First, strengthen the on-the-job education of nurses and improve the comprehensive quality of nursing staff.
(a) in accordance with the standardized training of nurses and nurses in-service continuing education implementation plan, do a good job in the training and assessment of nurses' "three basics" and specialist skills.
1, focusing on strengthening the assessment of new nurses, hired nurses and junior nurses, and strengthening the awareness of learning. The work plan of the nursing department in the first half of the year focuses on strengthening basic nursing knowledge and increasing the number of examinations until it reaches the standard.
2. Strengthen the training of specialized skills: each department formulates the assessment plan of specialized theory and skills training within the cycle, and organizes 2-3 examinations every year. Theoretical examination should have examination 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 and improve the overall quality of nurses.
1, 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 quality improvement activities in the whole hospital after reaching the knowledge of * * *, and formulate training plans and specific implementation plans.
2. Arrange lectures in the whole hospital, and study the social etiquette and professional service etiquette of nurses by sending them out and inviting them in. The nurse etiquette contest was held, and the "5. 12" Nurses' Day was collected and used to set off the activity month of learning etiquette and stressing literacy, and an entertaining festival 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, the Medical Education Network plans to recruit and arrange some nurses to go out for further study and study, so as to improve their academic level.
Two, strengthen nursing management, rigorous head nurse work plan, improve the management level of the head nurse.
(1) A hospital head nurse management class was held at the beginning of the year, mainly to update the management concept, management skills and humanistic spirit in nursing service, the current social demand for nursing service, the prospect of nursing work in the new year and the emotional exchange of head nurses.
(2) Strengthen the assessment of head nurses' target management, combine monthly assessment with year-end assessment, and link the nursing quality of departments with the assessment of head nurses.
(3) Promote the exchange of learning between head nurses and departments, organize mutual inspection of nursing quality every quarter, and hold an exchange meeting of head nurses' work experience to improve the level of nursing management.
Third, strengthen the process control of nursing quality to ensure the safety and effectiveness of nursing work.
(1) Continue to implement the two-level management system of nursing quality, especially to cultivate and improve the head nurse's ability to find and solve problems, and at the same time give play to the quality control role of the quality control team of the department, clarify their respective quality control points, enhance the awareness of all staff to participate in quality management, and improve the quality of nursing.
(2) Establish inspection, evaluation and feedback system and establish traceability mechanism. Nurses often go deep into various departments for inspection, supervision and evaluation. Medical education network collects and sorts out the evaluation methods of evaluating nurses, checking patients, checking records and listening to doctors' opinions on the spot, finds out the problems in nursing work and puts forward rectification measures.
(3) Further standardize the writing of nursing documents, starting from the details, strengthen the three-level evaluation system of quality controller-head nurse-nursing department for each nursing document, regularly analyze and improve the defects of nursing records, increase the weight of deduction points for defects in discharged medical records, and emphasize that unqualified nursing documents will not be filed. At the end of the year, nursing documents were rated as the first, second and third in the group.
(four) to strengthen the safety management in the process of nursing:
1, continue to strengthen the three-level monitoring and management of nursing safety. Departments and nursing departments conduct monthly investigation of hidden dangers of nursing safety and do a good job in attribution analysis of nursing errors, defects and nursing complaints, analyze the reasons from the perspective of themselves and departments, analyze the lessons to be learned, and put forward preventive and improvement measures. The management and personal responsibility of the head nurse shall be investigated for the departments and individuals with the same recurring problems.
2. Strictly implement the check system, emphasize the second check in place, strengthen the management of nursing students, clarify the responsibility of teachers' safety management, and put an end to serious mistakes and accidents.
3. Strengthen the head nurse's awareness of routine inspection of the hardware facilities of the department, strengthen the performance and safety inspection at ordinary times, timely find problems and maintain them in time to keep the equipment in good condition.
Fourth, deepen family services and improve service quality.
(1) On the basis of training nurses' daily etiquette, further standardize nursing operation terms and nurse-patient communication skills. Cultivate nurses and establish a good professional image.
(2) Pay attention to the collection of nursing service demand information. The nursing department obtains patients' needs and feedback information by understanding the opinions of return visit cards, talking with outpatients and inpatients, and issuing satisfaction questionnaires, and puts forward improvement measures in time, at the same time encouraging nurses to work. Medical Education Network collected and sorted out their work enthusiasm.
Five, do a good job in teaching and scientific research
(1) Designate nurses with the title of nurse or above to be responsible for the teaching of interns, hold regular review meetings, and listen to the opinions of teachers and interns.
(2) The head nurses in all subjects are the general teachers, pay attention to the teaching work, regularly check the teaching attitude, sense of responsibility and professional level of the teachers, arrange small lectures, understand the completion of the internship plan, and do a good job in theoretical and operational examinations.
