Surgical nursing work plan 1 1. Complete the preparation of the department.
1, get the basic items and various documents of the department as planned.
2, formulate department responsibilities, implement the nursing core system.
3, learning nursing management and specialized nursing related knowledge.
Second, meet the evaluation of tertiary hospitals.
1, strengthen the construction of department system, and make nursing work institutionalized, standardized and routine.
2. Do a good job in the training and teaching of new nurses and junior nurses, and strengthen their learning consciousness and enterprising spirit.
3. Strengthen the "three basics" training and assessment, study 10 minutes every morning, conduct spot checks on nurses' operation every two months, and conduct theoretical examinations every two months.
4. Learning and assessment of specialized nursing knowledge, focusing on the combination of theoretical examination content and clinical nursing work, requires efforts in learning, and is not a mere formality.
5, organize nursing staff to learn medical laws and regulations, improve legal awareness, enhance the department's ability to resist risks.
6. Plan to actively carry out quality nursing service in the second half of the year.
7. Actively study and prepare for the evaluation of tertiary hospitals.
Third, nursing quality management and safety management.
1, the nursing work is carried out according to the requirements of the Nursing Work Standard of Inner Mongolia Autonomous Region, and the hospital is actively preparing for the re-examination of grade hospitals. Strengthen the standard of nursing operation, strict aseptic operation and nursing core system, improve the level and quality of nursing, and put an end to mistakes and accidents in medical care.
2. Strictly implement the six health industry standards issued by the Ministry of Health, namely, Management Specification for Hospital Disinfection Supply, Technical Specification for Cleaning, Disinfection and Sterilization of Hospital Disinfection Supply Center, Monitoring Specification for Cleaning, Disinfection and Sterilization Effect of Hospital Disinfection Supply Center, Technical Specification for Hospital Isolation, Monitoring Specification for Hospital Infection and Hygiene Specification for Medical Staff.
3, strengthen the implementation of the core system, to achieve full knowledge.
4, conscientiously do a good job in basic nursing, requirements to keep the bed clean, no smell, no stains, neat and standard items, frequently patrol infusion patients, be good at observing the condition, find problems and solve them in time. According to the operation of the department, actively improve the quality nursing service.
5. Establish a quality control team and give full play to the role of the quality control team. Implementing the nursing system in all aspects of work requires general practitioners to understand the core system.
6, to carry out the responsibilities of each class, check the completion of each class.
7, actively report nursing adverse events, and find ways to improve.
8. Encourage the work of nurses. Praise those who have done well in time and distribute performance reasonably.
9, strive to achieve zero complaints about service quality, adhere to four rounds a day.
10, further improve the clinical pathway work and standardize the quality management of key links.
1 1. Help to improve the level of specialized nursing and actively participate in the emergency competition of specialized nursing for common diseases.
12, learning "Nursing Quality Briefing" to find weak links in department management and actively rectify them.
Fourthly, nursing human resource management.
1, the department plans to use 8-9 nursing staff.
2. Support and encourage on-the-job nurses to improve their academic qualifications through various forms.
Fifth, personnel training.
1, new nurses as the key training object, focusing on job responsibilities, core system, hospital infection norms, basic nursing operations, basic rescue skills, professional ethics, service norms, service concepts, etc.
2, the department according to the requirements of the nursing department for nurses at all stages of the organization to learn basic knowledge, specialized nursing, management norms, laws and regulations, hospital infection training.
3, strengthen the training of department emergency plan, using nursing rounds to practice common emergencies in this major.
4. Take an active part in the on-the-job training organized by the nursing department and organize the employees of this department to study.
5. Strengthen the "three basics and three strictness" training of department nurses.
6, actively participate in nursing rescue training organized by the nursing department, and organize department personnel to learn.
Sixth, nursing service.
1. Continue to carry out the "Satisfaction Star" appraisal activities.
2, pay attention to nurse-patient communication, medical communication, through talking with outpatients and inpatients, issuing satisfaction star questionnaires, etc. , to obtain patients' needs and feedback information, put forward improvement measures in time, and improve and make up for the deficiencies in nursing work.
3. Do a solid job in the "six ones" service, and the smiling service form is linked to the individual's annual evaluation, job competition and performance appraisal. Ask key nurses to publish papers.
