Summary of the work of nurses' medical ethics in neonatal department 1 In order to further improve the medical environment, the hospital still squeezed out more than 50,000 yuan to rectify the environment in and around the hospital, improve the health infrastructure inside and outside the hospital, such as laying floor tiles, dredging sewers, hardening the ground and greening, placing flower bonsai in various office areas, etc., which improved the medical environment and alleviated patients' anxiety for medical treatment.
First, strengthen measures to further adjust the hospital income structure and control the proportion of drug income.
1. Strictly controlling the proportion of drugs in medical business income, increasing the gold content of income, increasing the hospital's sustainable development ability and anti-risk ability, and allowing patients to enjoy the best service at the lowest cost are the main purposes of hospital income structure adjustment in recent two years. Over the past year, we have cleared more than 100 kinds of high-priced new drugs that can be replaced by ordinary drugs out of hospital drug shelves, and invited tenders for the top 50 drugs with large dosage and large amount, the drugs reduced by the National Development and Reform Commission and the drugs purchased by relevant departments, which effectively reduced the cost and price of drugs. At the same time, we should insist on rational examination, rational drug use and rational treatment, correct disorderly examination and prescription, formulate a list of essential drugs, guide and control clinical drug use from the aspects of drug use structure and drug use scope, establish a three-tier management system for clinical drug use, and strictly control the use of imported and precious drugs, so as to reduce the proportion of hospital drug total income to 5 1, and effectively control the unreasonable increase of drug expenses. The hospital economy has achieved a "soft landing", the hospital's financial resources have been significantly enhanced, the treatment of employees has been gradually improved, the hospital's economic situation has gradually entered a virtuous circle, and the social complaint complex about hospital prices has gradually eased.
2, iron core hard hand, pays special attention to the hospital moral construction.
In accordance with the requirements of the "Eight Discipline of Industry" of the Ministry of Health and the "Six Prohibitions" of the Provincial Health Department, we will improve the medical ethics evaluation system, link the evaluation results with wages, promotion of professional titles and evaluation first, and intensify the investigation and punishment of violations. If the masses complain about medical ethics, the system of "one-time complaints waiting for posts" shall be implemented. A medical service information publicity system has been established to publicize the identity of medical personnel, prices of commonly used drugs, main medical service items and charging standards in eye-catching positions such as outpatient and emergency departments, wards, pharmacies and medical technology departments, so as to facilitate patients and accept the supervision of patients and society. The hospital conducts a service quality survey once a month, and holds a symposium for patients' relatives to widely understand the requirements and opinions of patients and their families, and consciously accept social supervision. The hospital employs 10 voluntary supervisors, holds regular forums every quarter, sets up complaint boxes and suggestion boxes in eye-catching positions, and announces complaint telephone numbers. As long as the patients and their families report that the problems are true or the opinions put forward are feasible, the hospital will promptly investigate and deal with them and organize rectification. In the whole year, the hospital * * * handled 5 cases of people and things violating the rules and regulations, of which 2 cases were treated as waiting for posts.
Since the launch of the activity, complaints from the masses have gradually decreased and satisfaction has gradually increased. In the comprehensive evaluation, the satisfaction of outpatients is 90% and that of inpatients is 95%. According to incomplete statistics, more than 200 people refused to invite patients to dinner, 100 people refused goods, more than 30 people refused patients' red envelopes, the hospital received 30 letters of commendation and thank you, and 92 people were praised by reply. At the end of 20xx, our hospital successfully passed the inspection and acceptance of the evaluation group of "People's Satisfaction Hospital" in counties and cities.
3, continue to promote the reform of personnel distribution system, the implementation of employee appraisal system.
