120 work plan of first aid station 1
First, continuously strengthen the construction of emergency nursing stations and improve the first-aid ability of nursing staff.
1, deepen the first aid consciousness and group consciousness of nursing staff, regularly carry out planned and organized business target training, and train qualified emergency nurses.
2, constantly establish and improve the rules and regulations of the emergency department, strengthen the study of personnel health administrative laws and regulations, and enhance the legal awareness of personnel.
3. Promote the standardized management of first aid work to improve the success rate of rescue.
Two, pay attention to the combination of "three basics" training and clinical practice, in order to improve the professional quality of personnel.
1, familiar with the judgment of common diseases, rescue process and nursing points, and regular assessment.
2, master the rescue skills of cardiopulmonary resuscitation.
3, skilled wound treatment and bandage hemostasis technology and psychological care of the wounded.
4. Master a series of operation techniques such as first aid vomiting, enema, injection, oxygen supply and posture, and professional skills such as disease monitoring, and put them in place accurately and in time.
The third is to strictly manage the emergency room and disposal room to strive for valuable rescue opportunities for patients.
1, master the use of various instruments and ensure their good performance and ready use.
2, all kinds of rescue drugs, equipment by the specialist is responsible for, regular inspection, fixed-point placement, regular disinfection, maintenance of drug stores and cards, strict management of first aid medicine box, to ensure the normal use of first aid outside the hospital.
3. Clean, supplement and record all kinds of first-aid drugs in time after use, and keep them clean and tidy.
Fourth, strictly implement work standards to ensure the safety and effectiveness of nursing work and the overall implementation of nursing work.
1. Strictly implement the system of "three inspections and seven pairs" to prevent errors and accidents.
2. Strictly implement the operating principles and nursing procedures of aseptic technology, carry out holistic nursing with the goal of improving or restoring patients' health, care for patients in physiology, psychology and life, and implement humanized service.
3. Strictly implement the "Twelve Core Systems"
4. Strengthen the proper management of disposable goods to prevent hospital infection.
120 first-aid station work plan Part II
I. Guiding ideology
Guided by first aid, we should conscientiously implement the Scientific Outlook on Development, conscientiously implement the relevant requirements of "taking patients as the center and giving full play to the characteristics and advantages of traditional Chinese medicine", take maintaining health, caring for life and serving the people wholeheartedly as the purpose of the department, and take solid steps to build our department into a department with public trust, hospital reassurance, noble medical ethics and superb medical skills.
Two. Tasks, objectives and requirements
1. Strengthen the training of existing professional and technical personnel in the department, focus on cultivating academic (branch) leaders and talent echelon, which should be able to meet the needs of emergency connotation construction, and carry out continuing education of traditional Chinese medicine in a planned way. A total of 15 person-times were sent to participate in various academic activities related to emergency rescue throughout the year. Under the same conditions, priority should be given to holding training courses on appropriate techniques of traditional Chinese medicine. It is planned to send a Chinese medicine practitioner to a higher level hospital for further study. 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.
2. Further improve the quality of medical care, improve the routine diagnosis and treatment of common dominant diseases in emergency, and implement them in clinical work. Improve the ability to cope with critical illness and the quality of diagnosis and treatment, actively apply Chinese medicine in the treatment of critical illness, ensure the participation of all Chinese medicine staff, and give play to the characteristics and advantages of Chinese medicine. Improve the level of dialectical treatment, diagnosis and differential diagnosis of characteristic diseases, improve the suitability of examination and treatment, and improve the safety and rationality of medication. Improve the rate of emergency treatment. Medical staff are required to master the knowledge and skills of first aid in Chinese and western medicine, so as to improve the utilization rate of Chinese medicine in critical situations.
Focus on "quality, safety, service and price" and pay close attention to connotation construction. 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 and emergency workflow, and coordinate with clinical departments. Do a good job in emergency plan management and have classified management procedures for 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.
Strive to reach 50,000 outpatient visits; 700 patients were discharged; 120 person-times observation; Business income reached 4 million, and the proportion of drug income in industry income decreased by 5%.
In-hospital emergency consultation time ≤ 10 minute, emergency observation time ≤48 hours, emergency application of TCM diagnosis and treatment technology ≥3 items, emergency rescue success rate ≥80%, and TCM emergency treatment rate ≥30%. The intact rate of first-aid articles 100%.
3. Service attitude
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.
Three. Strengthen leadership, establish various management organizations of undergraduate course room, and implement responsibilities.
1. Set up a medical quality control team.
Team leader:
Members:
Main responsibilities: responsible for the medical quality management of the undergraduate department, supervising the writing of various medical documents and preventing medical disputes.
2. Establish a sensory control team:
Team leader:
Members:
Main responsibilities: responsible for reporting all kinds of infectious diseases in our department to prevent nosocomial infection and cross-infection.
Four. Supervision and management
1. Conscientiously implement the main core systems such as the first diagnosis responsibility system, the succession system and the critically ill patient rescue system, and give priority to the diagnosis and treatment procedures according to the responsibilities and illness of all kinds of personnel at all levels. 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, discussion of difficult medical records, and treatment opinions of third-level doctors on condition changes, and promote the continuous improvement and improvement of basic quality.
