A written material summarizing the study, work and life of a period, a year and a stage. It helps us to find the laws of the development of work and things, so as to master and apply these laws. Let's sum it up. How is the summary generally written? The following is a summary of my nursing professional work, hoping to help everyone.
In the past 20xx years, under the care, support and attention of hospital leaders, under the guidance of Secretary He, and with the joint efforts of nurses in the whole hospital, the nursing quality has been steadily improved, which is summarized as follows:
First, practice according to law to ensure safety.
Effectively implement the relevant regulations such as nurse registration and certification. Complete the files of new nurses 16 (obstetrics and gynecology 1 person, 4 in internal medicine, 4 in surgery, 2 in general practice and 5 in community department) throughout the year. Nine people were registered for the first time, and three registered nurses were renewed. 16 changed their registration.
Two, establish and improve the nursing system, norms and standards.
Improve the rules and regulations of nursing work, quality control standards, various clinical nursing technologies, clinical nursing technical service standards, and the use systems and processes of various nursing diseases, instruments, equipment and rescue articles.
Three, according to the actual needs of nursing work, the implementation of scientific nursing management.
1, according to the nursing workload, reasonable allocation of nursing staff.
2, nursing staff grading use and management:
N0 Newly graduated nurses or nurses with less than 65,438+0 years' nurse qualification certificate N65,438+0 years' certified nurses 65,438+0-2 years' N2 certified nurses have been engaged in clinical work for 2-5 years, N34 years and above, and the competent nurses for N44 years and above adopt the energy-level management mode of arranging jobs and responsibilities according to different people, so as to make the best use of their talents. According to the working ability of nurses as the primary index of nurses' stratification, the energy level correspondence is carried out according to the technical requirements of patients' nursing difficulty. Patients with different severity of illness are assigned to nurses with different energy levels for nursing, which ensures the quality of nursing and the safety of patients. At the same time, it fully embodies the value of nurses and the fairness of patients' demand for medical services.
According to the actual situation of nursing staff, the number of beds and professional characteristics, the department set up a group to assess the energy level of nursing staff in the department. Determine the responsible team leader, responsible nurse and assistant nurse. The requirements and goals for nurses' work increase with the improvement of their level. Comprehensive evaluation: mainly based on the work quantity, quality, business ability, satisfaction, professional ethics, labor discipline, operation assessment and so on. The bonus distribution coefficient increases with the grade. Thus, it embodies the unity of responsibility, power and benefit. It creates a good professional atmosphere for nurses. The classification of energy levels has established a clear development direction for clinical nurses' career planning, which is conducive to personnel training, nursing value embodiment, nursing connotation promotion and patient satisfaction promotion, and provides resource guarantee for the safety and effectiveness of clinical nursing work.
3. Establish an emergency deployment plan for nursing staff: when the workload of internal and surgical nursing is heavy, carry out manpower reinforcement. Flexible use of scheduling: increase the peak period (such as morning nursing time) and off-season period (Saturday and Sunday holidays) to ensure the implementation of basic nursing work and ensure the continuity and quality of nursing work.
4, strengthen the nursing of the head nurse (revision of the head nurse's manual, annual plan, quarterly plan, monthly plan, weekly plan, quality control training, assessment and attendance, etc. ) The head nurse of the department will improve the Head Nurse Manual, and the nursing department will check its implementation at the head nurse meeting.
5. Internal Medicine Division: Division I and Division II were divided in March, in order to better serve patients (safe and rational use of nursing staff by patients is conducive to the implementation of nursing work).
Fourth, improve the clinical nursing service and deepen the quality nursing service model.
1, set the goal and connotation of high-quality nursing service, refine and quantify high-quality nursing service and implement it. (From Admission Education to Discharge Guidance)
2. Reform the way of nursing division of labor and implement "patient-centered" holistic nursing.
(1) The responsibility lies with people, and the patient has the "only" responsibility nurse. Nursing can reduce the number of patients managed, understand the condition more comprehensively and provide more thoughtful services.
