Internal medicine nursing work plan 1 1. Main work objectives:
1. Continue to strengthen the supervision of nursing quality, pay attention to process control in combination with the weak links of department quality, and promote the improvement of department nursing quality.
2. Further deepen the high-quality nursing demonstration project, implement the overall nursing responsibility system, and improve patient satisfaction.
3. Continue to formulate a scientific and effective stratified nursing training plan to improve the professional level of nursing staff.
4. Carry out quality control activities and use quality management technology to continuously improve nursing management and service level.
5. Strengthen defect management, encourage active reporting of adverse events, and attach importance to patient safety management.
6. Strengthen the echelon construction of departments and pay attention to the level training of departments.
7. Completion of annual nursing plan: 90%.
Second, the quality index of nursing work
1. Monitoring of nursing core indicators:
(1) Incidence of medication errors in hospitalized patients;
(2) Incidence of falls of inpatients;
(3) Incidence of falls among inpatients
(4) The incidence of pressure ulcers in hospitalized patients;
(5) The incidence of pipeline slippage;
(6) Incidence of urinary tract infection associated with indwelling catheter;
(7) nurse turnover rate;
(8) Incidence rate of sharp injuries among nurses.
2. Monitoring of key verification items:
(1) The intact rate of first-aid equipment and medicines (100%);
⑵ The compliance rate of preventive measures against infection related to indwelling catheter is ≥ 95%;
⑶ The correct rate of risk assessment of falling/falling bed (≥ 95%);
(4) The compliance rate of preventive measures for falling/falling out of bed (≥ 95%);
(5) The correct rate of pressure ulcer risk assessment (≥ 95%);
[6] The compliance rate of pressure sore prevention measures (≥ 95%);
(7) The accuracy rate of unplanned extubation risk assessment (≥ 95%);
(8) The compliance rate of preventive measures for unplanned extubation (≥ 95%);
(9) The inspection qualified rate (≥ 95%) during oral administration and intravenous administration;
⑽ Satisfaction degree of discharged patients (≥ 95%);
Third, the main work content:
1. Strengthen nursing quality supervision, pay attention to process control, and improve nursing quality in departments.
According to the problems existing in the quality control of hospital departments, key special quality control points are formulated to reflect the effect of continuous improvement and implement quality control. Combined with the key quality monitoring indicators in nursing department and manual, the department was monitored, and the process index control was emphasized based on data. Continue to organize and study the relevant management regulations in the Manual for the Implementation of Clinical Nursing Management Quality Standards newly issued by Tianjin Quality Control Center, and take the manual as the quality management guide to guide nursing staff to implement standard behaviors, so as to ensure that the nursing quality management in departments is well-founded, standardized and guided.
2. Continue to deepen the demonstration project of high-quality nursing, continuously improve nursing service and improve patient satisfaction.
20xx will follow last year's nursing scheduling model to stimulate the enthusiasm of nurses, improve their professional recognition and further improve their satisfaction.
Implement the nursing process of admission and discharge of ward patients, standardize nursing service behavior and improve nursing service. Expand the continuous nursing service for discharged patients, such as giving full play to the role of the WeChat service platform for health education for specialized patients established by the department, providing health education knowledge for patients through information technology and other channels, and also providing a communication platform for patients to ensure the continuity of nursing services, promote nurse-patient communication and continuously improve patient satisfaction.
3. Make a scientific and effective nursing hierarchical training plan, and organize nursing staff to implement it in a planned way.
According to the characteristics of junior college, the undergraduate training plan should be made. First, in the selection of courseware this year, combined with the business development needs of the department, the projects carried out last year will be included in the key training content, and the courseware will be designated by the department, carefully produced by the teachers and checked by the department, and finally a departmental hierarchical training plan will be established. Secondly, this year's hierarchical theory training plan combines the promotion of departments with the evaluation of professional titles, and newly includes two people to teach in departments, focusing on cultivating their teaching ability, building a platform for qualified and capable nurses, increasing their professionalism, and building an echelon of teaching teachers in departments. Finally, we still focus on the training of junior nurses, including N 1 nurse 12 training, N2 nurse 12 training (including 4 trainings for nurses in intensive care unit) and N3 nurse training for 4 times, with a total of 28 trainings. It is hoped that through training, the basic level and professional theory level of nursing staff in departments will be continuously improved, so that their services will be more professional and standardized.
