Quality nursing work plan 1 New Year, a new starting point. In order to further implement the service tenet of "patient-centered" and realize the service goal of "providing high-quality and safe care for surgical patients and excellent cooperation with surgery", this scheme is formulated according to the relevant spirit of the nursing department and the actual situation of our department.
First, improve service attitude and improve nursing quality
1, the object of nursing work has expanded from simply serving patients to patients' families, medical care, logistics and equipment personnel. Head nurses go to relevant departments at least once a week to strengthen communication with doctors, collect patient information, gain understanding, trust and support, and better cooperate with the operation.
2. The nature of nursing work extends from medication care to holistic care of patients' body and mind. Always think of the patient and take the initiative to do psychological care for the patient. Strictly implement the protective medical system. Improve the service attitude, ensure the service for patients in the nursing work state, meet all reasonable needs of patients, and the satisfaction rate is over 95%.
3. Use morning meetings, nurses' regular meetings, nursing rounds and other forms to enhance nurses' service awareness, take the initiative to serve, warmly receive and introduce the situation. Do four things lightly, greet patients in all nursing and treatment operations, adopt encouraging language and move gently, so that patients can feel the warmth of our loved ones.
4, formulate strict departmental rules and regulations and reward and punishment measures. The department and the nursing staff sign the responsibility form for nursing quality and safety. Organize an accident discussion and analysis meeting once a month, and put forward rectification opinions on recurring problems to prevent accidents.
5, strict disinfection and isolation, disinfection and isolation of qualified rate 100%. I'm going to apply for buying more ultraviolet rays. From once a month to once every half a month. Further improve the working system of middle shift and strictly control the flow of personnel. Strictly carry out aseptic operation technology, correct people and things that violate aseptic principle in time to prevent hospital infection.
6. The intact rate of first-aid medical instruments is 100%, which should be carefully checked during the shift change, so that the first-aid patients can be agile, flexible and skilled in the rescue.
7, reasonable fees, in case of doubt and dispute timely check processing, regular inspection department medical and office supplies, reduce waste and loss. Special person is responsible for the maintenance of medical equipment, understand the performance and usage of the equipment, and ensure the normal operation of the clinic.
8. Establish a perfect nursing quality monitoring system, carry out quantitative and qualitative nursing evaluation, satisfaction survey, errors, negligence and complaints, team spirit, health area inspection and other indicators, improve and promote nursing work, select outstanding talents and nursing backbones, and select the most satisfied nurses.
Second, strengthen the training of nurses and establish the image of "angel"
1, combining basic skills training with professional and technical training. Basic training includes political thought, professional quality, medical ethics and clinical operation skills. Technical training in junior college needs to constantly learn new theories and technologies, deepen the understanding of nursing theory and strengthen technical training in operating room.
2. Head nurses should improve their ideological and political quality, learn cultural science, professional practice and management science knowledge, strengthen the scientific and standardized nursing management, and effectively improve the level and quality of nursing management.
3. Change the service concept and improve the service attitude. Under no circumstances can you shirk your responsibility. Promote "one-on-one full service".
4, create learning opportunities for every nurse, through the hospital internal medicine lectures, participate in self-study, network search and other ways, so that nurses continue to accept new ideas, new knowledge, new methods, palm.
Third, study nursing scientific research and improve nursing teaching.
Carefully organize small lectures, "three basics" theory and operation training. Cleverly cooperate with the development of new technology. Mobilize the enthusiasm of nurses, encourage the development of new technologies and methods, make the projects carried out this year more mature, alleviate the suffering of patients and continuously improve the quality of nursing.
Quality nursing work plan 2 20XX is a landmark year for the hospital. Over the past year, with the joint efforts of all medical staff, the Department of Cardiology has achieved good results. "Carrying forward achievements and constantly looking for new priorities" is our new goal in 20XX. Cardiology will continue to make progress, carry forward achievements, improve deficiencies and strive to achieve better results. Make the following work plan:
1. Continue to adhere to patient-centered, strive to provide first-class services, further standardize ward management, formulate humanized service measures, fully implement safety management, link management, full-time and dedicated personnel management, collect patients' opinions regularly, solve problems in time, provide patients with high-quality, efficient and reliable services, fully embody patient-centered, take patients' needs as the starting point of all our work, and provide patients with satisfactory services.
