First, abide by professional ethics, love and respect their jobs. ?
Conscientiously perform their duties, work hard and work hard. Adhere to the "people-oriented" service concept, care for every life with sincerity and goodwill in nursing work, help patients alleviate their fear and pain with love and gentleness, win the trust of patients with carefulness and responsibility, and provide nursing services for patients with solid theoretical knowledge and excellent practical operation ability, which is highly praised by patients, their families and peers.
Second, keep learning, strive to improve yourself and be proficient in professional skills.
After the rotation of several departments, I finally chose ICU as the turning point of my career. When I walked into the ICU, I felt a sense of responsibility when I saw patients who could not express their needs accurately because of illness and fear or because they were wearing ventilators. I know that in the face of ICU patients who completely entrust their lives to nurses, I need to have excellent specialist skills and professional knowledge in addition to my duties. In order to master the use of ECG monitors, defibrillators and other instruments more skillfully as soon as possible, during the short-term training in the superior hospital, I seized various learning opportunities to consult senior teachers in the same industry and mastered the operation of related instruments in a short time. My diligent and earnest attitude has been well received by the teachers. In addition to attending short-term training, I use different opportunities to ask doctors for relevant professional knowledge, and use my spare time to teach myself the basic theory of my major and the relevant knowledge of intensive care. However, nursing is a practical work, and even with systematic theoretical knowledge, it is far from enough. With confusion and questions, I chose to go out for further study. In 2000, he went to the comprehensive ICU of Union Medical College Hospital affiliated to Fujian Medical University for short-term study, and in 2005, he went to the comprehensive ICU and neurosurgery ICU affiliated to Zhongshan Hospital of Xiamen University for half a year. Through hard study, I have mastered intensive care nursing techniques, such as the use of ECG monitors, the management of artificial airway, and the care of critically ill patients in neurosurgery. Nursing knowledge is changing with each passing day, especially the related theories in ICU. We can keep abreast of the new knowledge, new concepts and new technologies of this major in various ways, and apply them to clinic according to the actual situation of our hospital, such as the use of head cryotherapy instrument, artificial respiration nose and enteral nutrition heater. Actively cooperate with doctors to develop new business and technology, have rich clinical knowledge and experience, be familiar with rescue procedures and master rescue techniques. When rescuing patients, we should race against time, be busy but not chaotic, and all kinds of operations should be in place accurately, so as to deal with complex and difficult problems in department nursing. Have the ability to guide the teaching of primary nursing, young nurses and nursing interns.
Third, perform the duties of the nurse in charge and participate in the teaching work of the department.
1, earnestly perform the duties of the nurse in charge and actively participate in the training of nursing staff in the department. Responsible for the clinical teaching of nursing interns, set an example in the teaching process, advocate the people-oriented service concept, encourage nursing students to actively participate in various nursing technical operations, and strictly require nursing interns to carry out various nursing work according to the norms, so as to let go and not look around. Cooperate with the training and assessment of new employees' "three basics" knowledge and specialist skills. Participate in nursing skills training in departments, organize undergraduate nurses and nurses to carry out business training, draw up training plans, write teaching materials and be responsible for teaching. Actively learn new nursing techniques, such as central venous catheterization, central venous pressure monitoring, radial artery catheterization and arterial pressure measurement, arterial blood gas analysis and blood sampling, and the use of ECG monitors.
2, often participate in the discussion and analysis of difficult cases and critical medical records in departments, and assist in organizing nursing rounds. He is good at finding nursing defects in his work and taking corresponding improvement measures in time, insisting on continuous improvement of nursing quality and striving to develop, which is well received by all levels of the department.
3. Participate in nursing scientific research in departments, take the initiative to participate in continuing education of nursing professional knowledge, and improve their professional theoretical level through different ways. Always know the professional information of nursing at home and abroad, apply relevant knowledge to clinical nursing work, and constantly sum up experience. He wrote nursing papers such as Investigation and Analysis on the Needs of Family Members of Patients with Craniocerebral Trauma at Different Stages and Application of Improved Clean Enema in Preoperative Preparation for Colon Cancer, which were published in influential nursing journals. Although my professional ability and knowledge level have been greatly improved in the past few years, with the progress of society and the development of medical care, I must constantly enrich and improve myself in order to better serve patients. This time, I intend to appoint a deputy director nurse. I hope the judges will give me recognition and let me go further from a new starting point.
