1. How to write the work plan of respiratory medicine?
First, the overall goal of respiratory nursing work
1, the escort rate in th
1. How to write the work plan of respiratory medicine?
First, the overall goal of respiratory nursing work
1, the escort rate in the ward dropped obviously, and efforts were made to build an unaccompanied ward.
2. The satisfaction of the ward is obviously improved, and the satisfaction rate is over 99%.
3. The department management has been institutionalized, orderly and standardized.
4. The qualified rate of "three basics" and specialized training for nursing staff is 100%.
5. The coverage rate of patients' basic nursing 100%.
6. The effective rate of implementing patient health education is 100%.
7. The implementation rate of patient safety measures is 100%.
8. The training of nursing staff has reached: connotation, etiquette, skills and knowledge, close to the standards of high-end nursing staff.
9. The revenue of the department increased by about 30% compared with last year.
10 to create a unique brand of respiratory care.
Second, the respiratory care work plan and implementation plan
1. Summarize the nursing work of respiratory department in 20xx, and continue to carry forward the advantages and highlights, and strengthen and improve the disadvantages.
2. Create an unaccompanied ward and create a respiratory care brand.
(1) Improve the visiting system and do a good job in publicity: use public holiday forums and set up information desks to let patients and visitors know the intention of the visiting system and win cooperation.
(2) Improve the warmth and comfort of the ward: the bed is neat, the bed table is suitable, the environment is clean, the temperature and humidity are appropriate, and the patient's articles are placed in a standardized manner. Ward equipment: a bunch of flowers, a clock, a mirror, a clothes hanger, needle, thread, reading glasses, razor, comb and lotion in the sewing bag. Send a pot of hot water, a greeting, a title and a smile. Comprehensive hospital introduction, intimate health education and meticulous discharge guidance. Mobile small dining table, comfortable toilet. Let patients feel at home and feel the care of their loved ones.
(3) Strengthen the weak links of basic nursing, highlight three-point treatment and seven-point nursing, and be the intimate person of patients.
(4) Detailed service flow: the operation flow of various nursing technologies and the behavior flow of nursing staff. Realize the standardization of nursing technology operation, the standardization of nursing staff behavior, the connection of nursing work and the seamless nursing service.
(5) Gradually implement convenience measures.
3. Strengthen the three basics and specialized knowledge and technical training of nursing staff, and improve the connotation and knowledge and technical level of nurses.
(1) Encourage nurses to take reading notes and hold a symposium on reading notes once a month.
(2) Take turns to teach once a month, and select outstanding lecturers at the end of the year.
(3) select difficult cases and cases with more nursing problems for nursing rounds, discuss nursing effects and summarize nursing experience, once a month, and check at any time when necessary.
(4) Advocate the handover of the morning meeting of Putonghua, and select 1-2 stars for the handover every six months.
(5) Encourage nurses to study by themselves and by correspondence.
(6) Training 2-4 specialized nurses, focusing on specialized knowledge and technology. Take in-class training and study abroad. Become a qualified respiratory specialist nurse.
(7) Make a manual for respiratory nursing staff to reflect the work and growth experience of each respiratory nursing staff in the past year, and each respiratory nursing staff has one copy.
4, the head nurse to strengthen supervision, and constantly improve the service, and constantly improve the quality.
5. Implement humanized management: ruthless system and affectionate management. Care for nurses, care for nurses, understand nurses, care for nurses. Try to do something for the nurse. Create a brand of harmonious department in warm ward
6. Research paper: Encourage nurses to accumulate knowledge and sum up experience in their work. Everyone publishes at least one paper every year. Explore boldly and do a nursing research collectively. Tentative project: Discussion on the indwelling time of clinical venous indwelling needle and the choice of sealing fluid. Convening general nurses to update and improve the nursing routine of respiratory department has both clinical practical significance and popularization value.
7, strict teaching, training qualified nursing successors.
