1.2022 quality nursing work plan report
First, establish the guiding ideology and clarify the work objectives.
According to the hospital's
1.2022 quality nursing work plan report
First, establish the guiding ideology and clarify the work objectives.
According to the hospital's guiding ideology of "patient-centered" and comprehensively implementing high-quality nursing service, our department has established a service concept with patient satisfaction as the goal. Take the patient's voice as the first signal, the patient's needs as the first need, the patient's interests as the first consideration, and the patient's satisfaction as the first standard. Deepen family service and improve service quality.
Second, the specific quality nursing service content and work measures
1. Strengthen the construction of core system and implement nursing safety measures.
1) Strengthen the implementation of medical safety core system and various nursing operation norms, processes and routines. Focus on supervision, inspection and monitoring of newly admitted patients, newly transferred patients, critically ill patients, bedridden patients and patients with potential risks of medical disputes.
2) Irregular nursing safety hidden trouble investigation, found the problem, timely treatment. Link management of patients: establish and improve the evaluation system of patient transport, handover and pressure sore nursing management. Link management of nurses: focus on explaining and carefully guiding newly transferred nurses and nurses with thoughts and emotions.
3) Strengthen the responsibility of safety management to prevent major mistakes and accidents. Spot-check departments in ward management, basic nursing, nursing safety, medical record writing, disinfection and isolation, etc., immediately point out the existing problems and make rectification within a time limit.
2. Change nursing concept and improve service quality.
1) Continue to strengthen the construction of medical ethics and enhance the sense of responsibility. Strengthen the clinical nursing work in an all-round way, and implement the whole-hearted, all-round, whole-process and multi-channel systematic nursing for ward patients.
2) Starting from the "three basics and three strictness", nurses are trained and assessed in a planned way. Strengthen the training of basic theoretical knowledge, including basic theory, specialized nursing, laws and regulations, service awareness, etc. Strengthen the training of nursing technology operation, and comprehensively improve the comprehensive quality and professional ability of nursing staff according to the training items stipulated by nurses' post skills.
3) Strengthen the study of nurses' etiquette norms. Cultivate nurses' consciousness of "graceful appearance, polite language and elegant manners", improve the communication ability between nurses and patients, advocate smiling service and establish a good professional image of nurses.
4) Cultivate the backbone of specialized nursing and improve the practical working ability of clinical nurses. Take various forms of study and training to improve the professional quality of nursing staff in observing illness, implementing nursing measures and recording nursing documents.
3, strictly implement the overall nursing responsibility system, strengthen patient health education.
1) Reasonable allocation of human resources, reasonable and flexible scheduling according to patients' situation and nursing workload of departments, and increase the number of people working in peak hours, so as to achieve the purpose of providing satisfactory nursing services for patients with good quality and quantity.
2) Closely observe the patient's condition, communicate with doctors and patients in time, carefully carry out various treatment and nursing activities from admission to discharge, earnestly carry out health education and rehabilitation guidance, and provide patients with continuous and full-course quality nursing services.
3) Deepen the hierarchical use of nurses, assign responsible nurses according to the patient's condition, nursing difficulty and technical requirements, and the nurses with high seniority and strong ability are responsible for critically ill patients, reflecting the corresponding energy level.
4. Consolidate basic nursing and establish a performance appraisal system.
1) Standardize ward management, strengthen the implementation of basic nursing and graded nursing, keep the sickbed clean, free of peculiar smell and stains, strengthen patient patrol, observe and find problems in time, and solve them properly. Organize departments to rest and discuss every month, and regularly listen to patients' opinions and suggestions on quality nursing work.
2) Clarify the performance appraisal mechanism, assess the responsible nurses in strict accordance with post management, conduct patient satisfaction surveys, and reward the excellent and punish the poor. Take patients' satisfaction as the ultimate goal of work and provide convenience for patients as much as possible. High-quality nursing service is the focus of nursing management, and unremitting efforts should be made in detail service. Doing a good job in the management of high-quality nursing service can reduce medical disputes and hidden dangers of accidents, avoid patients' bad complaints and ensure patients' medical safety.