Summary of personal work of the director of nursing department Part II: Leading comrades:
Hello everyone! First of all, I would like to thank the leaders for giving me this opportunity to make a simple review and summary of my work in the past six months, so that everyone can understand, criticize and correct me, so as to further improve my future work and lead Jiajiakang nursing team to better serve the residents in the area.
Nursing quality is one of the indicators to measure the management level of hospitals and centers (stations), which is directly related to the life and health of patients. From the day I became the director of the nursing department, I knew that the nursing work was complicated, large in quantity, involving a wide range, and the primary nursing staff was uneven. Managing this team well has a long way to go. I must keep learning and improve my ability to apply for this organization. How to improve the quality of nursing is also a problem that nursing managers have to face and think about. With the deepening of national medical insurance policy and national laws and regulations. The clients (family patients) served by our Jiakang Center (station) put forward higher requirements for nursing work. They not only demand good service, good medicine and cure diseases, but also hope to get psychological satisfaction in respect, concern, care and understanding.
Therefore, strengthen the nursing management of each center (station), improve the quality of nursing work, and rationally carry out charging items; It is the central task of nursing management to improve patients' satisfaction with nursing services in various centers (stations). In order to accomplish this task, in the past six months, I have been paying attention to the system construction in the second-class Chinese medicine hospital and the Dazaoyuan Center, and at the same time, I have also firmly grasped the three main lines of each center (station), that is, team, quality and innovative development. The main line of the team is the foundation of management, that is, cohesion. Head nurses are required to work hard, constantly strengthen and improve their own business, and at the same time mobilize the enthusiasm of each nurse, and everyone participates in management, so that management is in an active position. Head nurses should set an example, establish prestige and improve management level. The main line of quality is the core of management, and the quality of medical care is the life center of hospitals and centers (stations), and the process is formulated; Departments and centers (stations) are required to strictly implement various work processes, and the head nurse will formulate quality inspection routines. The main line of innovation and development is the horizontal line of management. We should constantly explore in our work and improve and innovate the weak links. The half-year work report is as follows:
First, strengthen quality management and improve service capabilities.
1. Improve the level of nursing management, provide better services for residents in the jurisdiction during the year, and build a harmonious nurse-patient relationship. During my six months in office, I continued to promote nursing quality management in the second half of the year according to the spirit of the superior documents and the instructions of the company's leaders. According to the Nursing Quality Assessment Standards of various centers (stations) and other hospitals, combined with the requirements of Jiajiakang comprehensive management inspection in our hospital, I introduced, formulated and implemented the Quality Assessment Standards and Implementation Plan of Nursing Three Basics Operation, which standardized the process. Emergency plan, hospital infection management, ultraviolet management, medical waste management ledger and signing a contract with a recycling company designated by the Health Bureau to prevent the outflow of medical waste, the nurse's visit process, the seat number management of skin test in infusion room, the management of drugs and articles in emergency vehicles, the unified and standardized configuration of various skin tests, and the head nurse. No major nursing errors occurred in the past six months (due to poor reporting channels; The nursing department has not received it at present, but it does not mean that it has not.
2, earnestly perform the duties of the director of the nursing department, presided over the head nurse meeting for 5 times, in the monthly inspection work with the head nurse of each center (station) to summarize the implementation of the work in January, analyze the defects existing in the nursing work, focus on feedback and put forward rectification opinions. Any problems found in monthly routine inspection will effectively solve the problems in nursing quality work at the first time. And arrange the work content of next January, and ask the head nurses of each center (station) to do all the work of each center (station) according to the standard requirements and make records in time. Through the annual inspection by the superior, the daily work completion and management level of the head nurse basically meet the requirements of accepting the inspection by the superior department at any time.
