One: Annual Work Summary In the past 20XX years, under the leadership of the nursing department, according to the objectives of the nursing department's work plan, all the tasks of the whole year have been successfully completed. The summary is as follows:
First, strengthen nursing safety management
Supervise the implementation of various core systems in a planned way, find problems in time, analyze and rectify.
(1) Implementation of inspection system: it was found that after the temporary medical orders were issued, the double check was not in place, the active check of infusion was not in place, and the label was not standardized. The problems existing in the inspection have been continuously improved, and the inspection process of each link has been standardized, and the defects in the inspection have been significantly reduced compared with before.
(B) the implementation of the inheritance system
1. There are some problems in the writing of handover report, such as incomplete lintel, no description or specific description on admission, no classification, incomplete nursing measures, and no continuous observation on the next shift. Standardize the handover report through continuous improvement measures such as training, evaluation, continuous inspection and feedback.
2. There are some problems in bedside handover, such as the unclear handover subject, mainly the head nurse's inspection, the responsible nurse can't take the initiative to take charge of the patient, introduce herself and understand the condition, the skin handover of the bedridden patient is not serious, and the night nurse can't tidy up the bed unit of the critically ill patient before handing over the shift. Through training, inspection and guidance, bedside handover is more standardized than before.
Second, the implementation of grading nursing system
(a) the implementation of graded nursing does not patrol according to the level of nursing, especially for chemotherapy patients, do not carefully check the liquid input and local skin conditions during the shift change, and can not record the patrol every hour, especially at noon and afternoon. The content of disease observation is not clear. When carrying out oral medication orders, nurses can't grasp the patient's medication situation, patients can't grasp the function, side effects and medication methods of drugs, nursing guidance such as abdominal circumference measurement of ascites patients and oral care of fasting patients is not in place, and the health education effect is poor. By defining the responsibilities of responsible nurses and responsible team leaders, the implementation of graded nursing system is more standardized than before.
(2) Improve the emergency plan, strengthen the emergency plan drills and positioning rescue drills, and improve the emergency handling ability of nurses. The internal medicine department organized emergency drills for hypoglycemia and anaphylactic shock, and each ward organized corresponding content drills according to the characteristics of the region. Two patients with anaphylactic shock in ward 3 were successfully rescued, and 1 ward 1 patient committed suicide. Nurses can rescue and report in an orderly manner according to the pre-plan, and nurses in all wards can carry out rescue in an orderly manner according to the positioning rescue plan, which improves the success rate of rescue and has been affirmed by doctors.
(three) organize regular safety meetings, timely analysis of defects found in the inspection, serious rectification.
Third, the continuous improvement of nursing quality
All nursing quality evaluation standards.
(1) Writing quality of nursing documents: the format requirements of nursing documents were trained, the observation points of common diseases in various subjects were made, various scoring methods and applications were trained, and the writing template of nursing records of common diseases was made, which improved the writing quality of young nurses.
(2) Management of rescue articles and drugs: the rescue vehicles were changed into sealed management, and the methods of sealed, handed over and inspected were standardized.
(3) Management of head nurses: Young head nurses were trained to write all kinds of notebooks, which standardized the head nurses' work flow, guided the shift inspection and improved their management ability.
(4) Strengthen the evaluation, early warning and follow-up examination of high-risk patients with pressure ulcer, and pay attention to the dynamic observation of pressure ulcer score when the condition changes. In addition to pressure ulcers, the incidence of hospital pressure ulcers is 0.
(5) Quality of basic nursing: By standardizing the admission examination and the examination during the shift change, the problems existing in basic nursing can be found in time. For example, whether the nails are trimmed, whether the bed unit is neat, whether the lying position is appropriate, and whether the infusion is standardized. Each group of nurses has a treatment and nursing list, and the problems found by the responsible team leader and head nurse form nursing instructions in time, telling nurses to write them on the treatment and nursing list and implement them in a planned way, and check and urge them in time to improve the quality of basic nursing.
