First, spiritual civilization.
1. Establish the concept of serving patients wholeheartedly, further improve the attitude of nursing service, and build a harmonious nurse-patient relationship.
2. Distribute all kinds of nursing job satisfaction questionnaires once every quarter.
3. On the basis of soliciting the opinions of hospitalized patients, dispensing medicines, collecting and sorting out the feedback from the masses (or asking by telephone) and the recognition of doctors and nurses in the department, the "nursing service pacesetter" was selected and rewarded at the end of the year through the quarterly assessment and annual assessment and recommendation of the department.
4. "5.12 International Nurses' Day" cooperated with trade unions to hold "Nursing Art Festival" to enrich nurses' amateur cultural life.
Second, the nursing work
1. Starting from "three basics and three strictness", strengthen the implementation of basic nursing and graded nursing to ensure quality.
2. Pay special attention to the key links such as nurse handover, nursing rounds and case discussion to ensure the nursing quality of critically ill patients.
3. Strengthen the study of specialized nursing business, improve the practical working ability of clinical nurses, and cultivate the backbone of specialized nursing.
4. Strengthen the management of key links of patients, such as patient transport, handover, pressure ulcers, etc. , and establish and improve the nursing process and management evaluation procedures.
5. Further explore vertical nursing management and nursing unit management.
6. The implementation of three-level nursing quality evaluation, nursing quality control team evaluation 6 ~ 7 times a year.
7. Strengthen nursing safety management, establish and smooth the reporting and handling channels of unsafe nursing events. At the end of the year, departments with outstanding performance will be rewarded.
Third, business training.
1. Organize professional study and lectures for nurses for 6-7 times.
2. Training nurses in different levels of operational skills within 5 years after graduation.
3. Strengthen the professional skills training of specialized nurses in emergency room, operating room, icu, ccu, transplantation, blood purification center and other key departments. , and formulate skills requirements for specialized positions.
4. Take the department as the unit to assess the nurses' clinical medicine, the ability to collect and arrange beds on the education network, professional business assessment and nursing operation assessment once each.
5. Carry out the training of nurses in intravenous infusion group as planned.
Fourth, teaching and research.
1. Complete the inter-class practice, production practice and theoretical teaching in nursing colleges, higher vocational colleges and night universities.
2. Formulate regulations for the selection of excellent clinical teaching departments and award them at the end of the year.
3. Complete existing projects as planned and actively declare new projects.
4. Actively write nursing papers. Deputy director, nurse and above each completed 3 kinds of magazines 1 article; The nurse in charge completed 1 article in each of the four magazines; Each nurse completed 1 article in more than 6 magazines. At the end of the year, individuals published in China magazine will be rewarded.
extreme
I. Highlights of 20xx:
Start to build a "demonstration ward for intravenous therapy"
Examination and certification of PICC puncture qualification and central vein maintenance qualification of nursing staff in the whole hospital
Further sort out the structure of venous treatment group, divide the nursing unit of the whole hospital into districts, and the leaders of each district evaluate the quality of venous treatment in the district in charge and continuously improve it, and issue the "Examination Process of Central Venous Maintenance Operation" in the First Hospital of the city, and take this as the standard to greatly improve the level of central venous nursing in our hospital.
Discipline construction: continue to cultivate the core backbone of key departments in hospitals
Introduction and popularization of new norms, new technologies and new theories
Continuing education activities
Intravenous treatment outpatient service was carried out smoothly.