(2) Nurses are responsible for the whole process of nursing (observation of illness, basic nursing, treatment, psychological nursing, rehabilitation and health guidance, etc.). ) Responsible for the patients on duty.
Five, regular training of nursing posts, hierarchical dynamic management, reflecting the level of nurses can go up and down.
① Nurses are divided into four levels (N0, N 1, N2, N3), and nursing departments and departments train corresponding contents according to different levels. N0 rules and regulations, laws and regulations, hospital knowledge N 1 quality nursing service, nursing document writing, common nursing technology, operation and first aid, N2 professional knowledge application ability, first aid safety nursing, quality nursing service, N4 nursing management, safety management of critically ill patients and quality nursing service.
(2) Stage assessment of training content.
(3) The nurses who failed the examination were demoted. (Different positions and different levels of wages are different. )
Development: The nursing department organized 27 trainings (training of nursing theoretical knowledge, operation of nursing skills, nursing business rounds, emergency plan drills-material preparation/simulation scenarios/division of labor/evaluation of the effect of the drills/corrective measures/final evaluation). Each department carries out training in the above four aspects every month (the training of nursing department can be recorded in the department training). Theory and operation are assessed once every six months.
Six, the introduction of new nursing knowledge and new business-methods and tools for continuous improvement of nursing quality (quality control circle)
Improve the problem-solving ability of grassroots supervisors and employees, and make independent improvement based on patient-oriented thinking and teamwork.
(Steps: Mobilize nurses to learn and gradually understand the quality control circle. The nursing department plans to train and carry out activities of applied nursing work. )
1. The application of quality control circle activities in nursing quality management: the head nurses and nursing backbones in the whole hospital were trained on the topic of "quality control circle".
The data collected by seven management tools in the quality control circle (Gantt chart-line chart showing work progress-fishbone chart-cause analysis chart "Man-machine material method ring" Plato) are sorted and classified to find out the reason, situation or position with the largest proportion. Law 28: Plato's "80/20" principle is to find out the main factors that cause the biggest mistakes (80%) (20%).
2. How to develop the quality control circle: organization structure of nursing QCC → theme selection → activity plan → goal setting → current situation investigation → data collection → cause analysis → countermeasure formulation → implementation discussion → effect judgment.
3. Application of quality control circle management tools in nursing work: development of internal medicine quality control circle: project name-reducing the incidence of pressure ulcers in bedridden patients by 20xx. 9。 Name of audit circle: length of harmonious circle-Gong Counselor-circle members 8 Development of surgical quality control circle: improving the success rate of venipuncture circle name: length of drip circle counselor-7 members of Hao Xianqiao circle. The progress of quality control circle has reached the implementation stage.
4. Use QCC management tools to analyze the performance data of 20xx controllable expenditure (disinfection and sterilization analysis of disposable consumables in drug storehouse, etc.). ). Study the items (reasons) of expenditure increase and the reasons (reasons) of expenditure decrease from the data. By analyzing the data, one is to evaluate the expenditure management, and the other is to evaluate the development of various nursing work in the department (stomach tube/oral care/urinary tube/pressure sore dressing change)
Seven, the implementation of nursing safety, to carry out nursing quality related indicators testing.
1, formulate safety work procedures and measures such as patient identification, treatment, medication, surgery, infection prevention and bed drop prevention. Formulate and implement emergency plans for key links.
2. Regularly monitor the quality control indicators such as pressure ulcers, complications of elective surgery and pipeline slippage.
3. Adverse event management: timely report without penalty-two-level analysis and discussion-monthly summary and analysis.
4. Risk management: risk assessment of high-risk patients-preventive measures-report on handling problems found-improvement measures.
There were 2 nursing adverse events (internal medicine 17, surgery, pressure sore, fall, infection 1 7, infusion reaction, catheter slippage, including 4 gastric tubes, 4 urinary tubes 1 7, and 65438 venous catheterization).