After nearly three years' implementation, the reform of personnel distribution system in our hospital has made some achievements and experiences, but there are still many imperfections, such as some evaluation criteria are too general, some are not targeted, and some are not easy to operate. This year, the appraisal scheme has been further revised, and the terms that are difficult to operate in the appraisal work have been further refined and quantified, making it more scientific and reasonable. In order to improve the efficiency and quality of service, the hospital strengthened the assessment and introduced the last treatment system into the year-end assessment of employees. The main contents of the last treatment assessment include medical ethics, work quality and labor discipline. For those who score less than 80 points in these aspects at the end of the year, the hospital will give the treatment of stopping work, waiting for posts or job hopping. According to the results of the annual evaluation, a comrade in the outpatient charge office of the finance department was treated as the last one.
The second is to highlight key points and actively implement the strategy of rejuvenating the hospital through science and technology.
1. Strengthen discipline construction and gradually improve the talent structure of our college. Grasping discipline construction is the basis of improving medical quality and an important guarantee for hospital development. At present, the discipline construction in our college is not standardized, the advantages and characteristics of the specialty are not obvious, and the talents are out of the file. According to the development direction of medical technology and the actual situation of each department, give full play to the regulatory role of the market and adjust the structure of some disciplines. At present, the hospital is preparing to integrate surgery into surgery, surgery and surgery, and obstetrics and gynecology into obstetrics and gynecology. Among them, the surgical specialty is general surgery, the surgical specialty is orthopedics, and the surgery is comprehensive surgery. Through the integration of the existing resources of the hospital, the department-centered and people-oriented pattern is realized.
2. Actively develop new medical technologies and projects to improve the technical level of hospitals. This year, the hospital applied for 7 new technical projects: 2 in surgery, 2 in otolaryngology, 2 in obstetrics and gynecology, and 1 in laboratory. Among them, the new technology of R-F in the treatment of lumbar fracture and interlocking intramedullary nail in the treatment of long bone fracture developed by the Second Department of Surgery has achieved good results and filled the gap in our county. Conservative operation of ectopic pregnancy in obstetrics and gynecology was successful, and colposcopy was used to screen cervical lesions, and the effect was good. Many departments continue to expand their technical fields and gradually form their own characteristics by improving medical quality and service level. For example, the emergency department's treatment technology for stroke, myocardial infarction and other critical diseases is unique, and it is often praised by patients and their families and has a certain reputation in the county. Radiology department used gastrointestinal X-ray machine and remote-control enema device to perform barium enema reduction for intussusception patients, and achieved success, which saved the patients from the pain of operation. Infectious diseases department uses advanced new concepts and concepts in the treatment and diagnosis of liver diseases at home and abroad to improve the diagnostic level. For example, octreotide and losec were used to treat varicose bleeding in liver cirrhosis, and the hemostasis improvement rate was 88.
3. Seriously sum up clinical work and actively write medical papers. There are 57 professional papers published in various medical journals at all levels in our hospital, including 2 national papers 10: emergency department, 2 Chinese medicine 1 0, ENT 1 0, 2 pharmacy, medical insurance 1 0, internal medicine/kloc/0.
4, strengthen continuing medical education, and strive to improve the professional quality of medical staff. In order to improve the professional quality and diagnosis and treatment level of medical staff, hospitals attach great importance to continuing medical education and professional training. Take the form of invitation, dispatch and distance medical education to do a good job in continuing medical education. Last year, 9 specialties in our hospital sent 13 person-times to well-known hospitals in Beijing and other places for further study, 9 people participated in various short-term trainings, and invited experts from superior hospitals to come to our hospital for consultation, which carried out new operations for 16 person-times, which played a positive role in promoting the development of new technologies, new businesses and personnel training in our hospital.
5. Find ways to raise funds and improve the hardware facilities of the hospital. In order to meet the clinical medical needs, the hospital invested more than 3 million yuan this year to purchase Beckman automatic biochemical analyzer imported from the United States, Japanese black-and-white B-ultrasound, Korean C-arm machine, defibrillation ECG monitor, electronic colonoscope, electronic laryngoscope, electric operating table and shadowless lamp for surgery, which further improved the scientific and technological content of the hospital.
