Work plan of orthopedics in 2023 1

First, seriously implement the rules and regulations.

Strict implementation of rules and regulations is the fundamental guarantee to improve nursing quality and ensure medical safety.

1, the nursing department reiterated the responsibilities of nursing staff at all levels, clarified the post responsibility system and nursing work system for nurses on duty and visiting nurses, and put an end to the bad phenomenon of patients changing infusion bottles and pulling needles by themselves.

2, adhere to the inspection system:

(1) requires the class to check the doctor's advice, and the head nurse participates in the total check 1-2 times a week and records it;

(2) Nursing operation requires three checks and seven pairs;

(3) Insist on filling in the infusion card, and no major nursing mistakes have occurred in the past year.

3, conscientiously implement the orthopedic nursing routine and microsurgical nursing routine, adhere to fill in all kinds of information and data register, equipped with five types of surgical disposal tray.

4, adhere to the bedside shift system and morning care, to prevent the occurrence of complications.

Second, improve the management level of head nurses.

1. Adhere to the record and assessment of the head nurse's handbook: require the head nurse's handbook to be submitted to the nursing department for assessment before the 5th day of each month, and supervise the implementation according to the annual plan, seasonal arrangement and monthly plan formulated by the head nurse, and monitor the implementation effect, and require the head nurse to summarize the monthly work so as to sum up experience and carry out the work.

2. Adhere to the regular meeting system of head nurses: according to the requirements of grade hospitals, hold a regular meeting of head nurses once a week, with the contents as follows: arrange the focus of this week's work, summarize the advantages and disadvantages of last week's work, put forward corresponding rectification measures, feed back the nursing quality control inspection to the head nurses, and learn the relevant materials of head nurses' management.

3, check the quality of nursing every month, and timely feedback, and constantly improve the management level of the head nurse.

4. Organize head nurses to go out to study and visit, learn from the advanced experience of brother units, collect and sort out, and expand their knowledge: At the end of May, head nurses from three wards were selected to participate in the New Progress of International Nursing * and report to all nurses after the study.

Third, strengthen the construction of medical ethics of nursing staff.

1, continue to carry out the code of conduct for nurses, and carry out 50 civilized expressions for nurses in daily work.

2. Organize all nurses to attend etiquette training in Wenling Hotel and Wanchang Hotel in June, 165438+ 10 respectively.

3. Continue to carry out health education and distribute satisfaction questionnaires to inpatients. The results of satisfaction surveys (regular or irregular evaluations) are all above 95%. In addition, corrective measures were put forward for the problems existing in the satisfaction survey, and nurses were selected.

4, the department held a symposium on a regular basis every month, solicit opinions from patients, meet the requirements of patients.

5. Carry out pre-job professional ethics education, rules and regulations, nurse code of conduct education and basic nursing knowledge, specialist knowledge and nursing technology operation assessment for newly assigned nurses, and those who pass the examination will be given posts.

Fourth, improve the professional quality of nursing staff.

1. Conduct "three basics" training for on-the-job personnel and organize theoretical examinations.

2, cooperate with the medical department, hire experts to teach, teach orthopedics, internal medicine, surgery knowledge, in order to improve professional knowledge.

3. Each department asks questions 1-2 times a week in the morning, and the content is basic theoretical knowledge and orthopedic knowledge.

4. A nursing technical operation competition (aseptic operation) was held on March 8th Women's Day, and the first prize (,second prize (,Tang,) and third prize () were awarded respectively.

5.65438+At the beginning of February, the nursing department conducted a nursing technical operation examination for the nurses in the whole hospital:

Examination of nurses in ward: intravenous infusion and oxygen inhalation; Examination of nurses in emergency room: cardiopulmonary resuscitation, oxygen inhalation and gastric lavage; Examination of nurses in operating room: intravenous infusion and aseptic operation.

6, strengthen the nursing of critically ill patients, adhere to the bedside succession system and morning care.

7. Insist on nursing rounds: conduct nursing rounds in three wards in turn every month to discuss nursing diagnosis and nursing measures to improve professional quality.

