Annual summary of 2022 people in maternal and child health care (1)
In the past 20 years, under the correct leadership of hospital leaders, the work of science and education department has adhered to the development strategy of "rejuvenating the hospital through science and technology", and combined with the actual work of our hospital, it has been actively and orderly carried out. Focusing on discipline construction and personnel training, we implemented the management of scientific research, teaching, learning and continuing education, and gave full play to the functions of service, management, research and guidance, further improving the academic level of scientific research and the quality of education and training. The specific work is summarized as follows:
I. Scientific research and teaching
1. Strengthen leadership and management. At the beginning of the year, the Medical Ethics Committee and the Medical Technology Committee were adjusted. First, by increasing the allocation of medium and high-end equipment, technical training and talent introduction, the hospital launched a total of seven new projects and technologies 1 in the whole year, of which 10 with good social and economic benefits was converted into conventional technologies, and six continued clinical trials, and1was pending approval. The projects include new technology of auxiliary examination, rehabilitation of bone injury in traditional Chinese medicine, children's rehabilitation, breast surgery, hysteroscopy surgery, laparoscopic surgery, gynecological tumor chemotherapy and so on. Second, by inviting experts and professors from tertiary hospitals to our hospital for consultation and surgical guidance, we can promote the development of major surgery within the scope of our practice and alleviate some technical bottlenecks in our hospital. Third, the research project on birth cohort of natural population in Southwest China was started in time and the work was carried out in an orderly manner.
2. Teaching: Our college accepts students' further internship in Nanchong Health School and signs a fixed-point internship agreement. In order to carry out this work, our college standardized the teaching management system, issued qualified documents for teaching managers, and implemented pre-internship training. In the whole year, * * * completed the internship teaching of five fresh graduates, mainly in nursing, midwifery, imaging and pharmacy, and the internship time was ***8 months. Also received six interns from other medical schools, the longest 1 month, the shortest 7 days. At the same time, five grass-roots staff were accepted to study maternal and child health care in our hospital.
Second, science and education management
1. Further study is the direct way to improve the level of medical technology. This year, the annual business training plan was formulated, which further standardized the management system of further training. For key and short-term majors, the unit uniformly arranges personnel to go out to medical institutions above level 3 for full-time study. During the year, * * * sent 10 medical, nursing and medical technology professionals to study in the Provincial Maternal and Child Health Hospital and North Sichuan Medical College respectively.
2. Actively send relevant professionals to participate in special business training, short-term training, academic exchanges, academic annual meetings, qualification certification, etc. According to the arrangement of the superior. Complete short-term training 14 person-times, and participate in various trainings and academic lectures 6/kloc-0 person-times.
3. Participated in various academic activities, annual meetings and special training organized by city and county medical associations and health administrative departments, with more than 100 person-times.
4. Medical technicians and nurses participated in the national qualification examination throughout the year, and obtained 4 practicing doctors, 2 assistant doctors, nursing practicing doctors 1 name, nurses 1 name, and 2 qualified in the national professional title examination.
Three. Continuing medical education
1. Strengthen leadership and management. This year, our hospital brought this work into the unit target management assessment and formulated relevant systems.
2, standardize continuing medical education and credit management, each department set up continuing medical education management committee, make annual plans, clear goals, responsibilities to departments and individuals, each department set up continuing medical education specialist is responsible for, department head is the first responsible person, each department not less than twice a month internal business training.
3. Continuing medical education has achieved the expected results. The staff of the whole hospital 152, participated in various business and technical personnel training 135. Business training organized by hospital departments is 12 times a year, covering infectious disease management, breast-feeding knowledge, medical safety and risk prevention, hospital infection management, toxic drugs management, antibiotic application management and so on.
4, laws and regulations, three basics and three strict exams. This year, our college organized various business theory and operation examinations, mainly for junior staff with low seniority. All the training and examinations have been carried out smoothly this year, and satisfactory results have been achieved.
