
Operating room nursing work plan model 2 1, wearing a mask and hat, work plan: training plan for new nurses in operating room. Xxx room management rules, commuting and dining system.
(2) Introduction of operating room environment
(3) Operating room service tenet and belief, staff organization structure.
(4) the rules and regulations of the operating room
Afternoon: (1) Classification and selection of surgical sutures.
(2) Understand the commonly used surgical instruments and dressings and their use, cleaning and maintenance methods, and be familiar with the cleaning process of postoperative instruments.
(3) Know about sewing needles, blades, threading needles, taking blades, turning needles and scalpels.
(4) Disinfection, sterilization and monitoring: Understand the indicator tape, learn the packaging method of surgical instruments, and distinguish the discoloration of the indicator tape before and after sterilization. Work plan "Training Plan for New Nurses in Operating Room".
(5) Management of disposable sterile articles in operating room.
Operating room nursing work plan (II) The next day: (1) Wash hands after operation, put on and take off surgical gown, put on/take off gloves, aseptically lift the table, lay towels, and the teacher will demonstrate the new nurse's practice and play CD.
(2) Practice and demonstration of aseptic technology.
Day 3: (1) Safe use of electrosurgery in operating room: management of high-frequency electrotome, unipolar double plate, incubator and fumigation box. Teachers demonstrate and explain, and new nurses practice.
(2) Treatment of pathological specimens.
(3) The scope of use and replacement of various commonly used disinfectants in our department.
(4) Operating room sharp instrument processing flow and method.
(5) Occupational safety protection and laws and regulations in operating room.
Day 4: (1) Design and application of nursing form in operating room.
(2) switch adjustment of shadowless lamp, disinfection of operating room and switch of ultraviolet lamp.
(3) Summary of surgical position.
(4) The types and uses of operating beds, the placement methods of common operating positions, the demonstration and explanation of teachers, and the practice of new nurses.
Day 5: (1) The role, function and quality requirements of modern operating room nurses
2 Hand washing/visiting nurse responsibilities, responsibilities of each shift
3 indwelling needle puncture: the teacher demonstrated and explained, and the new nurse practiced.
Training summary, feedback and answering questions four times a week.
Under the correct leadership of hospital leaders and nursing department, the operating room nursing work plan model 3 with the goal of "three major improvements" has achieved certain results in 20xx years. According to the leader's deployment, the operating room's 20xx work plan is as follows:
First, improve the quality of nursing.
1. Strengthen the quality education of nursing staff in operating room, strengthen medical ethics and cultivate their "cautious independence" spirit. Pay attention to strengthen communication with doctors, collect patient information, and constantly improve the quality of surgical cooperation.
2. Enthusiastic, patient and meticulous reception of patients, prohibiting bad behaviors in language and behavior, actively advocating smiling service, conscientiously implementing the operation notification system, apologizing for surgical errors and explaining matters needing attention, and actively carrying out health education for patients and their families.
3. Strengthen detail management, meet all reasonable requirements of patients and surgeons, solicit opinions from patients and surgeons, and immediately rectify the opinions put forward.
Second, strengthen the safety management of operating room
1, strengthen the management of nursing errors and accidents, report and record accidents in time, and all departments organize discussions every month, analyze the reasons and put forward corrective measures, which are recorded.
2, strengthen safety awareness, actively find unsafe factors in the work, improve in time. Strictly implement various fault systems and operating procedures, strictly check the system, improve the surgical safety inspection and surgical site identification system, surgical risk assessment system and surgical patient handover system, and further implement them with relevant clinical departments to ensure the surgical site, surgical method and materials of surgical patients are correct;
4. Establish and implement the pressure sore management system, safety management system and surgical items counting system for surgical patients, so as to effectively prevent accidental injuries during the operation and ensure the safety of patients; Ensure that the annual nursing error accident is 0.
5. Further improve and refine the emergency plan and disposal process of all kinds of emergencies, strengthen the training of quick and effective response to accidents, improve the ability to prevent risks, and ensure medical safety.
6, strengthen the safety management of medical equipment, arrange someone to be responsible for the cleaning, disinfection and maintenance of medical equipment, once a week, accurately record the performance and usage of instruments and equipment, to ensure the normal operation. Report and deal with problems in time, and make maintenance records.