2. Further improve the quality of nursing, establish a long-term quality supervision mechanism, improve the internal management mechanism of departments, and comprehensively implement continuous improvement of nursing quality.
3. Qi Xin made concerted efforts to create "model management", organized study according to the grading standards of model hospitals, earnestly implemented the quality standards, and strived to highlight the specialty highlights in the creation of model hospitals.
4. Continue to improve the standardized management of CCU wards, change the scheduling mode, rationally use human resources, and effectively strengthen the hierarchical training of general nurses. Within five years, nurses will be trained in basic theory and operation; In more than five years, nurses were trained in specialized theory and personal development goals were set. One nurse will be sent to study endocrinology, and the other will study intracardiac CCU or cardiac catheterization. At the same time, in-hospital training will change the training mode, improve the training rate outside the hospital, encourage self-study and correspondence, improve the knowledge structure of the team, and make the best use of people.
5. Strengthen the control of hospital infection according to law, strengthen the training of hospital awareness knowledge of medical staff, supervise and inspect the implementation of the system, and minimize the incidence of hospital infection.
6. Strengthen the control of link medical records and terminal medical records, regularly check the quality of medical records, discuss and analyze them in time, rectify and implement them in time, and effectively improve the writing quality of nursing documents.
7. Make use of various forms and methods to strengthen the publicity of health education, set up diabetic clubs, provide voluntary counseling activities for hypertension, arrhythmia and coronary heart disease, issue contact cards for inpatients and discharged patients, educate patients about diseases, and comprehensively and deeply implement the health education system.
8. Strictly program teaching management, complete the teaching plan with good quality and quantity, and ensure the teaching effect and safety.
9. Thoroughly study the medical reform policy, expand the scope of services, develop new businesses and technologies, strive to make full use of the medical reform policy, and strive to increase revenue and reduce expenditure without violating the policy.
10. Further strengthen the scientific research consciousness of general practitioners, strengthen accumulation, summarize in time, actively write academic papers and write nursing experience, and no one published at least one paper in municipal and above journals throughout the year.
Quality nursing work plan 3 is to further improve the medical quality and the professional and technical level of nursing staff. This year's nursing work should focus on nursing quality, focus on hospital development planning, adhere to the service concepts of "patient-centered" and "service, quality and safety", innovate management methods, and continuously improve social satisfaction. All nurses in thoracic surgery discuss and formulate the work plan of nursing quality for xx years as follows:
First, strengthen nursing safety management, improve nursing risk prevention measures, effectively avoid nursing risks, and provide patients with high-quality, safe and orderly nursing services.
1. Constantly strengthen nursing safety education, regard safety nursing as one of the routine topics of nurses' regular meeting every Friday, promptly remind unsafe factors in work, and put forward rectification measures, taking nursing errors inside and outside the hospital as an example to discuss and learn from, so that nurses can fully understand the error factors, new situations and new characteristics, learn from them, and make the safety alarm ring constantly.
2. Implement various rules and regulations, conduct regular and irregular inspections, supervise in place, and have supervision and inspection records.
3. Strengthen the risk management of key links such as night shift, middle shift and holidays. Apn scheduling and flexible scheduling system should be implemented to reduce shift frequency, reduce work loopholes, reasonably match young nurses and old nurses on duty, and pay attention to cultivating nurses' cautious and independent spirit when they are on duty independently.
4. Strengthen key management: such as the handover of severe patients, the prevention of pressure ulcers, blood transfusion, special medication, patient pipeline management, and the assessment of existing and potential risks of patients.
5. Strengthen the care of key patients: such as surgical patients, critically ill patients and elderly patients, take these patients as the focus of discussion at the early meeting or shift change, evaluate the existing and potential risks of patients, reach a * * * understanding, and attract the attention of each class.