5. The municipal continuing medical program was held in our hospital. Through careful preparation and various efforts, the municipal continuing medical project "the 20th Annual Meeting of Gynecology and Obstetrics in _ _ County" organized and declared by our hospital went smoothly, and the task was successfully completed. 100 More than obstetricians and district representatives attended the meeting. The convening of this academic conference has increased the academic exchange of obstetrics and gynecology, improved the clinical diagnosis and treatment level of grassroots obstetricians and gynecologists, and achieved good results. The establishment of a municipal key college for our college has filled the gap in the experience of continuing education.
Fourth, the existing problems
1, the general scientific research level is low, and the passion for reporting is not high.
2. The construction of municipal key colleges has not been implemented.
3. The overall innovation ability of new technologies and new projects in various departments is insufficient.
4. The low output and level of scientific papers may be related to the promotion of professional titles.
5. Continuing medical education. First, it is a mere formality, and some departments and individuals still have resistance when participating in hospital-related training tasks. Second, medical staff are not interested in taking part in in-hospital business study, and they are late and leave early.
Verb (abbreviation of verb) rectification measures
1. First, do a good job in statistics and awards of scientific research (including papers, discipline construction and scientific research projects), attach importance to the progress of projects approved by superiors, strengthen contact with superior departments, invite experts from provinces and cities to guide and explore scientific research cooperation, seriously organize doctors in the whole hospital, especially key specialists, to declare scientific research projects and topics at all levels, modify problems found in their work, and formulate methods for supervision and awards of scientific research projects. The second is to strengthen the routine management of the project research that has been carried out, so that the project research can be carried out in a solid and orderly manner, with records, inspections, summaries and special personnel in charge, paying attention to the project completion rate, summing up achievements and finding deficiencies.
2. Continuing medical education and training and credit management need to be further standardized, and the training content needs to be improved. First, strengthen the assessment of studying abroad and studying in the hospital; Second, invite more experts outside the hospital to give academic lectures, learn from others' advanced technical level, standardize and form a professional learning atmosphere, so as to improve the training effect; Third, strict assessment, linked to performance; The fourth is to increase high-level and practical lectures to effectively improve the professional and technical level in the hospital.
Personal Annual Summary of Maternal and Child Health Care in 2022 (II)
With the strong leadership of the county party committee and government and the great help of the provincial, municipal and county health authorities, the Maternal and Child Health Hospital has earnestly implemented the key reform work of medical reform, solidly carried out the work of maternal and child health projects, and carried out the "three good and one satisfied" activities in depth, which has made positive contributions to promoting the development of maternal and child health in the county.
I. Health care
1. Quality training for women and children at all levels has been strengthened. In addition to providing professional training and guidance to county and township maternal and child health care personnel on the 3rd of each month, this year, with the strong support of the Health Bureau, the Maternal and Child Health Hospital, the county CDC and the Food Supervision Office jointly compiled the training materials for rural doctors. Taking advantage of the meeting time of village health workers in towns and villages, our hospital transferred relevant personnel to various health centers for centralized training. Check township hospitals twice a year to master the professional level of health care personnel at all levels.
2. Strengthen kindergarten health care management. Strictly implement the Measures for the Administration of Health Care in Kindergartens issued by the Ministry of Health and the State Education Commission, take the physical examination in kindergartens as an important part of public health, and earnestly carry out physical examination, so as to strengthen the monitoring of children's growth and development and the prevention and treatment of diseases. 1- 1 6,269 children in 60 kindergartens in counties and townships were given a physical examination, and their health status was scientifically analyzed and guided.
3. Solidly carry out neonatal disease screening. This year, 1393 newborns were screened for two diseases, including 873 hearing screening and 665 deafness gene screening, which made a lot of work for early detection, early diagnosis and early intervention of phenylketonuria, congenital hypothyroidism and deafness, and ensured the healthy development of children's physique and intelligence.
4. Further standardize the management of birth medical certificates. In strict accordance with the requirements of the Ministry of Public Security and the Ministry of Health on the management of birth medical certificates, the detailed workflow has been further improved from the aspects of certification process, file management and certificate inquiry, which has blocked all kinds of loopholes and ensured the standardization and safety of certification work. For a small number of babies who can't go to the hospital for delivery due to special circumstances, we have formulated strict certification procedures and set up special personnel to review them, thus avoiding the phenomenon of issuing certificates in violation of regulations. 1- 10, * * * issued 2875 birth medical certificates, and the qualified rate was 100%.
