202 1 Nurse Entry Work Plan 1 20__, the outpatient department was formally established, and the deputy head nurse of the outpatient department was established in May. Under the leadership of the outpatient department and the nursing department, with the support and help of relevant departments, the following work was mainly done.
1. By organizing outpatient nurses to seriously study various medical laws and regulations and distributing documents and materials, the professional ethics of outpatient nurses has been improved, the concept of nursing quality and safety has been strengthened, a firm socialist concept of honor and disgrace has been established, and all professional concepts of patient-centered and serving patients wholeheartedly have been clarified. In the work, we should be enthusiastic, active, anxious about patients' urgent needs, think about patients' thoughts, treat patients equally with standardized clothing, warm language and friendly tone, and take care of them carefully to realize patients' zero complaints about outpatient nursing work.
Second, under the guidance of the nursing department and with the support of the department director, the outpatient nurses were organized to carry out nursing technical operation training, and experience was exchanged by watching technical operation videos, demonstrations and on-site guidance, which standardized and unified the nursing technical operation of new nurses, promoted the improvement of nursing technical operation level and successfully passed the nursing technical operation examination in the hospital.
Thirdly, organize outpatient nurses to study business once a month, exchange reading notes, realize resource sharing, expand thinking, enhance understanding between departments, expand knowledge, improve everyone's interest in learning, read nursing magazines one after another, promote everyone to write nursing papers and cultivate nurses' scientific research consciousness.
Four, check the first-aid drugs and equipment in good condition every week, sterilization package qualified situation, found the problem, timely rectification, to ensure that the first-aid drugs and equipment in good condition rate 100%, sterilization drugs reach the standard, eliminate potential safety hazards, put an end to accidents, no nursing errors and accidents throughout the year. Strict implementation of one person, one needle, one tube, one use and one disinfection, strict aseptic technical operation, no cross infection. Accept the regular inspection of the nursing department every month, find mistakes, put forward corrective measures in time, and correct them in time.
Five, under the guidance of the director of the outpatient department, participate in the design of advertisements for health lectures in the outpatient department, the arrangement of time, content and venue, the preparation of facilities, the distribution of information, the reception and registration of patients, etc. And urge the speaker to sort out the manuscript and submit it to Health Jinqiao to meet the information needs of patients and promote their physical and mental health. With the support of relevant departments, six health talks and more than 200 lecturers have been completed since July this year, which has achieved good social benefits and expanded the influence of the hospital.
202 1 formulation of nurses' work plan 2 1. Deepening the reform of personnel system and promoting the improvement of nursing quality.
The reform of personnel system is the direction and the way out. Reform will face many difficulties, but if it is not reformed, the difficulties will be even greater. The nursing department should first make clear this view and find a reasonable position. Jump out of nursing to see nursing? Actively participate in the reform with a good attitude. We should be good staff of leaders, put forward feasible reference opinions for leaders, and gain their understanding, trust and support. Explain the spirit, thinking and development trend of personnel system reform to nurses through multiple channels, unify their thinking, fully understand the necessity of reform, and eliminate dissatisfaction and resistance. Taking the reform as an opportunity, the nurses in the whole hospital have a sense of urgency and crisis; It not only established the consciousness of competition, but also strengthened the consciousness of service and quality, optimized the nursing team and promoted the improvement of nursing quality.
Two, pay special attention to the construction of nursing team, improve the quality of nursing team.
The nursing staff in the whole hospital should realize? Congenital deficiency? It has become the driving force of our continuous learning, not the resistance. We should establish the spirit of self-improvement and striving for progress and study professional knowledge hard. Only by studying hard and accumulating knowledge can we improve our own quality and professional ability. Only in this way can the current secondary school education be gradually transformed into a nursing team with junior college and undergraduate as the main body. The nursing department will take various channels to provide learning opportunities for nursing staff.
1. Encourage young and middle-aged nurses to take self-study and RTVU exams. By the end of the year, 55% of nurses have college education or above.
2. Encourage nursing staff to participate in undergraduate and postgraduate nursing studies, and reach 6 undergraduate degrees by the end of the year.
3, send nursing backbone to study in short-term nursing knowledge training classes inside and outside the province, focusing on learning the progress of management knowledge and specialist knowledge.
4, insist on nursing knowledge, new business and new technology, professional and technical training held in the hospital every month. In-department business study 65438+ 0-2 times a month, nursing rounds/kloc-0 times, operation training, etc. The nursing department should focus on standardizing nursing rounds and improving the quality of rounds, so as to improve the level of professional knowledge and practical ability.
Three, nursing quality management is the core, strengthen quality control.