3. In order to meet the challenge of the increase and development of peripheral health facilities and specialties, the "Three Basic Operation Skills Training for Nurses" was held in 20 13. The head nurse's pressure has obviously increased, and she has changed from passive to active, changed the concept of nursing management, improved her own business and management level, prompted the head nurse to gradually improve her non-power influence, become a model nurse, and promoted the continuous improvement of the overall quality of the nursing team. At the same time, I found many excellent nurses.
4, lead and encourage everyone to seriously study professional theoretical knowledge, improve their professional quality, organize nursing staff to carry out "three basics" training, and adopt simulated people for practical learning. For new nurses (not yet).
Conduct pre-job training for all employees and organize assessment to help them get familiar with each class, work system and clinical nursing business as soon as possible.
5. The business department shall conduct a center-wide quality inspection once a month, supervise and guide, record and fill in the feedback form of nursing quality inspection results in time, and require the departments and centers (stations) to make serious rectification. Adhere to the head nurse's standardized nursing behavior, strictly control the quality of nursing, enhance management ability, and manage your own home. Through the continuous efforts of all nursing staff, the quality of nursing has been greatly improved, the treatment room, treatment room and articles are basically arranged neatly, the management is basically standardized, and the hygiene basically meets the requirements. The intact rate of first-aid articles is 98%, and the management of first-aid drugs is standardized, so that the accounts and articles are managed by special personnel, the accounts and articles are consistent, and the monthly records are complete.
6. Conduct nursing safety training for head nurses of Quanjia Konka, and put forward ten safety management objectives of the Ministry of Health. Combined with the actual situation of Jiajiakang Center (station); Measures to formulate ten safety management objectives; The ledger was established, which enhanced the legal awareness and self-protection awareness of nursing staff; On the other hand, improve the weak links, such as the establishment of anti-skid warning signs. Prevention and reduction of nursing disputes and accidents.
7. Emphasize the implementation of core nursing system, especially the implementation of "rounds system" and "shift system". It is required to make unified and standardized requirements for rescue vehicles and adopt closed management; Standardize and check the writing of nursing documents.
Two, adhere to the "patient-centered", closely around the theme of improving service quality.
1. Community nursing is a major closely related to people's life and health. It requires nurses not only to have certain professional knowledge and skills, but also to have professional ethics of respecting and caring for people. In order to further improve the quality of nursing work and firmly establish the service concept of "patient-centered", in each examination; Obviously, the level of emotional intelligence will directly affect the effect of nurse-patient communication, thus affecting the rehabilitation and mental health of patients. Nurses are required to consult and inform according to the types of diseases, and to communicate well before and after infusion. At the same time, nurses are required to popularize medical knowledge for patients and improve people's awareness of self-care. This behavior is very successful and very popular among patients in Jujube Garden. Since its opening, the nurse station has received five written praises from infusion patients. 98% of the patients were satisfied with the survey of patients' infusion satisfaction conducted irregularly, and 2% of the patients were dissatisfied due to the technical reasons of nurses.
2. Nurses' thinking has changed greatly by studying the Outline of China Nursing Development Plan and personal communication. Young nurses are full of confidence in the future and their work enthusiasm has improved. When the patient encounters difficulties, our nurses will run upstairs and downstairs to coordinate and solve them for her. There are countless such good things.
Third, strengthen hospital infection control to ensure medical safety.
Prevention and control of nosocomial infection is a systematic project involving all medical staff, and managers should first attach great importance to it. The nursing department is also the hospital infection department. According to the Technical Specification for Hospital Disinfection (20 12) of the Ministry of Health, the countermeasures of hospital infection control were revised, and the implementation of the system was regularly checked to give full play to the binding role of the system. In the past six months, medical staff have been trained and assessed on hospital infection knowledge for three times, and the head nurses in the center (station) are required to strengthen the management of hospital infection, reduce the occurrence of hospital infection and put an end to the outbreak of hospital infection. Supervising medical personnel must strictly implement the principle of aseptic operation and master aseptic technology and isolation measures.
Fourth, the future work ideas:
1, strengthen the professional study and training of nursing staff, master the development trend of nursing specialty, improve the professional theoretical level and professional technology, and its forms should be diversified. You can also carry out experience exchange activities among departments, centers (stations) and head nurses, and advocate the company to establish a competitive appointment system for head nurses, so that head nurses can be promoted and reduced, so as to achieve the purpose of fostering strengths and avoiding weaknesses and improve their business ability and service level.