5, solidly carry out the health management of pregnant women and children aged 0-6. According to the procedure of free prenatal examination for every pregnant woman from 12 weeks of pregnancy, the whole pregnancy is free of prenatal examination fee of 266 yuan; Children aged 0-6 years old are examined free of charge after receiving postpartum visit, and all of them are inspected and managed according to the standards of 200 yuan.
Completion of various health indicators in 6 and 20 years.
Maternal systematic management rate: 90.2 1%
Systematic management rate of high-risk pregnant women: 100%
Postpartum visit rate: 95.68%
The rate of neonatal consultation: 94.08%
Systematic management rate of children: 9 1.02%
Delivery rate in hospital: 99.85%
Mortality rate of children under five years old: 10.43‰
Infant mortality rate: 8. 19‰
Incidence of birth defects: 36.65/ 10,000.
Second, maternal and child health care project work
Maternal and Child Health Hospital undertakes three public health projects and two basic public health projects. The three major public health projects are rural pregnant women's hospital delivery assistance project, birth defect prevention project and "women's two diseases" screening project; The two basic public health projects are the maternal health management project and the 0-6 year old children health management project. Over the past year, we have ensured the smooth progress of the project by strengthening organizational leadership, improving implementation plans, formulating evaluation measures, strengthening publicity and education, innovating service measures, and strengthening supervision and guidance.
1, rural maternal hospital delivery assistance project. 1- 10, * * * 722,700 yuan was distributed to 2,409 rural hospitalized parturients. All relief funds have been distributed in a fair, open, just and transparent manner, and all of them have been paid in full and on time according to the standards.
2. Birth defect prevention project. Through the implementation of "Detailed Rules", "Folic Acid Administration Scheme" and business training guidance, the occurrence of birth defects has been effectively reduced. 1- 10, 27060 bottles of folic acid were distributed to 449 1 pregnant women free of charge, which made a positive contribution to improving the quality of the birth population in the county.
3. Health management project for pregnant women and children aged 0-6. These two projects are two of the nine basic public health projects with the most difficult management and complicated procedures. In order to ensure the smooth implementation of the project, our institute has set up a special organization in accordance with the project management measures, equipped with full-time personnel to carry out this work in an all-round way, with the information system network direct reporting as macro management, the issuance and use of service vouchers as workload statistics, and supervision and spot checks as quality control.
4. Cervical cancer screening project for rural women. Since July this year, experts and nurses 1 1 in our hospital have been selected from Jinzhuang, Shangdian and Bai Chi towns, and 4000 rural women have been examined, and 2 cases of cervical cancer and 8 cases of precancerous lesions have been found.
5, maternal and child safety 120 action plan. Our hospital is the executive body of the maternal and child safety 120 action project, and is fully responsible for the implementation of the project. This year, * * * sponsored 1000 rural pregnant women, totaling 500,000 yuan.
Third, pay close attention to medical quality and ensure medical safety.
