Under the guidance of the nursing department, the director of the department, the help of the doctors in the department and the joint efforts of the nursing colleagues, the task was basically completed smoothly according to the target plan formulated at the beginning of the year. The nursing work this year is summarized as follows:
First, quality care.
With the in-depth development of high-quality nursing service, in addition to routine basic nursing and specialized nursing, our department has also strengthened nurse-patient communication and health education, and strengthened nurses' sense of responsibility. Really realize the importance of high-quality service from the heart, regard high-quality service as the duty and obligation of nurses, change passive service into active service, go deep into wards, understand patients' needs, improve the relationship between nurses and patients, and the satisfaction degree of departments is above x%.
We are in the process of nursing follow-up registration, and we will do this work well in the next step. It is expected to improve patients' satisfaction with the department through this work, thus improving economic benefits.
Second, the department quality and safety management
Quality and safety management is the eternal theme of hospitals and departments, and regular inspection and evaluation is the guarantee to improve nursing quality. In order to improve the quality of nursing, the head nurse should give full play to the role of the members of the quality control leading group in basic management and quality management on the basis of summing up the previous work experience, and combine with the actual situation of the department to achieve monthly planning, weekly arrangement and daily focus.
In the quality management of basic nursing, we should strictly implement nursing operation norms, strengthen inspection and ensure implementation. The department insists on X times of nursing quality inspection every week, analyzes the reasons for the deficiencies in the inspection, strengthens the service consciousness, quality consciousness and safety consciousness of nursing staff through in-depth and meticulous ideological education, and formulates practical improvement measures. We revised the nursing routine and workflow of various diseases in our department, and conducted training and learning.
Improve professional quality and comprehensively optimize nursing service. According to the requirements of the hospital nursing department on the classification and grade standard of nurses, we should strengthen the training of basic theoretical knowledge, professional knowledge and technical operation of nursing specialty, improve the practical working ability of nurses at all levels, train responsible nurses, and improve the comprehensive quality and professional ability of nursing staff.
In the first half of the year, the examination scores of nurses at all levels reached the qualified standard, and two comrades achieved good results in the top three of the corresponding levels. Strictly implement the responsibility system and holistic nursing, and fully implement apn scheduling method and flexible scheduling. Fully implement the duties of nurses. It integrates professional nursing, disease observation, assistance in treatment, coordination and communication, health promotion and psychological nursing to provide patients with all-round, whole-course and continuous nursing services.
Close observation of patients' condition, timely communication with doctors, communication with patients, health education and rehabilitation guidance for patients, and psychological care. Deepen the hierarchical use of nurses, assign responsible nurses according to the patient's condition, nursing difficulty and technical requirements, and the critically ill patients are responsible by nurses with high seniority and strong ability, reflecting the energy level correspondence.
Strengthen patients' health education. The responsible nurse should give health education at least 1 time every day, and explain the patients in detail according to the treatment and nursing routine and special diet of common diseases in the department. Strengthen management, ensure nursing safety, strengthen the management of key links and critically ill patients, and improve the nursing process and management evaluation procedures. Strengthen nursing safety management. Each quality control team conducts weekly inspection, conducts monthly investigation of nursing safety hazards, analyzes and discusses the causes of nursing errors and nursing adverse events, analyzes the reasons, draws lessons, and puts forward preventive measures and improvement measures.
According to post management, the performance of post responsibilities is assessed as the basis of performance appraisal. Nurses perform their duties according to evaluation criteria. Strengthen the implementation of the core system of medical safety and various nursing operation norms, processes and routines.
Third, personnel management and training.
In 20XX, X nurses were added and X resigned in general surgery, and the certificate-holding rate reached x%. The department has carried out planned and standardized pre-job training for new nurses, and all new nurses can adapt to their jobs as soon as possible. Based on the rejuvenation of undergraduate nursing staff, the department has formulated a detailed hierarchical training plan for personnel and earnestly implemented it, and further consolidated the "three basics" knowledge and specialist skills through morning questioning, business study, nursing rounds and operation training.
Support and encourage nurses to continue their studies. In the early stage, a nurse participated in the training of mobile nurses in the hospital. According to the situation, the department sent X nurses to the emergency department to study, each of them studied for one month, and made corresponding study reports after returning to the department, which achieved good learning results. According to the plan, X people go out for further study for X months.
Fourth, the establishment of the top three.
In the past two years, our hospital has been preparing to upgrade to a tertiary hospital, leading the general nursing staff to study and standardize their work according to the tertiary standards.