Due to historical reasons, the current business land area of our hospital is only 20 mu, which can no longer meet the medical needs, and there is no possibility of expansion around it, which further restricts the future development of the hospital. In order to further improve the people's medical and health environment and lay a foundation for the long-term development of the hospital, last year, the hospital assessed the situation and raised 3.5 million yuan to purchase 65 mu of land beside Yindao Road for the preparation of the branch of the People's Hospital.
The summary of medical ethics of neonatal nurses is coming to an end. Under the leadership of hospital leaders, with the full cooperation of all medical staff in the department, our department earnestly implemented it. With the enthusiasm and attitude of serving patients wholeheartedly, we have successfully completed all the work plans made at the beginning of the year, which has drawn a satisfactory full stop for the completion of the 20xx work tasks. The completion of each task is summarized as follows:
(1) Strong internal quality and external image.
Under the leadership of hospital leaders, department directors and head nurses, general practitioners actively study the speeches made by hospital leaders at various professional ethics meetings, study deeply, and actively study politics, ethics and regulations by using newspapers, magazines and books in combination with their work practice. They have a strong sense of responsibility and dedication, actively learn professional knowledge of nurses, have a correct working attitude and are serious and responsible. In the process of medical practice, strictly abide by medical ethics norms and operating procedures.
(two) in-depth development of high-quality nursing services, and comprehensively improve the professional quality.
Under the organization and leadership of the head nurse, we should firmly establish safety awareness, implement the responsibilities of quality control personnel at all levels, strengthen safety management, and constantly strengthen the basic work of quality and safety under the condition of overcoming work pressure and personnel tension and in line with the purpose of quality nursing. In the quality control circle activities carried out by the nursing department, nurses go from strangeness, cognition, understanding, application to achievement display. Satisfactory results have been achieved. This activity fully mobilized nurses' work enthusiasm, increased their sense of value and self-identity, and learned to solve some common problems in nursing work with scientific and advanced management methods, such as improving the signing rate of infusion execution orders. And write a related paper. Effectively ensure the safety of infusion and ensure the safety of nursing. It improves patients' satisfaction and promotes the wheel of quality care.
Strictly implement the responsibility contract nursing system, flexibly arrange shifts, and arrange extra shifts according to seasons and peak hours of patients. According to the classification management system, nurses in our department are classified according to N0-N4 and included in the performance appraisal. And publish the monthly satisfaction results: praise plus points, criticism plus points, linked to performance, effectively achieving the principles of fairness, justice, transparency, and more work. Give full play to the subjective initiative of nurses, carefully check and organize general nurses to make rounds with each other. In particular, the work of introduction to hospital, discharge guidance, nursing plan, implementation of nursing measures, and investigation of patients' satisfaction with nurses have been strengthened, which greatly enhanced the sense of responsibility of nurses. Gradually make nursing work institutionalized, satisfactory, standardized and scientific management. Strengthen ward management, improve the cleanliness of bed units, and facilitate patients to use disposable paper urine pads; It is convenient for patients and their families, ensures the cleanliness of bed units, improves the quality of basic nursing, and strives to create a clean, neat, quiet and comfortable training environment for patients.
The nursing work should be comprehensively checked once a month, and the information should be fed back in time. The head nurse should check and record the work quality of the department once a week, focusing on the management of critically ill patients. Nursing staff should be proficient in nursing first aid technology, rescue procedures and the use of rescue equipment, and the first aid equipment should be managed by special personnel. The intact rate reached 100%. Strictly implement the check system and nursing operation procedures to reduce the occurrence of errors and accidents, strengthen first-class and basic nursing, strengthen the writing of nursing forms, the head nurse carefully checks, regularly summarizes, analyzes and finds hidden dangers in departments, so as to nip in the bud.