Establish PICC (Lianyungang) maintenance network
Thematic consultation and technical assistance
1. Start preparing the demonstration ward for intravenous treatment.
In order to better practice the industry standard of intravenous therapy, enhance the safety awareness of intravenous therapy among nurses in the whole hospital, strengthen the active evaluation and management of intravenous therapy, and comprehensively improve the technology and service level of intravenous therapy in our hospital, a "demonstration ward of intravenous therapy safety" was established in the nursing unit of our hospital from 20xx 165438 10. The "Demonstration Ward" set up a group according to "Technical Operation Standard for Intravenous Treatment and Nursing" [WS/T433-20xx] and 20xx 10 to evaluate the current situation of intravenous treatment in each nursing unit, the proportion of data analysis equipment, nurses' active intravenous treatment concept and the application of management methods to improve the quality of intravenous treatment. Finally, the "Demonstration Ward for Intravenous Therapy" is listed.
2. Complete the examination and certification of PICC puncture qualification and central vein maintenance qualification of nursing staff in the whole hospital.
In September, 20xx, the Technical Management Committee of our hospital conducted a PICC technical qualification examination for 30 nursing staff according to the PICC Technical Access Regulations. The review forms include written review and on-site operation review. After review, * * * granted corresponding PICC qualification to 28 qualified nursing staff including * * * *, and granted PICC maintenance qualification to 42 nursing staff in the nursing unit of the whole hospital. It ensures the quality of PICC puncture and the homogeneity of the later maintenance of the whole hospital.
3. Further sort out the structure of intravenous treatment group, divide the nursing unit of the whole hospital into districts, and the district leaders evaluate the quality of intravenous treatment to continuously improve the quality in the districts.
The infusion group established the evaluation standard of intravenous treatment quality in ward, and divided the nursing unit of the whole hospital into six districts. The core members of the infusion group conduct quality assessment and on-site rectification on the responsible area every month, and report the data to the district leaders. At the end of each year, the infusion group collects data from all districts to analyze the current situation and guide the adjustment of the activity plan of the infusion treatment group for the next year.
4. Release the "Central Venous Maintenance Operation Assessment Process" of the First Hospital of the City.
According to the Technical Operation Standard for Intravenous Treatment and Nursing (WS/T433-20xx) issued by the Health Planning Commission in May 20xx, the operation assessment process of PICC maintenance (central venous dressing package) suitable for our hospital was established, so as to establish a unified hospital-wide infusion treatment and nursing standard for our medical group. After the promulgation of the standard, in order to ensure the maintenance of PICC in the nursing unit of the whole hospital, there is evidence to follow.
At present, the quality of central venous maintenance is homogeneous: the core members of the infusion group in the hospital are trained according to the "process", and the venous clinic is open for guidance all day, providing a platform for internship and practice. A 5 12 theory and operation competition based on "process" was held. A series of measures have comprehensively improved the maintenance level of hospital central vein.
5. Discipline construction: the ability training of core members of infusion in the whole hospital+the core backbone of key departments.
5. 1 According to the study plan made at the beginning of 20xx, the core members of the infusion group were trained regularly, and the core members were retrained in the ward nursing unit. To improve the standardized level of intravenous therapy concept of nursing staff in the whole hospital.
5.2 Organize the nursing staff of the whole hospital to participate in the national webcast conference, which was hosted by MauroPittiruti, an Italian doctor of medicine: the frontier and practice of medium and long-term infusion management; Li, Secretary-General of Beijing Nursing Association: Exploration and development of medium and long-term infusion management: Lawyer Peng of Beijing Dacheng Law Firm: The training course on "How to protect the rights and interests of medical staff in doctor-patient communication" is rich and novel, covering 20xx intravenous infusion summit forum, INS sharing, PICC tube sticking and nursing, maintenance and related issues of infusion tubes, operation and management of static therapy group, selection of infusion safety and infusion tools, legal protection of medical staff, and new progress in prevention and treatment of catheter-related blood flow infection. The scientificity, practicality and standardization of organization of this online course have been well received by experts and students attending the meeting.
5.3 Intensive training in key departments: Six members of radiotherapy department, chemotherapy department and gastrointestinal surgery department were selected to participate in the professional training of intravenous infusion therapy, and the staff of key departments such as radiotherapy, chemotherapy and burn department in the whole hospital were trained in operation and theory *** 1 1 person-time, which improved the PICC puncture level and complication handling experience of key departments.