8. Reduce expenditure and increase income: enhance marketing awareness and generate income. Disposable consumables management is strict, and input and output are consistent. The cooperation between doctors and nurses achieved the expected goal.
2. How to write the work plan of respiratory medicine?
First, strengthen the on-the-job education of nurses, improve the professional quality of nursing staff, strengthen the study and mastery of relevant professional knowledge, organize nurses to give lectures regularly every month, take turns to give lectures, and conduct professional training in rules and regulations and neurology.
In case of special difficulties, you can invite department directors and doctors to teach and update your knowledge and skills. Learn from each other, discuss nursing cases and make detailed records. The development of nursing level and medical technology is unbalanced, so some nurses are sent out to study in a planned way to improve the quality of nursing staff and optimize the nursing team. Constantly update nursing knowledge.
The second is to change the concept of nursing, improve the quality of service, continue to strengthen the construction of medical ethics and enhance the sense of responsibility.
Strengthen the training of nursing staff, establish the concept of "patient-centered", take the patient's voice as the first signal, take the patient's needs as the first need, take the patient's interests as the first consideration and take the patient's satisfaction as the first standard. Implement a whole-hearted, all-round, whole-process and multi-channel systematic nursing for ward patients. Strengthen the responsibility of safety management and put an end to major mistakes and accidents. Improve nursing quality on the basis of safety. Deepen family service and improve service quality. Improve the communication ability between nurses and patients. Advocate smiling service and cultivate nurses to establish a good professional image. At the same time, draw lessons from other departments, carry out "quality nursing service", strengthen clinical nursing work in an all-round way, strengthen basic nursing, improve nursing service, explore new methods and ways for the development of nursing discipline, and truly implement the "patient-centered" service concept.
Third, nursing safety is the focus of nursing management, and the safety supervisor should pay attention to the link monitoring of persistent nursing staff: strengthen the management of newly transferred nurses and thoughtful and emotional nurses, and do a good job in key explanations and key followers.
Do a good job in nursing safety management, reduce medical disputes and hidden dangers of medical accidents and patients' bad complaints, and ensure patients' medical safety. Patient link monitoring: monitoring patients newly admitted to hospital, newly transferred to hospital, critically ill patients, bedridden patients and patients with potential risks of medical disputes. Although it is a daily nursing work, if there is a problem, it will endanger the life of patients. As the focus of monitoring in nursing management, we should check the hidden dangers of nursing safety from time to time, find and solve problems, analyze the causes of accidents from the perspective of ourselves and departments, draw profound lessons, and put forward preventive and improvement measures.
Four, rational use of human resources in departments, five departments have fewer nurses and heavy nursing work. According to the patient's situation and the nursing workload of the department, the human resources should be allocated reasonably, and the scheduling should be reasonable and flexible, so as to increase the number of people working at peak hours. General nursing staff can be on call when they need to work, and provide satisfactory nursing services for patients with good quality and quantity.
Five, the nursing target is achieved in 20xx, and strive for the qualified rate of basic nursing, the satisfaction rate of inpatients, the intact rate of first-aid items and the qualified rate of disinfection of conventional instruments. The qualified rate of nursing document writing and three-base examination reached 100%.
With the improvement of people's legal awareness and the promulgation of the Regulations on Handling Medical Accidents, how to strengthen the legal construction in nursing service and improve the legal awareness of nursing staff has become an important link in nursing management.
In 20xx, the nursing records were complete and objective in strict accordance with the requirements of the provincial health department's nursing document writing specification. Clarify the significance of writing nursing documents, standardize the writing of nursing documents, negotiate with brother departments and nursing departments, and clarify how to write nursing documents well to meet the standard requirements.
3. How to write the work plan of respiratory medicine?
First, the recent work during the split:
Standardize the construction of departments and strictly implement the management system of hospital departments.
1, adhere to the three-level physician rounds system presided over by the attending physician and the chief physician.