34. Actively participate in teachers' teaching skills competition.
Seven, teaching, scientific research, new technology, new business.
1. Make a teaching plan according to the requirements of the syllabus, and ask teachers to specify a teaching plan.
Through the evaluation of interns and interns, the teaching teachers are evaluated. The teaching teacher should conduct theoretical and operational assessment after the internship and report the internship to the head nurse.
2, guide the nursing staff to establish scientific research consciousness, guide the nursing staff to write papers, and will be published with personal annual evaluation, job competition, performance appraisal. Ask key nurses to publish papers.
3. Actively participate in teachers' teaching skills competition.
Surgical nursing has been planned for 20xx years. The new year is a year full of challenges, opportunities and pressures, and it is also a very important year for our department. Around the hospital's work policy and the nursing department's work plan, we earnestly perform our duties and formulate our annual nursing work plan as follows:
First, do a good job in the training of department nurses and strengthen the quality training of department nurses.
Ordinary care personnel should realize that "congenital deficiency" has become the driving force rather than the resistance of our continuous learning, and establish the spirit of self-improvement, striving for progress and assiduous study of professional knowledge. Only by studying hard and accumulating knowledge can we improve our own quality and professional ability. Only in this way can the current nursing team with college education as the main body be gradually transformed into an undergraduate nursing team. The nursing department will take various channels to provide learning opportunities for nursing staff.
1. Encourage young and middle-aged nurses to participate in self-study and encourage nursing staff to participate in undergraduate and postgraduate nursing studies. Two years later, there will be five people with bachelor's degrees.
2. Ask the nurse questions during nursing rounds, including basic theoretical knowledge, professional theoretical knowledge and nosocomial infection knowledge. Use the morning meeting to ask questions about the core system of hospital nursing, so that every nurse can master and implement it skillfully.
3, according to the arrangement of the hospital and nursing department, have the opportunity to send nursing backbone to participate in short-term nursing knowledge training courses inside and outside the province, focusing on the progress of management knowledge and specialist knowledge.
4, insist on nursing knowledge, new business and new technology, department professional and technical training every month. There are 1-2 business studies, 1 nursing rounds and 1 operation training every month. The nursing department should focus on standardizing nursing rounds and improving the quality of rounds, so as to improve the level of professional knowledge and practical ability. Senior nurses should strengthen the training of emergency and first aid ability. Set an example for junior nurses at work, set an example and carry forward the fine style of unity and cooperation in neurosurgery.
Two, 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. Hold a nursing quality and safety management meeting once a month. Comprehensively analyze the feedback information of the first-level quality control inspection, the head nurse's quality control inspection, the second-level quality control inspection and the third-level quality control inspection, find out the reasons, formulate feasible rectification measures, and check the implementation of the rectification. Inform the department of the inspection results, criticize and educate comrades who often have problems and give appropriate punishment, and commend and reward those who do well.
3, do a good job in morning and evening care, basic care in place. Keep the sickbed unit clean and tidy and the environment warm and comfortable.
4, strictly implement the bedside handover system, and make a specific report to the off-duty nurse when handing over.
5, strictly implement the responsibilities of personnel at all levels. The head nurse or the responsible team leader shall check the work quality of health workers twice a week to keep the ward clean and tidy; Investigate patient satisfaction once a month to ensure service quality.
6, electronic medical records timely evaluation, the head nurse insisted on weekly inspection 1 time, found the problem in a timely manner to correct and notify the responsible nurse, to prevent similar problems from happening again.
7. Strengthen the control of hospital infection. Strictly abide by disinfection and isolation, and do a good job in environmental health monitoring in the ward, and the results should meet the standards. At the same time, do a good job of disinfection at any time, terminal disinfection and daily disinfection. After use, the articles shall be disinfected according to the principle of treatment, and disposable goods shall manage, use and treat them as required.
Third, organize general nursing staff to seriously study the evaluation standard of nursing quality control revised in 20xx.
Nursing quality control standards include four aspects: nursing management quality control evaluation standards, nursing safety quality control evaluation standards, nursing service quality control evaluation standards, and clinical nursing (basic nursing, graded nursing, specialist nursing, critical care, hospital infection control, etc.). ) quality control evaluation standard.
