Nursing planning reference: 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. 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, conduct regular and irregular inspections, supervise drug use, and keep supervision and inspection records.
3. Strengthen the risk management of key links, such as night shift, middle shift and holidays. Reduce shift frequency, reduce work loopholes, reasonably match young nurses and old nurses on duty, and pay attention to cultivate the spirit of caution and independence when nurses are on duty independently.
4. Strengthen key management: such as the handover of severe patients, the prevention of pressure ulcers, special medication, patient pipeline management and the assessment of existing and potential risks of patients.
5. Strengthen the care of key patients: such as surgical patients, 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. Further standardize the writing of nursing documents, reduce potential safety hazards, pay attention to the problems existing in nursing documents at this stage, make records objective, true, accurate, timely and complete, and avoid irregular writing, such as typos, unclear alterations, inconsistencies with doctors' records, etc., so as to standardize and standardize nursing documents.
7. Improve the nursing emergency risk plan, pay attention to cultivating the emergency ability of nurses in daily work, and make a retrospective evaluation of each 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 nurse in charge sincerely received the patients, sent them to the bedside, and took the initiative to do health education for the 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.
Third, strengthen the "three basics" training plan to improve the overall quality of nursing staff.
1. Conduct CPR demonstration every quarter, and be familiar with the use of first-aid equipment and instruments.
2. Review the nursing emergency risk plan regularly and make a simulation demonstration to improve the emergency ability of nurses.
The nursing plan was made with reference to the suggestions of the hospital in 20 years? Quality service and professional development? Nurses in our hospital always keep a good mental outlook, stick to their posts, constantly make efforts to rectify according to their own actual situation, adhere to the purpose of taking patients as the center, creating quality services and training specialists, and gradually improve the quality of nursing work. Under the guidance of hospital leaders, department directors and the efforts of general nurses, the nursing work plan for the whole year was successfully completed.
First, the annual nursing workload and working standards.
1, workload: emergency person-times. Number of people involved in rescue. Cooperate with emergency surgical cases. Nursing observation of patients. Number of times to deal with emergencies.
2. Work compliance: First-aid articles are in good condition. Qualified rate of sterile goods. Qualified rate of medical record writing. Comprehensive satisfaction of nursing. Qualified rate of nursing technical operation examination
Second, strengthen the service consciousness of nursing staff and provide quality services.
1, strengthen the service concept. General nurses attend quality service training courses organized by the hospital, constantly carry out etiquette and behavior training, standardize common polite expressions and communication expressions in operation, and apply them in practical work. Constantly study and discuss communication skills, cultivate nurses' foresight of disputes, effectively handle various contradictions and differences in their work, establish mutual trust between nurses and patients, achieve zero complaints throughout the year, and achieve comprehensive satisfaction of 99. 1%.
2, people-oriented, fully meet the needs of patients, constantly improve the environment of infusion hall, install TV and other facilities, and provide convenient services such as paper towels, cups and glasses of water at the bedside of unaccompanied patients. Continuously optimize the medical treatment process, timely triage, and take measures such as using emergency priority service card to pay for medicine for critically ill patients to reduce the waiting time for medicine. Improve service quality through environmental health supervision, nursing inspection and health education. Pay attention to illness treatment, basic care, three meals, know their situation in time, help contact their families or rescue stations, help such patients this year, and contact their families outside the province through ID cards. This measure has been praised by patients' families and other patients. Discuss and correct patients' opinions and problems in work, and constantly improve the service image.
Three, scientific and institutionalized nursing management, focusing on the implementation of the supervision system.
1, through grouping regional management, continuous grouping and scheduling are carried out, so as to reduce shifts and effectively use human resources. Through dynamic quality control of senior nurses, the work pressure of young nurses is reduced, nursing hidden dangers are reduced, and the nursing quality of each shift is guaranteed.
