5. Model work plan of head nurse 1 1. Strengthen on-the-job education of nurses and improve the comprehensive quality of nursing staff.
According to the implementation plan of standardized training and on-the-job continuing education for nurses, the training and assessment of nurses' "three basics" and specialist skills should be done well.
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 the training of specialized skills: each department formulates the assessment plan of specialized theory and skills training within the cycle, and organizes 2-3 examinations every 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.
5. Strengthen the study of humanistic knowledge and improve the comprehensive quality of nurses.
6. Organize the study of hospital service etiquette culture, strengthen nurses' awareness of modern nursing culture, discuss it at the head nurse level first, and carry out quality improvement activities within the scope of 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 a nurse etiquette competition, use the "5. 12" Nurses' Day to set off an activity month of learning etiquette and stressing literacy, and organize an entertaining holiday party.
7, update professional theoretical knowledge, improve the level of specialized nursing technology. 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 At the beginning of the year, a management class for head nurses in the hospital was held, which mainly focused on renewing management concepts, cultivating management skills and humanistic spirit in nursing service, the service demand of the current social population for nursing, 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 the assessment of head nurses.
3. Promote the exchange of learning between head nurses and departments, organize mutual inspection of nursing quality every quarter, and hold an exchange meeting on the work experience of head nurses to improve the level of nursing management.
Third, strengthen the process control of nursing quality to ensure the safety and effectiveness of nursing work.
1, continue to implement the two-level management system of nursing quality, especially to cultivate and improve the ability of head nurses 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, establish inspection, evaluation, feedback system, establish 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. Further standardize the writing of nursing documents, starting from the details, strengthen the three-level evaluation system of quality controller-head nurse-nursing department 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.
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 hidden dangers of nursing safety and do a good job in attribution analysis of nursing errors, defects and nursing complaints, analyze the reasons from the perspective of themselves and departments, analyze the lessons to be learned, and put forward preventive and improvement measures. 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 awareness of routine inspection of the hardware facilities of the department, strengthen the performance and safety inspection at ordinary times, timely find problems and maintain them in time to keep the 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 the collection of 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, at the same time encouraging nurses to work and mobilizing 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 teaching interns, hold regular review meetings, and listen to the opinions of teachers and interns.
2. The head nurses in all subjects are the general teaching teachers, attach importance to the teaching work, regularly check the teaching attitude, sense of responsibility and professional level of the teaching teachers, arrange small lectures, understand the completion of the internship plan, and do a good job in theoretical and operational examinations.
3. The nursing department should do a good job in pre-job training for 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.
4. Enhance scientific research awareness and strive to introduce or carry out 1-2 new technology projects during the year.
5. Plan to build a nursing garden network, upload nursing trends in our hospital, deliver nursing learning materials in time, give full play to the spatial advantages of local area network, and enrich the study life of nurses.
We believe that as long as we work hard to carry out the above work, we will certainly achieve good results in the work of 20xx.
At the beginning of the new year, according to the central work of the hospital and the goal of building a national model hospital with high-quality nursing service, all departments have formulated their own nursing work plans with detailed contents and specific measures. Injection room, gynecology, cardiology, infectious diseases, gastrointestinal surgery and gynecology have made specific work arrangements for the nursing work of this department throughout the year. Each department has done its best in quality and safety, teaching and training, nursing service, health education, nurse-patient communication and so on, and has issued many unique working methods and detailed rules, which are summarized as follows for your reference.
1, quality and safety "pay attention to specifications and details"
Outside the chest, submit xxx content according to disease specifications (oxygen supply and closed thoracic drainage patients must measure oxygen saturation; Heart patients must auscultate heart rate, heart rhythm, etc. ); In the injection room, we should strengthen the management of injecting drugs in outpatient department, learn the knowledge of new drugs every month, implement the rules of safe operation and use of injecting drugs, and implement the procedures for handling adverse drug reactions formulated by the department; Neurology department establishes nurse safety files, implements monthly safety score and annual safety score management, and makes a summary ranking on 1 month 1 day, and the safety score is linked to the annual assessment.