(VI) Nursing quality of critical illness: check and guide every critical case, and focus on cultivating the ability of nurses to evaluate and observe the condition, find nursing problems, correctly implement nursing measures and communicate with patients and their families. List the observation points and nursing points of critically ill patients, explain the changes of nurses' condition that need to be reported to doctors, and carry out predictive training for possible situations, which is convenient for young nurses to implement and improve the level of critical care.
(7) TCM nursing quality: training and organizing the implementation according to the diseases of TCM nursing programs in various wards formulated by the nursing department. All designated diseases must have TCM nursing measures and TCM treatment techniques. Nurses can master TCM syndrome differentiation and treatment methods, and the utilization rate of TCM nursing techniques is higher than before.
Fourth, strengthen training and assessment to improve the level of nursing ability.
* * * Organize hospital nursing rounds twice, ordinary care rounds eight times, and specialized nursing training 10 times. Held 30 lectures on nurses' professional learning and training at all levels, assessed nurses' operation 180 times and assessed young nurses' clinical ability 10 times. Instructed nurses to participate in Yancheng first aid technical operation competition and won the third prize of the group.
Verb (abbreviation of verb) has its shortcomings.
1, the academic atmosphere is not enough, and there is no topic paper.
2. The communication skills of junior nurses are insufficient, and patients' satisfaction needs to be improved.
Second, the annual work summary nursing 20XX is a year of "working hard and creating a leap". The hospital spent a year focusing on discipline construction and personnel training. Under the leadership and support of hospital leaders, the nursing department attaches importance to the cultivation of nursing backbones, optimizes nursing teams, improves the quality of nursing services, and strengthens supervision and management to ensure nursing safety. At the same time, the legal concept of nursing staff has been improved, and the monitoring of nursing quality has been strengthened, so that the quality of nursing service in the whole hospital has steadily increased and patients are satisfied. The work of nursing department in 20XX years is summarized as follows:
First, pay attention to personnel training and optimize the nursing team.
1, strengthen nursing management training. This year, the hospital sent two head nurses to the Fourth Military Medical University for further study. At the same time, some standing Committee members of the hospital also trained the acting head nurses and the old head nurses in the hospital.
2. Optimize the whole nursing team and improve the comprehensive quality of nursing staff. The hospital sent 58 nursing backbones (including head nurse 10) to Tianjin Hospital, Beijing Hospital and PLA General Hospital in four batches for further study, which is the largest number of nursing staff going out for further study in recent ten years. It is particularly worth mentioning that in May, June, July and August this year, with the cooperation of experts from general hospitals, 14 cases of heart surgery and postoperative care were completed, and all patients recovered and were discharged.
3. Actively complete various trainings. In 20XX, the nursing department organized nursing staff from the whole hospital to attend the 14 special lecture, and the number of participants was 1389. Clinical departments organize nursing rounds every month 1 time, and give special lectures for 4 class hours, encouraging nursing staff to publish scientific research papers. Continue to implement multi-channel academic training. By the end of this year, all clinical nurses in the whole hospital 193 have college degrees, including 5 with bachelor degrees and 27 under study.
4. Fully cultivate the organizational participation of nursing staff. "5. 12" Nurses' Day held many activities with the theme of advocating humanized service, mainly focusing on nurses' etiquette performance and nursing operation technology display. Nurses do their best to strengthen nursing knowledge, cultivate sentiment and enhance the sense of collectivism honor.
5. Strengthen the teaching of interns. After the interns came to the hospital, they organized two pre-job trainings, mainly from the internship system and 50 basic operational skills. Every intern has a fixed teaching, a small teacher gives regular lectures on the specialties of the department, and the head nurse conducts theoretical and operational examinations. The department checks the interns layer by layer to ensure that no medical mistakes occur.
Second, strengthen supervision and management to ensure nursing safety.