First, medical safety knowledge training has been strengthened. Concentrated on studying health laws and regulations such as the Law on Medical Practitioners, Regulations on Handling Medical Accidents, and Regulations on Management of Medical Institutions. , improve the safety awareness of employees and enhance their sense of responsibility. The second is to improve the prevention and control measures of clean government risks in various departments. In view of the high risk of medical work, all departments in the hospital are required to proceed from reality, carefully find out the risk points of undergraduate work and formulate corresponding prevention and control measures. Organizing regular study improves the ability of medical staff to cope with risks, strengthens their concept of clean medical practice, reduces disputes between doctors and patients, and harmonizes the relationship between doctors and patients. Third, adhere to uninterrupted business learning and hold business knowledge learning lectures every Tuesday, which enriches the thinking of medical staff and improves their working ability. The fourth is to strengthen the training and assessment of "three basics and three strictness". Organized by the medical department and the nursing department, the staff of the whole hospital will be trained and assessed on the "three basics" once a month, so that everyone can pass the "three basics" assessment and the "three strictness" style runs through. Fifth, the management of clinical departments has been strengthened, and the implementation of core systems such as three-level ward round, nursing ward round, medical record writing, blood transfusion management, preoperative discussion, discussion of key and difficult medical records, handover and duty system has been strengthened. Sixth, hospital infection management and blood transfusion management have been strengthened, the management and application of antibiotics have been strengthened, a three-level monitoring network for hospital infection has been formed, and hospital infection knowledge training and assessment have been held regularly, and the hospital infection rate has dropped significantly. Strict blood transfusion management procedures, strengthen blood transfusion knowledge training, and ensure blood transfusion safety. Seventh, personnel training has been strengthened. Formulated and promulgated the learning methods for clinicians, implemented the regulations that clinicians go out for further study by turns, and * * * sent five people to Shanxi Children's Hospital and _ City Maternal and Child Health Hospital for further study, which reserved sufficient human resources for hospital development. Eight is to carry out "three good and one satisfaction" activities and high-quality nursing demonstration projects, formulate practical work plans, establish work objectives, clarify work responsibilities and improve work measures. The activity further standardized the working procedures, improved the service awareness and promoted the institutionalization and standardization of all work. Nine is to standardize the management of narcotic drugs. Organize relevant personnel to concentrate on training and study, and invite municipal experts to come to the hospital for guidance to ensure the safety of narcotic drugs. Through the implementation of the above measures, the scientific management mechanism of all work has been further improved, and the comprehensive service capacity of maternal and child health care has been improved.
The fourth is to consolidate the achievements of the second-class first-class maternal and child health hospital and comprehensively improve the service level of the maternal and child health hospital.
Since we passed the evaluation of the second-class first-class maternal and child health hospital in June 2000, we have been aiming at "consolidating the achievements of the second-class first-class maternal and child health hospital and paying close attention to the implementation of medical quality management measures". Organize relevant personnel every quarter, and deploy personnel from various departments to conduct self-examination and self-correction, and conduct detailed inspections from organizational management, health care management, medical management, medical technology management, nursing management, hospital management and financial management. Through unremitting efforts, the management level has been further improved, the service concept has been further changed, and the sense of self-discipline has been further enhanced. With superb medical technology and high-quality medical services, the hospital has won wide acclaim from the society, various business indicators have been improved year by year, and the hospital has flourished.
Five, implement the objectives and tasks of comprehensive management and spiritual civilization construction, and build a harmonious and civilized hospital.
We closely focus on the requirements of "safe hospital" and "civilized unit". First, strengthen study. Through various forms such as meeting instead of training, professional training, and holding a symposium on doctor-patient communication, the significance of strengthening the construction of Ping 'an Hospital and creating civilized units was widely publicized, and the training of doctor-patient communication skills was emphasized, which reduced the disputes between doctors and patients and enhanced the feelings between doctors and patients. The second is to improve the system. Especially in the aspects of safety, fire prevention and theft prevention inside and outside the hospital, the management of the doorman and the chief duty officer has been strengthened, the fire prevention, theft prevention and flood prevention work plans and emergency plans for various public health emergencies have been improved, and 24-hour patrol on duty has been implemented, giving full play to the role of monitoring equipment, ensuring the safe and orderly work inside and outside the hospital. The third is to implement measures. At the beginning of the year, a comprehensive management target responsibility form was signed with various departments, and contradictions and disputes were investigated and mediated by various departments. All departments regularly carry out supervision and inspection, and conduct comprehensive evaluation at the end of the year to ensure the effective implementation of various rules and regulations. The fourth is to do a good job in the reception of letters and visits. In view of the hot and difficult problems strongly reflected by the masses, a report box was set up, and a special person was responsible for reception and handling, and communication and explanation were done in time to nip all kinds of problems in the bud. The fifth is to carry out in-depth activities of striving for Excellence and improve the risk prevention and control mechanism of clean government. We should organically combine strengthening professional ethics education, correcting unhealthy practices in the industry, carrying out activities of striving for Excellence, and establishing a risk prevention and control mechanism for clean government. Focusing on the hot and difficult issues closely related to the masses and strongly reflected by the society, the leaders of the hospital and all the directors of party member and various departments publicly promised to accept social supervision, which further consolidated the ideological defense line of party member cadres and created an environment that handled affairs according to law, handled affairs efficiently, and was clean and honest. There were no criminal security cases, illegal and disciplinary cases and letters and visits cases throughout the year.