Standardize all kinds of nursing documents, formulate personnel training plans, clarify the job responsibilities and standards of each post, standardize the goods management process, formulate nursing rules to follow, further standardize and unify all nursing work, and check the results in the first half of the year. The preparation of our department is still at the forefront of the hospital.
Verb (abbreviation of verb) open source and reduce expenditure
In the previous special rectification activities in the industry, we felt that standardizing the management of consumables and articles in the department was of great significance to the department. We regularly check the department's trial consumables, water and electricity, put an end to waste, and constantly strengthen the department staff's awareness of saving.
Have shortcomings:
1, due to the young nursing team, junior qualifications, lack of clinical experience, critical thinking and foresight, and serious solidification of thinking, the work innovation and experience summary ability are insufficient.
2. Due to personal reasons, I have been taking various exams in the first half of this year, so the management of departments has declined, resulting in a certain degree of decline in nursing quality compared with last year. In the first half of the year, there were cases of adverse nursing events, including cases of catheter shedding and the rest cases caused by human factors.
3. Since the implementation of the responsibility nursing, most nurses have been able to actively abide by the relevant rules and regulations to carry out various operations, but some nurses are still thinking casually and taking it for granted in their work, lacking sufficient cautious spirit, which leads to the failure to fully implement the responsibility nursing and reduces the quality of nursing.
4. Some nurses are introverted and lack communication skills, which needs to be further improved.
5. There is still a gap between the overall professional level of department nursing and the standards of specialized centers, especially the professional knowledge and skills of young nurses need to be further strengthened.
6, nursing scientific research ability is not strong, habitual thinking is serious, lack of innovation consciousness in work, lazy thinking in writing articles, lack of self-motivation, always think that they can't write, learning is too slow.
Next step:
1. Revise the study plan, search for information according to the existing problems, conduct appropriate training, strengthen guidance at work, break the habitual thinking, apply advanced work concepts to work, sum up experience in time, and blaze new trails.
2. Put into work, increase nurses' working motivation, enhance quality awareness and safety awareness, formulate measures, sum up experience, and minimize the incidence of adverse events in the second half of the year.
3, continue to strengthen the overall nursing responsibility system, give full play to the role of the responsibility team leader, adopt a certain two-group appraisal incentive mechanism, stimulate the enthusiasm of staff, give full play to the subjective initiative of nurses, and at the same time strengthen the cultivation of cautious and independent spirit, and conduct appraisal at the end of each month.
4. Mobilize the spirit of mutual help and friendship among nurses in the department, extroverted nurses actively help introverted nurses, and department personnel * * * Qi Xin work together to enhance communication. The head nurse pays more attention to special personnel in a special period and gradually changes, making the atmosphere in the department more harmonious, communicating more fully at work and improving patient satisfaction.
5, strictly implement the study plan, study and train with good quality, according to the level and actual situation of the department staff, after the half-year exam, continue to formulate monthly morning questions, assess on time, and will continue to send personnel to study.
6. It is planned to invite comrades with high level of writing articles in the hospital to give lectures in the department to improve nurses' learning enthusiasm. Through face-to-face study, nurses' writing ability will be improved to a certain extent, and articles will be published in the second half of the year.
2.2022 Department Nursing Work Summary
In 20xx, under the correct leadership of the hospital leaders and the nursing department, through the joint efforts of general nurses, the nursing work plan formulated at the beginning of the year was successfully completed. The work of the past year is summarized as follows:
First, around the spirit and cultivation of the people's hospital.
Conscientiously establish the humanitarian spirit of saving lives, earnestly study relevant laws and regulations, strictly implement hospital rules and regulations and nursing core system, adhere to the service concept of "patient-centered, quality-centered", persist in issuing patient questionnaires, solicit opinions and suggestions from patients, and constantly improve service attitude to provide quality nursing services for patients.
Second, strengthen nurse-patient communication and improve social benefits.
Nurses always adhere to the "people-oriented" service concept in their work, so that patients can be warmly received by nurses when they are admitted to the hospital, sent to the bedside, and actively introduce the ward environment and nursing system to patients and their families, and introduce qualified doctors and nurses to patients to meet the requirements of patients as much as possible. In the busy nursing work, nurses use morning shift, treatment and night shift to strengthen communication between nurses and patients, explain the prognosis of patients' illness, dietary precautions, functional exercise, etc., patiently explain the problems raised by patients and their families, and let patients feel the care of their loved ones and the warmth of home during hospitalization. In this year's patient selection of doctors and nurses, our doctor Zhou Naiqiang and nurse Su Huilan were well received by patients and their families and were rated as doctors and nurses in our hospital.