2. Firmly establish the service concept of "patient-centered". Adhere to the principle of "patient first, dedicated service", the satisfaction of community patients is our work standard, and the needs of community patients are our service direction, so as to care for patients, respect patients, understand patients and make patients feel more cordial during their stay in Jiajiakang. The specific method is to do a good job in family admission introduction, disease consultation, various examination and treatment purposes, matters needing attention after medication, visits before and after infusion, and follow-up guidance after discharge, including treatment results, prognosis, matters needing attention, diet after discharge, etc. Improve the satisfaction of residents and patients in this area.
3. Seriously study and implement various rules and regulations, advocate equality before the system, and formulate the nursing work system.
Standardization and standardization. Through centralized lectures and morning meetings to learn some cases, we can improve our understanding of hospital infection management and risk management and ensure the safety of clinical nursing. Strive to create a safe and clean medical environment for patients. At the same time, improve everyone's legal awareness and self-protection awareness.
4. Constantly improve the quality assessment standards, understand the weak links in the nursing work of each center (station) through evaluation, master the working conditions of nursing staff at all levels, and carry out targeted training on relevant knowledge and skills, so as to give full play to the subjective initiative of nursing staff and better serve patients.
5. "People-oriented", caring for, caring for, respecting and understanding nurses, being honest with each other, stimulating nurses' work enthusiasm and increasing the cohesion of the nursing team (Song Xiaoning, a male nurse, is a good example). Only in this way can we give patients a bright smile.
6, strengthen the training and improvement of business technology, increase fees, to carry out appropriate technology, such as; Children's enema treatment, the use range of indwelling needle, home pipeline nursing and the rational development of new nursing medical consumables are all channels to increase income.
7, formulate and implement the nursing staff shift ten don't pay don't pick up (1) clothes untidy don't pay don't pick up; (2) Don't hand in or pick up the unfinished work of the class; (3) Poor infusion, no delivery and no connection; (4) all kinds of incomplete registration, not to hand in, not to receive; (5) Do not check the doctor's advice, pay fees or take medicine; (6) The infusion observation bed is untidy, and it is not handed in or collected; (7) Don't pay the money or don't pick up the preparations for the next shift; (8) Medical devices and articles are not placed neatly; (nine) the relief items do not meet the requirements, and shall not be paid or withdrawn; (10) The treatment room and office are untidy.
The daily and monthly work scale and nursing quality analysis table of Jiajiakang center (station) were formulated and implemented to provide scientific data for future nursing management.
8. Make a detailed study of nursing shifts and tasks; Continue to change the traditional scheduling mode, embody humanized scheduling, implement standardized scheduling management, increase the number of nurses in peak treatment time, effectively guarantee the quality of nursing and the safety of infusion patients, and make unremitting efforts for the all-round scheduling of the nursing team of the whole company.
Summary of personal work of nursing director Part III: During 20 13 years, the nursing work in our hospital was mainly to meet the re-evaluation of "secondary and secondary general hospitals". At the same time, continue to deepen quality nursing service, comprehensively improve nursing quality, strengthen nursing human resource management, ensure the realization of nursing safety goals, and actively complete the temporary tasks arranged by hospital departments. The main work of the whole year is summarized as follows:
First, strengthen the connotation construction of nursing team and improve the level of nursing management.
1. In order to optimize the nursing management team, enhance the vitality and execution of nursing management, update the concept of nursing service and improve the ability of clinical nursing management, in September, 13 clinical nursing backbones were successfully recruited as head nurses in various departments through the form of five guarantees.
2, around the requirements of grade evaluation, revise the system, improve the method, improve the quality of nursing management:
Zhao Juying, head nurse of obstetrics and gynecology, was sent to the maternity ward of the Tenth People's Hospital affiliated to Tongji University for further study for two months. At the same time, lead Shen Aiping, the head nurse of delivery room, to visit the obstetrics department of Baoshan Branch of Shuguang Hospital, and broaden the management ideas in many ways.