Strive to do a good job in hospital infection management. Strict disinfection, sterilization and isolation measures were implemented, and the aseptic technical operation of nursing staff was paid close attention to, and the treatment room and outpatient infusion room were sampled once a month. Pay attention to the management and monitoring of disinfection and sterilization, recycle disposable medical devices after use, and manage and register them by special personnel.
(three) education and training and business assessment.
Throughout the year, nurses are trained in the treatment and nursing of common diseases and special cases, pediatric first aid operation process, core system, emergency plan and other business knowledge and skills, and are assessed once a month by means of written examination, oral examination and practical operation, and the assessment results are combined with the monthly assessment. In addition, the actual operation of simulated human was tested for cardiopulmonary resuscitation of children of different ages. Improve nurses' awareness of first aid.
(4) the shortcomings.
1. In the past year, under the limitation of ward conditions and working environment, although the service quality passed smoothly, the problem of poor hygiene with high satisfaction still exists, and the management of accompanying personnel is also the focus.
2. Facing the tense doctor-patient relationship and parents' high expectations, nurses' sense of responsibility and professionalism need to be improved. We should further strengthen the professional ethics education of medical staff, improve the treatment, stabilize the nursing team, and form a team with good service quality and hard technology.
3. Through mastering the theory of quality control circle and the maturity of practical operation, the common problems and hot spots in the work are continuously explored and effectively applied to the work, so as to improve the quality of work and strive for perfection.
Summary of the work of nurses' medical ethics in neonatal department 3 20xx years passed quickly. Looking back on the past, with the correct leadership of hospital leaders and the mutual help of comrades, we insisted on taking patients as the center, implemented touching service, based on our posts, did our job well, and successfully completed the task. The specific summary is as follows:
In terms of ideology and morality:
Love the motherland, love hospitals and departments, actively participate in the study of political theory organized by hospitals and departments, study hard, constantly improve their self-cultivation and foundation in the study, actively participate in the study of theoretical knowledge organized by departments, take notes carefully, and provide theoretical guidance for disease observation.
In clinical work:
As we all know, newborns are born with the joy of their loved ones, but what follows is how to care for this lovely and soft little guy, how to nurse, how to change diapers, and how to observe. Whether it is premature, full-term or overdue, their resistance is much lower. And more vulnerable. As a neonatal specialist nurse, she always demands herself with high standards, humbly consults others, actively improves her working methods, enhances her working ability, and guides her family members on how to feed and care. There are also some jobs that I have never been exposed to, such as vaccination, screening for genetic and metabolic diseases of newborns, and hearing screening. Through continuous study and consultation, I gradually stepped onto the right track, and increased the awareness of rescue in the neonatal rescue work, which was rapid, timely and effective. Clear division of labor during rescue, close cooperation, obey orders and stick to their posts. Closely observe the changes of illness, fill in nursing records accurately and timely, and report to the doctor in time if any abnormality is found to ensure accurate treatment.
In the safety management of newborns, it is necessary to strictly implement the mother-infant sharing room, strengthen the health education for parents, avoid choking on milk, falling out of bed, and holding the wrong baby. Any operation must be accompanied by family supervision, and strictly implement the ward round system to ensure the safe implementation of diagnosis and treatment nursing.
Strictly implement the disinfection and isolation system, such as disinfection of newborn bath towels once, washing hands before contact, and special disinfection of newborns with special infections to ensure no cross-infection. Our hospital has just started, and the neonatal department also needs continuous learning, progress and development. In order to work smoothly and safely. Can unite and cooperate with colleagues in the department, * * * has learning, * * * has progress, * * * has difficulties, can unite and cooperate with colleagues in other departments and actively cooperate.
In terms of work attitude and effort:
We demand ourselves with the concept of touching service, hoping that all children can be born healthily and all pregnant women can happily hold their children home. Patient satisfaction is the foundation of our foothold. So I will love my job, treat every job correctly and seriously, serve everyone wholeheartedly and enthusiastically, and make progress and development with the hospital.