2.2022 Quality Nursing Work Plan Report
First, strengthen the construction of nursing service.
(A) optimize the service concept
Cultivate nursing staff to establish the concept of "patient-centered", with patients' needs as the first need, patients' interests as the first consideration and patients' satisfaction as the first standard. Strengthen the consciousness of active service, quality and safety, improve the communication skills between nurses and patients on the basis of further standardizing nursing operations, promote the improvement of nursing quality and ensure the safety and effectiveness of nursing work. Pay attention to the collection of nursing service demand information, obtain patients' demand and feedback information, often listen to doctors' opinions, put forward improvement measures in time, give incentives to nurses' work, mobilize their work enthusiasm, and make real active services from ideological action. Apply the service concept of "serving with heart and creating emotion" to practical work.
Optimize service measures
1. Taking "three good and one satisfaction" as the starting point, in order to facilitate patients to seek medical treatment, nurses are required to take up their posts fifteen minutes in advance, which is convenient for patients to seek medical treatment and shortens the waiting time of patients in line.
2. Do a good job in the daily management of general outpatient service and expert outpatient service, and guide nurses to timely coordinate and properly handle special situations.
3. Resolve the contradiction between doctors and patients in time, do everything possible to provide convenience for patients in need, and resolutely achieve zero complaints.
4. Conscientiously do a good job in the indoor and outdoor environmental sanitation of outpatient service, and actively create a clean and comfortable medical environment for patients.
5. Provide family services for patients, strengthen communication with patients, and try to meet the special needs of patients with special requirements; For patients who miss the appointment due to force majeure, provide a green channel, so that every patient can feel the quality nursing service of orthopedic outpatient service.
Second, strengthen the construction of nursing management
(A) Nursing human resource management
1. Establish an emergency nursing human resource allocation system, strengthen the management of leave and rotation personnel, and try out the rotation mode, that is, the rotation personnel are responsible for duty preparation, which can be used as a supplementary medical force to deal with emergencies.
2. Implement on-the-job continuing education, training and assessment of nursing staff, encourage on-the-job staff to continue their further studies, ensure the study time of on-the-job students, and continuously improve the overall nursing level of the department.
3. Manage key employees such as rotating nurses and new nurses, educate them on legal awareness, improve their awareness and ability to prevent risks, designate nurses with clinical experience, strong sense of responsibility and qualifications as teaching teachers, and cultivate communication skills and clinical operation skills.
(2) nursing quality management
1. According to the system documents of hospital departments, basic nursing service standards and clinical nursing technical service standards, high-quality nursing services will be put in place. Patients and medical staff have high satisfaction. Nurses master the goal and connotation of high-quality nursing service, and the mastery rate reaches 100%.
2. There are routine nursing care for critically ill patients, closely observe the patient's vital signs and condition changes, nursing measures are in place, patient safety measures are effective, and records are standardized.
3. Check the implementation of the system, can correctly provide nursing service according to the doctor's advice, and observe and understand the patient's reaction in time.
4 to ensure the effective use of instruments, equipment and rescue items. Nurses are skilled in using infusion pumps, injection pumps, monitors, electrocardiographs, aspirators and other common instruments and rescue equipment according to the use system and operating procedures. There are treatment plans and measures for possible accidents in use.
(3) Nursing safety management
1. Establish inspection system to identify patients. In the diagnosis and treatment activities, the "check system" is strictly implemented, and at least the patient's name and patient number are used to check the patient's identity to ensure the correct diagnosis and operation of the correct patient.
2. For the common emergencies and complications in clinical nursing of customers, nursing operation and handling norms should be formulated to ensure safety and prevent medical accidents.