2. Formulate training assessment plans for all kinds of personnel at all levels and intensify on-the-job training; Strengthen the assessment of the training effect of doctors at all levels. Take various forms, levels, and focus on the training of professional quality, professional quality and management quality, and strengthen the professional responsibility consciousness of all employees.
3. Strengthen the regular maintenance, monitoring and special management of emergency rescue 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.
4. Strict nosocomial infection. Strengthen the training of cardiopulmonary resuscitation skills, so that cardiopulmonary resuscitation skills can reach an advanced level. Conduct regular training and evaluation for managers as required.
Verb (abbreviation of verb) reward and punishment methods
1, department rewards 100 yuan for medical staff who relieve patients' pain, get praise and affirmation from patients and their families, and get letters of commendation or pennants;
2, did not seriously implement the first diagnosis responsibility system and other rules and regulations, shall be punished according to the hospital management rules;
3. Medical disputes caused by careless writing of medical records shall be punished according to hospital management rules;
4. 50 yuan will be fined 100 yuan for those who fail the three basic training;
5, cardiopulmonary resuscitation skills operation is not qualified to give 100 yuan punishment.
Reward and punishment is not an end, but an incentive for us to work harder to ensure the quality of service and improve it.
High medical level, improve patient satisfaction and build a harmonious doctor-patient relationship.
120 first-aid station work plan Part III
First, strengthen nursing safety management, improve nursing risk prevention measures, effectively avoid nursing risks, and provide patients with high-quality, safe and orderly nursing services.
1. Implement various rules and regulations: regular and irregular inspections, supervision in place, and supervision and inspection records.
2. Strengthen safety awareness: when unsafe factors are found in the work, remind them in time and strictly implement the "four don't let go".
3. Strengthen the management of key periods, such as night shift, middle shift and holidays. Implement flexible shift scheduling system, reasonably match the old, middle-aged and young people on duty, and pay attention to cultivating the cautious and independent spirit of nurses when they are on duty independently.
4. Classified management: Classified management is carried out according to the nurse in charge-nurse-new nurse (1 year)-practice nurse, so as to strengthen the training, study and education of new nurses and improve their professional ability.
5. Improve nursing records and reduce potential safety hazards: standardize nursing records and conscientiously implement the "cross principle" in nursing records, that is, objectivity, truthfulness, accuracy, timeliness and completeness.
6. Strengthen nurses' own occupational protection: organize general nurses to learn relevant knowledge, and formulate occupational exposure reporting system, occupational exposure prevention measures and specific treatment measures and procedures after occupational exposure.
7. Improve the nursing emergency risk plan: pay attention to cultivating nurses' emergency ability in daily work, make a retrospective evaluation of each emergency work, draw lessons from it, and improve nurses' ability to deal with emergencies.
Second, take patients as the center, advocate civilized and high-quality service, strengthen nurse-patient communication, improve patient satisfaction and avoid nursing disputes.
1, ensure and improve the convenience measures, manage the responsibility to people, and handle problems in time when found.
2. Strengthen service awareness education and improve the concept of humanized active service. Continue to implement the nurse's code of conduct, implement the civilized language of nurses in daily work, and improve the quality of health education.
3. Seriously implement the notification procedures before and after clinical treatment, respect patients' right to know, and relieve patients' concerns.
4. Hold a symposium on holidays every month, distribute patient satisfaction questionnaires, praise and encourage nurses with high service quality, and criticize and educate nurses with poor service quality.
Three, regular and irregular nursing quality inspection, to maintain the continuous improvement of nursing quality.
1, give full play to the role of nursing quality control team, conduct quality inspection every week, find problems in time, correct and deal with them in time.
2, constantly modify and improve all kinds of nursing quality standards, and organize learning, according to the standard implementation of nursing work.
3. The head nurse conducts regular and irregular quality inspections, analyzes the reasons for the deficiencies, makes timely rectification, and strengthens the service awareness and quality awareness of nursing staff.
4, on a regular basis to the quality control team, the head nurse quality inspection, nursing department quality inspection feedback comprehensive analysis, find out the reason, formulate feasible corrective measures, and check the implementation of the rectification.
Fourth, strengthen the management of hospital infection.
1, strictly implement the disinfection and isolation system formulated by the leading group for hospital infection management.
2. Standardize disposable articles, destroy them in time for centralized treatment, regularly inspect and urge them, and regularly check and register the concentration of disinfectants.
3. Add a "comprehensive class" to be responsible for the cleaning, detoxification and maintenance of various articles and instruments.
Five, strictly implement the three basics and three strictness, strengthen teaching, further study and continuing education, and improve the professional quality of nursing staff.
1, according to the "three basics and three strictness" training plan, nurses at all levels are trained, and theoretical examinations and technical operation examinations are organized every month. According to the nurse in charge (or over 45 years old)-nurse (or over 35 years old)-nurse-new nurse (1 year)-intern nurse, training and management are carried out at different levels.
