Work plan of community outpatient nurses in 2023 (6 selected articles) 1. The head nurse's job responsibility is to cooperate with clinical service; Its task is to create conditions, coordinate the relationship between nurse assistants and doctors, improve doctors' work efficiency and create good conditions for doctors' clinical diagnosis and treatment.
1, familiar with and understanding the code of conduct of the medical service industry and the four-handed cooperation of various dental professions, and mastering the nursing cooperation of routine medical services in dental clinics must play an exemplary role among nurses.
2. Check the daily work of nurses, arrange the work of nurses reasonably, and ensure that doctors have assistants to cooperate.
3, timely understand the use of clinical equipment, public goods, equipment, and do a good job of pre-purchasing, to ensure that the clinic will not affect clinical diagnosis and treatment due to lack of adequate equipment supply.
4, responsible for monitoring the regular maintenance of equipment, timely find faults, solve existing problems, to ensure the normal operation of outpatient equipment.
5. Responsible for the supervision and inspection of the effective cleaning and disinfection of instruments.
6, responsible for the custody of outpatient emergency equipment and drugs, to ensure the needs of clinical rescue work.
7, in accordance with the provisions of the plan, procurement, recipients of clinical instruments, materials and drugs. Submit this month's budget table, last month's purchase table and purchase requisition table before the 5th of each month.
8. Check the validity period of stock materials and drugs at the end of each month, and submit an application report if it needs to be scrapped, which will be reviewed by the dean.
9, found that durable equipment damage should be reported in a timely manner and put forward preliminary treatment opinions, submitted to the dean for review.
10, organize and arrange the professional study plan of nurses in a planned way.
1 1, responsible for arranging the work of the health area and ensuring the cleanliness of the center.
12, responsible for the attendance of staff in the center, to ensure that clinical services are not affected by attendance arrangement.
Work Plan for Community Outpatient Nurses in 2023 (6 articles selected) Part 2 1. 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. Implement various rules and regulations: regular and irregular inspections, supervision in place, and supervision and inspection records.
2. Strengthen safety awareness education: when unsafe factors are found at work, remind them in time and strictly implement the "four don't let go".
3. Strengthen the management of key periods, such as night shift, middle shift and holidays. Implement flexible shift scheduling system, reasonably match the old, middle-aged and young people on duty, and pay attention to cultivating the cautious and independent spirit of nurses when they are on duty independently.
4. Classified management: Classified management is carried out according to the nurse in charge-nurse-new nurse (1 year)-practice nurse, so as to strengthen the training, study and education of new nurses and improve their professional ability.
5. Improve nursing records and reduce potential safety hazards: standardize nursing records and conscientiously implement the "cross principle" in nursing records, that is, objectivity, truthfulness, accuracy, timeliness and completeness.
6. Strengthen nurses' own occupational protection: organize general nurses to learn relevant knowledge, and formulate occupational exposure reporting system, occupational exposure prevention measures and specific treatment measures and procedures after occupational exposure.
7. Improve the nursing emergency risk plan: pay attention to cultivating nurses' emergency ability in daily work, make a retrospective evaluation of each emergency work, draw lessons from it, and improve nurses' ability to deal with emergencies.
Second, take patients as the center, advocate civilized and high-quality service, strengthen nurse-patient communication, improve patient satisfaction and avoid nursing disputes.
1, ensure and improve the convenience measures, manage the responsibility to people, and handle problems in time when found.
2. Strengthen service awareness education and improve the concept of humanized active service. Continue to implement the nurse's code of conduct, implement the civilized language of nurses in daily work, and improve the quality of health education.
3. Seriously implement the notification procedures before and after clinical treatment, respect patients' right to know, and relieve patients' concerns.
4. Hold a symposium on holidays every month, distribute patient satisfaction questionnaires, praise and encourage nurses with high service quality, and criticize and educate nurses with poor service quality.
Three, regular and irregular nursing quality inspection, to maintain the continuous improvement of nursing quality.
