By the end of the year, the year will be a thing of the past. Looking back on what happened this year, there must be joy and sorrow. These are our valuable experiences. It's time to take a look at our work this year and sum it up. In order to make you no longer have a headache for the year-end summary, the following is the year-end summary of the deputy head nurse carefully compiled by me. Welcome to reading. I hope you will like it.
Deputy Head Nurse's Year-end Summary 1 20xx In order to build a tertiary general hospital, the nursing department closely focuses on the purpose of quality, safety and service, further improves various rules and regulations, improves the service process, improves the hospitalization environment, puts the pursuit of social benefits, safeguards the interests of the masses, and builds a harmonious nurse-patient relationship in the first place, strengthens nursing quality control, strengthens nursing supervision, pays attention to the training of nursing backbones, optimizes the nursing team, and strengthens the training of three basics and three strictness. Over the past year, with the correct guidance, care and support of the hospital leaders and the close cooperation of various departments, all the work has been successfully completed. The annual nursing work is summarized as follows:
1. In order to ensure the safety of nursing quality and ensure the implementation of the core system, according to the requirements of hospital quality assessment, the nursing quality control team conducts quality assessment on each nursing unit once a month, and conducts inspection and assessment on the nursing quality of departments 1 1 times and irregular supervision 100 times throughout the year, and analyzes and evaluates the outstanding problems found in the inspection and puts forward rectification. Organize 1 1 regular meeting of head nurses, and organize nurses to make rounds at night and on holidays for more than 20 times. The problems found in the supervision and inspection were rectified in time, and the existing problems were improved in the feedback inspection of nursing department. Strengthen ward management, conscientiously implement basic nursing, disease nursing routine and various nursing work systems, with the qualified rate of basic nursing over 90%, specialist and first-class nursing over 90%, first-aid medicine and articles management over 100%, disinfection, isolation and aseptic technology over 100%, and nursing document writing over 90%. Questionnaire 1306 was distributed to clinical departments every month, and the satisfaction rate reached 94%, and the satisfaction rate of high-quality nursing pilot wards reached 97%. On the basis of strengthening business technology, hospital leaders organized the heads of various functional departments to hold a 14 briefing meeting to strengthen the awareness of creating a tertiary hospital and report the progress of the evaluation work.
2. In order to strengthen the professional skills of specialized nurses at all levels, head nurses and nurses were organized to go out for training 1 1 time, with more than 20 person-times. In order to improve the consciousness and ability of long-term management, the nursing department sent head nurses to Yinchuan He 'an large hospital in July and June,165438+1October, respectively, to carry out training courses on "Hospital Management under the New Medical Reform" and "Head Nurses' Leadership", to learn and visit their advanced management concepts, and to establish their key role in the quality management of departments. According to the requirements of hierarchical management, hospital leaders decided to adjust Di Hong Yan as the head nurse of outpatient department and Jiang Liping as the head of hand anesthesia department.
3. Formulate the implementation plan of Alashan Central Hospital's 20 16 year high-quality nursing service demonstration project, expand the high-quality nursing pilot ward to three internal departments and three external departments, and increase the coverage rate of the pilot ward from 40% to 60%. Provide a number of convenience service measures in the pilot ward, such as: providing diaper racks for gynecological and pediatric patients; Install anti-skid handrails and emergency call system in wards and bathrooms of all nursing units; In the pilot ward, the department nursing service guide was formulated and the convenience service box was set up; The ward is equipped with a summer quilt and a small kettle, and provides sick clothes for patients; Place safety warning signs in wards to warn patients to improve their awareness of prevention; Arrange nurses to provide guidance services for medical examination participants in large-scale medical examination activities in hospitals; In order to strengthen the construction of nursing culture, all departments should subscribe to modern nursing newspapers; Nurses provide reasonable life care for patients according to their needs; The nursing department sent head nurses to carry out quality nursing service-related training, constantly updated new knowledge and technology, and increased the allocation of nursing staff in pilot wards. Strengthen the safety management of inpatients, and gradually realize the institutionalization, standardization, standardization and scientificity of nursing work.
4. Carry out "three basics" training and professional skills training for nursing staff in a planned and organized way. The nursing department organized nursing business rounds for 4 times, nursing teaching rounds for 7 times and nursing administrative rounds for 13 times. Completed the "three basics" theoretical examination for nurses in the whole hospital twice, with a passing rate of 92%; Completed the training and examination of 17 common nursing operation techniques (oxygen inhalation, intravenous infusion, aseptic operation, etc.). ) For rotating nurses, the training rate is 100%, and the qualified rate is 98%. Organize pre-hospital first aid, cardiopulmonary resuscitation, electric gastric lavage and other professional technical training for 3 times and participate in emergency drills for 2 times. According to the hospital business development plan, from the practical and economic point of view, we should send them for further study with purpose and training direction, and strive to make use of what they have learned.