7, strengthen the management of nursing document writing, so that writing is serious, timely and standardized.
Third, strengthen the management of hospital infection prevention and control.
1. Conduct hospital awareness training once a month, strictly implement hand hygiene and disinfection management, and continuously improve the compliance of hand hygiene.
2. Everyone should master the methods of cleaning, disinfection and isolation, aseptic technical operation, biological monitoring sample sampling and occupational protection.
3. Seriously implement the relevant rules and regulations and work norms of hospital infection prevention and control, strengthen effective air quality control, environmental clean management, disinfection and sterilization of medical equipment and surgical instruments, and prevent infection risks;
4. Strictly implement the medical waste classification management system according to the medical waste classification standards;
Fourthly, establish a perfect nursing quality monitoring system.
1, the head nurse randomly checks the implementation of various rules and regulations and nursing quality standards, holds a quality control team meeting of the department once a month, and puts forward rectification measures for existing safety hazards.
2. In order to arouse the enthusiasm of general nurses, everyone strives to be the master of the department and implements the team leader responsibility system. Operating room management is divided into sensory control, business learning, technical operation, operating room management, equipment management and other management groups. Each team leader should regularly check, record, timely feedback and analyze his own management work.
3, flexible scheduling, performance appraisal, daily work records, and according to the requirements of the nursing department for a monthly satisfaction survey records, linked to the bonus. Fully arouse the enthusiasm of nurses and improve the quality of nursing. So that the Central Organization Department can reach a new level.
Fifth, strengthen the training of on-the-job nurses and speed up the training of talents.
1, the department introduces new instruments and equipment and invites engineers to give lectures, so that each nurse can master the performance, use and maintenance of the instruments skillfully.
2. For the new operation, please ask the surgeon to give a lecture on the surgical approach and anatomical steps.
3. Organize business study once a week, with records, signatures and speeches. Focusing on "three promotion", we should guide clinical nursing on the basis of clinical nursing practice guidelines and strengthen the study of professional knowledge in operating room.
4. Make a training plan for junior nurses, and ask a small question every day, so that they can fully grasp the operation cooperation and various technical operations in the operating room in a short time.
5. Actively participate in various activities organized by nursing department and hospital, such as continuing education and learning and training of new knowledge and technology. Be good at summing up experience in daily work and increasing knowledge accumulation.
Six, do a good job in the management of emergency medical equipment, to ensure that the first aid equipment intact rate ≥ 100%.
1, emergency medical equipment shall be managed by special personnel, and the head nurse shall check it regularly and irregularly, strictly hand over and check it, and keep it intact for standby;
2. Strengthen the training of nursing staff in first aid knowledge, rescue procedures, rescue drugs and the use of rescue equipment, so that everyone can master and use them skillfully;
3. After receiving the urgent notice, you can quickly carry out the surgical rescue in the shortest time, and you can cooperate with the rescue work flexibly, flexibly and skillfully.
4. Strengthen the awareness of first aid, cultivate nurses' emergency ability in their daily work, make a retrospective evaluation of each work, learn lessons, and improve their emergency ability to emergencies.
5, require nursing staff to master all kinds of emergency nursing routine in the operating room.
Seven, efforts to improve the management level of head nurses, strengthen business learning, improve the overall quality.
1. Strengthen communication with the director of nursing department and the head nurses of other departments, and learn the management modes and methods of other hospitals.
2. Bold, scientific and effective management to improve the management level.
3, strengthen management, layers of implementation, strengthen the implementation of post responsibility system.
4. Care and respect motivate nurses, implement humanized management, increase the cohesion of departments, and pay attention to the cultivation of professionalism and dedication. Set an example and care for nurses from life and study. Mobilize the enthusiasm of nurses, tap their potential and improve the quality of nursing.
Eight, strengthen cost management
Manage the consumables and medical materials in the department in a planned way, conduct inventory accounting regularly, save expenses, reduce waste and increase income.
The year 20xx is coming. Under the leadership of the chief physician and the nursing department, all nursing staff in our department will work closely with clinicians to ensure the quality and safety of surgical care, improve service attitude and create a "first-class operating room in Yongnian County". Create good social and economic benefits.
