Eleventh, 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. This year, the internship teaching task of 1000 person-times was successfully completed.

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 the past 20XX 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.

extreme

I. Guiding ideology

Under the correct leadership of the superior, guided by the xx spirit of the Party, with the goal of doing a good job in the new rural cooperative medical system and medical insurance for urban residents, and with the aim of maintaining health, caring for life and serving the people wholeheartedly, we have taken solid steps to build our department into a department with public trust, hospital reassurance, noble medical ethics and superb medical skills.

Second, the main measures

1. Medical quality

On the basis of consolidating the achievements of emergency management activities in the previous two years, combined with the review and rectification work of grade hospitals, we will pay close attention to the connotation construction around "quality, safety, service and price". It is necessary to further strengthen the construction of first aid professional team, learn the knowledge of first aid medicine, understand the importance of first aid in the current society, and steadily enter the first aid team. Improve the "green channel" for emergency, admission and operation, so that emergency services are timely, safe, convenient and effective. Improve the 24-hour emergency service catalogue, emergency work flow and management documents, and standardize all kinds of support system services. Coordinate the cooperation of clinical departments in emergency work. There are procedures for classified management of a large number of patients. On the basis of emergency observation, patients can be safely admitted to hospital after being diagnosed clearly and their condition is stable within 24 hours. Strengthen the first-aid guidance of superior doctors, strengthen the third-level consultation, and strengthen cooperation with other specialties, so that the success rate of emergency rescue of critically ill patients can be improved to over 98%.

2. Quality management.

Grasp the "three basics and three strictness", strengthen special training such as medical history inquiry and standardized physical examination, standardized writing of large medical records, and rational use of antibiotics. Conscientiously implement the responsibility system for the first diagnosis, the shift system, the rescue system for critically ill patients, and the responsibilities of all kinds of personnel at all levels, and give priority to the diagnosis and treatment procedures according to the condition. Strengthen the evaluation of surgical medical records, focus on the contents related to medical quality and patient safety, improve the quality control system of regular inspection, evaluation, feedback and summary, adhere to weekly inspection and monthly inspection, focus on monitoring link management, difficult medical records discussion, and third-level doctors' rounds to deal with the changes in the condition, so as to promote the continuous improvement and improvement of basic quality.

3. Equipment management

It is necessary to strengthen the regular maintenance, monitoring and special management of emergency equipment, and troubleshoot in time when problems are found, so that the intact rate of rescue equipment can reach 100%. Strengthen standardized use training, so that medical staff can master and use it correctly, ensure safe operation and meet the first-aid needs of patients. Strict nosocomial infection. Strengthen the training of cardiopulmonary resuscitation skills, so that cardiopulmonary resuscitation skills can reach an advanced level.

4. Service attitude

We should pay attention to quality service. Adhere to the patient-centered, carry out in-depth activities to create a "quality service demonstration post", standardize service behavior, innovate service content, pay attention to service skills, implement the system of doctor-patient communication and informed notification, properly handle all kinds of disputes in time, analyze and summarize regularly, strengthen safety measures, and prevent medical accidents. Extend the service scope, ensure the service quality, comprehensively improve the medical service level, improve the patient satisfaction rate, and build a harmonious doctor-patient relationship.

5. Training plan

It is necessary to formulate training and assessment plans for all kinds of personnel at all levels, increase on-the-job training, and carry out continuing education projects of Chinese medicine in a planned way. Strengthen the assessment of the training effect of doctors at all levels. Take various forms to train all employees in professional quality, professional quality and management quality in a hierarchical and focused manner, and strengthen their sense of professional responsibility. With the support of xx hospital department, I hope to send doctors and nurses to a higher level hospital to study cardiovascular medicine, neurology, icu or ccu and other related majors, so as to better carry out business. At the same time, establish a number of advanced models of medical ethics and promote the all-round development of talents.

6. Construction of TCM characteristics

It is necessary to implement the policy of "taking Chinese medicine as the body and western medicine as the use", highlight advantages and objectives, and strengthen the construction of Chinese medicine characteristics. Formulate the training plan of TCM theory and technology for TCM practitioners and personnel of integrated traditional Chinese and western medicine, and increase the training and continuing education of basic knowledge of TCM. According to the requirements of the construction of emergency department in the Second Hospital of Traditional Chinese Medicine, it is necessary to have the diagnosis and treatment norms of common diseases and characteristic diseases and the operating rules of characteristic technologies, so that the normative documents of undergraduates are equivalent to three kinds. Improve the utilization rate of traditional Chinese medicine in emergency treatment, emergency medical professionals master the knowledge and skills of Chinese and western medicine, improve the utilization rate of traditional Chinese medicine in critical cases, and make the participation rate of traditional Chinese medicine reach more than 30%.

7. Promote the reform of medical insurance.

We should do a good job in the steady progress of medical insurance reform and make all aspects of the new rural cooperative medical system more detailed. At the same time, carry out targeted publicity for special groups, improve service quality and level, and strive to create a win-win situation for the benefit of the people and the development of medical care.

8. Key research topics

This year, we should focus on the study of multiple organ dysfunction syndrome, resuscitation and cardiovascular emergency, infection and rational use of antibiotics, noninvasive and invasive positive pressure ventilation, severe trauma and shock, acute respiratory distress syndrome, disseminated intravascular coagulation and other topics, so as to raise the emergency level of the emergency department in our hospital to a higher level.

9. Pre-hospital first aid

Increase pre-hospital first aid facilities, strengthen pre-hospital first aid knowledge and skills training, and improve the level of pre-hospital first aid. Such as on-board ECG monitoring defibrillators, ventilators, etc.

Xx will be a new starting point for our department. The task before us is very arduous, and at the same time, we are also facing many difficulties, such as uneven first-aid equipment and the skills of medical staff need to be strengthened. But we firmly believe that as long as all our employees can unite as one and work together, with the strong support of the higher authorities, we will be able to overcome all difficulties, strive for victory and better promote the win-win situation of both sides.

Tisso

In 20XX, the hospital put forward the working concept of "excellent service and developing specialty". Nurses in our department 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 cultivating 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 the past 20XX 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.