4. Carry out quality control activities and use quality management technology to continuously improve nursing management and service level.
This year, according to the requirements of the nursing department, we carried out quality control circle activities, followed the spirit of spontaneity, used various improvement methods to stimulate nurses' personal potential, and continuously improved the outstanding problems in the department through team strength and group wisdom to promote the quality improvement of the department.
5. Continue to strengthen defect management and attach importance to patient safety management.
Departments will continue to follow the practice of once a month, combined with the hidden dangers this month, organize general nurses to discuss specific incidents, brainstorm, find out the real cause of the problem, formulate corrective measures, and put an end to similar safety incidents. According to the level of adverse events, nurses are encouraged to report actively, and a correct safety culture atmosphere is established to ensure the safety of patients. At the same time, combined with the adverse events that occurred in the department last year, we will focus on control and prevent similar incidents from happening again according to the provisions of the incident implementation department.
6. Strengthen the echelon construction of departments and pay attention to the level training of departments.
Spurred by last year's qualifications, the professional title examinations at all levels were successfully completed. Combined with the examination results of professional titles and promotion conditions, we pay attention to the construction of department echelon, and plan to complete the training of 1 N3 new nurse in charge and 3 N2 new nurses, which ensures that the department echelon is more reasonable. And hope to have the opportunity to send undergraduate nursing staff abroad for further study, accept new theory and technology learning, and promote the professional level of the department.
Work plan of internal medicine nursing 2 1. Strengthen the on-the-job education of nurses and improve the professional quality of nursing staff.
1. Strengthen the study and mastery of relevant knowledge, organize nurses to give lectures regularly, take turns to give lectures, and conduct rules and regulations and professional training. In case of special difficulties, you can ask a doctor to teach and update your knowledge and skills. Learn from each other and take notes.
2. Focus on strengthening the assessment of nurses and strengthening their awareness of learning. The work plan of the nursing department focuses on strengthening the training of "three basics" nursing knowledge and professional skills. Senior nurses take turns to give questions, increase assessment, pay attention to practical results, and rank in the table. The results are included in the personal files as an objective basis for personal assessment, and they compete with each other until they reach the standard.
3. Do a good job of nurse rotation, so that young nurses can combine theory with practice and master multidisciplinary knowledge and ability.
4. The development of nursing level and medical technology is unbalanced, and 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.
Two, nursing safety is the focus of nursing management, safety work for a long time.
1. link monitoring of nursing staff: strengthen the management of newly transferred nurses and nurses with thoughts and emotions, and make key explanations and follow-up. Do a good job in nursing safety management, reduce medical disputes and hidden dangers of medical accidents, and ensure the safety of patients seeking medical treatment.
2. Patient link monitoring: focus on supervision, inspection and monitoring of newly admitted patients, newly transferred patients, critically ill patients and patients with potential risks of medical disputes.
3. Time link monitoring: during holidays, weekends, busy work, fatigue time and shift change, supervision and management should be strengthened.
4. Nursing operation link monitoring: transfusion, blood transfusion, injection and various allergy tests. Although it is daily work, if there is a problem, it is a matter of life and death, which is the focus of monitoring in nursing management.
5. The nursing department will check the hidden dangers of nursing safety from time to time, find problems, solve problems, analyze the reasons from the perspective of itself and departments, learn lessons, and put forward preventive and improvement measures. Departments and individuals with the same recurring problems should be held accountable to prevent serious mistakes and accidents.
Third, change the concept of nursing and improve the quality of service.
The nursing department constantly strengthens the construction of medical ethics and strengthens the sense of responsibility. Cultivate nursing staff to establish the concept of "patient-centered", with the patient's voice as the first signal, the patient's needs as the first need, the patient's interests as the first consideration, and the patient's satisfaction as the first standard. Strengthen the consciousness of active service, quality and safety, improve the communication skills between nurses and patients on the basis of further standardizing nursing operations, promote the improvement of nursing quality and ensure the safety and effectiveness of nursing work.