1, give full play to the role of nursing quality control team, conduct quality inspection every week, find problems in time, correct and deal with them in time.
2, constantly modify and improve all kinds of nursing quality standards, and organize learning, according to the standard implementation of nursing work.
3. The head nurse conducts regular and irregular quality inspections, analyzes the reasons for the deficiencies, makes timely rectification, and strengthens the service awareness and quality awareness of nursing staff.
4, on a regular basis to the quality control team, the head nurse quality inspection, nursing department quality inspection feedback information comprehensive analysis, find out the reason, formulate feasible corrective measures, and check the implementation of the rectification.
Fourth, strengthen the management of hospital infection.
1, strictly implement the disinfection and isolation system formulated by the leading group for hospital infection management.
2. Standardize disposable articles, destroy them in time for centralized treatment, regularly inspect and urge them, and regularly check and register the concentration of disinfectants.
3. Add a "comprehensive class" to be responsible for the cleaning, detoxification and maintenance of various articles and instruments.
Five, strictly implement the "three basics and three strictness" training plan, strengthen teaching, further education and continuing education, and improve the professional quality of nursing staff.
1, according to the "three basics and three strictness" training plan, train nursing staff at all levels, and organize theoretical examinations and technical operation examinations every month. According to the nurse in charge (or over 45 years old)-nurse (or over 35 years old)-nurse-new nurse (1 year old)-intern nurse, training and management are carried out at different levels.
2. Ask the nurse questions during nursing rounds, including basic theoretical knowledge, professional theoretical knowledge and nosocomial infection knowledge.
3, often review the knowledge of nursing emergency risk plan, first-aid technical drills every quarter, master the use of first-aid equipment and instruments, and improve the emergency ability of nurses.
4. Through department recommendation and comprehensive evaluation of nursing department assessment, select nursing backbone, conduct regular training and study, arrange nursing lecture tasks, and establish a graded nursing teaching management network of nursing department-head nurse-nursing backbone-new nurses.
Six, improve the personal quality of nurses and actively carry out activities.
1, set up a nursing culture management organization and regularly carry out rich nursing culture activities. Such as "various programs or parties", "Nurses' Day" skill operation competition, "Nurses' Sit-and-Talk Meeting" and so on, aiming at enhancing team cohesion.
2. Actively participate in the creation of spiritual civilization.
Work Plan for Community Outpatient Nurses in 2023 (6 selected articles) Part III. Strengthen detail management and cultivate good work habits.
Details determine quality. Obstetrics and gynecology are random, and their usual work habits are poor. The head nurse is busy with daily affairs and neglects management. She focuses on daily quality control work, starting from small things, running quality control work through daily work, controlling xxxxxx items every week, forming norms, so that department personnel can gradually form good habits of quality control, reduce lazy psychology and coping psychology, and really proceed from convenient work and management. In addition, we should give full play to the role of quality control staff and responsible nurses, give them some daily quality control work, raise everyone's awareness of participation, mobilize general practitioners to participate in management, effectively improve self-management awareness and improve the efficiency of department management.
Two, standardize business rounds, improve the effect of rounds.
Change the situation of ward rounds in previous years, the bed nurse is responsible for selecting medical records, really selecting difficult medical records in departments, writing nursing plans, and the responsible nurse is responsible for discussing difficult nursing problems of diseases, brainstorming, proposing solutions to problems, improving professional level and solving nursing problems. At the same time, the discussion process is also a learning process, learning the knowledge of specialized diseases and standardizing the nursing routine of specialized diseases. Every time a specialized disease is standardized, the nursing routine of this disease will be applied to daily work, and the standardization of nursing work will be gradually improved.
Third, strengthen business study and improve the overall professional level.
Strengthen the study of specialist professional knowledge, systematically study obstetrics and gynecology, perinatal knowledge, neonatal resuscitation, obstetric emergency care and emergency procedures, with the participation of general practitioners, everyone takes turns to prepare lessons, xxxxxx times a month. And carry out obstetric emergency rescue drills, so that everyone can pass the exam, improve emergency ability and specialist nursing level.
