Summary of quality nursing service in obstetrics and gynecology (1)

After our hospital confirmed the pilot ward of high-quality nursing service as our department, under the guidance of the general nursing department, all the nursing staff in our department actively prepared and strengthened the training of general nursing staff on relevant knowledge of high-quality nursing service. The pilot project of quality nursing service was officially launched in July, 20001year. Thanks to the joint efforts of all nursing staff, the pilot work of high-quality nursing in our hospital has achieved phased results through continuous summary, continuous exploration and continuous learning. Now summarize the specific work.

First, the implementation of quality nursing service pilot work

(A), change the scheduling mode

1. According to the needs of work, the responsible nurse is responsible for all patients. Make sure that two responsibility is divided into two groups *** 13. Each responsible nurse is responsible for 6-7 patients, and the responsible nurse is on duty for 8 hours, and is responsible for patients' life care, condition observation, treatment, rehabilitation and health guidance, providing continuous and seamless care for patients.

2. The shift cycle is one month, so nurses can know their shift arrangement for one month and control their time effectively.

3. Increase nursing staff in the weak period, mainly dealing with fluid replacement at noon and nursing at night.

(2) Consolidate basic nursing.

1, do a good job in cleaning and nursing every newly admitted patient, and effectively implement basic nursing services according to the specific conditions of patients. Such as manicure, shampoo, warm bath, etc. Turn over as needed, pat your back, assist in expectoration, suck sputum when necessary, and guide effective cough. Choose a suitable lying position according to the condition. Most patients in obstetrics and gynecology can take care of themselves. When conditions permit, we encourage patients to do part of their own life care, increase the number of patients and reduce dependence on patients' roles.

2. Strengthen morning and evening care: clean the bed unit by wet sweeping every morning, replace the quilt cover when necessary, and ask about sleep at night. Arrange the patient's bed unit at night, open the window for ventilation, and create a good sleeping environment for patients; Do morning and evening care for patients who can't take care of themselves.

3. Strengthen safety care: strengthen patient identification (wristband, bedside card) and use safety warning signs, including fall prevention, pressure sore prevention, bed fall prevention, etc. And provide protective measures such as guardrails for critically ill patients to ensure patient safety.

(3) Implementing health education

65438+ In order to do a good job in health education, every nurse in charge will teach patients or their families in easy-to-understand language, accompany others to talk about another, and preach the knowledge that patients forget repeatedly until every patient and their families master the knowledge of health education. For patients with high level of cultural knowledge, we will write something for them and strengthen their study after teaching.

2. In order to strengthen the safety of patients' oral medication, we have established an oral medication list for each hospitalized patient. The responsible nurse will check the oral medication list every day before issuing it, teach the relevant knowledge of medication, and urge patients to take medication in time. So as to change the unsafe hidden danger of oral administration after the original oral medicine is prepared by patients themselves.

(4) Implementing the guiding principle of graded nursing.

1, the patrol system has been implemented, and the responsible nurse can patrol the patient's condition on time according to the nursing level of the patient in charge, and can fully grasp the patient's condition.

2. A series of nursing care such as morning and evening care, oral care, diet care, lying position care, bed bath, pipeline care, etc. were carried out for intensive care and first-class care patients to ensure that patients were clean, tidy and comfortable during hospitalization.

(5) Standardize nursing service.

Since the department has carried out excellent nursing, we have formulated the concept of excellent nursing service, the commitment of nursing service and the purpose of excellent nursing. Various work processes and work quality standards have been formulated, requiring nurses to adhere to the service tenet of taking patients as the center and quality as the core, establish the service concept of respect, understanding and care, and carry forward the spirit of dedication, innovation, dedication and kindness. Take the initiative to work enthusiastically, care warmly and serve with a smile, and receive patients with five initiatives: take the initiative to stand up, pick up things, say hello, introduce yourself and introduce yourself to the hospital. Patiently explain four noes: don't call the bed number directly, don't say that I don't know what to ask, don't say no to difficult things, and the patient complains that it's okay. Uniform and standardized dress, appearance and behavior, smiling service, dignified behavior. Use polite language, take the initiative to use hello when answering the phone, receiving patients or doing nursing operations! Excuse me, what can I do for you? Excuse me, please wait a moment! Thank you for your cooperation! And other civilized terms, so that you can answer questions and be on call. Enthusiastic humanized service and good behavior instrument make patients feel cordial and warm, and set up a good external image of nursing staff. Every morning, nurses greet patients with smiles. Did they sleep well last night? You look good today! How's the weather today? Start a day of medical care. After infusion, the nurse specially informed the patient of the efficacy and use of each bottle of liquid medicine to eliminate the confusion in the patient's mind. Before the examination, the nurse informed the purpose and cooperation of the examination one by one, which relieved the patient's inner fear and incomprehension. The nurse in charge takes the initiative to patrol the ward every day to reduce calls from patients, find problems in time, summarize them in time and improve them in time. For critically ill patients and patients who have lost confidence, we make exquisite small cards with words of care and encouragement written on them to help patients build confidence in overcoming diseases. We have changed the names of patients from the first names in the past to Li Shu, Zhang Yi and Wang Jie now, which brings patients closer to us. Through beautiful words and kind attitude, give patients psychological comfort.

(6), improve the ward environment

Based on the concept of all services for patients, various measures are taken in the existing ward environment to create a quiet, clean, comfortable and safe environment for patients, so that patients can live comfortably and their satisfaction can be further improved. In view of the problems that patients report that the ward environment needs to be improved, strengthening the ward health management is the key work to improve the ward environment. When doing morning care every morning, the nurse keeps the sundries of each patient's bedside table clean, wipes each bedside table, and changes the patient's sheets and quilt cover in time. In the process of making rounds four times a day, the health problems found are promptly fed back to the nursing staff for cleaning. Strengthen the cleaning of sanitary dead corners in wards. Through our efforts, the ward has changed a lot compared with before. The bedside table is clean, tidy and comfortable. There is no garbage or water stain on the ground.

(7) Set up a suggestion box and conduct satisfaction surveys on a regular basis.

With the development of excellent nursing, we set up a suggestion box to collect patients' opinions, and the nursing department regularly unpacks the boxes and gives timely feedback to patients' opinions in order to improve the work. In our daily work, we will regularly conduct satisfaction surveys and consult patients' opinions in order to make a true and objective evaluation of our work. Thanks to the suggestion box and satisfactory investigation, our work developed faster and more steadily, and received 16 thank-you letters.