1, deepen the connotation of high-quality nursing and implement the overall nursing responsibility system.
(a) in accordance with the requirements of the "detailed rules for the evaluation of quality nursing services (20xx version)", continue to implement the overall responsibility system for nursing and promote quality nursing services.
(2) Strengthen the connotation construction of quality nursing. Conscientiously implement the Clinical Nursing Practice Guide, nursing routine and nursing technical specifications. The responsible nurse requires correct treatment and disposal, close observation and evaluation of the patient's condition, timely communication with the doctor, cooperation with the doctor to complete the treatment plan, and at the same time strengthen communication with the patient, respect and care for the patient, and enhance the trust between the nurse and the patient. (3) Improve the level of specialized nursing. Clinical nursing service fully highlights the characteristics of undergraduate departments, and uses professional and technical knowledge to carry out personalized health education for patients, guide rehabilitation exercises, promote the recovery of patients' functions, solve nursing problems, improve the level of specialized nursing and improve the quality of nursing. (4) Improve and implement the performance appraisal system, adhere to the principles of objectivity, fairness and openness, and take the number, quality, technical difficulty, risk degree and patient satisfaction of the responsible nurses as the basis of performance appraisal, which fully reflects the more work, and improves the enthusiasm of nurses. (five) monthly survey of inpatients' satisfaction, listen to the opinions of patients and their families, and constantly improve the service attitude and service quality. (six) actively participate in the quality nursing service star selection activities every quarter; Strive to be an advanced department and individual with high quality nursing service. (seven) continue to implement the follow-up work, through telephone follow-up and other forms of health education for discharged patients.
2, the implementation of nurse post management, rational use of human resources (a) according to the provisions of the nursing department to set up different levels of posts, conscientiously implement the scope of responsibilities and qualifications of posts at all levels. Assign the responsible nurses according to the patient's condition, nursing difficulty and technical requirements, reflecting the energy level correspondence. (2) According to the characteristics of undergraduate course room, a scientific flexible scheduling system should be implemented, and nurses' scheduling should take into account clinical needs and nurses' wishes, and more nursing staff should be added during the critical period of heavy nursing workload (noon, evening and holidays), reflecting the continuous, full-time and humanized care for patients.
3. Strengthen nursing quality and safety management, continuously improve nursing quality and ensure patient safety (1) Respond to the three-level nursing quality control network of nursing department, implement quality management with everyone participating, and achieve the goal of total quality control. Organize nursing quality control meetings of departments every month, discuss and analyze difficult problems and nursing adverse events in nursing work, and put forward effective rectification measures. (2) Seriously implement the evaluation standard of nursing quality, carry out quality evaluation activities in a planned way, and carry out quality control throughout nursing work. (3) Strengthen the training and assessment of the core nursing system, urge nurses to implement it effectively, and regularly check the implementation. (4) Strengthen the nursing quality management of key links, key time periods and key groups, and conduct self-examination irregularly according to the standard requirements of tertiary hospitals to ensure nursing safety. (five) to further standardize the writing of nursing documents, regular supervision and inspection, put forward improvement measures for the problems and defects in the quality management of nursing documents, and track and evaluate the effect, reflecting the process of continuous improvement. (6) Strengthen the management of nursing adverse events and implement the reporting system of nursing adverse events. Evaluate risk factors such as falling/falling out of bed, pipe slippage and pressure sore, and take measures to prevent accidents. Regular safety warning education should be given to nurses to enhance their awareness of risk prevention. (seven) to further strengthen infection control, strictly abide by the implementation of disinfection and isolation system, strengthen occupational protection, ensure the safety of nursing staff, and do a good job in the management, use and treatment of sterile items, disposable items and medical waste. (eight) actively respond to and participate in the quality control circle activities carried out by the nursing department, and integrate the quality control circle management method into nursing management. (nine) the organization of nursing human resources allocation and emergency plan drills, improve the emergency ability of nurses, and ensure the safety of nursing work.
Fourth, strengthen the training of nursing talents and improve the overall quality of nursing team.