4. Carry out multi-form and multi-channel training, improve the professional and technical level of nurses, and successfully complete the on-the-job training plan for nurses formulated at the beginning of 20 13.
Second, take the patient as the center, deepen and extend the "quality nursing service"
1. On the basis of developing high-quality nursing wards of surgery and internal medicine successively, after strict examination in April, obstetrics and gynecology was determined as the third high-quality nursing ward in our hospital.
2. In order to improve the environment of maternity wards, three special maternity wards were established and opened after the transformation. On this basis, obstetrics has developed new services. Four midwives in the delivery room participated in the municipal training and obtained the "Doula" certificate, and three nurses obtained the baby touching certificate. They carried out obstetric extension services in the ward and guided their families to provide special services such as baby bathing and touching, which were warmly welcomed by the parturients. Since the implementation of high-quality nursing, the satisfaction of obstetrics and gynecology has been significantly improved.
3. In order to make it convenient for patients to replenish fluids and solve the problem of keeping patients' large infusions, the emergency infusion room overcame the difficulty of space and customized miniature lockers, so that patients no longer need to carry bulky large infusions.
I went back, and the warm service was greatly appreciated by the patients.
4. Improve service process and service quality. Reflected in the detailed service, the satisfaction of the excellent care unit has always remained above 95% throughout the year.
Thirdly, PDCA is used for safety and quality management, which ensures the continuous improvement of nursing quality.
1, under the unified guidance of the nursing department, each department arranges safety officers to make self-inspection records, the head nurse organizes weekly nursing safety education meetings, and uses PDCA cycle management mode to find out the causes of nursing quality and safety problems in departments, rectify and eliminate hidden dangers, and put forward project management methods for recurring problems.
2. The system of nursing quality management committee was revised to make quality management more standardized and comprehensive, leaving no dead ends.
3. Organize quality control team members to supervise and inspect the nursing quality of each ward regularly every month. Timely sort out the quality control opinions and feed them back to each ward, and make timely rectification.
4. Arrange the head nurse and the teaching teacher to make rounds day and night every day, and the contents of weekly rounds should be focused, so as to find hidden dangers at night and correct them in time. In this way, the sense of responsibility of night shift nurses is enhanced and the quality of nursing work is consistently supervised and controlled.
5. Formulate and implement non-punitive nursing safety adverse event reporting and management system. By the end of 10, the nursing department * * * had received 8 nursing adverse events and handled them respectively.
6. Focus on high-risk safety factors, such as abnormal catheter shedding, falling, bed falling, pressure sore, etc. , formulate nursing risk prevention measures and emergency plans and handling procedures for emergencies. This year, 135 cases of pressure ulcers have been reported, all of which were brought in from the hospital and cared for.
7. Strengthen the management of high-risk drugs and highly toxic drugs.
Fourth, strengthen the management of nursing human resources to ensure the orderly progress of nursing work.
1. According to the recruitment plan made at the beginning of the year, our hospital recruited 6 nurses this year, which enriched the front line of clinical nursing.
2. Formulated the allocation scheme of nursing human resources in emergency, and established nurses.
Mandatory resource allocation process, so that nurses can ensure orderly care in an emergency. On the evening of 65438+1 October1day, 35 people had outstanding emergency rescue, and the emergency plan was effectively and quickly implemented.
3. Formulate the post system and rating scale of the nurse in charge, so that the nurse in charge can have a deeper understanding of their work contents and responsibilities, guide the nurse in charge to fully perform the observation, treatment, nursing and health guidance for the patients in charge, and make the head nurse's assessment of the nurses rule-based.
4. The combination of outpatient department and emergency injection room was completed in high temperature season, which simplified the service process, saved nursing human resources to a greater extent, and ensured the staffing and nursing safety of outpatient and emergency departments in high temperature season.
Fifth, with the strong support of hospital departments, the quality of hospital infection management has been effectively guaranteed.
1, continue to strengthen the quality of hospital infection management, especially in key departments and key departments. Supervise nurses in the whole hospital to improve hand hygiene compliance and implement standard prevention.
2. The business management of operating room and supply room was merged, and the ledger registration of supply room was improved. During the year, pre-vacuum sterilizers, biological monitoring instruments and detection kits were added, and they were inspected in hospitals.