(3) The nursing department should do a good job in pre-job training for interns, check the teaching quality of the next department from time to time, and organize an excellent teaching teacher selection activity before the end of each internship.
(4) Enhance scientific research awareness and strive to introduce or carry out 1-2 new technology projects during the year.
(5) Plan and make the nursing garden network, upload the nursing trends in our hospital, deliver the nursing learning materials in time, give full play to the spatial advantages of local area network, and enrich the study life of nurses.
The second example of respiratory nursing work plan in 2020
First, actively complete the mandatory tasks of the hospital.
As a functional department, nursing department can transmit information to superiors and subordinates. Focusing on the central work of the hospital, the tasks assigned by the hospital have been successfully completed. Mobilize the nursing staff of the whole hospital to participate in the intestinal outpatient service during the rest time to ensure the smooth progress of the intestinal outpatient service. Participated in the blood donation service of the central blood station of the Health Bureau 10 person-times, hundreds of physical examinations of cadres, and public service 15 person-times.
Two, around the center of the work to create a "second class" hospital, actively carry out the work.
1. In order to implement the preparation for the "Dimethyl" review, the nursing department arranged relevant work according to the "Dimethyl" nursing management review standard, requiring all departments to ensure the quality of each work according to the schedule on the premise of completing their daily work. The nursing department regularly checks and evaluates the preparation of each department and gives corresponding guidance to the existing problems.
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Third, continue to pay close attention to nursing quality and ensure nursing safety.
1. Evaluation criteria for grade hospitals? And * * city health bureau? What are the inspection standards for nursing quality control? According to the actual situation of the hospital, the nursing department re-established the new quality standard on the basis of the original nursing quality inspection, and formulated the monthly nursing department target management assessment standard and monthly nursing quality checklist. The nursing department checks and scores each department once a month according to the quality standard, which links the nursing quality of each department with the performance work, greatly promoting the enthusiasm of each department and improving the nursing quality.
2. In order to better standardize the clinical nursing work, the nursing department re-established the nursing system such as morning meeting rules, bedside meeting procedures, assessment requirements for treatment classes, and assessed clinical nurses according to the new system.
3. In the past six months, nurses have been organized to make rounds at night and on holidays for more than 50 times. The problems found in the inspection required the department to rectify in time, and the nursing department conducted feedback inspection, which achieved satisfactory results.
4. The nursing department organizes a nursing quality control and nursing safety meeting every quarter, analyzes the outstanding problems that often appear in the inspection process, and puts forward corrective measures.
5. The nursing department has a special person who is responsible for the management of the training of nurses at all levels, and implements the theoretical and operational training of nursing staff in a planned and organized way. Organize hospital-wide business study twice, and conduct disease nursing rounds twice, and complete the training and assessment of seven common nursing operations (cardiopulmonary resuscitation, intravenous infusion, aseptic operation, etc.). ) the nurse. The training rate reached 93.5%, and the passing rate reached 100%.
Fourth, improve the service process, improve the service attitude, and earnestly take patients as the center.
1. Actively participate in the establishment of ward service center. In mid-March, the one-stop service center of the ward was formally established, and the nursing department transferred three nurses to join the department. The establishment of the "Center" standardized the treatment of new patients, the escort of special patients and the submission of specimens, reduced the workload of clinical nurses and won unanimous praise from clinical departments.
2. In order to meet the requirements of patients and improve the appearance of the "window" of the infusion room, the hospital renovated the infusion room in the first half of the year, improving the appearance of the infusion room from the hardware facilities, and the nursing department also actively started to transform the infusion room from the software facilities. First of all, optimize the structure of nursing staff and rationally allocate nursing staff. The nursing department overcame the difficulties and transferred two nurses with good professional quality to supplement the nursing team in the infusion room, thus ensuring the allocation of nursing staff in the infusion room. Secondly, flexible scheduling is implemented to increase the number of people who go to work during peak hours and solve the phenomenon of long queues during infusion peak hours. Third, divide the infusion areas for children and adults. Fourthly, beautify the environment of infusion room and create a safe, warm and harmonious place for patients. Fifth, improve service attitude and strengthen professional quality. Through a series of measures, the appearance of infusion room has been greatly improved, and the patient satisfaction has increased by more than 90%. In April, the hospital's "Satisfied Window, Satisfied Staff" appraisal activity, the infusion room was rated as "Satisfied Window".
3. Each ward overcame many difficulties such as insufficient staff and busy clinical work, and continued to carry out extended services for discharged patients. In the past six months, the ward and the extended service center have completed 3859 telephone calls, 437 letters and visits and 374 home visits, with a return visit rate of 97.3%. In the process of extending the service, patients and their families praised the nursing work many times and received many reasonable opinions and suggestions.
4. In the first half of the year, the nursing department completed two nursing satisfaction surveys, and 232 patients participated in the satisfaction surveys, with an average satisfaction of 92.7% in the first quarter and 95.4% in the second quarter. For the contents that patients think are not satisfied in the investigation, the department is required to put forward rectification opinions and take them as the focus of the next round of assessment.