1, the nursing unit promotes the quantitative assessment of nursing work. The nursing department draws up the quantitative assessment scheme and implementation rules of nursing work, and adopts the comprehensive assessment combining workload, work quality and quality defects. Each nursing unit carefully organizes the implementation and assessment, and through the quantitative assessment of work, it promotes the change of nursing staff's concept, enhances their sense of professionalism, active service and quality and safety, thus promoting the improvement of nursing quality.
2. Grasp the whole process quality management of each nursing work with the rigorous attitude of being too fine, too precise, too solid and too strict, that is, basic quality, link quality and terminal quality, in which link quality is the key. The nursing department will go deep into the department and standardize the management of each link.
3, adhere to the three-level quality control team quarterly, monthly nursing quality inspection, assessment, timely notification of the problems existing in the inspection and improvement measures, ranking the inspection results, forming competition between departments, the top three departments of year-end nursing quality will be rewarded, and three departments will be punished after two consecutive years.
4, the nursing department in view of the quality problems existing in the nursing work in 20__ _, modify individual assessment points, and increase the assessment and punishment.
5. Strengthen the control of hospital infection. Strictly abide by disinfection and isolation, and do a good job in environmental health monitoring in the ward, and the results should meet the standards. At the same time, do a good job of disinfection at any time, disinfection in epidemic areas, terminal disinfection and daily disinfection. After use, the articles shall be disinfected according to the principle of treatment, and disposable goods shall manage, use and treat them as required.
Fourthly, nursing safety is the focus of nursing management.
Combine macro-management with micro-management, make full use of the three-level nursing management system, perform their duties, check at different levels, do a good job in nursing safety management, reduce medical disputes and hidden dangers of medical accidents, and ensure the safety of patients seeking medical treatment.
1, the nursing department completed macro management, supplemented and improved nursing safety management measures, paid special attention to the pre-job training of nursing staff at all levels, regularly and irregularly checked the safety work, and continued to insist on nurses' long-night rounds, pre-holiday safety inspections and post-holiday inspections.
2, the head nurse to do micro management. Adhere to the handover of toxic drugs, rescue drugs and materials, keep the rescue instruments in a functional state, and keep the intact rate of rescue materials at 100%. Pay special attention to the monitoring of nursing staff, patients, time and nursing operation.
(1) link monitoring of nursing staff: strengthen the management of newly transferred nurses, newly graduated nurses, practical nurses and nurses with emotional thoughts or family changes, so as to focus on confession, follow-up and rounds.
(2) Link monitoring of patients: focus on supervision, inspection and monitoring of critically ill patients newly admitted to hospital, newly transferred to hospital, after major surgery, and patients with potential risks of medical disputes.
(3) Time link monitoring: during holidays, weekends, busy work, fatigue time and night shift, supervision and management should be strengthened. The nursing department organizes the head nurse to make irregular rounds.
(4) link monitoring of nursing operation: transfusion, blood transfusion, various allergy tests, preoperative preparation, etc. Although it is daily work, if there is a problem, it is a matter of life and death and should be the focus of monitoring in nursing management.
Fifth, change the concept of nursing and improve the quality of nursing service.
1, through learning, train nursing staff to establish? Patient-centered? The concept takes patients' voice as the first signal, patients' needs as the first need, patients' interests as the first consideration and patients' satisfaction as the first standard. Establish a holistic nursing concept to correct and overcome past patients? A headache, a sore foot? Nursing practice should be comprehensively considered, comprehensively planned, and the strength of hospitals, families, society and other aspects should be gathered to implement systematic nursing in wards with wholehearted, all-round, whole-process and multi-channels.
2. Conduct etiquette training for nursing staff in the whole hospital.
3.5. 12 international nurses' day? Everything is patient-centered, and everything is for the convenience of patients? Carry out a keynote speech contest, change the concept of nurses, and change the patients' desire for me to serve them, better serve them and provide quality services.
4, in the hospital to carry out the selection of service star activities.
Six, strengthen nursing management, rational use of human resources.
1, all nursing units in the whole hospital implement flexible scheduling. The nursing department formulates the implementation method of flexible scheduling, and the head nurse rationally allocates human resources according to the patient's situation and the nursing workload of the department, so as to provide satisfactory nursing services for patients with good quality and quantity, reduce the waste of human resources and avoid overstaffing. Nurses in the whole hospital are on call when they need to work, and take vacations when they don't need them.
2, nursing managers should enhance management awareness, the head nurse and director of * * * to think together, to find a way to change the income structure of the department. To carry out department cost accounting, the head nurse is both a decision-maker and a participant, and should make detailed and accurate statistics on department material cost accounting, so as to achieve the coexistence of planning and control, accounting and analysis, and gradually explore the law of department cost consumption, so as to make the department medical cost reasonable, scientific, low-cost and effective; It not only reduces the burden of patients, but also increases social benefits, economic benefits and personal income.