8.165438+1October 9-June, 9 nurses who entered the hospital this year were given pre-job training on basic nursing and specialized nursing knowledge, and each head nurse was organized to have a class to improve their teaching ability.

9. There are 5 nurses in the whole hospital who take the self-taught examination for nursing specialty and 3 nurses who take the correspondence course for nursing specialty.

Five, strengthen the management of hospital infection.

1, strictly implement the disinfection and isolation system formulated by the hospital management leading group.

2. Each department insists on monthly air culture in the ward treatment room and dressing room, and secondary air culture in summer in high-risk departments such as operating room and outpatient operating room, which ensures the good effect of aseptic incision without infection.

3. The department insists on ultraviolet disinfection of the treatment room and locker room every month, and make records. The ultraviolet lamp tube is dusted with anhydrous alcohol every week, and recorded, and the ultraviolet intensity is monitored every two months.

4. After the disposable articles are used, all wards, operating rooms and emergency rooms can be damaged, soaked, concentrated and inspected regularly. Regularly detect and check the concentration of various disinfectants, and insist on one bed, one middle school, one wet and one sweep in the morning nursing.

5. The treatment room and dressing room in each ward can insist on mopping the floor with disinfectant (1: 400 disinfectant) twice a day, and regularly mop the floor with disinfectant (1: 400 disinfectant) for final disinfection (clean the bedside table and wipe it with disinfectant).

6, operating room, strict implementation of hospital dyeing management requirements, aseptic package with chemical indicators.

7. The supply room has established a disinfection project monitoring record book, and regularly monitors each disinfection project.

Six, nursing staff to better complete the nursing work.

1, adhere to the patient-centered, quality-centered, and provide quality services for patients, and carry out patient-centered health education in depth. Through the distribution of health education manuals and the words and deeds of nurses, patients are familiar with the knowledge of disease prevention, rehabilitation and related medical care, nursing and self-care.

In February and August, the holistic nursing mode was carried out in the third ward. Nurses in the third ward not only taught patients the knowledge of disease prevention and rehabilitation, but also went deep into the ward to talk with patients.

3. 2357 cases were hospitalized, 25 cases were observed/kloc-0, and 2380 cases were operated in operating room. Emergency nurses provide full service for emergency patients, including escorting patients to take photos, doing B-ultrasound, doing electrocardiogram, accompanying patients to the hospital and sending them to the operating room. There are fixed nurses on duty and visiting nurses in all three wards, so that patients get thoughtful service.

4. Nurses in the whole hospital wrote 30 nursing papers, including the 3rd National Orthopedic Nursing Academic Exchange 1 article, 3 academic exchanges in Taizhou, and 2 academic exchanges in the 2nd National Contemporary Nurses1article.

Seven, the existing problems:

1, the quality of individual nurses is not high, and the concept of sterility is not strong.

2. Holistic nursing is still in the exploratory stage, and nursing writing is not standardized.

3, due to the shortage of nursing staff, basic nursing is not in place, such as first-class nursing patients can not get the service of first-class nurses, second only to daily work.

4. Ward management is not satisfactory.

Over the past year, due to the dean's attention, support and help, nursing work has made some achievements in nursing quality and professional ethics construction, but there are also some shortcomings that need to be further improved.

Work plan of orthopedics in 2023 II

First, correct working attitude, enthusiastic service for patients

As a nurse, serving patients is both a responsibility and an obligation. Our hospital is still a new thing for mainland residents. In order to be stronger and bigger in the shortest time, I think we should first improve the service quality and satisfy every patient, so as to expand the popularity of our hospital. After joining the work, strive to improve their ideological quality and professional ethics, correct the attitude of the master, worry about the patient's urgency, think about the patient's thoughts, and do their best to serve the patient; Treat every patient patiently, no matter how tired, take pains to explain and communicate, and strive to implement the work of "two good things and one satisfaction".

Two, seriously and responsibly do a good job in medical work, improve the professional and technical level.