1. The nursing department regularly supervises and inspects the nursing work, focusing on strengthening the pre-holiday safety inspection, enhancing the awareness of nursing staff to prevent accidents, standardizing the management of toxic and hemp drugs, realizing the management of special personnel at the counter and realizing the "four settings" of rescue drugs in the car: special personnel management, fixed-point placement, quantitative determination and shift change records. Rescue equipment should be repaired and maintained in time, and the functional status should be guaranteed for standby.
2. Insist on nurses' long-night rounds, supervise and inspect nurses' on-the-job and post responsibilities, find out the deviations in nursing work in time, correct them in time, insist on joint rounds of head nurses once a month, and hold a regular meeting of head nurses every two weeks, and formulate targeted and effective improvement measures to ensure the quality and safety of nursing.
3, in-depth departments to urge the head nurse to arrange daily work. Focus on the patients who are newly recruited, transferred to hospital, before and after operation, critically ill, unable to take care of themselves and have the potential danger of medical disputes, supervise and inspect the implementation of nursing work, strengthen link quality control, and reduce the occurrence of nursing defects.
4. Organize trainee nurses to carry out pre-job training. Through training, they have established legal awareness, quality awareness and safety awareness, conscientiously observed various rules and regulations and operating procedures in their posts, and fulfilled the sacred duties of the angels of white medicine. Better contribute to hospital construction.
Thirdly, standardize the writing of nursing documents and strengthen the consciousness of nursing legal system.
With the improvement of people's legal awareness and the promulgation of the new Regulations on Handling Medical Accidents, how to strengthen the legal system construction in nursing service and improve the legal awareness of nursing staff has become an important link in nursing management. This year, in strict accordance with the requirements of nursing document writing standards, the nursing department formulated the Detailed Rules for the Implementation of Hospital Nursing Document Writing, and conducted training in different wards in the form of centralized teaching and learning, which made nurses more clear about the significance of nursing document writing, standardized nurses' behavior and improved nursing quality. When organizing lectures, we summarized and analyzed the actual situation of nursing document writing in our hospital, and put forward corresponding countermeasures.
Fourth, strengthen quality management monitoring.
1, the nursing department timely revised and improved the quality control standards of various nursing documents according to the writing norms of nursing documents, and the head nurse was responsible for checking the nursing documents.
2. The management of washing, disinfection and storage, receiving and dispatching of sterile articles in the disinfection supply room has been strengthened, ensuring the quality of sterilized articles and medical safety.
3. Strengthen the management of hospital infection control, organize head nurses and hospital nurses to learn new disinfection technical specifications and hospital infection management specifications, check and evaluate the implementation of disinfection for nurses through monthly quality inspection and nurses' overnight rounds, and focus on strengthening the monitoring and management of disposable sterile items, aseptic technology, sanitary hand washing, environmental sanitation and disinfection.
Fifth, improve the service quality and shape the image of the hospital.
Nurses are the earliest and closest workers who contact patients. The quality and image of nursing staff directly affect the image of the hospital.
1, starting with professional quality, the nursing department insists on conducting an operation and theory examination every six months, and the department organizes a business study and an operation technical training assessment every month, requiring everyone to pass the examination and cultivate a set of nursing staff with excellent business skills.
2, standardize the nursing staff dress, civilized language, answering the phone, let the nursing staff put into work with the image of end-loading, kindness, kindness and generosity and full mental outlook, warmly receive patients with civilized and polite language, and provide satisfactory services for patients.
3. Continue to strengthen the consciousness of active service and implement the concept of "patient-centered", so that nurses can change their concepts, raise their awareness, meet patients' requirements in time, constantly improve their service attitude, improve the quality of nursing service, and pay attention to nurse-patient communication, and change from simple responsible nursing to holistic nursing with humanized nursing as the core.
Six, around the hospital work deployment, actively assist.
1, cooperated with the political department to successfully organize the "August 1st" party, and jointly held a press conference, an academic seminar on the application of new radiotherapy technology and norms with the department, which won unanimous praise from the department.
