Over the years, I have grown from a vague intern to a nurse with rich work experience.
Patients have changed round after round, and Cory has left many old colleagues and come to many new colleagues in recent years! However, in the past few years, the coordination of work is still so orderly. The Spring Festival is coming soon, and I can't help feeling from the bottom of my heart like a screen movie, showing one thing after another that happened this year!
In terms of professional knowledge and working ability, I carefully studied the writing norms of departmental documents, and carefully wrote general nursing records, critical nursing records and rescue records. Abide by the rules and regulations collected by Medical Education Network, and keep in mind the three basics (basic theory, basic knowledge and basic skills) and three strictness (serious attitude, strict requirements and strict methods). In order to improve the theoretical and operational level of each nurse, the nursing department conducts theoretical and operational examinations every month, setting high standards for their work. Work attitude should be correct, "the doctor is the heart of parents". I take it as my duty to do everything possible to alleviate the pain of patients. I hope all patients can recover as soon as possible, so every time I enter the ward, I spare no effort to encourage them with limited time, patiently help them understand the disease and establish confidence in overcoming it. I felt very happy when I saw the patient recover.
When a person always wants to have perfect performance, he has to bear more, and the intangible thing of responsibility is heavier. Like a whip, pushing you forward behind you. In the past 1 year, I have been wandering, hesitating, and even when I encounter problems, I began to doubt my ability, but there have always been two words supporting me, that is, persistence. I think no matter who is in that state, when everything has to be faced and solved by yourself, when you have to face and face the invisible pressure from your heart that you can't get rid of at all, no one can't get exercise and no one can't grow up.
Nursing is a noble and sacred cause, and I am proud to be a member of the team of nurses. In the future work, I will redouble my efforts to make my due contribution to the nursing cause of mankind! 20 14 in the coming year, I will continue to carry forward the spirit of the past year, do my own job well, be anxious about the patient's urgency, be responsible for the patient, and never let the patient's condition deteriorate because of my reasons. I will be absolutely responsible for my work. This is the minimum work that a good nurse should do to save lives. People are always maturing and growing. If I was so impetuous and shaky yesterday, I am more mature and steady today, with a new interpretation of nursing work, a clearer understanding of my responsibilities and burdens, and a better and more focused service for every patient.
As a nurse, I am always aware of the heavy responsibility on my shoulders. I will not discredit the hospital, but will only encourage me to work harder. I will also be strict with myself in my life, and I believe I will do it!
20 1x work plan
First of all, I would like to thank the director and head nurse for trusting me and giving me the opportunity to continue exercising in the position of nursing team leader. In 20 14 years, I did a lot of things that I didn't do well, especially in management. I hope that in the future work, I can constantly sum up experience and lessons, keep learning, and strive to do better. Now I will summarize my work plan for 20 14 as follows:
I. Main work objectives
1, and the annual incidence of nursing accidents is zero.
2. Average score of basic nursing theory knowledge assessment >; 90 points.
3. The average score of nursing technical operation examination is more than 90 points.
4. The success rate of venipuncture >; 90%。
5. Patients' satisfaction with nursing work >; 95%。
Second, the guarantee measures:
1, strengthen the training of basic theoretical knowledge, and improve the comprehensive quality and professional ability of nursing staff. Organize business training once a month, including basic theory, specialized nursing and planned immunization knowledge, and conduct post-training assessment. Read more nursing books and pay close attention to the new trend of nursing knowledge.
2. Strengthen nursing professional technical operation training, especially the use of indwelling needles, improve the success rate of venipuncture, constantly sum up experiences and lessons in work, be bold and cautious, and overcome psychological barriers. Discuss the causes of puncture failure regularly or irregularly, and ask experienced nurses to teach the experience of successful puncture. Actively learn new business and technology related to nursing.
3. Strengthen nursing operation standard and implement process service. Strict aseptic operation and inspection system to improve nursing quality.
4, do a good job of basic nursing, make the nursing work more standardized. Keep the sickbed clean and tidy, free of peculiar smell and stains, and the articles are clean and standard, and the number of infusion drops conforms to the doctor's advice. Visit infusion patients frequently, be good at observing the condition and solve problems in time.