Department II of Orthopaedics formulates and perfects emergency plans for orthopedic specialties, such as traumatic hemorrhagic shock, cervical spinal cord injury, osteofascial compartment syndrome, artificial joint dislocation, pulmonary embolism and fat embolism. Training and assessment are conducted in the form of scenario simulation to improve nurses' emergency ability and ability to deal with emergencies. Gynecology selects the best quality controller and the best quality individual for commendation once every six months. Preoperative visit to the operating room pays attention to quality, intraoperative nursing and service, and postoperative follow-up.
In addition, some departments have summarized, refined and summarized the good practices in clinical nursing work, requiring all departments to seriously organize learning and promote it in the whole hospital.
Gastroenterology and endocrinology departments attach importance to the management of intravenous infusion and put forward more concise management methods. Require two punctuality, two inaccuracies and one guarantee. Two in time: take the initiative to change the liquid in time to avoid empty flow and reduce the ringing of the call; Timely discover and deal with infusion failures and infusion reactions. No two: workers or accompanying personnel are not allowed to change fluids and pull out needles; Don't put infusion or empty bottles on the patient's bedside table. One guarantee: ensure that the infusion patients receive "three deliveries" (meals, water and toilets), so as to satisfy the patients and reassure them. Pay attention to the prevention of transfusion reaction and do a good job in quality control of three links.
(1) Drug inspection link: Three inspections: inspection before administration, inspection before infusion and inspection before liquid exchange. Fourth look: look at the expiration date of liquids and drugs; Look for cracks in glass bottles; See if the bottle cap is loose; Check whether there are impurities, discoloration, turbidity and precipitation in the liquid. Familiarity: familiarity with the contraindications of drug compatibility, and familiarity with the ways and methods of administration. Mastery: Mastering the performance, main function, commonly used dosage, side effects and prevention of drugs, clinical manifestations and treatment methods of infusion reactions.
(2) dosing: one is reasonable and the other is inappropriate. Rationality: reasonably arrange the input sequence of various drugs and liquids. Two disadvantages: the administration time should not be too early, a bottle of liquid should not be used for more than 2 hours at a time, and antibiotics should be prepared now; Too many drugs should not be added to a bottle of liquid at the same time, and compatibility should be strictly in accordance with the requirements of compatibility taboos.
(3) Operation link: master the word "strict", that is, wash hands, dress and disinfect in strict accordance with aseptic technical operation requirements; The packaging and validity of sterile syringes and infusion tubes meet the requirements. There are five procedures for the treatment of infusion reaction: stop infusion, treat symptoms, check report, xxx, and fill in infusion reaction records as required.
"Five Views, Five Elements and Five Theories" in Oncology and Children's Basic Nursing II. Five look: see the patient, see the sickbed, look at the bedside table, look under the bed and look around; Do five things well: do a good job in life care, make the bed, arrange the bedside table and bed, arrange the equipment belt, open the window for ventilation and adjust the room temperature; Five points: greet patients, explain the significance of basic nursing, health education, ask for needs and solicit opinions. Pediatric surgery and orthopedics suggest that the positive signs of drug allergy should be marked in the upper right corner of medical records, temporary doctor's advice, whiteboard, bedside and long-term treatment, so as to achieve five unification.
These measures will better ensure the quality of care and patient safety.