5.4 Select **8 nurses to participate in the study of intravenous infusion therapy for provincial nurses.
6. Introduction and popularization of new norms, new technologies and new theories.
The introduction of various new technologies has been affirmed: in 20xx, the Municipal Health Bureau announced PICC neonatal puncture technology, infusion port technology, and improved Saidinger in-situ catheter replacement technology, and won the new technology introduction award.
At present, the new technology is being applied and popularized in the infusion group:
6. 1ZIM puncture method: ultrasonic PICC puncture can reach more than 90% of hospital PICC puncture, and the puncture success rate is close to 100%. At present, it has become the knowledge of PICC ultrasonic puncture in hospitals, and the coverage rate is 100%.
6.2 ECG coupling positioning PICC catheter tip technology: ECG coupling system is used to guide the positioning of PICC tip, reduce the catheter displacement rate and improve the accuracy of catheter tip position. At present, more than 30 cases have been carried out in the nursing unit of the whole hospital, and the accuracy rate is 1.00%. This technology has been popularized in Ganyu and Fiction Hospital, which not only increases the financial burden and pain of patients, but also can identify the tip position of catheter as early as possible.
6.3 On the basis of introduction and popularization of new technologies, technical improvement, patent application and project establishment shall be carried out. At the same time, collect data, write and publish works. 20xx-20xx*** * * has published five papers on infusion, and two topics on infusion, Comparative Study on the Application of Infusion Port and PICC in Alzheimer's Patients and Comparative Study on the Application of Ultrasound Puncture PICC in Upper Arm Area, have been published. The patent application for "protective sleeve for children's indwelling needle" for intravenous infusion won the national utility model patent.
6.4 Publicity report on the application of new technology and the opening speech of health forum "95% severely burned patients in infusion group use PICC catheter" and "multidisciplinary use of pediatric PICC catheter",
Reports of technical progress such as "Development Track of Infusion Group" have made more colleagues and patients in the hospital know about the degree of technical development and made intravenous infusion therapy more and more known.
7. Continuing education activities
In July 65438+March, organize nursing staff in the whole hospital to participate in a national network video conference "infusion safety conference".
In July and April, the core members of the infusion group in our hospital were trained in theory and operation according to the standard procedure of central venous maintenance.
7.36 According to the typical PICC cases in the first half of the year, especially the catheter rupture in the body, analyze the causes, find countermeasures and make emergency plans.
In July and April, the municipal continuing education class "New Progress in Safe Infusion" was held, with more than head nurses and nursing backbones from hospitals at all levels in Lianyungang 100.
7.565438+A report meeting on overseas learners' learning experience will be held in February.
8. Intravenous treatment outpatient service was carried out smoothly.
8. 1 The outpatient service for intravenous therapy has maintained 330 person-times per month since the full-time staff visited the clinic in June of 20xx, which is nearly three times higher than the previous monthly 120 person-times. The amount of consultation increased from 10 to 35 cases per month, and the economic income also increased from 12000 yuan.
8. 1 Outpatient Teaching * * * Five advanced students in * * Hospital were given routine teaching of intravenous infusion professional knowledge, so that students could successfully complete their learning tasks. Nurses from our hospital 16 Nursing Unit 12 came to the outpatient department for advanced PICC puncture or central venous catheter maintenance and complications treatment. At present, with the technical support, the first PICC puncture operation has been carried out in various hospitals, and it runs well in the later period, and the maintenance quality of each ward is homogeneous.
9. Establish PICC (Lianyungang) maintenance network. Through the opportunity of coming to our office for further study and holding continuing education classes in various hospitals, PICC maintenance operation was trained in brother hospitals. PICC maintenance points have been set up in * * and other places to facilitate PICC patients to maintain nearby.