In the past six months, with the joint efforts of nursing staff in the whole hospital, our nursing quality has been obviously improved. Compared with the same period of last year, nursing failures decreased 10%, complaints decreased 15%, and nursing satisfaction increased 1%. Received 3 letters of commendation from patients and 2 banners, and praised them orally many times.
The third example is the nursing work plan of respiratory department in 2020.
As a nursing manager, our mission is to treat patients with humility and strive to reduce every pain for every patient. With this belief, our department has been recognized by patients and endorsed by leaders in the nursing work in the past two years. As the head nurse of respiratory department for nearly one year, I deeply realized the hardship and complexity of nursing work in neurology department. People often say that "three-point treatment and seven-point care" is also reflected in the five subjects. In 2020, the nursing department of respiratory department insisted on integrating the nursing concept of "patient-centered" into more practical and specific work details. In the form of management, we will adhere to the principle of "taking patients' needs as service orientation", and at the same time, in 2020, we will focus on strengthening professional training of nurses, strengthening nursing management, strengthening basic nursing, improving service quality and developing high-quality nursing services. The work plan for 2020 is summarized as follows:
First, strengthen the on-the-job education of nurses and improve the professional quality of nursing staff.
Strengthen the study and mastery of relevant professional knowledge, organize nurses to teach regularly every month, take turns to teach, and carry out professional training in rules and regulations and neurology. In case of special difficulties, you can invite department directors and doctors to teach and update your knowledge and skills. Learn from each other, discuss nursing cases and make detailed records. The development of nursing level and medical technology is unbalanced, so some nurses are sent out to study in a planned way to improve the quality of nursing staff and optimize the nursing team. Constantly update nursing knowledge, medical education and education network, and sort out and collect them.
The second is to change the concept of nursing, improve the quality of service, continue to strengthen the construction of medical ethics and enhance the sense of responsibility.
Strengthen the training of nursing staff, establish the concept of "patient-centered", take the patient's voice as the first signal, take the patient's needs as the first need, take the patient's interests as the first consideration and take the patient's satisfaction as the first standard. Implement a whole-hearted, all-round, whole-process and multi-channel systematic nursing for ward patients. Strengthen the responsibility of safety management and put an end to major mistakes and accidents. Improve nursing quality on the basis of safety. Deepen family service and improve service quality. Improve the communication ability between nurses and patients. Advocate smiling service and cultivate nurses to establish a good professional image. At the same time, draw lessons from other departments, carry out "quality nursing service", strengthen clinical nursing work in an all-round way, strengthen basic nursing, improve nursing service, explore new methods and ways for the development of nursing discipline, and truly implement the "patient-centered" service concept.
Third, nursing safety
Nursing safety is the key point of nursing management, and the safety supervisor should pay attention to the link monitoring of persistent nursing staff: strengthen the management of newly transferred nurses and thoughtful and emotional nurses, and do a good job in explaining and following key points.
Do a good job in nursing safety management, reduce medical disputes and hidden dangers of medical accidents and patients' bad complaints, and ensure patients' medical safety. Patient link monitoring: monitoring patients newly admitted to hospital, newly transferred to hospital, critically ill patients, bedridden patients and patients with potential risks of medical disputes. Although it is a daily nursing work, if there is a problem, it will endanger the life of patients. As the focus of monitoring in nursing management, we should check the hidden dangers of nursing safety from time to time, find and solve problems, analyze the causes of accidents from the perspective of ourselves and departments, draw profound lessons, and put forward preventive and improvement measures.
Fourth, rational use of departmental human resources.
There are few nurses in respiratory department and the nursing work is heavy. According to the patient's situation and the nursing workload of the department, we should allocate human resources reasonably, arrange shifts reasonably and flexibly, and increase the number of people going to work during peak hours. General nurses can be on call when needed, and provide satisfactory nursing services for patients with good quality and quantity.
Five, nursing indicators to achieve the goal
In the last year, we will strive for the qualified rate of basic nursing, the satisfaction rate of inpatients, the intact rate of first-aid items and the qualified rate of disinfection of conventional instruments. The qualified rate of nursing document writing and three-base examination reached 100%.
Sixth, strengthen legal awareness and standardize the writing of nursing documents.
With the improvement of people's legal awareness and the promulgation of the Regulations on Handling Medical Accidents, how to strengthen the legal system construction in nursing service and improve the legal awareness of nursing staff has become an important link in nursing management. In 2020, the nursing records will be complete and objective in strict accordance with the requirements of the provincial health department for writing nursing documents. Clarify the significance of writing nursing documents, standardize the writing of nursing documents, negotiate with brother departments and nursing departments, and clarify how to write nursing documents well to meet the standard requirements.