2, teaching and training "based on professional, combined with clinical"
The training goal of respiratory nursing staff is clear and the plan is specific; Children's first department held a big discussion on "what kind of nurses patients are most satisfied with", "what kind of language and behavior patients dislike most", "what kind of language and behavior patients are most moved by" and "what kind of language and behavior patients can't tolerate most and easily lead to disputes" to interpret patients' needs; Attach importance to the study of humanistic knowledge and improve the emotional intelligence of nurses; The second department of pediatrics carries out the training of nurses' proposition paper writing, encourages nurses to think hard in their work and improves their paper writing ability; In hepatobiliary surgery, young nurses are encouraged to write a "work reflection diary" within three years, recording the times of participating in the rescue care of critically ill patients, the times of unsuccessful work or failed nursing operation, analyzing the reasons and experiences, and their views and feelings on nursing work, life and things, self-evaluating at the monthly meeting, guiding teachers, helping and urging them to develop the good habit of reviewing, checking, summarizing and self-evaluating; Pay attention to guide young nurses to understand patients' condition observation and nursing points, guide general nurses to pay attention to patients' complaints and feelings, find patients' condition changes in time, give correct evaluation and provide effective intervention measures, and strengthen specialized service technical training such as obstetric xxx massage, neonatal touching, passive exercise and postpartum classroom; Gynecology has formulated the backbone assessment index; The Department of Hematology signed the Responsibility Letter for Responsible Nurses, which enabled the responsible nurses to take the initiative to take charge of ward management, actively participate in ward management and be responsible for ward satisfaction and quality. The training plan of digestive specialty is detailed, with outstanding professional characteristics; The emergency room sent 2-3 competent nurses with strong comprehensive quality to set up a training group for junior nurses, and used various forms such as "typical case review analysis, scenario simulation, regular assessment of special lectures, random sampling" to train and assess junior nurses in a planned way from the aspects of system responsibilities, specialty theory and skills.
3. Nursing service "pursuing patient satisfaction"
The operating room continues to carry out the selection of "star nurses"; It is planned to add a convenient locker in the injection room to facilitate patients to store medicines and articles; Gynecology carries out the competition of "advanced individual with high quality nursing service", selects and commends it once every six months, continues to carry out activities such as professional nurses' competition for posts, and carries out patient evaluation activities twice to understand the social recognition of happy teams; In gastrointestinal surgery, discharged patients voted for the "nurse star" of the month to fully tap and mobilize the enthusiasm of nurses. Gynecology continues to insist on issuing satisfaction questionnaires to every discharged patient and making monthly summary and analysis; Intimate services in ophthalmology and stomatology: such as preparing magnifying glasses, sunglasses and disposable cups, preparing pills for patients after stomatology, and providing comfortable prone pillows for patients after vitrectomy. The operating room should reasonably adjust the temperature and humidity in the operating room, prepare a thermal blanket to keep the patients warm, and add a liquid heating box to fully ensure that all surgical patients are flushed with warm physiological saline during the operation on the same day to prevent hypothermia during the operation. Adding jelly gel position pad is beneficial to the skin protection of critically ill patients during operation; Newborns provide self-made soft pillows, ear pads, etc. Ensure the beauty of the baby's head and the deformation of the auricle, and make the nursing service more humanized.
4. Health education and nurse-patient communication "highlight specialty characteristics"
The injection room is equipped with scrapbooks of common health education knowledge, which are placed at the convenience service desk for patients to read. Gynecology holds a health education simulation competition to improve nurses' communication ability and health education ability. Neonatal department makes CD-ROM of ward working environment and workflow, and formulates baby parenting manual; The second "Friends of the Roses" stoma association was held on October World Stomatology Day to care for stoma and improve the quality of life; In June, 5438+10, the Breast Department held the "Pink Ribbon, Walking with the United States" cancer patients' association, and completed the breast disease health education manual and the nurse-patient communication record book. Strengthen health education, adjust behavior training plan, and implement rehabilitation exercise plan for the second department of orthopedics; Ophthalmology and stomatology provide preoperative environmental adaptability training for ophthalmic patients, improve postoperative self-care ability, reduce fear, and prevent accidents such as falls and bumps. Obstetrics produced and launched the "Happy Mother Service Manual of Jingzhou Central Hospital" to systematize, standardize and make effective scattered health education knowledge; The neonatal ward creates a list of nursing team members and a communication platform of "our voice, parents' hope and baby's happiness" in the reception room.
Head nurse Fan Wen's personal work plan 5 3 Busy time always passes quickly, so in a blink of an eye, 20xx has come to our eyes. As the head nurse of the dermatology department of xxx Hospital, during this year, I will also strive to' do my job well, be strict with myself in my work, improve myself, and lead the nurses I accept towards a better tomorrow!