5. Efforts should be made to improve the service attitude and satisfy the patients from the heart. Every nurse is required to establish a good service attitude, treat every patient warmly, regard patient satisfaction as the ultimate goal of our work, and provide convenience for patients as much as possible. Put an end to the phenomenon of being raw, cold, hard and pushing off patients, and never allow quarrels with patients.
Third, do a good job in the unity of departments, improve the cohesion of departments, strengthen their own cooperation and coordination capabilities, and care for the small group of nursing teams. Let everyone's heart be full of love, work be full of passion, the ward be full of laughter, and the department be full of warmth! There is still a big gap between the current level of nursing work and our expected goal, and there are still some problems. I hope that with the help of the head nurse, we can arouse everyone's enthusiasm and let everyone have a sense of ownership. I believe that the department will have a better tomorrow.
extreme
A, nursing quality management
1. Revise the nursing quality standard and nursing post process.
2, the establishment of secondary nursing quality management team, clear responsibilities. 65438+ 0-2 times a month nursing quality inspection.
3, the head nurse to participate in the total duty, at least 3 times a week to complete the night shift rounds.
4, the nursing department in-depth ward, supervision of nursing quality.
5, once a month nursing quality PPT report, combined with this month's nursing adverse events, root cause analysis, effective use of statistical charts to summarize.
7. Matters to be improved: clear management objectives; Improve the evaluation index of head nurses' work; Feasible performance management to improve nursing quality.
Second, the nursing business training
1, off-campus training:
1) the nursing department and the head nurse went out for training 18 people.
2) Training 2 specialized nurses: ICU and hemodialysis, pediatric nursing training1; Short-term training of hyperbaric oxygen nurses 1, short-term training of nurses in supply center 1.
2. Hospitalization training:
1) Intern training: 5 days pre-job training for interns (3 days theory +2 days skills training); Complete intern lectures and intern meetings 7 times a month, and review intern study notes 120 Yu Ben; More than 40 questionnaires/kloc-0 were distributed, and more than 20 rationalization suggestions were collected.
2) New nurse training: complete the second pre-job training.
3) Lecture on nursing business in the whole hospital: assisting science and education department to complete business study 10 times.
4) study report: the head nurse will report 3 times when she goes out to study.
5) Skills training: complete the skills training 1 every month, and check * * * 12 items.
3. Items needing improvement: revision of nursing books (nursing management system, quality control standard, disease routine, emergency plan, workflow); Cultivate the management ability of new head nurses; Implement hospital-level nursing rounds; Cultivate the working ability of responsible nurses and the teaching ability of teachers; Implement the simulation exercise of nursing first aid skills. It is suggested that the hospital should formulate the clinical application and management system of new technologies and new projects.
Third, nursing safety management
1, improve the adverse event management system, report 40 nursing adverse events (3 supplementary reports), analyze the root causes case by case, formulate improvement measures, and supervise the implementation of rectification. Plan an annual report on the cause analysis of adverse events for all nurses.
2. Standardize the management of emergency medical equipment; Standardize the use of high-risk drugs and store and label them separately in high-risk drugs; Standardize the management of drugs in refrigerators and put them in categories.
3, complete the examination of the core system of the hospital, standardize the single-line class doctor's advice processing check process, and establish a register with clear responsibilities.
4. Improve the use process of instruments and equipment in various departments.
5. Matters to be improved: organize emergency plan training drills such as rescue of critically ill patients; Improve the quality management and assessment standards of the core system; Establish a training plan for young nurses and assign them to ICU and other key departments.
Fourth, quality nursing service.
1, comprehensively carry out quality service departments in hospitals.
2. Improve the nursing service satisfaction questionnaire, * * * distribute and recycle 600 copies, analyze and summarize them every month, and name more than 30 people as "satisfied nurses"/KLOC-0 at the head nurse meeting.
3. Matters needing improvement: define the performance plan and implementation rules; Update the leading group for creating excellence, and clarify the responsibilities of each department; Formulate nursing incentive measures; Sign quality service responsibility with the department; Hold a special meeting on quality nursing service in the whole hospital; According to the actual situation of the department, each ward formulated and distributed a patient satisfaction questionnaire, and the follow-up of discharged patients reached 30%.
