Nursing Work Plan of Anorectal Department 1 1. Nursing Management
1, the improvement of head nurses' self-management ability. Learn new nursing management methods and skills comprehensively. Actively participate in nursing management training and communication to improve the level of nursing management. Attach importance to the improvement of theoretical knowledge and skills in junior college. Improve the ability to guide teaching.
2. Make full use of management tools to improve management efficiency. Including quality control circle, fishbone diagram, histogram and Plato's application. Give full play to the achievements of Gao Wei's management training in practical work. Standardize the content and process of department shift, so that the patient information can be understood and mastered by nurses to the maximum extent, and the nursing problems, evaluations, plans and measures can be solved reasonably and quickly. The implementation of daily management experience sharing, work experience sharing, smooth communication between nurses, barrier-free, easy to work.
3. Continue to promote refined management. Consolidate and improve the original refined management measures and introduce new refined management measures. 20xx will focus on improving the ward environment. Creating a warm, clean and safe ward is the key project of refined management. Improve patient satisfaction. It introduced detailed safety measures such as setting up mobile phone charging box in ward, weekly inspection 1 day, perfecting special instrument set and making leg covers for patients to ensure nursing safety.
4. Promote nursing post management. Improve the effect of nursing training, urge nursing staff to strengthen the study of theoretical knowledge and skill operation, and realize the smooth promotion of nursing staff.
5. Insist on improving and implementing the nursing performance distribution scheme. According to the level of nursing staff, workload, nursing quality control, patient satisfaction, etc. , the implementation of performance distribution, arouse the enthusiasm of nursing staff. Achieve fair, reasonable and efficient goals.
6. Improve target management and information management. At the beginning of the year, the department made a detailed and complete nursing work plan, which decomposed the goals, measures, methods and goals. Actively implement the annual plan objectives. Record relevant real work data at work and cooperate with information management. Report all monitoring indicators as required.
Second, improve the quality of nursing.
1, do a good job of self-control of nursing staff. Carefully train, supervise and check the nursing self-control records, establish the self-control concept of nursing staff, and develop a good concept of quality and safety. Standardize nursing self-control and zero errors in nursing work. Do a good job of mutual control within the department. Through the three-level monitoring of head nurse, nursing team leader and team members, and through the mutual monitoring between groups, the seamless management of nursing quality can be realized.
2. Graded nursing pays attention to the improvement of patients' quality of life in hospital, and strengthens management from the aspects of patients' diet, functional exercise and personal hygiene. In nursing documents, we should attach importance to the application of new case system, correctly implement and verify doctor's orders, and accurately record various evaluation scales. Implement health education records, and formulate and implement reasonable specialized nursing plans. Infection management attaches importance to the timely isolation of patients with infectious diseases, completes the terminal disinfection of wards, and records the isolation methods and measures in time.
3, conscientiously do a good job of continuous improvement of nursing quality. Discuss and analyze the deficiencies and problems in nursing work, put forward rectification measures and conscientiously implement them. Don't repeat the same question.
4, the department made a complete quality control plan, methods, measures, evaluation, rectification detailed system. And put it into practice. Make full use of management tools and record in time. Including the mastery and application of dot matrix diagram and column diagram.
5. On the basis of the original quality control circle, establish the title of this year's quality control circle: reducing the incidence of postoperative wound bleeding. General nursing staff participate in the learning and mastering of quality control circle activities, and solve practical nursing problems and problems through quality control circle. Improve the level of nursing quality.
Third, nursing safety management.
1, strengthen nursing risk project management. Seriously carry out the project management of sexual risks in the whole hospital. Risk project management, including falls, bed rest, pressure ulcers, catheter slippage and medication errors. At the same time, combined with the characteristics of the department, two department * * * risk project management and three patient personalized risk management were formulated. Risk prevention rate 100%.
2, increase the supervision of key links and special patients. The quality control plan includes key link management and special patient supervision. And through the emergency plan drills organized by departments and the daily inspections of head nurses, the emergency skills of nursing staff are improved. The mastery and implementation rate of nurses reached 100%.
3. Innovate nursing safety management measures: standardize the irradiation distance of physiotherapy instruments in departments to ensure the safety of physiotherapy. Encourage patients to use airbag cushions to prevent the wound from bleeding under pressure. Make a daily meal schedule for patients to ensure safe and reasonable diet for patients. Formulate relevant publicity charts and reminder cards to ensure that nursing reminders are timely, safe and humanized.