5. Enrich the hospital culture construction, hold a series of "5. 12" international nurses' day activities with the theme of "loving career, loving life, advocating honor and striving for the third grade", carry out a nursing theory knowledge competition, and select three internal departments and one external department as the honorary title of "excellent nurse station", which has increased the team consciousness and cohesion of all nurses and enriched the hospital culture construction.
6. Strengthen and standardize the management of practice teaching, and receive 29 practice nursing students during the year. Each department should highlight the characteristics of "teaching" in teaching, designate nurses with strong working ability and above to teach, actively carry out teaching rounds, lectures and other activities, urge them to participate in business learning activities and various activities in the hospital, and do a good job in intern assessment, so as to lay the foundation for future scientific education activities in the hospital.
7. As the hospital moved to a new location in 20xx, the number of beds increased. According to the requirements of graded nursing management, in order to meet the needs of clinical nurses, 20 contract nurses were openly recruited at the end of September, including 3 undergraduates, 6 junior college students and 6 secondary school students. After pre-job training, physical examination and assessment, all clinical work has been arranged.
In 20xx, with the improvement of the hospital environment, higher requirements have been put forward for nursing work. Especially through the preparation and acceptance of the "three-second evaluation" in our hospital this year, we understand that we are not only facing the honor of the hospital, but more importantly, our responsibilities and obligations as a member of the hospital. The orthopedic nursing team in our hospital took this opportunity to pay close attention to the quality of nursing service, strictly implement rules and regulations and strengthen professional and technical training. Around the overall goal of the nursing department, under the unified deployment of the nursing department, we first unified our understanding ideologically: the nursing level, service quality and management system of a hospital must be tested and confirmed by the higher authorities. If the hospital wants to survive and develop, it must seize this rare opportunity to pass the audit. "Now the nursing work in our department is summarized as follows:
First, seriously implement the rules and regulations.
1, reaffirmed the responsibilities of nursing staff at all levels, and defined the post responsibility system and nursing work system.
2, the implementation of 15 core nursing system, various emergency plans, work quality standards, etc. For example, check the system:
(1) double check the doctor's advice every day, once a day, and the head nurse participates in the total check 1 ~ 2 times a week, with records;
(2) During nursing operation, bedside double check must be carried out, and two or more methods should be used to identify patients.
(3) The surgical patient and the operating room nurse hand over the patient. Prevention of nursing adverse events.
3. Conscientiously implement the nursing routine of orthopaedics and hand surgery, the ten safety goals, and the safety guide of specialized nursing, continuously improve and improve the quality of nursing, strengthen the management of nursing risks, unify the thinking of general nurses, raise awareness, comprehensively and effectively improve the quality of nursing services, and provide innovative and humanized services for patients, which has been well received by patients.
4. Carry out the activity of "quality nursing service", implement the methods and measures of striving for high-quality demonstration wards formulated by the nursing department, implement humanized flexible shift scheduling, simplify nursing workflow and let nurses return to patients.
Second, improve the professional quality of nursing staff.
1. Take a three-level first-class hospital as a wedge machine to train nurses in various knowledge, professional theories and professional skills, and organize theoretical and operational examinations.
2, to participate in the business study organized by the hospital, in order to improve professional knowledge.
3. Implement the system of nursing rounds. Departments carry out three-level nursing rounds 1-2 times a week, and discuss nursing diagnosis and nursing measures based on basic theoretical knowledge and orthopedic knowledge to improve the professional quality of nurses.
4. Strengthen the care of critically ill patients, adhere to the bedside shift system and morning care.
5. Implement graded training, and implement different training plans for nurses with different length of service.
Third, do a good job in quality management.
1, in view of the difficulties and key issues in nursing work, set the work focus, and insist on integrating the humanistic nursing concept of "patient-centered" into more practical and specific work details.
2. Carry out, permeate, run through and implement standardized nursing quality standards in the whole work of each nurse, so as to make nursing quality management rule-based and form a virtuous circle. Evaluate the quality of nursing from the patient's point of view, and take the patient's satisfaction as an important index to evaluate the quality of nursing, so that patients can really benefit from quality management.
3, the nurse's responsibility to carry out, patients from admission to discharge by the nurse is responsible for the whole process, into the quality management. Make a feasible assessment plan, and conduct assessment in strict accordance with the plan every week, so that everyone can pass the test and fully mobilize the initiative and enthusiasm of each nurse.