Article 4 of the model operating room nursing work plan focuses on "patient-centered, quality-centered", constantly strengthens the scientific and standardized management of nursing work, promotes the overall improvement of nursing quality, and realizes the service goal of "providing high-quality and safe nursing for surgical patients and cooperating with surgery excellently". According to the spirit of the hospital and nursing department, combined with the situation of our department, the nursing management objectives and plans are formulated as follows:
1, update the concept of nursing management and service, and improve the quality of nursing.
It is necessary to put people first, pay attention to humanized service, carry out the activity of "patient satisfaction department" in depth, strictly implement the protective medical system, always consider the patient, and do not discuss the patient's condition, surgical effect and surgical complications during the operation. Effectively change the service concept and working mode, ensure the best nursing work condition to serve patients, meet all reasonable requirements of patients, create a warm and comfortable operating environment for patients, and realize patients' satisfaction with nursing work ≥95%. Pay attention to strengthen communication with doctors, collect patient information, gain understanding, trust and support, and constantly improve the quality of internal service, so as to better cooperate with surgery (realize the satisfaction of clinicians with operating room nursing work ≥98%).
2. Strengthen nursing quality and safety management to ensure that the annual accident rate is zero.
Formulate strict departmental rules and regulations, organize regular discussion and analysis of errors and accidents, and put forward rectification opinions on recurring problems to prevent errors and accidents. Make use of the morning meeting and nursing business study to enhance the service consciousness of nurses, so as to achieve active service, warm reception and careful introduction. All nursing operations should greet patients, adopt encouraging language and move gently to make patients feel relaxed and warm.
3, strictly abide by the hospital infection management, seriously implement the disinfection and isolation system.
Further improve the work system of each shift, strictly control the flow of personnel, strictly implement aseptic technology, promptly correct people and things that violate the aseptic principle, prevent nosocomial infection, and realize the implementation rate of 100% for one person, one sterile article and one person for one use, the infection rate of aseptic incision is ≤0.5%, and the qualified rate of disinfection and sterilization of conventional instruments.
4, do a good job in the management of first-aid equipment, to ensure that the equipment intact rate 100%, carefully check each shift handover, do a good job of standby, so that the accounts are consistent.
Strengthen the training of nursing staff in first aid knowledge, rescue procedures, rescue drugs and the use of rescue instruments, so that everyone can master and use them skillfully. After receiving the notice of emergency patients, they can quickly carry out surgical rescue in the shortest time and cooperate with the rescue work flexibly and skillfully.
5, according to the requirements of "Hunan Province Medical Nursing Document Writing Standard", strengthen the management of nursing document writing, so that the writing is serious, timely and standardized, consistent with the actual nursing process, and the qualified rate of nursing document writing is ≥95%.
6, strengthen the training of nursing staff, and constantly improve the level of business technology.
The average "three basics" level of nursing staff is ≥90 points, and the qualified rate of nursing technical operation is ≥95%. Support nurses to participate in continuing education and training, with continuing education credits of ≥25 points, and actively carry out situational business learning such as small lectures and business rounds in departments. Encourage participation in self-study, correspondence courses and various classes, so that nursing staff can keep abreast of the new trends of nursing development and the new theories and technologies related to nursing, continuously improve the professional level of nursing staff, and better cooperate with the operating room to develop new businesses and technologies.
7. Charge in strict accordance with the charging standards, so that all receivables are collected and no receivables are leaked.
If there are any questions and disputes, check and deal with them in time. Regularly check and collect the medical and office supplies of the department to reduce waste and loss. There is a special person responsible for the maintenance of medical equipment, to understand the performance and use of the equipment, and to ensure the normal operation of the clinic.
8. Establish a perfect nursing quality monitoring system.
The quality control team of the department strengthens self-examination and improves in time when problems are found; Regularly discover nursing hidden dangers, analyze and give feedback, so as to make all work procedural and standardized. By counting the number of operating tables, investigating the satisfaction, whether there are errors, accidents and complaints, checking the health area, improving and promoting the nursing work, and constantly improving the nursing quality in the operating room.