6. Management of key employees: such as internship nurses, rotation nurses, new nurses, etc. Educate them in legal awareness, improve their awareness of prevention and ability to resist risks, and make students clear that they can only care for patients under the guidance or supervision of the teaching teacher. At the same time, nurses with clinical experience, strong sense of responsibility and nurse qualifications are employed as teaching teachers to cultivate students' communication skills and clinical operation skills.
7. Further standardize the writing of nursing documents, reduce potential safety hazards, pay attention to the problems existing in nursing documents at this stage, and make records "objective, true, accurate, timely and complete" to avoid irregular writing, such as typos, unclear alterations, inconsistencies with doctors' records, etc., so as to standardize and standardize nursing documents.
8. Improve the emergency risk plan of nursing, pay attention to the cultivation of nurses' emergency ability at ordinary times, and make a retrospective evaluation of various emergency work, such as blood transfusion, transfusion reaction, special liquid, drug leakage, sudden power failure, etc. So as to learn from it and improve the ability of nurses to deal with emergencies.
Second, take patients as the center, advocate humanized service, strengthen nurse-patient communication, improve patient satisfaction and avoid nursing disputes.
1. The nurse in charge sincerely received the patients, sent them to the bedside, and took the initiative to do health education for the discharged patients.
2. Strengthen the education of service awareness, improve the concept of humanized active service, increase the health education day on Tuesday's basic nursing day, and make education guidance and safety precautions at any time in each class.
3. Establish health education prescriptions, issue nurse-patient contact cards, hold monthly forums to solicit opinions from patients and their families, and praise and criticize nurses with good or bad service quality.
Three, the establishment of inspection, evaluation and feedback system
Establish traceability system, head nurse and quality control team, and often go deep into the ward for inspection, supervision and evaluation. The evaluation method is to evaluate nurses on the spot, check patients, check records and listen to doctors' opinions, find problems in nursing work and improve rectification measures.
Fourth, strengthen the "three basics" training plan to improve the overall quality of nursing staff.
1. Ask questions twice a week in the morning, including basic theoretical knowledge, specialized theoretical knowledge, nosocomial infection knowledge, etc.
2. Conduct CPR demonstration every quarter, and be familiar with the use of first-aid equipment and instruments.
3. The weekly morning meeting is a small classroom of nursing pharmacology knowledge, and the treatment class collects the instructions of undergraduate current medication and explains the pharmacological effects and precautions for everyone. And ask questions about the core system of the hospital, so that every nurse can master it skillfully and implement it carefully.
4. Review the nursing emergency risk plan regularly and make a simulation demonstration to improve the emergency ability of nurses.
Quality Nursing Work Plan 4 This year, our ward was designated as the pilot ward of the activity of "Quality Nursing Demonstration Ward". Since May, according to the general requirements of the Ministry of Health to create a high-quality nursing demonstration project and the specific plan of our hospital's Excellence activities, combined with the semi-open management mode of psychiatric department and the characteristics of our ward, the work plan of nursing demonstration post has been formulated, and the requirements of the activity plan of creating a "high-quality nursing service demonstration ward" have been earnestly implemented, with patients as the center, and efforts have been made to change the service concept and optimize the work from bit by bit. Devote enthusiasm, reform and innovation, practice high-quality psychiatric nursing service.
First, improve ideological understanding and create an atmosphere of striving for Excellence.
Organize nurses in departments to learn the relevant documents of creating high-quality nursing demonstration posts, collect advanced experiences and publicity materials from all over the country, so that everyone can understand the purpose, significance, activity plan and specific measures of creating excellence, do a good job in mobilization and training in departments, organize discussions, formulate specific measures of creating excellence, firmly establish the service concept of "patient-centered", take high-quality nursing service as a breakthrough, improve nursing quality, harmonize nurse-patient relationship, fully mobilize nurses' enthusiasm and improve their sense of responsibility.
Second, standardize ward management and implement key tasks.