Fourthly, nursing safety is the focus of nursing management.
The long-term work of nursing safety should be persistent, carry out their duties, check at all levels, do a good job in nursing safety management, reduce medical disputes and hidden dangers, and ensure the safety of patients seeking medical treatment.
1, supplement and improve the nursing safety management measures, pay special attention to the pre-job training of nursing staff at all levels, check the safety work regularly and irregularly, and insist on the head nurse or the responsible team leader making rounds at night once a month, as well as the safety inspection before and after the holiday.
2, the head nurse to do micro management. Adhere to the handover of toxic drugs, rescue drugs and materials, keep the rescue instruments in a functional state, and keep the intact rate of rescue materials at 100%. Pay special attention to the monitoring of nursing staff, patients, time and nursing operation.
(1) link monitoring of nursing staff: strengthen the management of newly transferred nurses, newly graduated nurses, practical nurses and nurses with thoughts and emotions, so as to focus on explanation, follow-up nurses and rounds.
(2) Link monitoring of patients: focus on supervision, inspection and monitoring of critically ill patients newly admitted to hospital, newly transferred to hospital, after major surgery, and patients with potential risks of medical disputes.
(3) Time link monitoring: during holidays, weekends, busy work, fatigue time and night shift, supervision and management should be strengthened.
(4) link monitoring of nursing operation: transfusion, blood transfusion, various allergy tests, preoperative preparation, etc. Although it is daily work, if there is a problem, it is a matter of life and death and should be the focus of monitoring in nursing management.
Fifth, strengthen nursing management and make rational use of human resources.
1, the proportion of nurses in our department does not meet the requirements, and there are few nurses. The work is heavy, and the head nurse should allocate human resources reasonably and flexibly according to the patient's situation and the nursing workload of the department.
Schedule shifts, increase the number of people who go to work during peak hours, and general nurses can be on call when they need to work, ensuring quality and quantity to provide patients with satisfactory nursing services.
2, nursing managers should enhance management awareness, the head nurse and director of * * * to think together, to find a way to change the income structure of the department. To carry out department cost accounting, head nurses are both decision makers and participants. She wants to make detailed and accurate statistics on the material cost accounting of the department, so that planning and control, accounting and analysis coexist, and gradually explore the law of department cost consumption, so that the medical cost of the department is reasonable, scientific, low-cost and effective. It not only reduces the burden of patients, but also increases social benefits, economic benefits and personal income.
Sixth, strengthen scientific research consciousness and improve nursing scientific research ability.
1, actively create conditions for senior nurses, create a good academic atmosphere, and strive for a higher degree of paper publication. Try to publish at least one article at CN level this year.
2, the use of incentive mechanism, for nurses who have academic papers published in magazines or exchanged at meetings, in the selection of outstanding nurses and year-end awards, priority is given.
The third surgical nursing work plan follows the working principle of "focusing on nursing service and developing characteristic specialties", with strengthening the quality construction of nurses as the core, focusing on specialty and training as the focus, providing patients with safe, professional and full-course quality nursing services and improving patients' satisfaction with nursing services.
First, strictly implement the overall nursing responsibility system.
(1) Wards are arranged flexibly, such as night shift, middle shift and holidays. Reduce shift frequency, reduce work loopholes, reasonably match young nurses and old nurses on duty, and pay attention to cultivate the spirit of caution and independence when nurses are on duty independently.
(2) According to the concept of high-quality nursing service, there are 2 responsible group leaders and 2-3 bed nurses in the ward, and each nurse cares for 10 patients. The responsible nurse provides patients with continuous and complete work from admission to discharge, including various treatments, medication, observation of illness, basic nursing and health education, so as to effectively provide high-quality nursing services. Critical patients, high-risk patients after major surgery and complications are implemented by senior responsible nurses.
(3) fully perform the duties of nurses. It integrates basic nursing, disease observation, treatment, communication and health guidance to provide patients with comprehensive, 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.
(4) Clinical nursing service fully embodies the characteristics of specialties, enriches the service connotation according to the characteristics of departments, provides humanized nursing service for patients, ensures the safety of patients and promotes their rehabilitation.