2. Learn the clinical diagnosis and treatment norms of respiratory diseases and related professional clinical business knowledge, and standardize the operation procedures of respiratory internal medicine diagnosis and treatment according to the guidelines of the International Respiratory Union, so that the respiratory internal medicine diseases in our hospital can be treated in an orderly and standardized manner. Learn and understand the new technologies and trends in the development of respiratory medicine, and constantly improve the technical level of diagnosis and treatment of respiratory medicine.
3, on the basis of the original medical diagnosis and treatment technology, gradually carry out lung function examination, bronchial relaxation test, bronchial provocation test and other respiratory medical diagnosis and treatment technology.
4. General medical staff learn and master the application of ventilator, and then introduce and popularize one or two new medical diagnosis technologies that can be applied in our hospital, such as PICC tube implantation and CT-guided interventional biopsy and puncture.
5, timely open respiratory medicine specialist outpatient service, do a good job of propaganda and popularization of respiratory medicine in our hospital, and gradually improve the social reputation of respiratory medicine in our hospital.
6. Strictly control the quality of medical treatment, complete medical record writing on time with good quality and quantity, and try our best to reduce or avoid medical disputes and medical accidents.
7. General practitioners must strive to abide by the rules and regulations of the hospital and labor discipline.
8. Implement the new medical service concept of people-oriented, patient first, superb medical skills and excellent service. Work: standard, orderly, United, nervous, serious and careful. Rest: leisure, freedom, relaxation and letting a hundred flowers blossom.
Division of work after two, two and three years:
After the standardization of departments, after a period of clinical work, the diagnosis and treatment technology of respiratory medicine has been gradually improved. At this time, in our hospital, lung function examination, bronchodilation test, bronchial provocation test and other respiratory medical diagnosis and treatment technologies are well developed, and general medical staff have mastered the application of ventilator. We will send the backbone of respiratory department to further study fiberoptic bronchoscopy, introduce and carry out fiberoptic bronchoscopy biopsy technology, alveolar lavage technology and fiberoptic bronchoscopy interventional diagnosis and treatment technology.
Three, after five years of work:
After five years of exercise, respiratory medicine should be a more mature department. Huitong County People's Hospital will also be a tertiary hospital. The equipment and inspection of the clinical laboratory are more perfect, and nuclear magnetic resonance imaging technology and equipment are entering one after another. In the Department of Respiratory Medicine of our hospital, the above-mentioned imported respiratory medical diagnosis and treatment technology will be more perfect and mature, the diagnosis and treatment level of community-acquired pneumonia, interstitial lung disease, bronchial asthma, chronic bronchitis, chronic obstructive pulmonary disease, lung cancer and other common and frequently-occurring diseases will be more perfect and standardized, and the success rate of diagnosis, treatment and rescue of severe respiratory diseases such as cor pulmonale and respiratory failure will be greatly improved. Under the technique of magnetic resonance imaging and CT-guided interventional biopsy combined with fiberoptic bronchoscopy, lung cancer can be diagnosed and treated with chemotherapy. At this time, the patients with lung disease in our county are basically seriously ill and never leave the county. It is not far from the wish of Huaihua County Hospital to be a first-class respiratory medicine department.
4. How to write the work plan of respiratory medicine?
First, improve ideological understanding, clarify the connotation of quality nursing, and enhance service awareness.
Organize general nurses to learn to create documents related to high-quality nursing activities, do a good job in intra-department training, formulate specific measures to create excellence, firmly establish the service concept of "patient-centered", regard high-quality nursing service as the key to improve nursing quality and harmonious nurse-patient relationship, and fully mobilize the enthusiasm of nurses. Strive to provide seamless, continuous, safe, high-quality and satisfactory nursing services for patients.
Second, the work objectives
Take patient satisfaction as the overall goal, lay a solid foundation, consolidate achievements, take patient requirements as the starting point and patient satisfaction as the foothold, and comprehensively implement patient-centered nursing work. Further deepen high-quality nursing service, enhance service connotation and continuously improve nursing quality.