3. Take the initiative to report nursing safety (bad) events and hidden dangers information system, and the improvement measures are in place. The mastery rate of nursing safety (adverse events) reporting system reached 100%.
(4) Continuously improve the professional quality of nursing staff.
1. Strengthen the construction of specialty, improve the professional quality of nursing staff, organize regular theoretical and operational examinations of specialty, and improve the ability of nurses to deal with problems.
2. Encourage and lead nurses to write papers, actively participate in various academic activities, master cutting-edge information in the medical field, learn new technologies and new projects, and constantly improve their professional theoretical level.
3. Cooperate with the nursing department to establish a standardized training system for nurses. Nurses with different seniority and ability have different training, which can make everyone form the habit of active learning and constantly increase their own value, thus improving the overall professional level of orthopedics.
Third, strengthen the construction of hospital infection management.
(a) require nursing staff to strictly follow the relevant requirements of hand hygiene in clinical diagnosis and treatment activities, the accuracy of hand hygiene is 100%, the compliance of hand hygiene is ≥95%, and the accuracy of hand washing is ≥90%.
(2) Wear gloves when touching substances and articles contaminated by blood, body fluids, secretions and excretions. The master rate of occupational protection and occupational exposure disposal of medical staff reached 100%.
(3) Organize general nurses to study the Guiding Principles of HIV Occupational Exposure Protection for Medical Staff and the Regulations on AIDS Protection, and formulate occupational exposure reporting system, occupational exposure prevention measures and specific treatment measures and procedures after occupational exposure.
3.2022 Quality Nursing Work Plan Report
First, basic nursing and specialist, primary, secondary and tertiary nursing.
1, strengthen the quality of ward layout in the morning and evening, strengthen the implementation of basic nursing contents, and continuously improve the ward environment.
2, strengthen the nurse on duty to inspect the ward, ask to master the eight tips in charge of patients.
3. Strengthen the supervision, inspection, rectification and feedback of the nursing team leader on the implementation of basic nursing.
Second, the ward, drug management
1. Strengthen the management of wards, nurses' stations and warehouses, and implement the responsibility to people, high-risk drugs and spare drugs.
2. Drugs in the refrigerator are special, and sundries are strictly prohibited. Check the temperature of the refrigerator every shift every day and make records.
3, strengthen the daily ward bedside table, pager, bedside equipment cleaning work, do a good job of patient's belongings.
Third, first aid drugs and equipment.
1. Record the shift change of emergency medicine and equipment. The responsible nurse makes daily inspections and the head nurse makes weekly inspections to ensure that the first-aid drugs and equipment are in an emergency state at any time.
2. Nurses should be familiar with the names, functions and usage of various first-aid drugs.
3, put an end to the existence of expired drugs and articles, strengthen the management of drugs and equipment.
Fourth, quality care.
1. The responsible nurses should strengthen the health education for patients, and publicize the disease-related knowledge and complications.
2, the implementation of the overall nursing responsibility system, the responsibility of nurses to master the patient's condition, psychology, treatment and so on and so forth.
3. Strengthen the spot check on the implementation of holistic nursing, and analyze and rectify the problems existing in the inspection.
4, daily telephone follow-up, public holidays discussion, satisfaction evaluation and other methods, collect suggestions from patients during hospitalization, actively grasp the needs of patients, solve problems in time, and improve patient satisfaction.
Five, nursing document writing
1, strengthen the supervision and inspection of quality control management team, strengthen the responsibility of responsible nurses, reduce the rate of missed doctor's orders, and strengthen the timely and accurate writing of nursing documents.
2. Strengthen the training of nursing document writing and improve the connotation quality of nursing document writing.
3, completes the patient's health education, key, special education content fully reflected in the nursing documents.
4, the head nurse strictly control the quality of medical records, timely check the medical records, the existing problems in a timely manner to hold department meetings, the implementation of improvement measures.
Six, safety management
1. Regularly train nursing staff on safety knowledge, strengthen their safety awareness, and conscientiously implement patient safety target management.