Looking back on the past year, although I was very careful in my work, I still couldn't control my hands and feet, and there were some shortcomings and defects in management. In this year, I decided to make a plan for my own shortcomings, correct my own shortcomings and strengthen my working ability!
I. Requirements for individuals
Since I became a head nurse, a responsibility has been hanging on my mind, not just my own work. I am in charge of so many nurses in the department, and I will blame myself if there is anything wrong with their work. In order to better improve their management level, I will set an example and give priority to improving my working ability, so that I can spare more time for the management of nurses.
First of all, in my 20xx years of work, I still have to study the hospital's creed rigorously, actively pay attention to the facts from the Internet and newspapers, and improve my ideological level. Love the country, love the people, love the hospital and love my duty!
Secondly, I also need to strengthen my service. In the past year, because I was busy, I couldn't pay better attention to the psychological condition of patients. As a nurse, I should know more about the needs of patients and provide them with more satisfactory services. This year I will strengthen communication with patients and get to know them better. And actively encourage nurses to care for and care for patients.
Thirdly, in this year, I will strengthen my time management and use my time more orderly and effectively. The department is so big that many places need me to do it. I must use my personal time more effectively and do more meaningful things.
At present, if you come here first, you will always see your own shortcomings at work. When I find my own shortcomings, I will also actively correct myself.
Second, strengthen management and improve service quality.
In the new year's work, I will face the work of 20xx with a brand-new look. Not only myself, as a manager, I want to use my own efforts to drive everyone forward, bring better services to patients in nursing, and let them feel our care.
Therefore, in terms of management, I will lead by example, make everyone aware of our responsibilities and obligations, and use the least time to drive everyone's highest enthusiasm.
Three. Concluding remarks
Nurses are always busy, but we must plan our time well to make our busyness meaningful and valuable!
First of all, the head nurse's personal work plan is to bring a good team of nurses. Nurses in the department include old nurses, young nurses and new nurses who have just entered the department. It is good for old nurses to supervise their work, but for young nurses, new nurses should pay more attention to take care of them. The work of the department after one year is very heavy, and as a nurse, I have to undertake a lot of work. Basically, there is really little rest time all year round, but as a head nurse, I also want to take care of them. For young nurses, I should take care of their emotions, understand their difficulties and actively help them solve them. For new nurses, it is more important to take good care of them and try to keep them. Nurses work very hard, so a group of new nurses come every year, but not many stay, mainly because the work is very hard and sometimes patients are not very cooperative.
It is very important for departments to improve the level of nursing. I want to organize nurses in our department to do a good job of training in the new year, improve their nursing level in various ways, and let them serve patients better, rather than stop. At the same time, I also want to actively study, participate in training, read more nursing periodicals and professional books, and teach what I have learned to nurses in our department. Only by continuous learning can the nursing level be improved. For new nurses, it is necessary to study hard, let old nurses take new nurses, and let new nurses adapt to the nursing work of departments more quickly.
Cooperate with the doctor to do a good job. As a head nurse, I want to cooperate with department doctors and do a good job in all aspects. The corresponding scheduling and the needs of nurses all need to meet the requirements of doctors. But at present, the number of nurses in the department is not particularly sufficient, so a lot of work also needs more cooperation and communication to better care. Some schedules also need to be adjusted according to the specific situation, and try to arrange the nursing of the department.
In the new year, as a head nurse, I also feel that my own responsibility is important. It's not easy to do a good job of nursing in our department, but I believe that as long as the nurses in our department unite and work together with Qi Xin, we will be able to do a good job of nursing for 20xx years, serve the patients in our department well, and let them recover at an early date and return to a healthy and normal life.
Five personal work plans for head nurses The nursing work of neurology department in 5-20xx years will focus on the hospital development plan, with the service concept of "patient-centered", "service, quality and safety" as the focus, and with the theme of "improving professional quality and optimizing nursing service" as the theme, so as to improve the service level, continuously improve the nursing quality, innovate management methods and continuously improve social satisfaction.