Six, pay close attention to the implementation of the work, the successful completion of various business indicators.
Over the past year, with the strong support of the higher authorities, all medical staff in our hospital, Qi Xin, worked together, worked hard, earnestly implemented the post target responsibility system, effectively changed the work style and paid close attention to the implementation of the work, and all business indicators were improved compared with the same period. 1- 10 months, the number of outpatient visits was 47355. 4,365 people were hospitalized; Business income is 74,479,844,300 yuan; The bed utilization rate reached 96%, and the satisfaction rate of medical ethics reached 99%. The solid development of clinical work has made positive contributions to the cause of maternal and child health in the county and promoted the good development of maternal and child health.
In the past year, we have made joint efforts and made some achievements in maternal and child health care, project implementation, hospital management and clinical business. However, there are still many difficulties and problems. Such as: high mobility of recruiters; The learning atmosphere is not strong enough; Medical ethics needs to be further improved; The service ability of medical staff needs to be improved urgently. In view of these difficulties and problems, we will continue to strengthen and improve in the future work, and make greater achievements in promoting the rapid development of maternal and child health in the county.
Personal Annual Summary of Maternal and Child Health Care in 2022 (III)
In the second half of this year, under the leadership of the two committees and the dean in charge, the hospital sensory department will pay close attention to the implementation of the system, clarify responsibilities, improve execution, continuously improve quality, reduce hospital infection rate, improve medical quality and ensure patient safety.
First, continue to strengthen the construction of hospital infection organization system, and give full play to the role of hospital infection management Committee, hospital infection management department and clinical department hospital infection management team in hospital infection management.
Second, in the actual work of the hospital, constantly standardize and improve the relevant systems and responsibilities, and at the same time pay close attention to the implementation of the system in combination with the assessment office, so as to make the responsibilities clear and the personnel clear. Put forward rectification measures in time for the problems existing in hospital infection management.
Three, the implementation of the Ministry of health "hospital infection monitoring standards", monthly statistics, analysis, feedback of infection cases monitoring.
Four, grasp the distribution of nosocomial infection strains and bacterial drug resistance and regular feedback; Timely find cases of multi-drug resistant bacteria infection and take active and effective measures to prevent and control the outbreak and epidemic of multi-drug resistant bacteria nosocomial infection.
Five, every month to the operating room, delivery room, neonatal ward, disinfection supply room and other key departments and comprehensive departments of the treatment room, dressing room for air, object surface, medical staff hand hygiene monitoring and related guidance, unqualified departments, departments to find out the reasons, related monitoring.
Six, strengthen the awareness of hand hygiene of medical staff, improve the compliance of hand hygiene.
Seven, the disinfection of medical devices and disposable medical devices, appliances related to the proof of a quarterly audit.
Eight, continue to carry out hospital staff awareness knowledge training, improve hospital staff awareness.
Nine, guide and supervise the classified management of medical waste.
Ten, the 20_ year-old new employees and interns to carry out pre-job training on hospital infection knowledge.
Personal Annual Summary of Maternal and Child Health Care in 2022 (IV)
The first half of 20_ should be a busy half year, and most of the time I go to the village. First, cooperate with obstetrics and gynecology to do a good job in the "May 2" physical examination of pregnant women. Then go to the village to make residents' health records. Because this year's residents' health records have a new work plan, the purpose is to do a good job in basic public health projects and teach rural doctors to sort out residents' health records. So from February 17, my whole epidemic prevention staff and I are almost the same age.