2. Strengthen the study and evaluation of management knowledge, processes and measures for pressure ulcers, bed falling and falls, implement nursing measures, and improve nurses' overall nursing ability for patients.
3. Strengthen the research of wristband identification system, strengthen the application of safety warning signs and warm tips, and implement refined management, such as safety warnings such as falling off the bed and falling.
4, strictly implement the grading nursing management system, especially the night shift, holiday ward patrol, timely find problems and solve them in time.
5, conscientiously implement the system of succession, strengthen the content, method and rigor of succession, reduce the link security risks.
6, strengthen the safety management of perioperative patients, strict surgical handover, do a good job of skin, heart, tube, medicine, vital signs and so on.
7. Strengthen the quality management of critical value projects, carefully register and report in time.
8. Improve the real-name signature of various treatment execution forms, implement the system of who executes and who signs, and complete the daily and weekly inspections of nurses.
9, strengthen the ward oxygen, electricity safety, public toilet water safety and the whole ward anti-theft safety awareness, do a good job in admission education.
10, strengthen the use of various instruments in the department, such as ECG monitors and electrocardiographs, and conduct regular testing.
1 1, strengthen the management of nursing defects and nursing disputes, strictly supervise all work links, find potential safety hazards, handle them in time, and nip nursing errors in the bud. Departments timely discuss and analyze nursing defects and errors.
12, strengthen communication and cooperation between nurses and patients, nursing skills and medical care, reduce obstacles and ensure safety.
4.2022 Quality Nursing Work Plan Report
First, determine the work objectives.
Meet the basic needs of patients, ensure the safety and comfort of patients during hospitalization, ensure the effective implementation of various diagnosis and treatment measures, improve patients' satisfaction with nursing work, achieve the goals of patient satisfaction, social satisfaction and government satisfaction, and comprehensively promote quality nursing services.
Improve ideological understanding and strengthen organizational leadership. Through learning, general nurses can master the working standards of high-quality nursing service and apply them to clinical practice to ensure effective results. Reasonable division of labor, hierarchical management and energy level correspondence for nurses. Actively carry out the selection of star nurses with high quality service.
Second, the specific methods and measures
1. Organize general nurses to learn high-quality nursing service documents, basic nursing service standards and basic nursing service items for inpatients, so as to achieve ideological understanding. Organize nurses in departments to carry out special discussions on nursing services in combination with the characteristics of undergraduate courses. Draw lessons from the work experience of developing high-quality nursing service demonstration wards.
2. General nurses are required to strictly implement the nurse's code of conduct, abide by the hospital's rules and regulations and medical ethics norms, improve the nurse's performance appraisal system, and combine the assessment results with the promotion assessment of nurses according to the quantity and quality of clinical nursing work completed by nurses and the satisfaction of inpatients.
3, the implementation of the responsibility system, the patient stepped into the ward, the nurse has the responsibility to introduce the doctor in charge, the head nurse and herself, and introduce the ward environment. After the night nurse comes to take over, she should introduce herself to the ward, be on standby at any time, and patrol in place. General nurses should strengthen communication with patients, receive warmly by all staff, explain patiently, serve meticulously, actively help, send out kindly, consult by telephone and extend services. Improve the two-way communication channel between nurses and patients. Clarify the connotation, service items and working standards of clinical nursing service. Strengthen subjective initiative, assist doctors to implement diagnosis and treatment plans, closely observe patients' condition, communicate with doctors in time, communicate with patients at any time, and provide humanized nursing services for patients.
4. Strictly implement the hierarchical specialist training plan for nurses, strengthen the assessment of three basic trainings for junior nurses, including developing the knowledge level of senior nurses and infiltrating the knowledge of marginal disciplines into the training content. Innovate traditional teaching, try to use slide teaching form, check the randomization method to ensure the teaching effect.