Cooperate with the nursing department to revise the nursing work system, revise and improve various nursing routines, strive to meet the requirements of demonstration posts, implement various systems and regulations, and follow the workflow in daily work. Design all kinds of "warm reminder" cards, beautify the ward environment, modify admission instructions and various agreements, do safety nursing according to the characteristics of psychiatric nursing management, evaluate the nursing risk of patients, comprehensively evaluate the patient's condition, clearly mark the patient's special instructions, implement the patient's safety objectives, and reduce the occurrence of adverse events. The bedside card is designed to record the patient's information, which is convenient for nurses to master the patient's condition and manage the patient at different levels. The patient's nursing level is consistent with the patient's condition. Quality nursing service is to combine the environmental improvement of the hospital with the 9S management activities of the nursing department, strengthen the improvement of the ward environment, and create a quiet, clean, safe, warm and orderly ward environment for patients.
Three, refine the workflow, clear job responsibilities.
Revise the work responsibilities of nurses in wards, scientifically arrange the work responsibilities of each class, refine the work flow of each class, find out the weak links, clarify the nursing division of labor, reform the nursing work mode, work according to the nurses' situation and energy level, strive for new responsibilities to be more practical and scientific, reasonably arrange nurses according to the actual workload, implement flexible scheduling, strengthen holiday scheduling, ensure the smooth progress of nursing work, and put quality nursing into clinical nursing. The star of nursing service is selected once every quarter and publicized on the wall of the department.
Fourth, do basic nursing well and improve the quality of nursing.
Responsible nurses should fully perform their nursing duties. Each nurse is responsible for a certain number of patients, and each patient has a corresponding fixed nurse. They should provide holistic nursing services for patients, closely observe patients' condition, communicate with doctors in time, communicate with patients at any time, provide individualized health education for patients, help patients understand diseases, restore self-awareness, provide supportive psychological care, and do basic nursing for patients. Clinical nursing service fully embodies the professional characteristics of psychiatry, carries out colorful work and entertainment, sports and occupational therapy, and carries out group therapy such as interpersonal training, relaxation training and psychological games twice a week to promote the recovery of patients' social function. Continue to implement the semi-open management mode, improve various systems of open management, ensure the safety of patients, promote the rehabilitation of mental patients, embody humanized nursing, and guide nursing behavior with characteristic service concept.
Fifth, reduce the accompanying rate and improve patient satisfaction.
Because this area is a semi-open and full-open management mode, and all the patients are mentally ill with depression, there are more family members in the accompanying ward. First, whether to escort depends on the patient's condition, and try not to escort or temporarily escort. Once the condition is stable, stop accompanying in time and try to reduce the proportion of family accompanying. Thirdly, strengthen the management and education of accompanying family members, hold regular family meetings and symposiums on holidays, give lectures on diseases to family members, understand their needs, answer questions, provide health guidance and improve their ability to take care of patients. To strengthen communication with patients and their families, nurses must meet the needs of patients with mental illness with love, patience, care and responsibility, improve the satisfaction of patients and their families, and strive to achieve patient satisfaction, hospital satisfaction and social satisfaction. Let patients regain health in the nursing environment of warm service, detailed service and family service, and let every nurse become a "sunshine angel" for patients with mental illness.
High-quality nursing scheme 5 is formulated in order to implement the spirit of XX national health work conference, deepen the key tasks of medical and health system reform, strengthen hospital clinical nursing, consolidate basic nursing and comprehensively improve the level of hospital clinical nursing, and strive to combine the implementation scheme of "high-quality nursing service demonstration project" in our hospital.
First, organize preparation.
(A) the establishment of a leading group
(two) held a group meeting to convey the spirit and forward documents.