Part of the energy is focused on the establishment of residents' health records. As rural doctors are generally aging, it is really not that simple to teach rural doctors to systematically establish residents' health records. You can't remember what you told him ten times, and you want to write it yourself. During the period, the filing village will also cooperate with the obstetrics and gynecology department to do a "May 2" physical examination for pregnant women. But during this period, I learned to monitor blood sugar, mastered venipuncture technology and mastered the ability to lead and organize people. In the past six months, besides going to the village, we have to do routine work, such as distributing hospital delivery subsidies and subsidy cards, distributing folic acid, and planning physical examinations for children aged 0-3 on immunization days. Every piece of information should be systematic and logical. Sometimes, in order to squeeze out the time to apply for hospital delivery allowance, we have to come 20 minutes in advance every morning, make an appointment with the recipients, and go through the subsidy procedures in time without delaying the departure time. Even so, there is no time to standardize data on women and children. It was not until May 23 that I received the notice of the performance evaluation of maternal and child health in the city that I spent a few days sorting out the data on maternal and child health. It was not until May 22nd that all our employees worked overtime until 2: 30 in the morning. At that time, I was very busy. The gay man arranged the scene to tidy up the room, and the lesbian arranged the information. Even Mr Zhai worked overtime until 1. Fortunately, the city has fully recognized our work, which is the result of our joint efforts. At the same time, the city leaders also gave us some reasonable suggestions, such as the layout of obstetrics and gynecology, the distribution of bacteria area and sterile area is not clear, as long as the high-risk screening in the township is graded, only patients in our hospital have project management. How to organically combine the birth of newborns with the health management of children aged 0-6 provides valuable suggestions.
In the past six months, I have had two opportunities to study. First, I studied in Xiao Zhi Town, Pingyin County and Xiuhui Town, Zhangqiu City, which made me deeply realize that it is impossible to make progress behind closed doors. Only by going out to study can we understand the gap between us. The above two hospitals are characterized by heavy tasks and few staff. Only their employees are a whole with team spirit. The construction of the hospital is invested by employees. Everyone raised money to build a house and buy equipment. Today's achievements are exactly what they paid yesterday, so they work hard for themselves and have no complaints even if they work overtime. Their maternal and child work is also ahead of us, especially the ddst screening technology. We haven't started yet. They have been developing it for four or five years. Basic public health services, whether hardware or software, they are more advanced than us. The whole two floors are all public health departments with hardware alone, and full-time staff will have more than ten names, and the paper quality of health records will be more solid and beautiful. Health education materials are beautiful and generous, and the whole hardware investment is very high. The overall quality of rural doctors is also very high. They are not only familiar with the basic public health work projects, but also have been able to complete the work independently.
In short, the past six months have been really busy and stressful. I have gained some experience in my work, but there are still many shortcomings. For example, ddst screening for maternal and child health care was postponed. I wanted to get technical support from the district women's health station, but I failed to start it for various reasons.
The training of rural doctors is also a task that should be strengthened. How to do a good job in public health projects, the key is to train a group of capable personnel and strengthen their sense of responsibility, so as to do this work well, otherwise it will be difficult to deal with.
Personal Annual Summary of Maternal and Child Health Care in 2022 (V)
The work of the nursing department in the past 20 years has closely focused on the task of providing medical services for women and children, the construction and relocation of new hospitals, and ensuring the safety of nursing services to the greatest extent. The work carried out in the past year is summarized as follows:
First, the main indicators of nursing service task completion (1-165438+10 monthly data)
1, the total number of inpatients, including 898 in pediatrics and obstetrics and gynecology, outpatient observation (no statistical data),
2. There were 524 operating tables and 882 cases of painless abortion.
3. Children's immunity, hearing screening 3867, bone mineral density 5028, hydrotherapy 6349, intelligence screening 3360 and vision examination 3867.
4, to participate in group physical examination and other hospital mandatory tasks.
Second, the completion of the main business indicators
1, sterilization qualification rate of medical devices 100%
2. The qualified rate of first aid instruments and medicines is 100%.
3. The rescue success rate 100%.
4, basic nursing qualified rate ≧90%
5, critically ill patients nursing qualified rate ≧90%
6. The notification rate of nursing invasive operation was 100%.
7. The drug sensitivity test rate was 100%.
8. Bed guard ratio 1:0.27
Third, the operation of nursing management
In a year's time, according to the management of hospital departments, the unified deployment of medical safety was ensured. The nursing department made full use of the existing human and material resources and focused on the following work.