2, clear quality control division of labor, the specialist is responsible for the management of goods, workflow and other areas, found the problem, timely feedback and discuss the modification, to ensure the quality of care in each area. Effectively implement the performance appraisal system, truthfully feedback the hierarchical ability of personnel, and make the nursing quality control in place.
3. After one year's adjustment, the structure of nursing team tends to be reasonable. According to the division of emergency areas, posts are basically set according to individual work ability, and the hierarchical management of nurses is basically realized, so as to achieve the rational distribution and use of personnel.
4. The emergency green channel is unblocked, which improves the success rate of rescue. For all kinds of acute, dangerous and severe patients, the measures of rational use of green channel have won valuable time for rescue.
5. Continuously improve the emergency plan for nursing work, including emergency plan for emergencies.
6. Formulate detailed work guidelines for each region, matters that need to be informed in each region, and matters needing attention for new employees. , systematically guide new recruits and young nurses to better complete nursing work.
Four, emergency professional nurses on-the-job training and continuing education
1. All departments organized business study sessions, medical record discussion sessions and operation training programs throughout the year.
2. In the second quarter, the general practitioners were organized to complete the emergency post skills training as required, and everyone passed the operation assessment, so that the professional skills of general nurses were further improved. 3. The nurses' knowledge of first aid drugs is all qualified within three years after graduation, and the compliance rate is. This year's graduates passed the job skills operation and all reached the standard. Good grades.
4. Basically complete the annual training plan for nurses, arrange nurses to study the care of critically ill patients in ICU, and arrange young nurses to carry out scalp puncture technology in pediatric injection room to improve the technical level of scalp puncture in children. Send many nurses out for short-term study and bring new nursing concepts back to the department. For a whole year, I completed the first aid training for 100 nurses.
5. Every quarter, three or two people cooperate with the rescue drill, and through the drill, the emergency ability of nurses is continuously strengthened, and the training of first aid skills is repeatedly strengthened.
6. According to the requirements of the nursing department, microteaching training was conducted to cultivate young nurses' proficiency in technical operation and the ability to use first aid instruments, and all groups of personnel were required to use their spare time in class for group case discussion and nursing rounds. The effect is good.
7. Make emergency post training record book, organize personnel to evaluate the hierarchical ability of department personnel, designate tutors, and implement one-on-one counseling education. Each person is required to complete a nursing case analysis every quarter to cultivate nurses' critical thinking, improve the quality of nursing staff and ensure the quality of nursing.
Fifth, the teaching work of nursing interns to teach students has been further standardized, and the implementation of small lectures, operation demonstrations, teaching rounds and rescue drills has achieved good results, especially the teaching method of rescue drills has been well received by all interns.
Six, adjust the original office to build a simple intensive care unit in line with medical development, and observe the gradual increase of patients. In terms of nursing, we should strengthen the implementation of medical record writing, basic nursing and health education for patients under observation, and arrange personnel to go to ICU for further study on nursing of critically ill patients, waist puncture cooperation, closed thoracic drainage and other pipeline nursing. Although some achievements have been made in nursing work in recent 20 years, there are still some shortcomings, such as the failure to successfully complete nursing research projects and the negative attitude of individual personnel in training. In the process of serving patients, the cold and blunt tone of individual personnel is easy to cause patients' dissatisfaction.
According to "3 1", the nursing plan is formulated to strengthen the on-the-job education of nurses, improve the professional quality of nurses, strengthen the study and mastery of relevant professional knowledge, organize nurses to give lectures regularly every month, take turns to give lectures, and conduct 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. The development of nursing level and medical technology is unbalanced, so 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.