Fourth, strengthen the construction of professional connotation.
1, focusing on effective health guidance and nursing education. Including postoperative levator ani exercise training and intestinal peristalsis function training.
2. Improve the quality of specialized nursing. The head nurse and nursing team leader completed the annual nursing rounds as required. The discussion of nursing medical records and nursing consultation were seriously carried out throughout the year. In order to improve the level and knowledge of nursing specialty. The development rate of nursing rounds, consultations and case discussions was 100%, and the records were clear.
3. Create the characteristics of specialized nursing and create the brand of painless nursing. Popularizing indwelling needle during operation and reducing venipuncture. Rational guidance of postoperative analgesic application. Guide the correct method of defecation and relieve the pain of patients.
4. Improve nursing scientific research and academic ability. Combined with the new technology projects carried out by this department, the paper was published in TST and RPH. N3 nurses each published 1 national paper. Combined with the newly developed colon hydrotherapy technology, it is planned to declare 1 municipal nursing technology achievement project.
5. Expand the promotion of professional skills. Train children in scalp venipuncture and postoperative wound care.
The fifth is to deepen quality nursing service.
1, sublimate the connotation of health education and improve the self-care ability of patients after discharge. Design a self-management booklet for patients with specialized diseases to encourage patients to consciously manage themselves from the aspects of diet, functional exercise, precautions and maintenance, so as to achieve the purpose of nursing health education. It is completed by nurses in the hospital and managed by patients after discharge, so that patients can return to society healthily. Do a good job in patient discharge follow-up work. Explain and guide all kinds of insurance knowledge.
2. Improve the success rate of invasive surgery. According to the characteristics of the department, the success rate of invasive operations such as venipuncture, intravenous injection, catheterization and enema blood transfusion should be improved. Supervise the implementation through skill training, evaluation and problem rectification. Report the data in time, and the success rate of all invasive operations reaches 100%.
3. Strengthen standardized management of wards. Fully implement the "five permanents" management and "four unifications and one regression" management of bed units. Habitual positioning management. Strengthen the warm, standardized and clean management of department wards. Ward management standard 100%. Strengthen the management of escort and continuously reduce the escort rate. Fully implement the "no escort" management of morning rounds. Supervision and implementation of unaccompanied management in time period.
Sixth, strengthen team building.
1 to build a harmonious team. Encourage nurses to make suggestions for department management. Encourage nurses to actively participate in nursing quality, nursing safety and nursing management. Hold a quiz on prize-winning knowledge. With the theme of nurse regulations, quality service, laws and regulations, and moral norms, a prize-winning knowledge quiz was held to improve the nursing training effect.
2, consolidate the "one, two, three" learning project. Make a detailed reading plan, and evaluate, track and evaluate it. Actively carry out reading reports and exchanges. Form good reading habits.
3. Refine the advanced individual appraisal scheme of high-quality nursing service in the department, and conduct appraisal every month. Fair, just and reasonable evaluation. Mobilize the enthusiasm of nursing staff to carry out high-quality nursing service.
Anorectal anorectal
Nursing work plan of anorectal department 2. Guiding ideology and principles of discipline construction:
In 20xx, anorectal department will take strengthening technology, humanized service, training experts, scientific management and vigorous publicity as the guiding ideology, and developing departments, expanding departments and developing specialties as the construction principles. In order to gain the absolute advantage in technology, it is necessary to further improve the development of anorectal diseases specialty and improve the operating norms, procedures and quality. Technology is constantly updated to achieve first-class equipment technology and create a painless and minimally invasive brand. To explore a new service model, we should effectively solve the pain of patients, take treatment, education and guidance as the main body, and let patients return to society healthily. Carry out health education publicity, consultation service and appointment service in outpatient department. Guided discharge procedures were carried out in the ward, and humanistic services were continuously provided during the perioperative period. In terms of personnel training, we should attach importance to echelon construction and train outstanding talents in the field of special diseases. Management should be quantitative, scientific and humanized, and the sense of competition should be cultivated. At the same time, cooperate with information construction, reduce costs, improve performance and improve the welfare of department employees.