Second, strengthen nursing safety management and improve nursing risk prevention measures.
(1) Strengthen the care of key patients: for example, surgical patients, critically ill patients and elderly patients, take these patients as the focus of discussion at the early meeting or shift change, evaluate the existing and potential risks of patients, reach a * * * understanding, and attract the attention of each class. Do a good job in the handover of critically ill patients, pressure ulcer prevention, blood transfusion, special medication, patient pipeline management and patient existing and potential risk assessment.
(2) Further standardize the writing of nursing documents, reduce potential safety hazards, pay attention to the problems existing in nursing documents at this stage, and make records "objective, true, accurate, timely and complete" to avoid irregular writing, such as typos, unclear alterations, inconsistencies with doctors' records, etc., so as to standardize and standardize nursing documents.
(3) Improve the emergency risk plan of nursing, pay attention to cultivating nurses' emergency ability at ordinary times, and make a retrospective evaluation of various emergency work, such as blood transfusion, transfusion reaction, special liquid, drug leakage, sudden power failure, etc. So as to learn from it and improve the ability of nurses to deal with emergencies.
(4) Strengthen the monitoring and management of nursing safety, organize the departments to investigate the hidden dangers of nursing safety and analyze and discuss the causes of nursing errors and nursing input every month, analyze the reasons and lessons to be learned, and put forward preventive measures and improvement measures.
(5) Strengthen departmental management. Conduct irregular spot checks on ward management, basic nursing, nursing safety, medical record writing, nurse equipment, disinfection and isolation every week, immediately point out the existing problems and give feedback within a time limit, and summarize them at the monthly nurse work meeting; Quality control of high quality nursing wards.
Third, comprehensively improve professional quality and optimize nursing service.
(1) Strengthen the "three basics" training plan to improve the comprehensive quality and professional ability of nursing staff.
(2) To learn basic nursing service items, basic nursing service standards and common clinical nursing technical service standards for inpatients.
(3) Organize all nurses to conduct business study, nursing discussion of critically ill patients, case rounds, education rounds and other forms of learning and training every month, so as to improve the professional quality of nursing staff in the hospital and their ability to observe the illness, implement nursing measures and record nursing documents.
(4) Improve the practical working ability of clinical nurses and cultivate the backbone of specialized nursing.
(5) Simplify the morning group shift and strengthen the bedside shift. Using the time of bedside shift change, head nurses and senior nurses explain the theoretical knowledge of bedside specialty and take effective intervention measures on the first-class nursing and nursing problems of critically ill patients.
(6) Supervise the nursing staff to seriously implement the nursing routine, nursing system, nursing operation rules and condition observation, and conduct regular first-aid technical drills, so that every nurse can master the use of first-aid drugs and instruments.
Fourth, deepen the quality of nursing service with the overall goal of patient satisfaction.
Take patients as the center, advocate humanized service, strengthen nurse-patient communication, improve patient satisfaction and avoid nursing disputes.
(1) The nurse in charge sincerely received the patients, sent them to the bedside, and actively provided health education for the discharged patients.
(2) Strengthen service awareness education, improve the concept of humanized active service, increase health education days on basic nursing days every Wednesday and Sunday, and make education guidance and safety precautions at any time in each class.
(3) hold a symposium every month to solicit opinions from patients and their families, and praise, criticize and educate nurses with good or bad service quality.
Five, strengthen the training of hospital infection knowledge, prevent and control the occurrence of hospital infection.
1, learn the knowledge of hospital sense once a month.
2. Sterile articles should be placed separately from non-sterile articles, and the used sterile articles should be marked with the opening time in time and disinfected regularly; Every day, the nurse in charge of the treatment class will check and disinfect the items.
3, the medical waste placed separately, every day before coming off work by the nurse on duty to check, and urge the nursing staff to do a good job of garbage Nissan Nissin; Nurses with disinfection monitoring regularly carry out publicity and education work in the department.
4. Disinfectant solution
Disinfection monitoring nurses are responsible for monitoring liquid concentration, air culture and surface culture, and recording them in time. The head nurse will monitor the examination results from time to time, and formulate relevant nursing measures in time to ensure the safety of nursing.