2, seriously study the hospital personnel system reform related documents, according to the spirit of the document to develop nursing staff, and cooperate with the hospital to comprehensively carry out personnel system reform. Complete the defense of acting head nurse's debriefing and train nursing managers for the hospital.
3. Focusing on the central work of "Excellence Year" and "Quality Management Year", the nursing department constantly establishes and improves various rules and regulations and the responsibilities of each team, and implements them according to various grading standards.
Three: nursing annual work summary Time flies, 20XX years have passed. Looking back on the past year, I can't help but feel deeply. In this year, under the care and direct leadership of hospital leaders, department directors and head nurses, and with the care and help of colleagues, we have studied business knowledge diligently in line with the service tenet of "everything is patient-centered, everything is for patients". Strive to improve theoretical knowledge and master various clinical operation skills, give full play to post functions, adhere to high standards and strict requirements on the principle of "obeying leaders, uniting comrades, studying hard and working hard", and always put "safety first" in the first place. The nursing work assigned by hospital leaders at all levels has been well completed, and with the care, support and help of comrades, new progress has been made in thought, study and work. The work is summarized as follows:
First, in terms of ideology and politics, actively support hospital policies and regulations, take patients as the center, treat patients as relatives in strict accordance with the standards of an excellent qualified nurse, adhere to quality as the core and patient satisfaction as the standard, and firmly establish team spirit.
Second, actively learn new technologies and new businesses. As a surgical nurse, I strictly implement various operating procedures in my work, abide by the rules and regulations of hospital departments, always pay attention to maintaining the concept of sterility, treat my work seriously and responsibly, be meticulous, work overtime, establish a high sense of collective responsibility and honor, unite with comrades, and put work first in everything. Provide patients with a full range of quality services.
3. In my work, I will be proactive, strict and meticulous, and put an end to mistakes and accidents. In this year's work, I will overcome all my shortcomings, learn from each other's strong points, guard against arrogance and rashness, constantly improve myself and improve my professional level, and strive to achieve brilliant results in by going up one flight of stairs in all aspects in the new year.
Fourth, in order to do a good job in basic work, I insist on being strict with myself, pay attention to setting an example and treat others sincerely.
First, love their jobs and be dedicated. Have a correct understanding of your work and value, correctly handle the relationship between bitterness and pleasure, gain and loss, personal interests and collective interests, and adhere to professionalism, integrity and dedication.
The second is to improve the tempering skills. After a year's study and exercise, I earnestly learn the strengths of others, get rid of my own shortcomings, humbly ask leaders, engineers and colleagues, and improve my skills through continuous study and exploration.
Five, in strict accordance with the law, and constantly strengthen the construction of work style. Over the past year, I have been strict with myself, always taking plain, willing to pay and obscurity as my own criteria, and always focusing on rigor, meticulousness, sureness and hard work. At work, regulate all your words and deeds with systems and disciplines, strictly abide by various rules and regulations, respect leaders, unite with comrades, be modest and prudent, and constantly improve work style; Insist on doing things that are not good for the team. Work with team members with one heart and one mind, don't care about doing more and doing less, just hope to complete all the work successfully.
Nursing is a noble and sacred cause, and I am proud to be a member of the team of nurses. In the new year, I thank the hospital leaders, department directors and head nurses for their education, guidance, criticism and help, and my colleagues for their concern and support. Looking back on the past, there have been many advances and improvements, but there are also some shortcomings; The main reason is that I haven't worked hard enough in study and technology, and there is still a certain gap compared with my experienced colleagues. In my future work, I will conscientiously sum up my experience, overcome my shortcomings and strive to do better.
In the coming 20XX year, I will continue to carry forward the spirit of the past year, do my job well, be anxious about the patient's urgency, be responsible for the patient, and never make the patient's condition worse because of my reasons. I will be absolutely responsible for my work. This is the least a nurse should do to save lives.
As a nurse, I am always aware of the heavy responsibility on my shoulders. I won't discredit the hospital, it will only inspire me to work harder. I will also be strict with myself in my life, and I believe I will make my due contribution to the nursing cause of mankind!