2. Ask the nurse questions during nursing rounds, including basic theoretical knowledge, professional theoretical knowledge and nosocomial infection knowledge.
3, often review the knowledge of nursing emergency risk plan, first-aid technical drills every quarter, master the use of first-aid equipment and instruments, and improve the emergency ability of nurses.
4. Through department recommendation and comprehensive evaluation of nursing department assessment, select nursing backbone, conduct regular training and study, arrange nursing lecture tasks, and establish a graded nursing teaching management network of nursing department-head nurse-nursing backbone-new nurses.
120 work plan of first aid station 4
In 2008, emergency nursing will focus on insufficient attention, pay close attention to connotation construction, further strengthen the construction of emergency professional team, stabilize the emergency team, and constantly improve the emergency green channel to ensure timely, safe, convenient and effective emergency service. Strengthen cooperation with other departments of the hospital, improve the emergency work flow, improve the quality of emergency service and shape the image of the hospital. The plan is as follows:
First, emergency nursing safety is the focus of work this year.
1. Strengthen the monitoring and management of nursing safety, and hold regular nursing adverse event analysis seminars every month, focusing on key people (such as new employees) for reference and preventing mistakes.
2. Strictly implement the inspection system to prevent errors and accidents. The quality controller will check once a week and give timely feedback when problems are found.
3. Every week, the emergency medicines and instruments in the department are routinely checked to ensure that their performance is in good condition, and the safety performance is checked. If any problem is found, repair it in time to ensure the intact rate 100%.
4. According to the provincial emergency nursing safety management objectives, formulate department safety management objectives, and organize training and implementation.
5. Practice hard the first aid technology to ensure that the rescued patients can get effective first aid treatment in the first time.
Second, pay attention to business construction and improve the overall quality of nursing team.
1. Specialized skill training: make an examination plan for specialized knowledge training, implement closed-book examination, pay attention to actual results, and lay a solid foundation for cultivating nurses' professional ability.
2. Technical operation training: arrange technical operation training once a month, organize medical personnel's first-aid technical training on time according to the assessment requirements of the emergency center, and complete the municipal first-aid skill assessment on time to ensure that everyone passes the examination.
3. Strengthen the study and mastery of relevant knowledge, and regularly organize the study of all kinds of emergency plans, first-aid drugs, rescue procedures and green channel related regulations.
Third, enhance the awareness of active service and promote the harmony between doctors and patients.
Standardize service behavior, pay attention to service skills, implement the notification system, properly handle all kinds of contradictions in time, analyze and summarize regularly, and strengthen safety measures. Expand the scope of services, such as telephone return visits for patients after discharge. Emergency patients should be observed, accompanied and cared for by nurses when they are hospitalized, and sent explanations and blessings by nurses when they are discharged, so as to create a window image.
Fourth, establish legal awareness to protect the rights and interests of doctors and patients.
1. Further standardize the writing of nursing documents, start with details, and regularly analyze and improve the defects of pre-hospital emergency medical records and rescue records.
2. Inform the patient of the condition, medication and invasive operation, ask the nurse to inform and sign the gastric lavage, catheterization and other operations, and inform the relevant contents of special medication according to the instructions, such as infusion drip speed, common' adverse reactions' and so on.
Five, strictly implement the core system, to ensure the safe, effective and comprehensive implementation of nursing work.
1. Establish inspection, evaluation and feedback mechanism, listen to the opinions of medical staff at any time, and put forward rectification measures in time.
2. Formulate the job responsibilities and quality standards of each shift, enhance the awareness of all staff to participate in quality management, and improve the quality of nursing.
3. Actively participate in the business rounds organized by the nursing department, learn nursing work experience, and improve nursing level.
Six, strengthen the safety management of pre-hospital first aid and telemedicine escort.
1. Increase pre-hospital first aid facilities (such as injection pump, etc.). Regularly organize pre-hospital first aid knowledge and skills training to improve the level and speed of pre-hospital first aid.
2. Summarize and analyze each long-distance medical escort, listen to the opinions of medical staff, and constantly improve the document writing, illness notification and related work content of medical escort.
Seven, the full implementation of nurse performance management, improve the enthusiasm of nurses.
1. According to the performance management scheme of nursing department and the working characteristics of undergraduate course room, formulate the performance appraisal scheme of undergraduate course room and organize its implementation.
2. Focus on quality, combine workload, attendance, labor discipline, service complaints, business skills, three basic test scores, professional titles, continuing education, and working years of undergraduate course room to conduct performance management for nurses.
In a word, in _ _ _, our department will face many difficulties such as the renewal of most nursing staff and arduous tasks. We will further unite everyone's strength, unite as one, work together, and with the support of higher authorities, make all work run safely and ensure a win-win situation.
120 first-aid station work plan chapter 5
I. Guiding ideology
Under the correct leadership of the superior, under the guidance of the great 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, 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 people's trust, hospitals' peace of mind, 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 delivery 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 the 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 in order to better carry out their 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.
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Personal summary of village cadres' work in 2022 1
First, strengthen ideological and moral construction.
Strengt