4, the head nurse, quality control team members every day according to the quality control of new patients, key patients, critically ill patients' nursing records, in view of the quality control link and the problems found in the final quality control timely communication with all parties, timely rectification, standardize the writing of nursing documents. Analyze and improve nursing quality defects regularly, and strengthen the quality control of nursing work by responsible nurses.
5. The head nurse's on-site management has achieved remarkable results.
Early rounds: focus on the quality of night shift nursing after work; After the morning meeting, attend bedside handover rounds; Ward rounds after medical orders are issued: focus on the implementation of medical orders and the implementation of nursing measures; Ward rounds after work in the afternoon: check the continuous work and completion, go deep into the ward to solicit patients' opinions, and rectify the nursing work in time; Night rounds: check the handover records of critically ill patients, surgery, blood transfusion and other patients before going to work in the afternoon. Through the "three-wheel" field management mode of "patient-centered, problem-solving", supervise the implementation and implementation of nursing work in each shift, collect and fill vacancies in time, and pay attention to patients, environment, equipment, doctor's advice and other issues.
6, according to the requirements of the nursing department regularly collect patients' opinions on nursing work, and in the nurse station publicity grading nursing standards. Implement the core system, establish and improve the ward safety warning signs. Attach importance to the first communication, strengthen the communication in key links, and establish a harmonious relationship between doctors and patients and nurses.
7. Pay attention to the training of emergency first aid and emergencies: According to the emergency plans of various emergencies formulated by the nursing department, every nurse is strictly required to carefully simulate drills. Through real drills, our emergency ability and skills have been greatly improved, and various forms of first-aid procedures, cardiopulmonary resuscitation, first-aid knowledge and first-aid equipment use training have been carried out. Rescue instruments, medicines and emergency equipment should be checked daily by special personnel and maintained in time to ensure that they are in standby state at any time.
8. Focus on the management of new nurses, nurses with poor working ability and practical nurse; Nurses with high seniority and low seniority, strong working ability and weak working ability are on duty, so as to improve nurses' cautious and independent spirit when they are on duty independently, make irregular rounds in key periods, strengthen supervision and management in all aspects, improve nursing quality and ensure nursing safety.
Fourth, sort out the nursing process and inform.
1, a reasonable nursing workflow is the basis for the smooth development of daily work. There should be a reasonable workflow to guide the daily work of nurses in basic nursing, specialist nursing and health education.
2. Effective nursing notification is necessary for patients to cooperate. We will improve admission notice, posture, treatment, special precautions and specialist rehabilitation.
Five, nursing safety management
1, in order to ensure the continuous improvement of nursing quality, the department set up quality management groups such as health education, nursing medical record writing, disinfection and isolation, and basic nursing, with ten head nurses as the team leader. Record and summarize the problems found in time.
2, at least twice a week to accept the strict inspection of the nursing department, the head nurse on duty every night, no rules, no Fiona Fang, in the environment of high-density inspection and supervision of the nursing department, so that every nurse has developed a good spirit of careful work. Everyone attaches great importance to the test results. The head nurse and the attendant went deep into the ward for examination, and held a nursing quality and safety analysis meeting in time for a series of problems found in the examination. In view of nursing defects and errors, analyze the reasons, formulate rectification measures and supervise their implementation to ensure the continuous improvement of nursing quality.
3 key periods, key links, key personnel and special patient management
Key time periods refer to shift change time, afternoon shift, night shift, rest days and holidays. There are very few employees these days. Nurses are prone to mistakes. Patients are prone to dissatisfaction. The key links are busy and intensive links such as preoperative, postoperative, severe illness and rescue. Key personnel refer to critically ill patients, surgical patients, patients with special changes in their condition, as well as new nurses, senior nurses and nurses who often make mistakes; Special patients refer to patients who change their major to other hospitals, patients who have medical disputes or opinions, patients who are taken care of by leaders, and patients who are known by our hospital staff. Practice has proved that these people often have unsafe factors. Head nurses should strengthen follow-up inspection, rationally allocate nursing human resources and ensure the quality of work in all links.
4, strengthen the system construction, to ensure patient safety:
(1) according to the patient safety objectives, further improve the patient identification system, special drug management system, adverse reaction observation system and procedures and other patient safety systems and norms, improve the accuracy of patient identification by nursing staff, improve drug safety and ensure patient care safety.