202 1 Formulation of Nurses' Entry Work Plan 3 First, earnestly implement various rules and regulations.
Strict implementation of rules and regulations is the fundamental guarantee to improve nursing quality and ensure medical safety.
1, the nursing department reiterated the responsibilities of nursing staff at all levels, clarified the post responsibility system and nursing work system for nurses on duty and visiting nurses, and put an end to the bad phenomenon of patients changing infusion bottles and pulling needles by themselves.
2, adhere to the inspection system:
(1) requires the class to check the doctor's advice, and the head nurse participates in the total check 1-2 times a week and records it;
(2) Nursing operation requires three checks and seven pairs;
(3) Insist on filling in the infusion card, and no major nursing mistakes have occurred in the past year.
3, conscientiously implement the orthopedic nursing routine and microsurgical nursing routine, adhere to fill in all kinds of information and data register, equipped with five types of surgical disposal tray.
4, adhere to the bedside shift system and morning care, to prevent the occurrence of complications.
Second, improve the management level of head nurses.
1. Adhere to the record and assessment of the head nurse's handbook: require the head nurse's handbook to be submitted to the nursing department for assessment before the 5th day of each month, and supervise the implementation according to the annual plan, seasonal arrangement and monthly plan formulated by the head nurse, and monitor the implementation effect, and require the head nurse to summarize the monthly work so as to sum up experience and carry out the work.
2. Adhere to the regular meeting system of head nurses: according to the requirements of grade hospitals, hold a regular meeting of head nurses once a week, with the contents as follows: arrange the focus of this week's work, summarize the advantages and disadvantages of last week's work, put forward corresponding rectification measures, feed back the nursing quality control inspection to the head nurses, and learn the relevant materials of head nurses' management.
3, check the quality of nursing every month, and timely feedback, and constantly improve the management level of the head nurse.
4. Organize head nurses to study abroad, learn from the advanced experience of brother units, and expand their knowledge: at the end of May, head nurses from three wards were selected to participate in the new international nursing progress class, and reported to all nurses after the study.
Third, strengthen the construction of medical ethics of nursing staff.
1, continue to carry out the code of conduct for nurses, and carry out 50 civilized expressions for nurses in daily work.
2. Organize all nurses to attend etiquette training in Wenling Hotel and Wanchang Hotel in June, 165438+ 10 respectively.
3. Continue to carry out health education and distribute satisfaction questionnaires to inpatients. The results of satisfaction surveys (regular or irregular evaluations) are all above 95%. In addition, corrective measures were put forward for the problems existing in the satisfaction survey, and nurses were selected.
4, the department held a symposium on a regular basis every month, solicit opinions from patients, meet the requirements of patients.
5. Carry out pre-job professional ethics education, rules and regulations, nurse code of conduct education and basic nursing knowledge, specialist knowledge and nursing technology operation assessment for newly assigned nurses, and those who pass the examination will be given posts.
Fourth, improve the professional quality of nursing staff.
1. Conduct "three basics" training for on-the-job personnel and organize theoretical examinations.
2, cooperate with the medical department, hire experts to teach, teach orthopedics, internal medicine, surgery knowledge, in order to improve professional knowledge.
3. Each department asks questions 1-2 times a week in the morning, and the content is basic theoretical knowledge and orthopedic knowledge.
4、? March 8th Women's Day? Hold a nursing technical operation competition (aseptic operation), and select the first prize (Wu _ _), the second prize (Li _ _, Tang _ _) and the third prize (Zhou _ _) respectively and give rewards.
5.65438+At the beginning of February, the nursing department conducted a nursing technical operation examination for the nurses in the whole hospital:
Examination of nurses in ward: intravenous infusion and oxygen inhalation; Examination of nurses in emergency room: cardiopulmonary resuscitation, oxygen inhalation and gastric lavage; Examination of nurses in operating room: intravenous infusion and aseptic operation.
6, strengthen the nursing of critically ill patients, adhere to the bedside succession system and morning care.
7. Insist on nursing rounds: conduct nursing rounds in three wards in turn every month to discuss nursing diagnosis and nursing measures to improve professional quality.
8.165438+1October 9-June, 9 nurses who entered the hospital this year were given pre-job training on basic nursing and specialized nursing knowledge, and each head nurse was organized to have a class to improve their teaching ability.
9. There are 5 nurses in the whole hospital who take the self-taught examination for nursing specialty and 3 nurses who take the correspondence course for nursing specialty.
Five, strengthen the management of hospital infection.
1, strictly implement the disinfection and isolation system formulated by the hospital management leading group.
2. Each department insists on monthly air culture in the ward treatment room and dressing room, and secondary air culture in summer in high-risk departments such as operating room and outpatient operating room, which ensures the good effect of aseptic incision without infection.