(A) N 1 nurse follow-up system, focusing on basic skills training. (2) On the basis of general practice training and comprehensive improvement in the whole hospital, we should focus on training specialized nursing techniques, requiring us to master emergency nursing techniques and nursing techniques with difficult new businesses and new technologies.
(3) Various departments will adopt different ways to provide learning opportunities for nursing staff.
(4) Insist on holding monthly training on nursing knowledge, new business, new technology and professional technology in departments, improve the quality of ward rounds, and improve the level of professional knowledge and practical ability.
Verb (abbreviation of verb) innovative thinking actively carries out nursing scientific research, promotes the development of nursing specialty, strengthens the study of new theories, new knowledge and new technologies of nurses, constantly expands horizons, innovates thinking, actively writes nursing scientific research papers, and improves the quality of papers. Carry out 1 quality control circle activities.
Sixth, strengthen the study of humanistic knowledge and enrich the spare time life of nurses.
Seven, nursing quality indicators:
I also hope to get the strong support and full cooperation of all doctors and nurses and work together to complete the work. With the joint efforts of all medical staff in all departments, 20xx will create greater glories!
The work plan of internal medicine nursing Part 3 People often say that "three-divided treatment and seven-divided nursing" is very embodied in internal medicine. In 20xx, the internal medicine nursing department insisted on integrating the patient-centered nursing concept into more practical and specific work details. In the form of management, we should pursue the service orientation of patients' needs, pay attention to knowledge updating and actively absorb multidisciplinary knowledge in business, and emphasize knowledgeable, law-abiding, civilized and standardized services in the construction of nursing team to create a good ward environment for patients! At the same time, in 20xx, we will focus on strengthening the professional training of nurses, strengthening nursing management, strengthening basic nursing and improving service quality. The work plan for 20xx years is summarized as follows:
First, strengthen the on-the-job education of nurses and improve the professional quality of nursing staff.
Strengthen the study and mastery of relevant professional knowledge, organize nurses to teach regularly every month, take turns to teach, and carry out 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.
Second, nursing safety is the focus of nursing management.
Long-term safety officers persistently monitor the links of nursing staff: strengthen the management of newly transferred nurses and thoughtful and emotional nurses, and focus on explanation and follow-up. 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. Link monitoring of patients: focus on supervision, inspection and monitoring of newly admitted patients, newly transferred patients, critically ill patients, bedridden patients and patients with potential risks of medical disputes. Time link monitoring: during holidays, weekends, busy working hours, fatigue-prone hours and shift changes, the supervision and management of wards should be strengthened. Critical, seriously ill patients and bedridden patients should strictly carry out bedside handover.
Third, change the concept of nursing and 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 a patient-centered concept, 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. 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.
Fourth, rational use of departmental human resources.
The number of internal medicine nurses is small and the nursing work is heavy. According to the patient's situation and the nursing workload of the department, we should rationally allocate human resources, arrange shifts reasonably and flexibly, increase the number of people who go to work during peak hours, and provide satisfactory nursing services for patients with good quality and quantity when work is needed. The above work plan of internal medicine nursing is the main work plan of internal medicine nursing department in 20xx. I hope to get the support and encouragement from hospital leaders and nursing department leaders, and also hope to get the strong support and full cooperation from all doctors and nurses to complete the work with one heart and one mind!
Internal medicine nursing work plan is an important official document widely used in administrative activities, and it is also a highlight of applied writing. Organs, organizations, enterprises and institutions at all levels should make work plans when making arrangements and plans for the work in a certain period in advance, and take such official documents as work plans. In fact, there are many different kinds of work plans, not only in length but also in scope. As far as the specific classification of plans is concerned, the long-term and grand is planning, the near and concrete is arrangement, the complex and comprehensive is scheme, the concise and general is main point, the in-depth and detailed is plan, and the rough and embryonic is idea. In any case, they all belong to the category of planning languages.
First, strengthen the management of nursing quality and strive to improve the quality of nursing.
(1), each nursing team carefully organizes the implementation and assessment, promotes the change of nursing staff's concept through target management, and enhances their sense of professionalism, active service and quality and safety, thus promoting the improvement of nursing quality.