Fourth, design and use special health education manuals to strengthen health education.
Design specialist health education manuals, which are divided into neonatal health care manuals, puerperal health care manuals and gynecological health care manuals, express health care knowledge in concise and bright language forms, and design fresh pages to attract patients to truly understand knowledge. At the same time, standardize the contents of health education in departments, make health education manuals for nursing staff, form an integrated health education content, which is backed up by departments and mastered by everyone, thus effectively improving the level of health education.
Five, apply for nursing research projects and carry out scientific research work.
Applied nursing research project: observation and study on the effect of Chinese medicine application on promoting lactation. Carry out comprehensive observation and research on the effect, conduct statistical analysis, write research papers and submit application materials within one year. General practitioners are required to participate in scientific research projects, learn scientific research knowledge, and improve the overall quality and professional level of all kinds of personnel.
Work Plan for Community Outpatient Nurses in 2023 (6 articles selected) 4 1. Further improve the medical environment, improve the service process, strengthen online and telephone appointment registration, increase the number of consultation guides, further improve various convenience service measures, and further provide services such as registration, payment, medicine taking, accompanying inspection and hospitalization for the elderly, the weak, the sick and the disabled. , strictly fulfill the contents of the waiting time of the examination results in the window of the auxiliary examination department, and improve the regulations for patients.
Second, it is planned to complete the outpatient service in 20xx years and realize the business income of more than xx million yuan.
Third, the outpatient clinic on the east side of the third floor is mainly composed of obstetrics and gynecology comprehensive outpatient service, obstetrics and gynecology outpatient service and Chinese medicine expert outpatient service. Because there are many patients, the waiting order of patients is rather chaotic. It is suggested that the hospital send full-time guides on the third floor of outpatient service to maintain the waiting order and ensure the orderly medical treatment.
Fourth, if conditions permit (there are visiting doctors), set up a convenience clinic in the outpatient hall to solve some simple outpatient treatment and examination problems, which is convenient and quick, and buffer the pressure of other clinics.
Fifth, apply for electronic xx mirror for gynecological clinic to improve the positive rate and diagnostic coincidence rate of gynecological examination and make more accurate diagnosis and treatment of gynecological diseases.
Six, apply for acupuncture department to increase 10 TDP magnetic heat therapeutic instrument, acupoint nerve stimulator 1 set, pain therapeutic instrument 1 set, computer Chinese medicine fumigation multifunctional therapeutic instrument 1 set, multifunctional moxibustion instrument 1 set, microwave therapeutic instrument 1 set, and so on.
Seven, pay close attention to outpatient medical quality management, strengthen the study of laws and regulations of outpatient medical staff, further strengthen the awareness of medical risk prevention of medical staff, standardize various medical behaviors, strictly implement various medical core systems, master outpatient first aid programs and emergency measures, randomly check the writing of outpatient logs, outpatient medical records and prescriptions, give positive persuasion and warning education to doctors with quality problems, correct those who refuse to reform, and reduce disputes and complaints between doctors and patients.
Eight, further strengthen the medical ethics education of outpatient medical staff, organize outpatient medical staff to study regularly, and learn the Clean Medical Practice System, the Doctor-patient Communication System, the Medical Ethics Code, the Doctor's Code of Conduct, and the Nursing Staff Code of Conduct. Continue to carry out warning education with examples to stop all kinds of unhealthy trends in outpatient diagnosis and treatment.
Nine, strengthen business learning, improve business level, organize regular lectures, learn and train professional knowledge, professional skills, first aid knowledge and first aid operation, and improve the professional level and professional quality of medical staff.