10. Subject consultation and technical assistance: realizing the value and subject connotation of specialized nursing group 10. 1. By the end of 20xx, the infusion group * * * received 2/kloc-0 nursing consultation invitations from the brother hospital to help solve technical problems such as PICC and complications of infusion treatment. 109 people participated in intravenous treatment in * * and surrounding hospitals. The core members of the infusion group in our hospital answered questions timely and accurately, and with the help of the platform of the professional Committee of intravenous infusion of Lianyungang Nursing Association, the level of intravenous treatment and nursing concept in the region were greatly improved.
Second, the 20xx annual intravenous infusion group work plan
Operation of "Demonstration Ward for Intravenous Therapy": We will continue to visit and learn the advanced experience in ward construction in China, and plan to complete the listing of the first "Demonstration Ward for Intravenous Therapy" in our province by the end of 20xx.
Continue to build a talent echelon: sort out the forms of network members of intravenous therapy group in the whole hospital, draw up regular training and assessment plans, and strive to realize the homogenization of infusion treatment quality in the whole hospital; Train the core members of infusion group in special departments: responsible for the input and maintenance of PICC; The construction scale of the discipline of quality control of department treatment has been steadily advanced and moderately expanded: the core members of the infusion group in special departments will continue to be trained, and the outpatient strength will be strengthened through provincial-level specialized nurses who graduated in 20xx. Promote outpatient service maintenance, introduce new technology of health education, and realize clinical transformation: continue to promote ECG linkage positioning PICC technology, plan to establish a research project of intravenous infusion treatment technology in 20xx, and publish a paper.
The management of intravenous infusion treatment equipment in hospitals is gradually benign, and quality management activities such as quality control circle are continuously carried out: taking the "intravenous treatment demonstration ward" as a demonstration point, the quality of intravenous treatment in hospitals is continuously improved by management means.
Continue to apply for patent: it is planned to apply for 1 patent for utility model of intravenous infusion therapy technology in 20xx.
Tisso
Under the overall planning and guidance of the nursing department and the strong support of various departments and clerks, the intravenous infusion treatment group can basically carry out its work according to the activity plan. The work is summarized as follows:
A, intravenous infusion treatment group activities completed.
1. Thematic meeting: Hold a regular meeting of the intravenous infusion treatment group as planned to discuss the existing problems of intravenous infusion in various departments, solve some problems, communicate with members, and understand their understanding of intravenous infusion, so as to carry out targeted training in the next step. After the team members go out for training, they meet regularly to learn and communicate, learn from each other and improve each other.
2. Business development:
1)PICC technology development: PICC postoperative maintenance has become the key and difficult point, and PICC maintenance process and nursing guidance have been provided to the hospital. This year, the business volume of PICC outpatient service reached more than 1.8 million person-times. From 10, it was expanded from one day a week to Monday to Friday, which really met the requirements of specialized nursing, convenience and affordability, and attracted patients from surrounding areas to our hospital for PICC maintenance services.
2) Train 2 venipuncture experts, and ***3 venipuncture experts are responsible for the technical training and guidance of the infusion area for emergency children, and give full play to their infinite strength.
3) According to the guidance of the nursing department, accept nursing consultation related to infusion in the whole hospital.
3. Nurse training:
1) 1 June, sent xxx to attend the nursing theory of intravenous infusion held by Guangdong Nursing Association.
Practice class
2) Send xxx to attend xxx class in February.
3) Send xxx to attend xxx class in May.
Second, the completion of the target plan:
1. Develop guidelines for the use and maintenance of indwelling needles, central venous catheters and PICC.
2. Make color-coded guidelines for the date and depth of central venous catheterization.
3. The outpatient service of 3.PICC has reached more than 65,438+0,800 person-times this year, expanding from one day a week to Monday to Friday.
4. Two venipuncture experts were trained.
5, formulate the process of preventing and treating extravasation of chemotherapy drugs.