(2) Do a good job in the whole process of quality management of all nursing work with a strict attitude of being too fine, too precise, too solid and too strict, that is, basic quality, link quality and terminal quality, in which link quality is the key. Refine each quality standard, and personally participate in the implementation of each group's work to see the effect of implementation.
(3) Strengthen the control of department infection. Strictly abide by disinfection and isolation, and do a good job in environmental health monitoring in the ward, and the results should meet the standards. At the same time, do a good job of disinfection at any time, terminal disinfection and daily disinfection. After use, the articles shall be disinfected according to the principle of treatment, and disposable goods shall manage, use and treat them as required.
Strict disinfection and isolation training is given to new nurses and intern nurses every month to strengthen the concept of sterility, and a deputy head nurse supervises the work.
Second, continue to carry out high-quality nursing service, further enrich the connotation of holistic nursing, and introduce the nursing concept of our hospital: all patients are the center and patient satisfaction is the premise! Choose our hospital for medical treatment, and we will show you meticulous care!
Thirdly, according to the assessment standard of 20xx, the job responsibilities of nursing staff at all levels in our department are formulated and improved. And put it into practice. According to the classification of nursing service level, hierarchical management, scope of responsible nurses, scope of responsible nurses, scope of responsible nurses, etc. Make clear the post responsibilities of each class, and the responsibility lies with people.
Fourth, strengthen the management of nursing human resources, ensure the rational allocation of nursing human resources, and ensure that everyone is certified. According to the requirements of the nursing department, the training plan for nursing staff is formulated, the construction of nursing team is strengthened and the quality of nursing team is improved.
1. Follow-up system shall be implemented for nurses who have served for less than 2 years, with emphasis on basic skills training.
2. On the basis of general training and comprehensive improvement in the whole hospital, we should pay special attention to the key training of the backbone team, not only to master nursing technology, but also to master nursing technology in difficult new business and new technology, and play a leading role in the nursing team.
3. All departments will provide nursing staff with learning opportunities through various channels.
At the beginning of work, making a work plan in advance can make your work more efficient. But it doesn't matter if you have already started working. Now you can arrange your work plan according to the shortcomings you have already worked.
People say that three-part rule and seven-part nursing is not very accurate, but it reflects the important role and status of nursing work. Nurses have made positive contributions to people's health, so they are respected by society. They are known as angels in white's 20xx New Year, and our nursing work will also take a new step. The nursing work plan for 20xx years is specially formulated:
First, strengthen the on-the-job education of nurses and improve the comprehensive quality of nursing staff.
(a), according to the standardized training of nurses and nurses in-service continuing education implementation plan, do a good job in the training and assessment of nurses' three basics and specialist skills.
1, focusing on strengthening the assessment of new nurses, hired nurses and junior nurses, and strengthening the awareness of learning. The nursing department plans to strengthen basic nursing knowledge in the first half of the year and increase the number of examinations until it reaches the standard.
2. Strengthen specialist skills training: Each department formulates an assessment plan for specialist theory and skills training within the cycle, and organizes examinations 23 times a year. Theoretical examination should have examination papers, and the head nurse should organize a closed-book examination, which requires practical results and is not a mere formality, laying a solid foundation for training specialist nurses.
3. Basic skills assessment: Nurses who are standardized training objects must all meet the standards in 16 basic skills during the year, and the assessment needs to be randomly tested in actual work. Nurses at other levels plan to arrange an operation exam and two theoretical exams.
4. Strengthen the study and mastery of relevant knowledge, organize a practical assessment of rules and regulations, combine theoretical assessment with clinical application, and check the compliance of implementation.
(2) Strengthen the study of humanistic knowledge and improve the overall quality of nurses.
1, organize the study of hospital service etiquette culture, strengthen nurses' awareness of modern nursing culture, discuss it at the head nurse level first, and then carry out quality improvement activities in the whole hospital after reaching the knowledge of * * *, and formulate training plans and specific implementation plans.
Arrange lectures in the whole hospital and try to learn nurses' social etiquette and professional service etiquette by sending them out and inviting them in. Carry out nurse etiquette competition activities, and use the month of learning etiquette and stressing literacy during the 5. 12 Nurses' Day to organize an entertaining holiday party.