Chapter 5 1 of the work plan for community outpatient nurses in 2023 (6 selected articles). By organizing out-patient nurses to seriously study various medical laws and regulations. The documents issued by the hospital have improved the professional ethics of outpatient nurses, strengthened the concept of nursing quality and safety, established a firm socialist concept of honor and disgrace, and made clear all professional concepts of taking patients as the center and serving patients wholeheartedly. In the work, we should be enthusiastic, active, anxious about patients' urgent needs, think about patients' thoughts, treat patients equally with standardized clothes, warm language and friendly tone, and be considerate and meticulous, so as to realize patients' zero complaints about outpatient nursing work.
Second, under the guidance of the nursing department, with the support of the director, organize outpatient nurses to carry out nursing technical operation training. Through watching technical operation videos, demonstrations and on-site guidance, we exchanged experiences, standardized and unified the nursing technical operation of new nurses, promoted the improvement of nursing technical operation level, and successfully passed the in-hospital nursing technical operation examination.
Thirdly, organize outpatient nurses to study business once a month, exchange reading notes, realize resource sharing, expand thinking, enhance understanding between departments, expand knowledge, improve everyone's interest in learning, read nursing magazines one after another, promote everyone to write nursing papers and cultivate nurses' scientific research consciousness.
Four, check the first-aid drugs and equipment in good condition every week, sterilization package qualified situation, found the problem, timely rectification, to ensure that the first-aid drugs and equipment in good condition rate 100%, sterilization drugs reach the standard, eliminate potential safety hazards, put an end to accidents, no nursing errors and accidents throughout the year. Strict implementation of one person, one needle, one tube, one use and one disinfection, strict aseptic technical operation, no cross infection. Accept the regular inspection of the nursing department every month, find mistakes, put forward corrective measures in time, and correct them in time.
Five, under the guidance of the director of the outpatient department, participate in the design of advertisements for health lectures in the outpatient department, the arrangement of time, content and venue, the preparation of facilities, the distribution of information, the reception and registration of patients, etc. And urge the speaker to sort out the manuscript and submit it to Health Jinqiao to meet the information needs of patients and promote their physical and mental health. With the support of relevant departments, six health talks and more than 200 lecturers have been completed since July this year, which has achieved good social benefits and expanded the influence of the hospital.
Working Plan for Community Outpatient Nurses in 2023 (6 selected articles) Part VI Under the guidance of hospital leaders, with the goal of creating an X-class hospital, the nursing department will closely focus on the hospital's work policy and work plan and earnestly perform its functions. The nursing department will conscientiously do the following work:
First, strengthen the management of nursing quality and strive to improve the quality of nursing.
The nursing unit implements target management, and the nursing department formulates relevant quality standards and inspection and scoring rules.
1。 Each nursing unit 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. Grasp the whole process quality management of each nursing work with the rigorous 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. The nursing department will go deep into the department and standardize the management of each link.
3. Strengthen the control of hospital 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.
Second, continue to implement the holistic nursing responsibility system, further enrich the connotation of holistic nursing, and introduce the nursing concept of our hospital:
Everything is patient-centered, and patient satisfaction is the premise! Choose our hospital for medical treatment, and we will show you meticulous care!
Third, formulate and improve the job responsibilities of nursing staff at all levels in our hospital.
Fourth, strengthen the management of nursing human resources, ensure the rational allocation of nursing human resources, and ensure that everyone is certified.
Make a training plan for nursing staff, pay special attention to the construction of nursing team and improve the quality of nursing team.
1。 Nurses who have served for less than 5 years will be rotated, with emphasis on basic skills training.
2。 On the basis of general training and comprehensive improvement in the whole hospital, it is required to focus on cultivating the backbone team, master nursing technology skillfully, master nursing technology in difficult new businesses and technologies, and play a leading role in the nursing team.
3。 The nursing department will take various channels to provide learning opportunities for nursing staff.
(1) Encourage on-the-job staff to take self-study nursing exams and correspondence study to improve their academic qualifications. Change the structure of nursing team mainly in middle schools.