5, strengthen safety awareness, nursing safety will run through the high-quality nursing service, strengthen the monitoring of all links, pay attention to quality, pay attention to details. First-aid drugs and equipment should be "five fixed and one guaranteed", and the disinfection and isolation system should be strictly implemented, and the qualified rate should reach 100%.
6. Require each nurse to strictly implement the basic nursing and professional nursing measures, rules and regulations and operating procedures for xx years, implement according to nursing procedures, adhere to the principle of "patient-centered", earnestly strengthen basic nursing, improve nursing services, improve nursing quality, ensure medical and health care, and prevent mistakes and accidents.
5.2022 Quality Nursing Work Plan Report
First, strengthen nursing safety management, improve nursing risk prevention measures, effectively avoid nursing risks, and provide high-quality, safe and orderly nursing services for children.
1, constantly strengthen nursing safety education, take safety nursing as one of the routine topics of nurses' regular meeting, remind unsafe factors in work in time, and propose to 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, the implementation of regular and irregular inspection, supervision in place, and supervision and inspection records.
3. Strengthen the risk management of key links such as night shift, middle shift and holidays. APN scheduling and flexible scheduling system should be implemented to reduce shift frequency and work loopholes, reasonably match young nurses and old nurses on duty, and pay attention to cultivating nurses' prudence and independent spirit when they are on duty independently.
4. Strengthen key management: such as handover of critically ill children, blood transfusion, special medication, management of children, and evaluation of existing and potential risks of children.
5, strengthen the care for key children: such as critically ill children, premature babies, and as the focus of discussion during the shift change, evaluate the existing and potential risks of children, reach a * * * understanding, and attract the attention of each class.
6. Management of key employees: For example, new nurses should educate them on legal awareness, improve their awareness and ability to resist risks, and make it clear that children can only be cared for under the guidance or supervision of teaching teachers. At the same time, nurses with clinical experience, strong sense of responsibility and nurse qualifications are employed as teaching teachers to cultivate their communication skills and clinical operation skills.
7. Further standardize the writing of nursing documents, reduce potential safety hazards, pay attention to the problems existing in nursing documents at this stage, and make records "objective, true, accurate, timely and complete" to avoid irregular writing, such as typos, unclear alterations, inconsistencies with doctors' records, etc., so as to standardize and standardize nursing documents.
8, improve the nursing emergency risk plan, usually pay attention to cultivate nurses' emergency ability, in view of various emergency work, such as blood transfusion, infusion reaction, special liquid, drug leakage, sudden power failure, etc. We should make a retrospective evaluation, draw lessons from it and improve nurses' ability 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 received the children sincerely, sent them to bed, and took the initiative to give health education to the families of the discharged children.
2. Strengthen service awareness education, improve the concept of humanized active service, add health education day to basic nursing day, and make education guidance and safety precautions at any time in each class.
3. Establish health education prescriptions, issue nurse-patient contact cards, hold monthly forums to solicit opinions from children's families, and praise and criticize nurses with good or bad service quality.
Third, establish a system of inspection, evaluation and feedback, establish a traceability system, and the head nurse and quality control team often go deep into the ward for inspection, supervision and evaluation. The evaluation method is to evaluate nurses on the spot, check children, check records, listen to doctors' opinions, find problems in nursing work and improve corrective measures.
Fourth, strengthen the "three basics" and improve the overall quality of nursing staff.
1, ask questions twice a week in the morning, including basic theoretical knowledge, specialist theoretical knowledge, nosocomial infection knowledge, etc.
2, cardiopulmonary resuscitation demonstration every quarter, familiar with the use of first aid equipment and instruments.
3. The weekly morning meeting is a small class of nursing pharmacology knowledge, and the treatment class collects undergraduate drugs and explains pharmacological effects and precautions. And ask questions about the core system of the hospital, so that every nurse can master it skillfully and implement it carefully.
4, often review the nursing emergency risk plan and make a simulation demonstration to improve the emergency ability of nurses.