Three, strengthen the "three basics" and "three strictness" training, and constantly improve the overall quality of the nursing team.
According to the "three basics" and "three strictness" training plan of nursing department, the nursing work plan of our department was formulated and implemented, especially the standardized training of new employees was strengthened. In this year's first aid skill competition in our hospital, the doctor Ran Hailian and the nurse Chen Yanping selected by our department won the second prize.
Fourth, nursing teaching.
The department set up a nursing teaching group, headed by a nurse in charge, to do a good job of pre-job training for each new nursing student, especially the identification method of patient identity, and implement it in every nursing operation and treatment, and at the same time strengthen the supervision and management of teaching teachers in the teaching process, so as to let go. While improving the practical ability of nursing students, it also promotes the improvement of teachers' own business.
Fifth, strengthen nursing safety management to ensure nursing safety.
In the ward, nursing safety inspection is carried out irregularly every month, and rectification is put forward in time for potential safety hazards. In the management of nursing staff, we should pay attention to the collocation of old and young, strengthen the study of relevant laws and regulations, strictly implement various rules and regulations and technical operating procedures, and constantly improve the self-protection consciousness of nursing staff. In the aspect of patient management, according to the requirements of this year's "patient safety goal" management activities, the check system is earnestly implemented. Strengthen patrol, help long-term bedridden patients turn over and other life care to avoid the occurrence of pressure ulcers.
Sixth, the quality of care.
A first-level quality control team was set up in the department, and the members were the nursing backbones in the department. Conduct self-examination and self-control twice a month. Combined with the results of secondary quality control inspection, the existing problems will be fed back to individuals in time, the causes of the problems will be carefully found and analyzed, effective improvement measures will be put forward, and rectification will be urged within a time limit to ensure the continuous improvement of nursing quality.
Seven, this year's nursing measures are as follows:
New admission 1 180, discharge 1 189, intravenous infusion 12088, intravenous transfusion 87, catheterization 294, bladder irrigation 17 14. Intravenous blood collection 1650 person-times, subcutaneous injection150/kloc-0 person-times, hyperbaric oxygen delivery 503 person-times, oxygen inhalation 1620 person-times, nail clipping 235 person-times, in vitro examination 2976 person-times, blood sugar measurement 460 person-times and ECG monitoring 540 person-times.
3. Summary of Department Nursing Work in 2022
20XX years passed quickly, and another year slipped away behind us. Over the past year, under the correct leadership of hospital leaders, with the care and support of colleagues in relevant departments of the hospital, and with the concerted efforts of Qi Xin, the majority of nurses, we have successfully completed all the nursing work formulated at the beginning of the year. The summary is as follows:
First, strengthen the "three basics" training and assessment to improve the quality of nursing staff.
According to the training and assessment requirements of nursing staff at all levels issued by the nursing department, we will earnestly carry out monthly business study and nursing rounds in the department, organize theoretical examinations and technical operation examinations every month, and pay attention to the study of professional theory and operation knowledge. The professional technical level of nursing staff has been greatly improved, and the improvement of professional theoretical knowledge has also promoted the improvement of overall nursing, so that nursing staff can better understand the condition and carry out health education and nursing. Use the morning meeting to ask questions about the core system of hospital nursing, so that every nurse can master and implement it skillfully. In response to the call of "Connotation Promotion Year" in the hospital, with the cooperation of Qi Xin, a general nurse, the department actively participated in the quality nursing demonstration ward. This work has been carried out vividly, and the quality of basic nursing and life nursing has been obviously improved.
Two, strictly implement the rules and regulations, and steadily improve the quality of nursing.
In accordance with the requirements of nursing quality management norms, a nursing quality control team was set up to give full play to the role of the nursing quality control team, conduct quality inspection every week, find problems in time, correct and deal with them in time, comprehensively analyze quality control inspection information every month, find out the reasons, formulate feasible rectification measures, and check the implementation of rectification. Thus, it obviously supplements ward management, basic nursing and graded nursing, and improves the quality of nursing documents. There were no major mistakes and accidents in this department throughout the year.
Three, adhere to the "patient-centered", strengthen the construction of medical ethics of nursing staff.