(2) Do a good job in continuing education. Select outstanding nursing staff to participate in short-term nursing knowledge training courses in the province, focusing on the progress of management knowledge and specialist knowledge.
4, insist on nursing knowledge, new business and new technology, professional and technical training held in the hospital every month. The nursing department should focus on standardizing nursing rounds and improving the quality of rounds, so as to improve the level of professional knowledge and practical ability.
Fifth, nursing safety is the focus of nursing management.
Combining macro-management with micro-management, we should make full use of the second-level nursing management system, perform their duties, check at different levels, 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.
1, the nursing department completes macro management, supplements and improves nursing safety management measures, pays special attention to pre-job training of nursing staff at all levels, and regularly and irregularly checks safety work.
2, the head nurse to do micro management. Adhere to the handover of toxic drugs, rescue drugs and materials, keep the rescue instruments in a functional state, and keep the intact rate of rescue materials at 100%. Pay special attention to the monitoring of nursing staff, patients, time and nursing operation.
(1) link monitoring of nursing staff: strengthen the management of newly transferred nurses, newly graduated nurses, practical nurses and nurses with emotional thoughts or family changes, so as to focus on confession, follow-up and rounds.
(2) Link monitoring of patients: focus on supervision, inspection and monitoring of critically ill patients newly admitted to hospital, newly transferred to hospital, after major surgery, and patients with potential risks of medical disputes.
(3) Time link monitoring: supervision and management should be strengthened during holidays, weekends, busy work, fatigue time and night shift xxx. The nursing department organizes the head nurse to make irregular rounds.
(4) link monitoring of nursing operation: transfusion, blood transfusion, various allergy tests, preoperative preparation, etc. Although it is daily work, if there is a problem, it is a matter of life and death and should be the focus of monitoring in nursing management.
Sixth, improve the nursing rules and regulations.
1, nursing administration system.
(1) nursing conference system.
(1) meeting of head nurses. Held once a month, participants carefully record and communicate.
(2) Hospital nurses' conference. A business academic conference, once every two months, organized by the nursing department. B. year-end summary commendation meeting. At the end of each year, the nursing department organizes the nursing staff of the whole hospital to summarize and commend the advanced.
③ Department nurses' meeting. Held once a month, attended by ordinary nurses.
④ Early meeting nursing: a, the head nurse presides over 10- 15 minutes, and all nursing staff stand in work clothes; B, night shift nurses report night shift work; C, the head nurse summarizes the nursing work, comments, clear nursing focus, matters needing attention; D, the head nurse asks questions and tests to the nursing staff to improve the professional level of nursing; E, the head nurse conveys the temporary notice or important decision of the hospital and nursing department, and makes specific arrangement and implementation.
⑤ Holiday symposium. A, held once a month, presided over by the head nurse or senior nurse, patient representatives to attend; B, solicit patients' opinions on medical treatment, nursing, life and diet, and understand patients' thoughts; C, organize patients to learn newspapers and publicize health knowledge, and ask patients to consciously abide by the ward management system.
(2) Nursing rounds system.
(1) Department teaching rounds: organized once a month. For difficult cases or nursing problems, special personnel are arranged in advance to prepare and put forward key problems to be solved, which shall be presided over by the head nurse or the responsible nurse and recorded in detail.
② Teaching rounds in the whole hospital: organized by the nursing department once every quarter.
③ Routine rounds
First, general nursing rounds: once a week, the head nurse will make rounds.
B. Head nurse's rounds: check, supervise and implement the quality of ward care, critically ill patients, performance of nursing duties, clinical nursing and ward management at least twice a day.
C. Nurses' growth rounds: organized by the nursing department and attended by the head nurses of all subjects, once a month. Control the content of target management.
D. Night nurse rounds: once a week, the head nurses of all subjects change shifts.
E. Holidays rounds: On holidays and weekends, 1-2 Every day, the nursing department will organize a patrol of the whole hospital or ward to check the personnel on duty and the implementation of rules and regulations in various departments during holidays and guide the rescue of critically ill patients.