1. Establish and improve the three-level organizational structure of nursing management. At present, the nursing department, pediatrics (﹙NICU), pediatric ward, outpatient observation room, child care department, obstetrics and gynecology (including obstetrics and gynecology 1, obstetrics and gynecology 2, outpatient abortion operating room) have been implemented, and management responsibilities have been implemented at different levels. The Nursing Management Quality Committee and
2. The quality standard of nursing management in hospitals is being formulated and improved in accordance with the requirements of "Evaluation Standard of Three-level Maternal and Child Health Care Institutions", "Nurses Regulations" and "Guidelines for Hospital Management Evaluation", combined with the actual situation of nursing work in our hospital.
3. Make full preparations for the smooth relocation and commissioning of the new hospital. First, at the beginning of the year, according to the setting of the nursing unit in the new hospital, three people were sent to the provincial maternal and child hospital, the provincial maternal and child health hospital and the downtown hospital to study the management of operating room, NICU and supply room to prepare for the management of the new department. The second is to organize the head nurses of all departments to formulate the setting scheme of undergraduate course according to the requirements of the evaluation of the third-level maternal and child health care institutions, including the configuration of personnel, equipment and basic facilities, report it to the hospital department and urge the relevant departments to implement it. Third, reasonable and scientific arrangement of the existing nursing manpower has realized the excessive relocation of new and old hospitals from the opening of 30 beds to the opening of August 28 120 beds, and the work is tense and orderly. There was no property or equipment loss in the whole process, and no major safety accident has occurred so far.
4. Carry out professional training for nursing staff aiming at the standardized management of nursing in the new hospital. First, the "pre-job training" for new recruits, the "standardized nursing management training" for nurses in the whole hospital and the next "management training for head nurses in departments" were carried out, and the qualified rate of training was over 85%.
Fourth, highlight the problem.
Since the operation of the new hospital in March, there have been some nursing defects and complaints in the nursing groups of various departments, and there are many problems. One reason is standardized management, and the other is a serious shortage of nursing staff. Standardized management is to standardize the system and the team management. There are successful and ready-made experiences for reference in the standardization of the system, and it takes a process to continuously improve it into our own operational and applicable standardized management system in practice. First of all, we should standardize the management of the team, that is, a reasonably configured team of nursing staff. At present, the current situation of nursing staff in our hospital is as follows: First, there is a serious shortage of nursing staff. Now there are actually 42 beds in pediatrics and 33 beds in obstetrics.
1, 36 gynecological beds, 30 outpatient observation beds, NICU open beds 10, * *15/beds and special beds (5 operating rooms, 4 waiting beds, 2 outpatient abortion operating rooms and 2 delivery rooms). According to the requirements of "Evaluation Standard of Three-level Maternal and Child Health Care Institutions", "Nurses Regulations" and "Guidelines for Hospital Management Evaluation", the minimum bed-to-nurse ratio in general wards 1:0.4, the minimum configuration of nurses in nursing units in maternal and child wards 1:0.6, NICU bed-to-nurse ratio 1:2.5, operating room, delivery bed and waiting room. There are 20 nursing staff in the health section and supply room. * * * Need 1 10 nurses. At present, there are 64 nurses, the number of nurses in clinical departments is 4 1, and the bed-to-nurse ratio is 1:2.7.
Second, the structure of nursing staff is unreasonable, 1, and few people in the management team have received professional training in management.
2. There are 20 nurses without professional qualifications.
3. The professional leaders are constantly on duty. The main job of head nurses in various departments is to receive patients, complete treatment and nursing, collect fees and collect items every day. Which department is the nursing department busy helping? There is no more time to think about how to grasp management and how to do it concretely. The above situation is an important reason why it is difficult for our hospital to achieve good results in a short time.
Five, thinking about countermeasures
According to the current situation, the nursing department is drafting a special report on the current situation analysis and countermeasures of nursing team in 20 years, and submitting it to hospital departments. For decision-making reference.
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