First, strengthen nursing safety management, improve nursing risk prevention measures, effectively avoid nursing risks, and provide patients with high-quality, safe and orderly nursing services.
1. Constantly strengthen nursing safety education, remind unsafe factors in work in time, put forward rectification measures, discuss and learn from nursing errors in and out of the hospital as an example, so that nurses can fully understand the error factors, new situations and new characteristics, learn from them, and make the safety alarm ring constantly.
2. Implement various rules and regulations, check regularly and irregularly, and supervise in place.
3. Strengthen the risk management of key links such as night shift, middle shift and holidays. Reduce the frequency of shift change, reduce work loopholes, reasonably match young nurses and old nurses on duty, and pay attention to cultivating the spirit of caution and independence when nurses are on duty independently.
4. Strengthen key management: such as handover of critically ill patients, prevention of pressure ulcers, blood transfusion, special medication, patient pipeline management and potential risk assessment of patients.
5. Strengthen the care of key patients: such as critically ill patients and elderly patients, take these patients as the focus of discussion at the early meeting or shift change, evaluate the existing and potential risks of patients, reach a * * * understanding, and attract the attention of each class.
6. Management of key employees: such as internship nurses, rotation nurses, new nurses, etc. Educate them in legal awareness, improve their awareness of prevention and ability to resist risks, and make students clear that they can only care for patients under the guidance or supervision of the teaching teacher. At the same time, nurses with clinical experience, strong sense of responsibility and nurse qualifications are employed as teaching teachers to cultivate students' communication skills and clinical operation skills.
7. Further standardize the writing of nursing documents to reduce potential safety hazards. Pay attention to the problems existing in nursing documents at this stage, and the records should be "objective, true, accurate, timely and complete" to avoid irregular writing, such as typo, unclear alteration, inconsistency with doctors' records, etc., so as to standardize and standardize nursing documents.
8. Improve the emergency risk plan of nursing, pay attention to the cultivation of nurses' emergency ability at ordinary times, and make a retrospective evaluation of various emergency work, such as blood transfusion, transfusion reaction, special liquid, drug leakage, sudden power failure, etc. So as to learn from it and improve the ability of nurses to deal with emergencies.
Second, take patients as the center, advocate humanized service, strengthen nurse-patient communication, improve patient satisfaction and avoid nursing disputes.
1. The responsible nurse sincerely receives the patients, sends them to the bedside, and actively provides health education for discharged patients.
2. Strengthen the education of service awareness, improve the concept of humanized active service, increase the health education day on Tuesday's basic nursing day, and make education guidance and safety precautions at any time in each class.
3. Establish health education prescriptions, issue nurse-patient contact cards, hold monthly forums to solicit opinions from patients and their families, and praise and criticize nurses with good or bad service quality.
Third, establish a system of inspection, evaluation and feedback, establish a traceability system, and the head nurse and quality control team often go deep into the ward for inspection, supervision and evaluation.
The evaluation method is to evaluate nurses on the spot, check patients, check records and listen to doctors' opinions, find problems in nursing work and improve rectification measures.
Fourth, strengthen the "three basics" training plan to improve the overall quality of nursing staff.
1. Ask questions every morning, including basic theoretical knowledge, specialized theoretical knowledge, nosocomial infection knowledge, etc.
2. Conduct an emergency plan demonstration for experts every quarter, and be familiar with the use of first-aid equipment and instruments.
3. In the morning, the responsible nurse will collect the undergraduate drug instructions and explain the pharmacological effects and precautions to everyone.
4. Ask questions about the core system of the hospital, so that every nurse can master it skillfully and carry it out seriously.
5. Review the nursing emergency risk plan frequently to improve the emergency ability of nurses.
Five, according to the requirements of the hospital actively do a good job in the nursing work.
1. Designate special personnel for health education and follow-up after discharge.
2. Organize lectures for patients and their families from time to time, teach rehabilitation knowledge and family nursing knowledge, and improve patients' quality of life.
3. Do a good job in screening and data statistics.