Third, the work measures
1. Reasonable arrangement, flexible scheduling: 48 beds in respiratory department, nurses 15 people. According to the working ability of each nurse, the number of patients and the nursing workload, reasonable arrangements and flexible shifts are implemented.
2. Standardize ward management, put key links in place, strictly implement various nursing systems and nursing operation procedures, do a good job in nursing safety, conduct nursing risk assessment on patients, comprehensively evaluate patients' condition, implement patients' safety objectives, and reduce adverse events. Graded nursing should be carried out for patients, and the nursing level of patients should be consistent with their illness. The management of ward environment should be strengthened to create a quiet, clean, safe, warm and orderly ward environment for patients.
3. Strengthen management to ensure nursing safety;
(1) Strengthen the management of key links of patients, such as patient transport, handover and ulcer. , and establish and improve the nursing process and management evaluation procedures. Grasp the key links such as nurse shift change and monthly nursing ward round, strengthen nursing management and ensure the realization of the goal.
(2) Strengthen nursing safety monitoring and management, organize nursing staff to hold safety analysis meetings every month and analyze and discuss the causes of nursing errors and nursing adverse events, analyze the reasons, learn lessons, and put forward preventive measures and improvement measures.
(3) Strengthen departmental management. Every week, the department conducts irregular spot checks on ward management, basic nursing, nursing safety, medical record writing, nurse equipment, disinfection and isolation. , and immediately pointed out the existing problems, requiring timely correction.
4. Refine the work flow and clarify the post responsibilities: revise the responsibilities of each class, change the scheduling method, refine the work flow of each class, find out the weak links, clarify the division of nursing, and strive to make the new responsibilities more reasonable and practical.
5. Do a good job in basic nursing and specialized nursing, and implement the nurse-in-charge system: each nurse is responsible for 8- 12 patients, and each patient has a corresponding fixed nurse to provide holistic nursing service for patients, closely observe patients' illness, communicate with patients at any time, and do a good job in patient life nursing and basic nursing to ensure patients' safety and embody humanized nursing.
6, deepen the hierarchical use of nurses, according to the patient's condition, nursing difficulty and technical requirements, assign responsible nurses, critically ill patients shall be responsible by nurses with high seniority and strong ability, reflecting the corresponding energy level.
7. Constantly summarize, improve nursing quality and increase patient satisfaction: hold a nursing meeting once a month, and each nurse reports his work and feelings. Conduct patient satisfaction survey every month, and listen carefully to patients' opinions and suggestions on quality care. Timely feedback the existing problems, put forward rectification measures, continuously improve the quality of nursing, and improve patient satisfaction.
8. Strengthen patients' health education: The responsible nurse gives detailed explanations to patients every day, provides health education and rehabilitation guidance to patients, and provides psychological care according to the treatment and nursing routine of common diseases, special diet, self-prevention of diseases and matters needing attention in medication.
9, nurses to implement performance distribution:
Distribution principle: give priority to efficiency and quality, distribute according to work, and give consideration to fairness and justice.
Distribution basis: patient satisfaction, working hours, existing risks, nursing quality and sense of responsibility.
5. How to write the work plan of respiratory medicine?
First, the annual nursing workload and working standards.
1, workload: emergency person-times. Number of people involved in rescue. Cooperate with emergency surgical cases. Nursing observation of patients. Number of times to deal with emergencies.
2. Work compliance: First-aid articles are in good condition. Qualified rate of sterile goods. Qualified rate of medical record writing. Comprehensive satisfaction of nursing. Qualified rate of nursing technical operation examination.
Second, strengthen the service consciousness of nursing staff and provide quality services.
1, strengthen the service concept
General nurses attend quality service training courses organized by the hospital, and constantly conduct etiquette and behavior training, standardize common polite expressions and communication expressions in operation, and apply them in practical work. Constantly study and discuss communication skills, cultivate nurses' foresight of disputes, effectively handle various contradictions and differences in their work, establish mutual trust between nurses and patients, achieve zero complaints throughout the year, and achieve comprehensive satisfaction of 99. 1%.