Second, the construction objectives and management guarantee:
1. In the construction of specialized diseases, perianal abscess is the key disease, thrombotic external hemorrhoid is the clinical pathway, standardized management is carried out, and standardized diagnosis and treatment of other specialized diseases in our department is promoted. Plan the path of managing diseases such as hemorrhoids, anal fissure and anal fistula. At the same time, we should do a good job in early detection of colorectal tumors, diagnosis and treatment of complex high anal fistula, internal hemorrhoids, severe mixed hemorrhoids and other diseases. To improve the diagnosis and treatment of postoperative anal canal stenosis, perianal intractable eczema and third-degree rectal mucosal prolapse. Treatment of adenoma, polyp, perianal trauma and laceration from rectum to anus 10 cm. Overcome various intractable diseases in the field of anorectal diseases. To improve the treatment level of perianal abscess and anal fistula in infants. The diagnosis and treatment of constipation were deeply studied by colon hydrotherapy, defecography and barium enema. And use hydrotherapy technology to develop intestinal cleaning, intestinal beauty and other fields. Formulate the process and specification of specialized dressing change technology, focusing on the application method, sealing method, wet compress method and drainage method in dressing change, so as to improve the technical quality of specialized dressing change.
2. In terms of new technology projects, the molding technology of "clinical application of anorectal disease treatment system" and "standardized diagnosis and treatment of constipation" has developed steadily in the process of diagnosis and treatment and has been continuously improved and perfected. Focus on the new technical project "One-time selective hemorrhoid mucosal resection and anastomosis" and the supporting project "Automatic hemorrhoid ligator technology". At the same time, explore the clinical application of colon hydrotherapy technology. In 20xx, the department will carry out more advanced technical projects, including high-frequency capacitance field hemorrhoid treatment technology (HCPT technology), plasma low-temperature minimally invasive technology (DNR technology), and popularization of conventional sigmoidoscopy technology.
3. Management guarantee: In order to ensure the smooth progress of the above work, the department will continue to improve management, implement the medical core system, and track the implementation of patients' surgical safety objectives. Strict implementation of drug safety management and rational use of antibiotics. Improve the application of technical equipment. Including colon hydrotherapy instrument, microwave physiotherapy instrument, micropump for injection and clinical application of infusion pump. It is planned to introduce postoperative dressing change washing treatment machine, traditional Chinese medicine fumigation and washing machine and sigmoidoscopy treatment system. Improve the diagnosis and treatment model. Pay attention to the systematicness and integrity of diagnosis and treatment of intestinal diseases. In the diagnosis and treatment of hemorrhoids, anal fissure and other specialized diseases, other diseases, such as rectocele, rectal mucosal accumulation, enteritis, intestinal polyps and other diseases, were screened by colonoscopy, abdominal color Doppler ultrasound, colon slow transmission experiment, defecography and barium enema. Completely relieve the pain for patients and improve the level of diagnosis and treatment.
Third, the talent echelon construction: In order to cultivate outstanding talents in the specialized subject, our department will make use of the existing graduate resources and combine the training at the hospital and department levels, select advanced technology for further study and introduction, especially TEM fiber surgery for rectal tumors, so as to enrich the technical strength of the department. Encourage the all-round development of department personnel in scientific research achievements. This year, it is planned to declare two technical achievements: clinical application of TST technology and clinical application of colon hydrotherapy technology. Six papers will be published this year, including two core papers. In addition, we will try to treat anorectal diseases with combination of traditional Chinese and western medicine, including fumigation and washing with traditional Chinese medicine, acupoint injection and enema with traditional Chinese medicine. At present, traditional Chinese medicine retention enema technology has achieved good results in the treatment of nonspecific ulcerative colitis. At the same time, progress should be made in the diagnosis and treatment of complex and difficult anorectal diseases, and achievements should be made in improving surgical methods, preventing dysfunction and improving the quality of life of patients after operation. So as to improve the comprehensive strength and overall level of anorectal department in this area.
Fourth, quantitative indicators:
1 and 20xx, anorectal department will make a breakthrough in workload, and strive to expand the number of beds to 30, and the utilization rate of beds will reach over 90%.
2. Academic investment is 5,000-6,000 yuan, 2 technical achievements are declared, and 6 national papers are completed, including 2 core journals.
3. Send 1 doctor to further study the TEM fiber surgery technique for rectal tumor.
4. Introduce 2 sets of new equipment.
5, strive to complete the business income of 7 million, the number of outpatient visits was 5,270, the number of discharged patients was 770, the number of surgical cases was 667, and the bed utilization rate was over 90%.