1, Notice of the Ministry of Health on "XX Quality Nursing Service Demonstration Project"
2. Notice of the Ministry of Health on Strengthening Clinical Nursing in Hospitals
3. Guiding principles of graded nursing in general hospitals (for Trial Implementation)
4, "basic nursing service standard"
5. Basic nursing service for inpatients (for Trial Implementation)
6, "common clinical nursing technical service specification"
7, "Tianjin XX years" quality nursing service demonstration project "specific implementation plan"
8. Notice on Declaring Key Contact Hospitals of Tianjin Quality Nursing Service Demonstration Project
9, "Tianjin" quality nursing service demonstration project "evaluation rules"
(3) convening a mobilization meeting
1, conveying the spirit of "quality nursing service demonstration project" of the Ministry of Health in XX years.
2, convey our hospital "quality nursing service demonstration project" specific implementation plan.
3. Interpret the theme, goal and clinical nursing focus of "Demonstration Project of Quality Nursing Service" in our hospital in XX.
The representative of the head nurse and a young nurse read out the proposal.
Second, improve nursing management
(a) the nursing department field research.
(two) held a forum for head nurses and nurses to determine the work objectives:
1, to meet the basic needs of patients.
2. Ensure the safety and comfort of patients during hospitalization.
3, to ensure that the patient's diagnosis and treatment measures are effectively implemented.
4. Improve patients' satisfaction with nursing work.
(three) unified standards and assessment content.
(4) Select three pilot wards.
1, recommended by the ward of the head nurse's regular meeting.
2. The head nurse voted by secret ballot.
3. Nursing department is preferred.
(five) to publicize the contents of nursing and service.
1, improve the two-way communication channel between nurses and patients.
2. Establish a nurse-patient communication book in the pilot ward.
3. "Graded nursing standard" and "basic nursing service for inpatients" are on the wall.
Third, strive for the coordination and support of various departments.
(a) in charge of the dean of the organization finance department to coordinate and support, improve the treatment of clinical frontline nurses, extend the time of nurses working in the clinical frontline.
(b) providing human resources support.
1. Supplementary nursing human resources: It is planned to recruit 20 new nurses and 8 assistant nurses this year1.
2, to participate in the work of nurses are related certificates.
3. Clinical frontline nurses account for 95% of the total number of nurses; The ratio of beds in wards to nurses is 1: 0. 5; Contract nurses can get equal pay for equal work.
2. Establish personnel management system to limit nurses to non-nursing posts.
3. Flexible scheduling, manpower allocation, and putting into front-line positions.
4. Let nurses return to the clinical front line.
(3) Give time support
1, drugs enter the intravenous drug allocation center, and all kinds of drugs are sent to the ward; Emergency medicine is delivered to the ward at night. Return the time of the clinical nurse to the patient, and the nurse will go to the patient's bedside for basic nursing;
2. Accelerate the construction of oxygen supply in the center and reduce the time for nurses to carry oxygen cylinders.
3. Set up a transfer center, which is responsible for the accompanying inspection, laboratory examination and delivery of materials (consumable medical materials, articles, common office supplies and sterile articles) of inpatients in various wards of the hospital.
Nursing appliance support
Let the nurse quickly get all kinds of nursing equipment beside the patient's bed and return the time to the patient, such as shampoo car and multifunctional treatment car.
Fourth, the implementation stage.
(a) to meet the basic needs of patients.
1, and formulate standardized standard operating procedures.
Morning and evening care, vital signs measurement, oral care, perineal care, nasal feeding technology, catheterization technology, enema technology.
2. Optimize the service process
Admission process, preoperative workflow (the day before surgery, the morning of surgery), meal assistance process, and pre-and post-examination process.
3. Formulate humanized service measures.
Improve the care of diet details, establish a reliable nurse-patient relationship, and have various forms of health education.
4, create a nursing team atmosphere
Cultivation of professional ability and construction of nursing culture.
5, according to the Ministry of health "basic nursing clothing work service standard" to increase the service content:
Wash your face, comb your hair and feet, assist patients to move in bed, prevent and care for pressure ulcers, care for incontinence, use the toilet in bed, assist in changing clothes, wash your hair in bed, care for fingers/toenails and safety management.