Verb (abbreviation for verb) departmental cooperation
1, actively cooperate with the physical examination center, and deploy nurses to complete large physical examinations twice and small physical examinations many times.
2. Actively cooperate with the nursing department to complete the surgical nursing course of four classes of self-care in grade 20 12.
3. Actively meet the evaluation, effectively organize 6 teachers and 8 students to carry out 3 intensive training on nursing skills, with a training time of 64 hours each.
4, cooperate with the personnel department, complete the recruitment of nurses, internal nurse assessment, etc.
20xx nursing work plan
According to the actual situation of nursing in our hospital, the 20 15 annual nursing work plan is made, and all departments are requested to make the annual nursing work plan of undergraduate course according to the plan of nursing department. Nurses' professional training, skills training, nursing quality control, nursing teaching and other plans need to be formulated separately.
I. Training for all staff
1, formulate training plans for nurses at all levels.
2. Three basics theory: evaluation plan based on standards.
3. Nursing skills: designate a special person to be responsible for the training and assessment plan, and ask to abandon the form and integrate into the clinical situation. Nursing department selects 10-20% and new nurses 100% every month.
4. Revise nursing books: nursing management system, quality control standard, disease routine, emergency plan, workflow, etc. , and train all employees.
5. Nurse's post ability: set up a professional nursing team (see the training plan for details), innovate the nurse training mode, and formulate a practical professional training plan.
1) Improve nurses' clinical work and health education ability through "actual case" discussion, bedside training, asking questions at any time, and first aid drills.
2) Departments should make training and assessment plans for responsible nurses, and each registered nurse has the ability to take care of patients.
6. Pre-job training: new nurses and new practice nurses receive pre-job training for 7- 10 days, and take up their posts after passing the examination; Department to establish a new nurse training plan, after passing the examination of independent posts.
7. Academic lectures: make a study plan and hold it once a month; Go out for study, training and further study, and hold a study report meeting (PPT) in the hospital or the group within one week.
8, nursing business rounds once a quarter, the relevant departments to apply to the nursing department three days in advance, the nursing department organized the head nurse and backbone to attend.
9. Out-going training for specialist nurses: at least1for hemodialysis specialist training; Select 4-5 specialized nurses from emergency department, obstetrics and gynecology department, neonatal department, CCU and operating room for training.
10, send 3-4 key nurses out for further study.
1 1. Strengthen the management level of training head nurses: the head nurse's out-of-town training rate 100%, and the head nurse will be assessed twice a year. The content is mainly what provincial standards and grade hospitals should know, first aid knowledge and so on.
12, completed two nursing skill competitions in the whole hospital: first aid skill competition in May and nursing teaching skill competition in June (see the competition scheme for details).
Second, nursing quality management and safety
1, formulate nursing quality management plan. Clarify nursing management objectives and improve nursing quality standards; Improve the detailed rules for management assessment of head nurses.
2. Improve the nursing quality management team: effectively implement quality and safety management in hospitals and departments.
3. Further implement the reporting system of adverse events: each department appropriately allocates indicators (at least once a month for large departments and at least once a year for small departments), conducts internal analysis reports every month, and implements the rectification plan; Complete the semi-annual and annual summary report meeting of nursing adverse events.
4, 65438 +0-2 times a month for nursing quality inspection, nursing quality analysis and notification every month.
5, standardize the nurse succession, to ensure the quality of nursing succession.
6. Further standardize the patient identification system and strengthen link supervision.
7. Standardize the management of practice nurses and make practice teaching plans. Five excellent teaching teachers and three excellent teaching departments are selected and rewarded every year.
8. Strengthen drug management: improve the management system of toxic drugs and high-risk drugs and establish a base; Put an end to deterioration and expired drugs; Assess nurses' mastery of commonly used and newly used drugs in departments every quarter.
9. Improve the quality management and assessment standards of the core system; Establish a training plan for young nurses and assign them to ICU and other key departments.
10. Establish detailed rules for performance appraisal of nurses in departments, including work quantity, work quality, job satisfaction and work difficulty, and strive to break the pattern of good work and poor work, with more work and less work.