1, insist on business study. After taking part in the work, I still insist on studying every day and mastering a disease every day; At the same time, do not forget to learn the new achievements of this major, constantly absorb new nutrition and exercise scientific research thinking;

2. Adhere to the principle of "Excellence and meticulousness" and carry out work in strict accordance with routine medical operations to avoid medical accidents and errors; Constantly enrich my clinical experience in my work, always be modest and prudent, dare to ask my superiors for advice when I encounter problems I don't understand, and strive to improve my comprehensive analysis and problem-solving ability; Closely observe the condition, timely and accurately record the condition, and properly handle patients; As a new doctor, I should guard against arrogance and rashness, be full of energy and keep learning.

Third, be strict with yourself and actively contribute to the development of the hospital.

As a member of the hospital, it is my unshirkable responsibility to make suggestions and contribute to the greater development of the hospital. On the basis of doing a good job, we will actively make suggestions for the development of the department and hope that the workload will reach a new high next year.

Work plan of orthopedics in 2023 3

In the new year, in order to meet the needs of the development of medical care, nursing and health, conscientiously implement the work plan of the nursing department, conscientiously implement the patient-centered work, provide high-quality nursing services, and improve patients' satisfaction with nursing work, this year's nursing work plan is formulated as follows:

First, seriously implement the nursing rules and regulations.

Strictly implement the nursing core system and nursing safety target management system to improve nursing quality and ensure nursing safety.

1, define the responsibilities of personal nursing posts.

2. Strictly implement the operating principles of aseptic technology and nursing operation procedures, strictly implement the check system, conscientiously implement the doctor's advice, and strictly implement the system of "three checks, seven pairs and one attention" in nursing operation to avoid errors and accidents and ensure nursing safety.

3. Strictly implement the disinfection and isolation system. One person, one needle, one tube and one area should be injected. The tourniquet should be soaked and disinfected in time after use. Medical wastes should be classified and placed. Humidifying bottles, atomizers and thermometers should be soaked in time after use, and disinfectant should be replaced daily. Regular ultraviolet disinfection is carried out between rooms in the emergency department every day.

Two, strengthen business learning and nursing operation training, improve the technical level of nursing business.

1, according to the requirements of the business learning plan of the nursing department, participated in the business learning and operation training of the whole hospital within one month.

2, according to the department's business learning requirements, long-term participation in the department's business learning and operation training, specialist theory and specialist skills operation training.

3, master the judgment of common diseases and rescue process and nursing requirements, master the rescue techniques such as cardiopulmonary resuscitation, defibrillator, ECG monitoring and the use and maintenance of various rescue instruments.

4, master the usage and dosage of commonly used first-aid drugs, strictly implement the oral medical advice system in the process of rescue, pay attention to the patient's allergic history, blood sugar, cardiopulmonary function, etc. Pay attention to the safety of medication.

5, pay attention to the dynamic observation of the patient's condition, often patrol, find the change of the condition in time, before the emergency patient's condition is unstable, be sure to strengthen patrol and communication, try to arrange the patient within the scope of their own power, so as to observe and give first aid in time.

Third, the implementation of quality nursing services.

Taking patients as the center and people's satisfaction as the starting point and the end result, we should standardize service behavior, pay attention to service skills, implement doctor-patient communication, avoid disputes between doctors and patients, ensure service quality, improve service level, realize "three good and one satisfaction" and build a harmonious doctor-patient relationship.

Work plan of orthopedics in 2023 4

Under the correct guidance of leaders at all levels in the hospital, with the strong support and cooperation of functional departments and clinical departments in the hospital area, the work of "special rectification of antibacterial drugs", "controlling unreasonable growth of medical expenses" and shortening hospitalization time was carried out in an all-round way in 20xx, with continuous emancipation of the mind, renewal of concepts and strict management. Around the comprehensive management goal of 20xx, we should improve the hospital management system, strengthen medical quality management, prevent medical safety, improve our professional level and do a good job in medical continuity.

First, resolutely implement hospital rules and regulations, clarify management responsibilities, and ensure the effective implementation of various work systems.