(a) under the leadership of the director of the nursing department, under the guidance of the directors of various operating departments, responsible for the administration, business management and ideological work of the operating room, and through comprehensive coordination and communication to make effective cooperation between various departments.
(two) responsible for the development of undergraduate teaching plan (including nursing, teaching and scientific research) and organize the implementation. Reasonable arrangement of personnel and scientific division of labor. Regular supervision and inspection, timely summing up experience, and constantly improve the quality of nursing. For the operation and rescue work that is difficult or newly carried out, you should personally participate in or guide the operation.
(3) Responsible for organizing the professional study of nurses at all levels in this room, taking various ways to learn new business knowledge, new technology operation and the use of new instruments in a planned way according to professional business and technical needs, and organizing theoretical examinations and technical assessments.
(four) to urge subordinates to seriously implement the aseptic technical operation procedures, and regularly or irregularly sample and train the operating room staff, aseptic materials and air to meet the hygiene requirements. Supervise and inspect health personnel to do a good job in cleaning and disinfection.
(five) to supervise and inspect the implementation of various rules and regulations and nursing routines, find problems and correct them in time to prevent accidents, and seriously organize discussions, learn lessons and formulate preventive measures.
(six) responsible for the property management of this room. Designate a special person to be responsible for all kinds of articles, instruments and equipment, set up accounting, and organize inventory and maintenance on a regular basis. Establish a registration card for the use of expensive precision instruments (that is, responsible for the management of human and financial resources, material instruments and environmental quality).
Model essay on nursing work plan in operating room 1. Create departmental culture and build team spirit.
Actively responding to the call of "building hospital culture and establishing team spirit", the department insisted on organizing medical staff to learn medical laws and regulations, hospital rules and regulations, accept all kinds of medical ethics education such as love and dedication, and have discussion records. Adhere to the concept of patient-centered and quality-centered nursing service, adapt to the new situation of health reform and social development, actively participate in various political activities, take serving the people and contributing to society as the purpose, take patient satisfaction as the standard, and serve the people wholeheartedly. Actively participate in various social welfare activities and do practical things for the people. Organize "Science, Technology, Culture and Health" activities in the countryside, and provide free free clinic, medical service, physical examination, donation, etc. For Hanshou people, there are still many people who donate blood many times. Love contributes to society and adds luster to the department.
Second, take patients as the center and strive for first-class quality service.
In daily work, nurses always keep in mind the service tenet of "patient-centered", put themselves in the patient's shoes and start from the perspective of "if I am a patient". Actively carry out the "one-on-one full service" planned at the beginning of the year, receive every surgical patient well, provide good service and care for every patient. When patients enter the operating room, nurses warmly welcome them at the door of the operating room, introduce themselves, do a good job of appeasement, strengthen communication with patients, reduce patients' fear of unfamiliar environment and enhance patients' confidence in surgical treatment. Head nurses often ask colleagues about their work skills, attitudes and patients' requirements, attach importance to patients' opinions and suggestions and solve them in time.
Third, standardize holistic nursing and strive for first-class management
Good management is the basis and premise of quality service. In order to make the management more standardized and professional, we insist on planning every week and summarizing every month. Establish and improve the service object, and consciously accept the supervision of the illness and society. Carry out holistic nursing, give full play to the subjective initiative of responsible nurses, especially strengthen intraoperative nursing, postoperative guidance, implementation of nursing measures and satisfaction survey of nurses in operating room, thus greatly enhancing nurses' sense of responsibility.
In order to make holistic nursing more perfect, our department organized all nurses to learn the relevant knowledge of holistic nursing and new theories such as humanized nursing, evidence-based nursing and comfortable nursing. Strict implementation of the check system and nursing operation procedures, no mistakes and accidents. Strictly implement, manage and monitor disinfection, sterilization and isolation measures. Pay close attention to the aseptic technical operation of nursing staff and inject one person, one needle, one tube and one towel. Strict management of disposable medical supplies, disposable sterile syringes, blood transfusions, infusion sets, etc. Disinfection, destruction and incineration were carried out after use, and the infection rate of surgical incision was 0.5% within half a year.