Second, nursing safety is the focus of nursing management, and the safety supervisor should pay attention to the link monitoring of persistent nursing staff: strengthen the management of newly transferred nurses and thoughtful and emotional nurses, and make key explanations and key followers. 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. Patient link monitoring: monitoring patients newly admitted to hospital, newly transferred to hospital, 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. For critically ill patients and bedridden patients, the bedside shift is strictly implemented, and the nursing operation link is monitored by using the work plan "Head Nurse's Monthly Work Plan": the system of rounds is strictly implemented, and the doctor's orders are checked twice a day by taking BANCHA, so as to make three checks before, during and after operation. Check the bed number, name, drug name, dosage, time, concentration and usage. Standardize the implementation of intravenous infusion, blood transfusion, injection, various allergy tests, oral care and other nursing operations. Although it is a daily nursing work, if there is a problem, it will endanger the life of patients. As the focus of monitoring in nursing management, we should check the hidden dangers of nursing safety from time to time, find and solve problems, analyze the causes of accidents from the perspective of ourselves and departments, draw profound lessons, and put forward preventive and improvement measures.
Change the concept of nursing, 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 the concept of "patient-centered", 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. Implement a whole-hearted, all-round, whole-process and multi-channel systematic nursing for ward patients. Strengthen nurses' awareness of active service, quality and safety, improve nurse-patient communication skills, promote the improvement of nursing quality and ensure the safety and effectiveness of nursing work on the basis of further standardizing nursing operations. Pay attention to the collection of nursing service demand information, mainly through understanding the opinions of return visits, talking and communicating with hospitalized patients and their families, issuing satisfaction questionnaires regularly, and holding public holiday forums every month. , to obtain patients' needs and feedback information, often listen to the opinions and suggestions of department directors and department doctors, put forward improvement measures in time, and at the same time motivate department nurses, mobilize the enthusiasm of general nurses, establish self-confidence in work and enhance the cohesion of departments. Do a real active service in thought and action. Apply the service concept of "smile and serve with heart, create and touch patients" to practical work. 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. At the same time, draw lessons from other departments, carry out "quality nursing service", strengthen clinical nursing in an all-round way, strengthen basic nursing, improve nursing service, explore new methods and ways for the development of nursing discipline, and truly implement the "patient-centered" service concept.
Four, the rational use of human resources in departments, five departments have fewer nurses and heavy nursing work. According to the patient's situation and the nursing workload of the department, the human resources should be rationally allocated, the schedule of work and rest should be reasonably and flexibly arranged, and the number of people going to work during peak hours should be increased. General nurses can be on call to provide satisfactory nursing services for patients with good quality and quantity.
Verb (abbreviation of verb) strengthens legal awareness and standardizes the writing of nursing documents. With the improvement of people's legal awareness and the promulgation of the Regulations on Handling Medical Accidents, how to strengthen the legal construction in nursing services and improve nurses' legal awareness has become an important link in nursing management. In 20 1x, the nursing records were complete and objective in strict accordance with the requirements of the provincial health department's nursing document writing specification. Clarify the significance of writing nursing documents, standardize the writing of nursing documents, negotiate with brother departments and nursing departments, and clarify how to write nursing documents well to meet the standard requirements.
Over the past year, under the pressure of the sharp increase in the number of patients in the department, Qi Xin, a general medical staff, worked hard together and successfully completed all the nursing work, especially in the process of dimethyl review. In the new year, we will make persistent efforts and strive for greater gains. The nursing work plan is as follows:
First, conscientiously implement the various systems and tasks of the hospital, the nursing department and the hospital. And actively organize learning and supervise the completion of all work.
The second is to strengthen the disinfection and isolation system and basic nursing quality in intensive care unit and neonatal ward, and improve the health education of mother and baby in the same room.
Third, strengthen the on-the-job education of nurses and improve the comprehensive quality of nursing staff.
1, pay special attention to nurses? Miki? And expert skill training and evaluation.
1) Focus on strengthening the assessment of new nurses and junior nurses, and strengthen their awareness of learning. It is planned to focus on strengthening basic nursing knowledge in the first half of the year and increase the number of examinations until reaching the standard.
2) Strengthen the training of specialized skills: formulate the training and assessment plan of specialized theories and skills in the cycle, and organize an examination every quarter. 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 entering the department must master the operation of various instruments, nursing measures for common diseases and neonatal resuscitation and rescue techniques.