(3) Nursing training and nursing evaluation system.
① Pre-job training. All new nurses assigned to hospitals from colleges and universities must undergo pre-job training. Contents: hospital history education, medical ethics education, nursing rules and regulations, basic quality and etiquette norms of nurses, professional ethics of nurses, basic nursing skills operation, etc.
② On-the-job training. A, the nursing department organizes the "three basics" exam for nursing staff in the hospital every February, and the nurses who have worked for less than 5 years take the exam once a month. B, organize a hospital nursing staff business study every February, and organize a department business study every month.
C, all nursing staff under the age of 45, everyone must master the common nursing skills.
2, nursing work system. Including: grading nursing system, duty xxx system, disinfection and isolation system, doctor's advice execution system, check system, treatment room work system, dressing room work system, emergency room management system, etc.
3. Ward management system.
Seven, the completion of nursing indicators.
1, the qualified rate of basic nursing 100% (the qualified standard is 85 points).
2. The qualified rate of special and first-class nursing is ≥85% (the qualified standard is 80 points).
3. The intact rate of first aid articles 100%.
4. The qualified rate of nursing document writing is ≥90% (the qualified standard is 80 points).
5. The qualified rate of the "three basics" examination for nursing staff reached 100% (the qualified standard was 70 points).
6. One person, one needle, one tube and one use disinfection qualified rate reached 100%.
7. The qualified rate of disinfection and sterilization of conventional instruments is 100%.
8. The disfigurement rate of disposable syringes and blood transfusion devices reached 65438 000%.
9. The number of bedsores per year is 0 (except inevitable bedsores).
1, strengthen the construction of department system, and make nursing work institutionalized, standardized and routine.
2, do a good job in the training and assessment of new nurses and junior nurses, and strengthen their awareness of learning and dedication.
3. Strengthen the "three basics" training and assessment, conduct spot checks on nurses' operation every month, and conduct a theoretical examination every semester.
4. Strengthen the study and assessment of relevant nursing knowledge, pay attention to the combination of theoretical examination and clinical application, and pay attention to actual effect rather than becoming a mere formality.
5. Organize nursing staff to learn medical and nursing laws and regulations once every semester.
1, strengthen nursing operation standard and implement process service,
Strict aseptic operation and inspection system, improve the level and quality of nursing, and put an end to medical errors and accidents.
2, do a good job in basic nursing, so that nursing work is more standardized and institutionalized. It is required to keep the sickbed clean and tidy, free of peculiar smell and stains, the articles clean and standard, the number of infusion drops in line with the doctor's advice, and often patrol the infusion patients, be good at observing the condition, and solve problems in time when found.
3. Pay attention to the collection of nursing service demand information. The head nurse obtains patients' needs and feedback information by understanding the opinions of return visit cards, talking with outpatients and inpatients, and issuing satisfaction questionnaires, and puts forward improvement measures in time to improve and make up for the shortcomings in nursing work.
4. Encourage nurses to work. Especially nurses who write letters of commendation to patients will get 10-20 points, otherwise 10-20 points will be deducted.
5. Achieve zero complaints about service quality.
1. Strengthen basic nursing to ensure that the incidence of bedsore is zero. The specific work is as follows:
(1) Pay xxx strictly, and the responsibility lies with people.
(2) Do a good job in handling long-term bedridden patients.
(3) Strengthen morning and evening classes to provide morning and evening care for critically ill patients.
2. Strictly write nursing documents, and strive for the qualified rate of 98%.
(1) The responsibility lies with people, and the deduction system for nursing documents shall be strictly implemented.
(2) The head nurse checks every day, focusing on nursing records.
(3) Learn the writing standard of nursing documents and comment on nursing documents regularly.
3. Set up a quality control team, listen to doctors' opinions on nursing quality with an open mind, actively cooperate with doctors, and make nursing quality reach a new level.
4. The intact rate of drugs, instruments, equipment and first-aid articles is 100%.