Do a good job in professional ethics education for nursing staff, fully mobilize the enthusiasm of nursing staff, correct their work and service attitudes, enhance their confidence and pride in work, give play to the role of nursing backbone, adhere to the principles of "patient-centered" and "quality-centered", and provide quality services for patients. Earnestly complete the tasks assigned by the upload, and actively participate in the creation of "Hospital Connotation Promotion Year".
Fourth, do a good job in nursing teaching and scientific research and constantly improve the teaching system.
Pay close attention to the specialized nursing study of on-the-job nurses, consolidate the clinical knowledge of common and difficult diseases in departments, strengthen random questions at morning meetings, and improve the professional level of nurses. Organize department nursing rounds and business study every month to learn new nursing knowledge and understand new nursing trends. Two nursing papers were published this year. According to the working characteristics of the ward, a three-month training plan for new nurses was formulated, requiring new nurses to master the use of all instruments in the department within three months, and at the same time strengthen theoretical study and assessment. For interns, let go and don't look around. Give a small lecture once a week in the form of PPT.
There is a problem:
1, the overall quality of nursing staff still needs to be further improved, and the study of "three basics" and professional theoretical knowledge still needs to be strengthened.
2. The quality of nursing still needs to be further improved.
3. Individual nurses have a weak sense of crisis and lack initiative in their work.
In the new year, we will strive to take a new step, unify our thinking, establish the image of the department, start from ourselves, set high standards and strict requirements, establish the idea of "prospering and humiliating the hospital", change the service concept and strengthen the service consciousness.
4. Summary of Department Nursing Work in 2022
In 20xx, according to the work priorities of hospitals and nursing departments, the emergency department made a monthly nursing plan, put forward specific detailed measures, found problems in work, solved them in time, and made continuous improvement. Throughout the year, the emergency department carried out the "Three Good and One Satisfied" activities in conjunction with the national health system, enthusiastically served the masses, and ensured that 120 trains were dispatched in time, rescued in time and served in time, and all nursing tasks were successfully completed, with no complaints or mistakes throughout the year. The work summary report for the past year is as follows:
The first is the workload completed throughout the year.
1. Workload: xx emergency patients, 120 person-times, various injections X, gastric lavage X, indwelling catheterization X, enema X, emergency rescue X, death X, rescue success rate x%, group injury X, emergency drills X.
2. Work compliance: the intact rate of first-aid articles reaches 100%. The qualified rate of disinfection and sterilization is 100%. The qualified rate of medical record writing is x%. The score of nursing management was x, the satisfaction of service attitude was x%, and the pass rate of nursing technical operation examination was 100%. The qualified rate of nursing document writing was 100%.
Two, practice according to law, to ensure the quality and safety of nursing.
1, strictly implement the laws, regulations and rules of medical and health management. Strictly implement the "Measures for the Administration of Nurses in People's Republic of China (PRC)", clarify the rights, obligations and practice rules of nurses, and practice according to law. As always, there is no illegal practice. Conscientiously implement laws, regulations and rules.
2. Strengthen the training and study of laws, regulations and rules. Organize monthly training on laws and regulations, rules and regulations, safety knowledge and hospital awareness, and organize general nurses to conduct written examinations, with a pass rate of 100%.
Third, quality service to improve the quality of nursing staff.
1. Because the nurses in the emergency department are relatively young, according to the working characteristics of the emergency department, a targeted training plan is formulated, which requires everyone to master the first aid process, pre-hospital first aid, how to answer emergency calls, master the use of all emergency equipment in the emergency department, and strengthen theoretical study and assessment. Good results have been achieved through training. Scientific scheduling, taking the old with the new, three people in each class alternate between the old and the new, with strong technical ability and strong communication ability, so that the shifts are not fixed, flexible and reasonable, and the overall ability of the nursing team is guaranteed.
2, according to the nursing service rules formulated by the nursing department, organize all nursing staff to study hard and strictly implement, the head nurse takes the lead and strengthens the inspection. Nurses are required to behave in accordance with the requirements, including dress, appearance, language and behavior, abide by rules and regulations and discipline, earnestly perform their duties, and make use of the morning shift time to make rounds, return rounds and spot checks on holidays. Violators are strictly assessed.
Fourth, strengthen the three basics training and improve the first aid ability.
1. The emergency department formulated the learning system and plan, insisted on organizing nursing business learning and training and assessment of nursing operation skills every month, organized nursing business learning *** 12 times throughout the year, and completed the training and assessment of 23 nursing operation skills, with the qualified rate of 100%. Nursing rounds were conducted 4 times, and nursing cases were discussed 4 times.