(3) update professional theoretical knowledge and improve the technical level of specialized nursing. The development of nursing level and medical technology is unbalanced, and the head nurses in various departments organize to learn professional knowledge. In case of developing new technology projects and special diseases, we can update our knowledge and skills by inviting doctors to give lectures, searching documents, organizing nursing rounds by the nursing department, and discussing nursing consultations. At the same time, some nurses are sent out for further study in a planned way to improve their academic level.
Second, strengthen nursing management and improve the management level of head nurses.
(1) A hospital head nurse management class was held at the beginning of the year, mainly to update management concepts, management skills and cultivate humanistic spirit in nursing service, the current social demand for nursing service, the prospect of nursing work in the new year and the emotional exchange of head nurses.
(2) Strengthen the assessment of head nurses' target management, combine monthly assessment with year-end assessment, and link the nursing quality of departments with management indicators such as head nurses' assessment.
(3) Promote the learning and communication between the head nurse and the departments, organize mutual inspection of nursing quality every quarter, and hold an exchange meeting on the work experience of the head nurse to improve the level of nursing management.
Third, strengthen the process control of nursing quality to ensure the safety and effectiveness of nursing work.
(a), continue to implement the secondary management system of nursing quality, especially the need to cultivate and improve the head nurse's ability to find and solve problems, and at the same time give play to the quality control role of the quality control team of the department, clarify their respective quality control points, enhance the awareness of all staff to participate in quality management, and improve the quality of nursing.
(2), the establishment of inspection, evaluation, feedback system, the establishment of traceability mechanism, nursing staff often in-depth inspection, supervision and evaluation of each department. The evaluation method is to evaluate nurses on the spot, check patients, check records, listen to doctors' opinions, find problems in nursing work and put forward rectification measures.
(3) To further standardize the writing of nursing documents, start with the details, strengthen the three-level evaluation system of each nursing document, regularly analyze and improve the defects of nursing records, increase the weight of deduction points for defects in discharged medical records, and emphasize that unqualified nursing documents will not be filed. At the end of the year, nursing documents were rated as the first, second and third in the group.
(4) Strengthen the safety management in the nursing process.
1, continue to strengthen the three-level monitoring and management of nursing safety. Departments and nursing departments conduct monthly investigation of nursing safety hazards and do a good job in attribution analysis of nursing errors, defects and nursing complaints, and analyze the reasons, lessons to be learned and preventive improvement measures from the perspective of themselves and departments. The management and personal responsibility of the head nurse shall be investigated for the departments and individuals with the same recurring problems.
2. Strictly implement the check system, emphasize the second check in place, strengthen the management of nursing students, clarify the responsibility of teachers' safety management, and put an end to serious mistakes and accidents.
3. Strengthen the head nurse's investment in department hardware.
Awareness of routine inspection of facilities, strengthening performance and safety inspection at ordinary times, timely maintenance when problems are found, and keeping equipment in good condition.
Fourth, deepen family services and improve service quality.
(1) On the basis of training nurses' daily etiquette, further standardize nursing operation terms and nurse-patient communication skills. Cultivate nurses and establish a good professional image.
(2) Pay attention to collecting nursing service demand information. The nursing department obtains patients' needs and feedback information by understanding the opinions of return visit cards, talking with outpatients and inpatients, issuing satisfaction questionnaires, etc., and puts forward improvement measures in time, and at the same time encourages nurses to mobilize their work enthusiasm.
Five, do a good job in teaching and scientific research
(1) Designate nurses with the title of nurse or above to be responsible for the teaching of interns, hold regular review meetings of schools and churches, and listen to the opinions of teachers and interns.
(2) The head nurses in all subjects are the general tutors, attach great importance to the teaching work, regularly check the teaching attitude, sense of responsibility and professional level of the tutors, arrange small lectures, understand the completion of the internship plan, and complete the theoretical and operational examinations.
(3) The nursing department should do a good job in pre-job training of interns, check the teaching quality of the next department from time to time, and organize an excellent teaching teacher selection activity before the end of each internship.