6. According to the Technical Service Standard of General Clinical Nursing issued by the Ministry of Health, the service contents are added: patient admission and discharge nursing, blood sugar monitoring, intravenous injection and physical cooling.
7, according to the international hospital management certification standards to supplement and improve the management system, such as drug management (self-provided drugs use regulations), safety management (patient identity confirmation system), service process (patient transportation system), hospital infection control, etc.
8. Strengthen the training of basic nursing skills.
Develop training plan and training evaluation manual for junior nurses.
9. Simplify the writing of nursing documents
Make form nursing records (obstetrics pilot).
10, according to Tianjin nursing quality basic nursing quality assessment standards, formulate basic nursing quality assessment standards (20 quality assessment standards).
1 1, strengthen the quality control measures of basic nursing.
1) Strengthen the supervision of head nurses' night inspection: The nursing department arranges two head nurses every day to temporarily arrange key inspection work (sampling by monitoring video) according to the clinical critical patients' situation and nursing work priorities.
2) Strengthen supervision through on-site inspection by basic nursing quality control team, asking nurses and visiting patients.
(2) Implement the nurse responsibility system.
1. Communication and cooperation of department heads.
2. Competitive selection of responsible nurses, clear nurse responsibilities, grouping and zoning, relatively fixed nurse beds, and full participation in basic nursing work.
3. The responsible nurse provides continuous whole-course nursing service for patients. According to the number, quality and patient satisfaction of patients that nurses are responsible for.
(3) vertical management of nursing department
Give full play to the creativity and autonomy of nursing managers, avoid the difference of nurses' performance salary distribution and avoid the contradiction of economic distribution in departments.
1, the strong support of the hospital leaders, the understanding and support of the department directors, and the cooperation of various departments.
2. The active participation of nurses.
1) All systems, management regulations and distribution schemes of the nursing department are open and transparent.
2) Publish the e-mail address and telephone number of the nursing department.
3) Seek benefits for nurses.
4) The nursing department has the power of personnel and economic management.
5) Work quality, nursing service, professional evaluation, etc. They are all combined with performance pay, assessment, graduation and promotion.
(d) Pay distribution for nurses based on performance.
1. Distribution principle: distribution according to work, giving priority to efficiency and giving consideration to fairness.
2. Distribution basis: nature of work (clinical frontline, auxiliary department), technical difficulty, risk difficulty and nursing quality.
(5) Improve the supervision and inspection mechanism.
1, improve nursing quality management, and quality standards can pay attention to patients.
2. Establish quality control evaluation standards around patients (effectively implement nursing routine and link all patients' nursing quality standards).
3, the establishment of basic nursing quality management committee regular inspection and irregular inspection, the head nurse of each subject daily self-examination.
4, the nursing department to establish clinical nursing service investigation files:
1) Inpatients' satisfaction survey: Inpatients are surveyed once a month, and the inquiry rate is 40%; Once a quarter for discharged patients, the inquiry rate was15%; Patient satisfaction was 95%.
2) Organize a symposium for patients and their families every quarter, and keep evaluation records.
3) The nursing department conducts appraisal activities by department every quarter, and patients, staff and managers comprehensively select individuals with high quality service and make records.
Verb (abbreviation of verb) stage evaluation
Regular discussion
1, hold a nursing clinical seminar.
2. The responsible nurse regularly reports the progress and feelings of basic nursing.
3, timely discover the shortcomings and defects of clinical basic nursing.
(b) guidelines for mid-term evaluation
1, experts came to the hospital for inspection and guidance.
2. Organize nursing staff to visit and replicate excellent demonstration hospitals.
3. Visit the demonstration hospital in the city.
(3) Establishment of excellence evaluation, evaluation criteria and evaluation methods.
1, evaluation of nurses' day: build a model and build an incentive model.
Star of basic nursing service
Warm angel care award
Pilot advanced departments and individuals
2. Year-end evaluation
advanced collective
advanced individual
Sixth, the summary stage
1, hold a nursing meeting.
Commend outstanding wards and advanced individuals.
2. Welcome inspection work