(2) Supervise the implementation of various nursing safety systems: for example, supervise the storage, use, limited quantity and regular inspection of drugs in medicine cabinets in wards, strictly distinguish between drugs for injection, drugs for internal use and drugs for external use, strictly check the procedures and signatures when copying and executing doctor's orders, and control the drip rate of intravenous infusion.
③ Strengthen the management of executing doctor's orders: strengthen the accuracy of executing doctor's orders, check with doctors in time when in doubt, implement dual-core alignment for intravenous infusion, use therapeutic vehicles and medication books when dispensing medicines, and actively explain to patients or their families during various operations to strive for understanding and cooperation. When conducting operations such as catheterization and venous indwelling needle, the matters needing attention should be clearly stated to prevent the pipeline from slipping.
5. Improve nursing documents and records to reduce potential safety hazards. Pay attention to the problems existing in nursing documents at this stage, standardize nursing document records, and avoid irregular writing, such as missing words, inconsistency, inconsistency with doctors' records, etc. It not only reflects the comprehensive record of nursing problems, but also reflects the particularity of specialized symptoms, thus making nursing documents standardized and standardized.
6. Implement flexible scheduling and improve performance appraisal. In order to tap the potential of human resources and meet the needs of practical work and patients, a flexible scheduling system for nursing staff was implemented. When the treatment and nursing peak hours or the nursing workload increases sharply, the head nurse starts the "emergency nurse deployment plan" to adjust the nurse shifts to ensure the safety and quality of nursing in emergencies. .
Six, steadily promote the quality of nursing service.
1, the key work of implementing quality nursing service:
(1) Advocate active service and provide humanized care. It is far from enough for quality service to stay on the surface of "easy entrance, good face and good words". We should emphasize good nurse-patient communication, attach importance to the feelings of clients, convey your welcome, respect and enthusiasm to patients through specific behaviors, so that patients can truly feel our medical services, taste our quality and deepen the reform of nursing work mode. According to the principles and requirements of graded nursing, we should make clear the connotation and work norms of clinical nursing, conscientiously implement basic nursing, establish and improve nursing routines and operating procedures, and provide patients with all-round and whole-course nursing.
(2) fully mobilize the enthusiasm of nurses, advocate everyone to participate in the management of departments, encourage nurses to improve the quality of nursing in departments, promote high-quality nursing services, make suggestions for departments with the goal of "three good and one satisfaction", and finally realize the goal of creating a tertiary hospital.
2, according to their own reality, actively take a variety of measures, and constantly strengthen the connotation construction, solidly and steadily promote quality nursing service:
(1) Clinical nursing service fully embodies the characteristics of specialty, strengthens the consciousness of humanistic care, advocates humanized service, and continuously promotes the warm service of specialty.
(2) Conduct daily etiquette training for nurses, such as service specification, telephone etiquette, knocking etiquette, bedside handover, etc. Every day, when the head nurse leads the nurses to shift shifts at the bedside, the responsible nurses should introduce themselves, and at the same time, each ward should hang the responsibility protection card designed by our department, which is convenient for patients to supervise the work of nurses in their wards and improve the service quality of nursing staff.
(3) In the training of nurses' job skills, we should further standardize and focus on training nursing operation terms and nurse-patient communication skills, so as to cultivate nurses to establish a good professional image. The development of high-quality nursing activities has strengthened the sense of responsibility of nurses and improved the communication between nurses and patients.
(4) The nursing department and the head nurse take scientific monitoring measures to constantly supervise, implement and improve service satisfaction.
Seven, cultivate excellent team.
1, find the advantages of nursing staff in the department, use their advantages, guide their work and give play to their personal specialties.
2. Establish team spirit, let them make achievements in collaborative work and give full play to their personal strength. Let everyone participate in management to enhance their sense of responsibility and ownership.
3. According to the current situation of nursing staff echelon in our department, the main direction of general practice driven by intermediate strength is formulated, with Shan, Er and Shi, who have been outstanding in all work, as the mainstream nurses, and Chen Wei, a newly hired nurse from 20 13, as an example and sample. Whether a group has cohesion depends mainly on the positive energy of this department. These five nurses play a central role. Good nurses are boasted, and the advantages of nurses should be affirmed and amplified in time. Economically, it is also necessary to reflect the clear distinction between rewards and punishments. I am lucky to be with a sister like orthopedics.
Attach importance to health education and extend nursing service.
Combined with the characteristics of the specialty, we constantly enrich the connotation of high-quality nursing service, provide seamless nursing for patients from admission to discharge, and do a good job in admission education, hospitalization nursing and discharge guidance for patients. Set up health education nurses to provide health education and rehabilitation guidance every day, so that patients can really get psychological rehabilitation, return to society as soon as possible and improve their quality of life.