2. Adhere to the morning questioning system, strengthen the professional knowledge learning of nursing staff, lay a solid theoretical foundation, effectively implement and make a good assessment.
3. 1 Nurses are sent to provincial hospitals to complete the study of emergency nurses, while head nurses are sent to xx hospitals to study, and then to xx hospitals to attend the management training of head nurses.
4. Published 3 academic papers in * * * throughout the year.
5. Complete the teaching of clinical practice nursing students.
5. Summary of Department Nursing Work in 2022
In 20xx, with the care and attention of hospital leaders, the leadership and support of nursing department and the joint efforts of nurses, we completed the nursing work plan issued at the beginning of the year. At the same time, actively participate in the activities of the nursing department, control the standards, and do a good job of each work item by item. Through this activity, it effectively promoted the institutionalization and standardization of nursing management in our department, regardless of department management, medical safety, business skills and so on.
1. Successfully complete the division's diversion and relocation.
Due to the explosive growth of hospital patients, in the first half of this year, the first consultation department took the overall situation into consideration, obeyed the unified arrangement of the hospital, and placed patients in the first consultation department separately. In order not to affect the normal work and ensure the quality of patients' medical treatment, all the staff in the department voluntarily gave up their rest time and worked overtime, and successfully completed the relocation of the department, which not only ensured that the materials and equipment were not damaged, but also realized the relocation and daily work.
2. Complete the annual medical tasks.
Improve the technology of venipuncture and indwelling needle, further improve and implement various rules and regulations, improve the quality of medical care in an all-round way, organize serious study of laws and regulations such as the Code for Writing Case Prescriptions and the Measures for Handling Medical Accidents, and actively participate in activities such as "three good and one satisfaction", "three comparisons and three evaluations" and "striving for Excellence first". Standardize the medical behavior of medical staff, educate everyone to learn, understand and abide by the law, and protect the legitimate rights and interests of both doctors and patients according to law.
At the same time, general practitioners can consciously abide by the rules and regulations of the hospital and labor discipline in their work, never have unprincipled disputes, support each other and understand each other, so as to achieve a clear division of labor, carry out their duties, be United and pragmatic, overcome the situation of few personnel, complex tasks and unreasonable personnel structure, and ensure the smooth development of normal medical services.
3. Strengthen medical quality inspection and medical safety management.
This year, our department actively responded to the spirit of the hospital, paid close attention to medical quality, and set up a medical quality management team to regularly check and evaluate medical documents and software materials. At the same time, in order to strengthen medical safety, dangerous goods are collected in the ward once a week, and department personnel are regularly organized to attend meetings to discuss the existing or emerging disadvantages and medical safety hazards of the department, and discuss the next work and preventive measures. No medical accidents occurred throughout the year.
4. Strive to improve service attitude and service quality.
Strengthening professional ethics and medical ethics education is an important task that general practitioners must recognize, strengthen their sense of responsibility, earnestly implement holistic nursing, and truly establish the service concept of treating patients as relatives and doing everything for patients among every staff member. Take various forms to strengthen professional ethics education, and constantly promote the improvement of universal service awareness and comprehensive quality.
5. Problems in nursing.
(1) The overall quality of nursing staff still needs to be further improved, and the study of "three basics" and professional theoretical knowledge still needs to be strengthened.
(2) The quality of nursing still needs to be further improved.
(3) Individual nurses have a weak sense of crisis and lack initiative in their work.
(4) Two general nursing mistakes occurred during the year, and medical safety needs to be strengthened.
(5) Holistic nursing, especially health education needs to be further strengthened. Over the past year, nursing work has made some achievements in nursing quality and professional ethics construction, but there are also some shortcomings that need further improvement.
6. Don't be proud of the achievements made in the nursing process, but actively reflect on the deficiencies in the nursing process.
For the future nursing planning of undergraduate departments, we should strengthen the study of nursing knowledge, abide by hospital rules and regulations, strengthen the implementation of holistic nursing, adhere to the patient-centered nursing concept, put an end to nursing disputes and improve nursing quality.
In a word, there are gains and losses in the work of 20xx, and we need to continue to work hard in the future. The first department is a trivial and stressful department. Because of the particularity of medical work, it is not easy for us to face the elderly and infirm patients who are complicated with various medical diseases and even unable to take care of themselves for a long time. But we should feel satisfied mentally when we look at the smiling faces of patients and their families.