The investigation has achieved good results.
Six, strictly implement the teaching and scientific research plan, and comprehensively improve the quality of nursing teaching and scientific research.
1. According to the plan made by clinical teaching files, 28 nursing students successfully completed their internship tasks in the hospital.
2. By holding intern forums and teacher review meetings, two-way feedback can be realized and teaching can be improved.
In March and July, the official implementation of surgical district-level scientific research began.
4. During the year, we started classes in cooperation with Baoshan Branch of Shanghai Open University, and 28 nurses participated in on-the-job education for nursing undergraduates. Our hospital was signed as an open university nursing teaching practice base.
Seven, nursing index assessment summary is up to standard.
The qualified rate of head nurses' work quality is 98.2%
The qualified rate of ward management is 94.5%
The qualified rate of nursing documents was 92.8%
The qualified rate of disinfection and isolation was 93.4%
The qualified rate of emergency supplies and medicines is 97.6%.
The qualified rate of graded nursing was 90.65438 0%.
Satisfaction of outpatient and emergency departments: 95.86%
Satisfaction degree of the excellent care unit (ward 3): 96.87%, up 3.33% from last year. Nursing adverse events: 6 cases of nursing errors, 2 cases of nursing accidents and 2 cases of nursing complaints.
Eight, improve the standard of civilized service and promote the construction of spiritual civilization.
1. Improved various satisfaction evaluation forms. By increasing the evaluation times, evaluation times and evaluation of hospitals, nursing departments and departments, the full coverage of satisfaction evaluation is realized, and the evaluation results are fed back in time for rectification. The intensive care unit remains above 95%, and the outpatient and emergency departments remain above 90%.
2. Fifty nurses in the whole hospital take the initiative to participate in hospital volunteer service during the rest time, and use their professional knowledge and quality service to solve problems for emergency patients.
3, actively cooperate with hospital departments to complete all kinds of medical security activities such as gynecological physical examination, student physical examination, employee physical examination, etc.
Nine, there are shortcomings
1, management level and innovation consciousness need to be improved.
2. The overall quality of nurses needs to be strengthened, lacking flexibility and adaptability, and nurses' awareness of active service needs to be strengthened.
3. Management quality needs to be improved, and impetuous personality characteristics need to be overcome.
4. Nursing papers and scientific research are still in the initial stage.
20 19 main working ideas:
1, continuously improve the ability of nursing management, use PDCA to manage the safety and quality of the whole hospital, and constantly summarize, so that the quality of nursing has a process of continuous improvement and improvement.
2. Re-establish outpatient posts, relatively regionalize triage management, and improve outpatient pre-inspection norms.
3. Continue to deepen and refine the work of three high-quality nursing wards, make our hospital's characteristic services from two aspects of business and service, and establish a brand. To provide patients with convenient, optimized and high-quality nursing services, so that patients' satisfaction is above 95%.
4. Further improve the management ability of head nurses, strengthen the training of head nurses, lead the head nurses to visit and study in other hospitals, arrange four new head nurses to participate in the competency-based class for head nurses organized by Shanghai Nursing Association, and arrange the head nurses of internal medicine to go out for further study.
5. Strengthen the training of specialized nurses, declare picc nursing clinics and neonatal nursing clinics, and initially build a midwife training base in the whole region.
6. Strengthen the theoretical and operational training assessment of nurses within five years, and improve standardized training measures.
7. Make a 20 14 internship teaching plan, and plan to bring 30 interns.
8. Give play to the role of teaching and research group, encourage young nurses to contribute actively, and fully promote the on-the-job education of hospital staff.
9. Complete daily work, such as overall business study, safety education, specialized training and quality evaluation. Reach the standard of nursing quality index.
10, no nursing accidents occurred, and nursing adverse events were minimized.
1 1. Effectively manage human resources, recruit 8 new nurses, and merge the locker room of outpatient department into emergency surgery.
The nursing work in the new year still needs the attention, support and help of hospital leaders. I will lead this nursing team to strengthen internal management, shape external image, and make unremitting efforts in nursing quality and professional ethics construction.