Eight, nursing quality nursing service and quality control
Implement hospital work solidification management, nursing quality control and secondary quality control.
Secondary quality control: the nursing department checks, feeds back, corrects and tracks the clinical high-quality nursing service and quality every quarter. Departments check-feedback-rectification-follow-up on clinical quality nursing service and quality every month.
Nine, strengthen the management of supply room.
Standardize the connotation of management upgrade and implement effective quality control;
1. Revise and improve the supply room system and related forms at work, improve the filing of various materials, and ensure the quality of sterilized items. Let all the work in the supply room be traced.
2. The supply room provides disinfection supplies for the clinical departments of the hospital. In order to ensure the medical quality, with the increase of surgical patients, departments, inpatients and supply room staff, strict quality control standards are implemented: from recycling, sorting, cleaning, drying, packaging, disinfection and sterilization, to ensure the sterilization quality and provide qualified disinfection and sterilization items.
3. Strictly put disposable supplies into storage, complete certificates for disposable medical supplies, keep product information on file, establish a disposable sterile supplies distribution register, and check it carefully when sending and receiving. Only the manufacturer, production date and validity period are qualified can the distribution be received.
4. Communicate with the clinic every month, send and receive, improve work attitude and meet clinical needs.
5, according to the requirements of disinfection specification, regular environmental microbial detection, sterile goods detection, pressure sterilizer effect detection. Ensure the sterilization quality.
6. Organize the supply room personnel to participate in the on-the-job training of the supply room of the Municipal Bureau and the on-the-job training of the provincial special equipment personnel, and hold relevant certificates. Every month, the department trains the staff in the knowledge of supply room, and strictly implements various technical operation procedures to prevent the prevalence of hospital infection caused by human factors.
Due to effective management and quality inspection measures, no hospital infection caused by unqualified sterilized items occurred throughout the year.
Ten, hospital infection management (strengthen hospital infection control):
1. Strengthening training: The nursing department organized six trainings on hospital sensory knowledge to improve nurses' mastery of hospital sensory knowledge and make them master the knowledge of disinfection technical specifications.
2, irregular supervision and inspection of clinical departments, found hidden dangers of defects, urge departments to timely rectification. Instruct clinical nurses to use medical disinfection and disinfectant correctly to reduce hospital infection. Ensure medical safety.
2. Implement disinfection and isolation system: air disinfection, general goods disinfection, non-disposable pipeline disinfection, all kinds of bottles and utensils disinfection, dressing disinfection, bedside isolation disinfection and environmental sanitation inspection.
3. Strengthen occupational protection (hand hygiene, etc. )
4. Medical waste management: strict classification, standardized collection and timely transshipment.
There is a problem:
1. There is a certain gap between the allocation of nursing manpower and the functions and tasks of tertiary hospitals. There is a shortage of nursing staff in ward nursing manpower allocation, unscientific nurse scheduling mode and unreasonable professional title level, which leads to unreasonable division of labor among responsible nurses (according to patient nursing difficulty and technical requirements), which needs to be further improved. Two reasons have affected the quality of care provided by nurses to patients to some extent.
2. The promotion of high-quality nursing services needs to be further strengthened, and there is a gap in the support and security model.
3. The nursing safety (adverse events) reporting system is not standardized, and the root cause analysis of some adverse events is not targeted, and the implementation effect of nursing safety measures is continuously tracked.
4. The assessment content of the performance management scheme is not comprehensive enough, which fails to fully reflect the excellent performance and rewards of nursing staff with high nursing risks and technical difficulties.
5. Nursing quality control and management failed to effectively apply relevant quality management tools for analysis, evaluation and tracking.
6. Drug management in wards needs to be standardized. There are many high-risk drugs in the rescue vehicle. Nurses don't know the specific management requirements and the types of high-risk drugs. Hospitals lack training and guidance on drug safety.
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