4) Strengthen the study and mastery of relevant knowledge, organize cross-plan assessment of pediatric nursing work, combine theoretical examination with clinical application, and check the implementation of rules and regulations.
2, update professional theoretical knowledge, improve the level of specialized nursing technology. The development of nursing level and medical technology is unbalanced, and some nurses are sent out for further study in a planned way to improve their professional knowledge. The plan is as follows:
1) has been reported to the medical department and the nursing department to send business backbones to Gansu Maternal and Child Health Hospital for further study.
2) Each department organizes nurses to learn new knowledge and skills online, change nursing concepts and improve their own quality and clinical nursing quality.
Fourth, strengthen the process control of nursing quality to ensure the safety and effectiveness of nursing work.
1, strictly put an end to the phenomenon of patient fluid exchange, strictly implement the concept of three checks and eight pairs and aseptic technical operation, especially improve the ability of nurses to find and solve problems, and at the same time play the supervisory 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 and feedback system, found the problems in nursing work, find out the reasons in time, and put forward corrective measures.
3. Further standardize the writing of nursing documents, start with details, strengthen the quality control of each nursing document-head nurse, and regularly analyze and improve the defects of nursing records.
4, strengthen the safety management in the process of nursing:
1) once a month to analyze the causes of nursing safety hazards, nursing errors, defects and complaints, and analyze them from the perspective of themselves and departments, analyze the reasons, learn lessons, and put forward preventive and improvement measures. Individuals who have the same recurring problems shall be investigated for their relevant responsibilities.
2) Strictly implement the check system, emphasize that the second check is in place, strengthen the management of nursing students, clarify the safety management responsibilities of teaching teachers, and put an end to serious mistakes and accidents.
3) Strengthen the awareness of routine inspection of hardware facilities in the department, pay attention to the performance and safety inspection of instruments at ordinary times, and maintain the equipment in good condition when problems are found.
Fifth, 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, obtain patient demand and feedback information, put forward improvement measures in time, and encourage nurses to work and mobilize their work enthusiasm.
We believe that as long as we work hard to do the above work, we will certainly achieve better results in our work in the next 20 years!
Reference 5 for the formulation of nursing plan is first of all the management of nurses. In fact, other departments also have such problems. From 8: 00 a.m. to 1: 00 p.m., we are particularly busy, and even feel that there are not enough nursing staff, but after 4: 00 p.m., the working atmosphere of nurses will become much more lax. This situation is understandable, busy during the day, but what people can't understand is the laziness of the night shift. They not only play mobile phones at the front desk, but even make friends during office hours. This irresponsible situation is absolutely intolerable. So we must make a reasonable night shift schedule, and I will take the lead in it. In the evening, I will inspect their work in the hospital and look after them in various pediatric wards to prevent accidents.
Secondly, we should do a good job in communication with the logistics department. In view of the special situation of pediatrics, you can apply for a batch of baby products, such as diapers and prickly heat powder. After all, patients like babies are special, and they should share some pressure for their families, so as to better complete the pediatric nursing work. In addition, we should also do a good job in educating some older children to prevent some unreasonable children from chasing and fighting in the hospital. In this case, we must stand up and stop them in time, so as not to affect the treatment and rest of other children. In addition, we must control some noisy family members who smoke. In this case, be sure to remind the other party of the occasion.
Finally, the training of nurses is more important. Not every nurse can handle pediatric nursing skillfully, so nurses with unskilled nursing skills should be trained. I will mention this matter to the dean in the next meeting, hoping to attract attention then. Another point is the sanitary conditions of pediatric wards. It is necessary to dispose of the garbage left by children patients and their families. I will emphasize this point with aunt cleaning, and I must clean it more often.
In fact, the work in the second half of the year is almost the same as that in the first half, but in view of some problems that have appeared before, the work plan is not absolute. The key is to look at our ability to improvise and deal with emergencies in time. In short, the most important thing is safety work, not only to do a good job in child care, but also to popularize some safety knowledge to family members, so that children can get good care after discharge.
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