Nine, the next step of rectification work on standardized training requirements.
1, cooperate with the nursing department to establish standardized training for nurses. Nurses with different seniority and ability have different training, so that everyone can develop the habit of active learning.
Strict implementation of various systems and basic nursing care, providing services for any patients who need to provide basic nursing care, is the cornerstone of improving the overall nursing level and the platform for implementing quality nursing services. The success of basic nursing is the embodiment of the overall nursing quality of a nursing worker. The quality of basic nursing reflects the level of hospital nursing and the quality of hospital management. To achieve this goal, we must implement the following measures in the next work plan:
① Strengthen nurses to change their concepts and create a humanistic atmosphere: improve their ideological understanding, clarify their connotation and work objectives, and let nurses truly understand that basic nursing is their own job; Advocate people-oriented, humanized service, embody humanistic emotional care, care for patients, respect patients, and establish a harmonious doctor-patient relationship centered on patients' interests and needs. At the same time, let nurses get out of the misunderstanding: consolidating basic nursing is not without accompanying, but reversing the situation that family members undertake life nursing; Nursing documents are not written but simplified; Nurses don't simply wash their hair and feet for patients, but deepen basic nursing through seemingly simple and low-tech work, and observe and discover the changes of patients' condition; It's not that nurses don't engage in scientific research, but that senior nurses are closer to clinic and patients. Humanized nursing service runs through patients' hospitalization. Form a good atmosphere of "emphasizing foundation, humanity and service" among nursing staff.
② Pay attention to details to ensure safety: quality service "starts with subtlety and ends with routine", and patients will pay more attention to every detail of medical staff during medical treatment. In clinical work, nurses pay attention to every small job. The seemingly simple basic nursing work is the first step to help patients achieve physical and mental satisfaction and rehabilitation, and it is the foundation and core to provide patients with systematic and all-round nursing. It is the best way to observe the illness, the best bridge to communicate between nurses and patients, and the most direct embodiment of nursing workers being close to patients. In addition, we should also emphasize the supervision and inspection of basic nursing, gradually change the basic nursing work from passive to active, from urging to habit, from "asking me to do" to "doing", take the initiative to think for patients, and always put patients' needs first. Basic nursing and humanistic care will run through the whole nursing process and strengthen detail management.
1, in the usual nursing management, the negligence of any detail by nurses may cause irreparable losses. Therefore, we should strengthen the improvement of details in nursing workflow to avoid risks in nursing work and ensure nursing safety. Specification in details: For nurses, a smile, a word, a gesture and an action are all tiny details, but these details will have different effects on patients or their families. It can be said that every detail in medical activities is related to patients' life and health and family happiness, representing the overall quality and image of the hospital. A slight negligence will make patients dissatisfied. We require every nurse to pay attention to service details, develop a rigorous and standardized work style, cultivate good behavior habits from the training of instrument, standing, sitting, walking and communication skills, and strive to make every move, operation and word of the nurse conform to the medical quality and hospital management standards, so that patients can enjoy a more convenient and warm diagnosis and treatment process. There are seven voices in the work: welcome when patients enter the department, address when they see a doctor, apology when they make mistakes in operation, gratitude when they cooperate with patients, response when they ask questions, greeting when they answer the phone, and farewell when they leave the hospital, so as to continuously improve the overall quality and comprehensive quality of nursing staff and improve the quality and level of service for patients.
2. Strengthen communication between nurses and patients, ensure timely nursing measures, organize and learn communication skills, and avoid medical disputes caused by quarrels. Nurses should conscientiously do all kinds of nursing work and try their best to meet the reasonable requirements of patients. Nurses should communicate with patients and their families on a series of related knowledge such as diet, medication, treatment, nursing, examination, surgery, etc., and carry out health education throughout the whole process of patients' hospitalization to provide humanized care for patients.
3. Carefully sort out the problems raised by experts at the meeting and during the inspection, carefully check whether there are similar problems in the department, come up with rectification opinions, and implement the rectification of the responsible person as soon as possible to ensure that the rectification is completed in 3 to 5 months.
20xx years, with our sweat, bearing our harvest will leave us. Over the past year, we have made some achievements, which are inseparable from the leadership and guidance of the nursing department. We still have many shortcomings, but we are not proud or discouraged. Let patients' needs become the driving force of nursing innovation. Only by doing things carefully can we do a good job in nursing. In the new year, taking the high-quality nursing service activities as an opportunity, we will strive to build a high-quality and efficient clinical nursing team and make nursing work go to a new level.
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