1, according to the current working mode of the department, continue to improve the working system, workflow, post responsibilities and performance appraisal standards of personnel at all levels of the department, and earnestly implement them. The three-level rotation management system of director-attending physician-resident is implemented in the department, which ensures the accurate implementation of hospital systems, responsibilities and processes, improves medical quality, keeps close doctor-patient relationship and ensures medical safety.

2, according to the requirements of the hospital, earnestly implement the specific content of total target management, implement the target management responsibility system, strict management, strict implementation, strengthen process management and link control, and successfully complete all work indicators.

Second, strengthen self-study, strengthen self-management ability, improve medical quality and ensure the smooth development of departments.

1, under the leadership and guidance of Director Chen Jinghui, along the 20xx-year learning mode reform, once a week, continue to do a good job in business learning. Attending doctors and residents in the department take turns to sit in the clinic, and the director and deputy director give detailed guidance, and discuss the difficult cases in the department, master the condition, make the operation plan and discuss the operation process.

2. In line with the service concept of "patient-centered, improving the quality of medical service", treat patients well, correct their work style, carefully accept patients, treat patients patiently, explain, comfort, understand, warm and help patients more, improve the service quality of departments, close the relationship between doctors and patients and promote the improvement of medical quality.

3, the department set up a quality control team, establish a feasible quality control scheme and regular effect evaluation system, so that the department's three-level ward round, consultation, discussion of difficult cases and other work are implemented, so that the medical quality is fully guaranteed.

4. Educate medical staff to clarify the significance of post responsibility system, improve various rules and regulations of departments, and check the implementation of medical conditions and post responsibility system from time to time. Combined with the problems existing in the work, we should constantly improve and deal with them, establish preventive measures for medical defects, implement the accountability system for medical defects, and educate medical personnel to put medical safety first.

5, strengthen the management of medical documents, make medical documents standardized, standardized and detailed. Regular spot checks, lack of timely feedback in the morning meeting, timeliness, accuracy and timeliness under the development of electronic medical records, to ensure the integrity of medical records.

Three, strengthen their own learning, improve the professional level, do a good job in continuing education.

1. With the deepening of an aging society, osteoporosis has gradually become one of the important goals that plague the quality of life of the elderly population. Continue to do a good job in the treatment of osteoporosis and osteopathy, establish follow-up files, and collect scientific research data.

2. In order to improve the medical quality, it is planned to continue to send 1 ~ 2 key personnel from various departments to Zhengzhou, Nanchang and other hospitals for further study, focusing on acupuncture, rehabilitation and massage.

3. According to the structural level of the existing personnel in the department, conduct hierarchical training. Residents should combine their posts, cultivate professional technical knowledge and skills, master professional technology and participate in scientific research projects, which can solve more complicated and difficult diseases; Attending doctors should closely combine their own specialties, consciously and strictly supplement and increase their professional skills with new theories, technologies and methods through self-study, full-time study and hospital training; Deputy directors and chief physicians should strictly control the quality, guide the all-round development of junior technicians, and strive to improve the professional quality of professional teams.

4. Pay attention to scientific research training, increase scientific research strength, instill scientific research consciousness, continue to do a good job in the declaration of scientific research projects and the writing of papers, so that orthopedics can walk in the forefront of hospitals and win honors for departments and individuals.

Fourth, strict teaching management.

1. Composition of teaching staff: in 20xx, with the strong support of hospital leaders, there are currently 8 departmental physicians in our department, including deputy chief physician 1 person, attending physician 1 person and 3 residents.

2, combined with the composition and title of the department team, set up a teaching team and always teach, the director personally checks, and completes the teaching task with a serious and responsible attitude.

Five, set an example, do a good job in medical safety management.

1. Carry out medical safety education and study on relevant laws and regulations for general medical staff, standardize medical behavior according to law, strictly implement personnel access and technical access, and hold lectures, trainings and examinations on the prevention and treatment of medical disputes on a regular basis.

2. Strengthen medical safety prevention, start with controlling medical defects, strictly implement the system of medical disputes, medical accident handling and accountability, sum up experience from medical accidents and disputes in other hospitals, and make continuous progress.