3. The department insists on ultraviolet disinfection of the treatment room and locker room every month, and make records. The ultraviolet lamp tube is dusted with anhydrous alcohol every week, and recorded, and the ultraviolet intensity is monitored every two months.
4. After the disposable articles are used, all wards, operating rooms and emergency rooms can be damaged, soaked, concentrated and inspected regularly. Regularly detect and check the concentration of various disinfectants, and insist on one bed, one middle school, one morning and one wet sweep.
5. The treatment room and dressing room in each ward can insist on mopping the floor with disinfectant (1: 400 disinfectant) twice a day, and regularly mop the floor with disinfectant (1: 400 disinfectant) for final disinfection (clean the bedside table and wipe it with disinfectant).
6, operating room, strict implementation of hospital dyeing management requirements, aseptic package with chemical indicators.
7. The supply room has established a disinfection project monitoring record book, and regularly monitors each disinfection project.
Six, nursing staff to better complete the nursing work.
1, adhere to the patient-centered, quality-centered, and provide quality services for patients, and carry out patient-centered health education in depth. Through the distribution of health education manuals and the words and deeds of nurses, patients are familiar with the knowledge of disease prevention, rehabilitation and related medical care, nursing and self-care.
In February and August, the holistic nursing mode was carried out in the third ward. Nurses in the third ward not only taught patients the knowledge of disease prevention and rehabilitation, but also went deep into the ward to talk with patients.
3. 2357 cases were hospitalized, 25 cases were observed/kloc-0, and 2380 cases were operated in operating room. Emergency nurses provide full service for emergency patients, including escorting patients to take photos, doing B-ultrasound, doing electrocardiogram, accompanying patients to the hospital and sending them to the operating room. There are fixed nurses on duty and visiting nurses in all three wards, so that patients get thoughtful service.
4. Nurses in the whole hospital wrote 30 nursing papers, including the 3rd National Orthopedic Nursing Academic Exchange 1 article, 3 academic exchanges in Taizhou, and 2 academic exchanges in the 2nd National Contemporary Nurses1article.
Seven. existing problems
1, the quality of individual nurses is not high, and the concept of sterility is not strong.
2. Holistic nursing is still in the exploratory stage, and nursing writing is not standardized.
3, due to the shortage of nursing staff, basic nursing is not in place, such as first-class nursing patients can not get the service of first-class nurses, second only to daily work.
4. Ward management is not satisfactory.
Over the past year, due to the dean's attention, support and help, nursing work has made some achievements in nursing quality and professional ethics construction, but there are also some shortcomings that need to be further improved.
202 1 Nurse Entry Work Plan 4 (1) Do a good job of nurses according to the implementation plan of standardized training and on-the-job continuing education for nurses? Miki? And expert skill training and evaluation.
1, focusing on strengthening the assessment of new nurses, hired nurses and junior nurses, and strengthening the awareness of learning. The nursing department plans to strengthen basic nursing knowledge in the first half of the year and increase the number of examinations until it reaches the standard.
2. Strengthen professional skills training: each department formulates a training and assessment plan for professional theories and skills in the cycle, and organizes examinations every year. Three times, the theoretical examination should have papers, and the head nurse should organize a closed-book examination, which requires practical results and is not a mere formality, laying a solid foundation for training specialist nurses.
3. Basic skills assessment: Nurses who are standardized training objects must all meet the standards in 16 basic skills during the year, and the assessment needs to be randomly tested in actual work. Nurses at other levels plan to arrange an operation exam and two theoretical exams.
4. Strengthen the study and mastery of relevant knowledge, organize a practical assessment of rules and regulations, combine theoretical assessment with clinical application, and check the compliance of implementation.
(2) Strengthen the study of humanistic knowledge, improve the overall quality of nurses, and require on-the-job nurses to summarize and plan their work.
Organize the study of hospital service etiquette culture, strengthen nurses' awareness of modern nursing culture, discuss it at the head nurse level first, and then carry out literacy improvement activities in the whole hospital after reaching a certain knowledge, and formulate training plans and specific implementation plans.
Arrange lectures in the whole hospital and try to learn nurses' social etiquette and professional service etiquette by sending them out and inviting them in. Carry out nurse etiquette competition activities, with? 5. 12? During the Nurses' Day, a month of learning etiquette and stressing literacy was held, and an entertaining holiday party was organized.
(3) update professional theoretical knowledge and improve the technical level of specialized nursing. The development of nursing level and medical technology is unbalanced, and the head nurses in various departments organize to learn professional knowledge. In case of developing new technology projects and special diseases, we can update our knowledge and skills by inviting doctors to give lectures, searching documents, organizing nursing rounds by the nursing department, and discussing nursing consultations. At the same time, some nurses are sent out for further study in a planned way to improve their academic level.
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