2, people-oriented, fully meet the needs of patients.
Continuously improve the environment of infusion hall, install TV and other facilities, and provide convenient services such as paper towels, cups and glasses of water at the bedside of unaccompanied patients. Continuously optimize the medical treatment process, timely triage, and take measures such as using emergency priority service card to pay for medicine for critically ill patients to reduce the waiting time for medicine. Improve service quality through environmental health supervision, nursing inspection and health education. Pay attention to illness treatment, basic care, three meals, know their situation in time, help contact their families or rescue stations, help such patients this year, and contact their families outside the province through ID cards. This measure has been praised by patients' families and other patients. Discuss and correct patients' opinions and problems in work, and constantly improve the service image.
Three, scientific and institutionalized nursing management, focusing on the implementation of supervision system.
1, through grouping area management, continuous grouping and scheduling are carried out, so as to reduce the number of shifts, effectively utilize human resources, reduce the work pressure and nursing hidden dangers of young nurses through dynamic quality control of senior nurses, and ensure the nursing quality of each shift.
2, clear quality control division of labor, the specialist is responsible for the management of goods, workflow and other areas, found the problem, timely feedback and discuss the modification, to ensure the quality of care in each area. Effectively implement the performance appraisal system, truthfully feedback the hierarchical ability of personnel, and make the nursing quality control in place.
3. After one year's adjustment, the structure of nursing team tends to be reasonable. According to the division of emergency areas, posts are basically set according to individual work ability, and the hierarchical management of nurses is basically realized, so as to achieve the rational distribution and use of personnel.
4. The emergency green channel is unblocked, which improves the success rate of rescue. For all kinds of acute, dangerous and severe patients, the measures of rational use of green channel have won valuable time for rescue.
5. Continuously improve the emergency plan for nursing work, including emergency plan for emergencies.
6. Formulate detailed work guidelines for each region, matters that need to be informed in each region, and matters needing attention for new employees. , systematically guide new recruits and young nurses to better complete nursing work.
Four, emergency professional nurses on-the-job training and continuing education
1. All departments organized business study sessions, medical record discussion sessions and operation training programs throughout the year.
2. In the second quarter, the general practitioners were organized to complete the emergency post skills training as required, and everyone passed the operation assessment, so that the professional skills of general nurses were further improved.
3. The nurses' knowledge of first aid drugs is all qualified within three years after graduation, and the compliance rate is. This year's graduates passed the job skills operation and all reached the standard. Good grades.
4. Basically complete the annual training plan for nurses, arrange nurses to study the care of critically ill patients in icu, and arrange young nurses to carry out scalp puncture technology in pediatric injection room to improve the technical level of scalp puncture in children. Send many nurses out for short-term study and bring new nursing concepts back to the department. For a whole year, I completed the first aid training for 100 nurses.
5, every quarter, three people, two people cooperate to carry out rescue drills, through drills to continuously strengthen the emergency ability of nurses, and repeatedly strengthen the training of first aid skills.
6. According to the requirements of nursing department for microteaching, train young nurses' proficiency in technical operation and the ability to use first-aid instruments, and ask each group of personnel to use their spare time in class for group case discussion and nursing rounds. The effect is good.
7, formulate emergency post training record book, organize personnel to evaluate the level and ability of department personnel, appoint tutors, and implement one-on-one counseling education. Each person is required to complete a nursing case analysis every quarter to cultivate nurses' critical thinking, improve the quality of nursing staff and ensure the quality of nursing.
Five, nursing interns to teach
The teaching work of students has been further standardized, and the implementation of small lectures, operation demonstrations, teaching rounds and rescue drills has achieved good results, especially the teaching method of rescue drills has been well received by all interns. This year, the internship teaching task of 1000 person-times was successfully completed.