3, from the control of medical defects, strengthen the difficult, iatrogenic injury, special, critical, serious complications, patients with potential disputes at any time to report to the director.

4. Hold regular medical safety meetings of this department, report the hidden dangers of this department, sum up experience, and put an end to medical disputes and accidents.

Sixth, work ideas.

1, to carry out minimally invasive treatment and research of spine.

2. Establish an orthopedic rehabilitation center and train orthopedic professional rehabilitation trainers.

3, continue to send key personnel to Zhengzhou, Nanchang and other hospitals for further study;

4. Explore effective methods of osteoporosis treatment, do a good job in comprehensive management, innovate osteoporosis movement, do a good job in diagnosis, treatment and follow-up of patients, and lay a foundation for scientific research;

5. Create a painless ward, realize painless management and create a good atmosphere for medical treatment.

In the hard work, we have gone through 20xx years, and in the spirit of "patient-centered", we have sent light to patients and brought the gospel of life. At the same time, 20xx is more joy for all medical staff in orthopedics. While ensuring the quality of medical care, the comprehensive goal of 20xx was successfully achieved. I hope that in 20xx, under the management of medical quality and medical safety, our orthopedics department will improve its teaching and scientific research ability.

Chapter V Work Plan of Orthopedics in 2023

1, learning quality control standards

Standards are the basis of quality management and the scientific basis for implementing quality control. The head nurse organized all nurses to seriously study the quality control standards of the nursing department and gave key guidance to the five team leaders. Each group will conduct in-depth discussions in a targeted manner, so that everyone can master the quality control standards, be strict and self-disciplined with standards as the guide in their work, and make an objective evaluation with standards as the criterion in the inspection.

2, the implementation of quality control

Each team leader flexibly arranges the time according to the shift of team members and the actual work in the ward, and conducts 1 inspection on the quality control projects he is responsible for every week. No marks will be given during the inspection, only the existing problems will be recorded in detail, and the person in charge will exchange opinions face to face in class and correct them in time; When the responsible person is not on duty, the general defects will be corrected by the quality control nurse and then explained to the responsible person. Serious defects shall be reported to the head nurse immediately, and the responsible person shall be notified to return to the department in time to solve them. The problems with high frequency will be included in the general nursing quality control meeting for analysis and evaluation, and the nurses with more mistakes will be listed as the key counseling objects, and training and assessment will be strengthened to improve their professional skills. At the beginning of each month, a nursing quality evaluation meeting will be held, and each quality control team leader will report his inspection last month. The head nurse will feed back the quality inspection of the departments and nursing departments last month, discuss the existing problems collectively, formulate and implement the rectification plan, and then enter the next round of self-examination and self-correction, and so on.

3. Evaluation of quality control methods

Each quality controller establishes a self-inspection book, and the first page records the standards of this inspection. Reflect the contents of the inspection once a week. The head nurse gives evaluation and praise to each quality control personnel, and the unfinished ones are included in the nurse quality evaluation score. Before and after the implementation of total quality management (around April, 12), the score of nursing quality inspection was obviously improved, the problems were gradually reduced, and the nursing quality was continuously improved. Through the participation of all staff, we can enhance nurses' quality awareness, actively seek countermeasures and methods, and change passive management into participatory management. The implementation of full staff control and whole process control has steadily improved the quality of nursing.

4. Summary

Nurses are directly responsible for nursing quality, and all staff participate in nursing quality control. Everyone consciously learns quality control standards under the pressure, constantly improves quality control skills, and pays attention to self-management, self-correction and self-improvement in the implementation of various nursing operations, so that quality management is in a state of high self-discipline.

Weekly peer comparison, nurses' mutual correction and assistance, and effective actions of department-level quality control have improved the basic level of nursing quality. Department nurses have changed from regularly preparing for nursing department inspections to waiting for nursing department inspections, and actively rectified after inspections, which has promoted the control efficiency step by step. Practice has proved that participating in the whole process of nursing quality control is an effective way to continuously improve nursing quality.