? Model text of hospital nursing work plan General 1 20____ The nursing work in neurology department will focus on the development plan of the hospital, with the quality of nursing as the core, the service concepts of "patient-centered" and "service, quality and safety" as the focus, and the theme of "improving professional quality and optimizing nursing service" to improve the service level, continuously improve the quality of nursing and innovate management methods.
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, remind unsafe factors in work in time, and propose corrective measures. Taking the nursing mistakes in and out of the hospital as an example, this paper discusses and draws lessons from them, so that nurses can fully understand the error factors, new situations and new characteristics, learn lessons from them, and make the safety alarm ring constantly.
2, the implementation of various rules and regulations, regular and irregular inspection, supervision in place.
3. Strengthen the risk management of key links such as night shift, middle shift and holidays. Reduce the frequency of shift change, reduce work loopholes, reasonably match young nurses and old nurses on duty, and pay attention to cultivating the spirit of caution and independence when nurses are on duty independently.
4. Strengthen key management, such as handover of critically ill patients, prevention of pressure ulcers, blood transfusion, special medication, patient pipeline management and potential risk assessment of patients.
5, strengthen the care of key patients: such as critically ill patients, elderly patients, as the focus of discussion in early meetings or shift changes, evaluate the existing and potential risks of patients, so as to be informed 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 to reduce potential safety hazards. Pay attention to the problems existing in nursing documents at this stage, and the records should be "objective, true, accurate, timely and complete" to avoid irregular writing, such as typo, unclear alteration, inconsistency with doctors' records, etc., so as to standardize and standardize nursing documents.
8, improve the nursing emergency risk plan, usually pay attention to cultivate nurses' emergency ability, in view of various emergency work, such as blood transfusion, infusion reaction, special liquid, drug leakage, sudden power failure, etc. We should make a retrospective evaluation, draw lessons from it and improve nurses' ability 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 responsible nurse sincerely receives patients, sends them to bed, and actively carries out health education for discharged patients.
2. Strengthen service awareness education, improve the concept of humanized active service, add basic nursing day and health education day every Tuesday, 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, feedback system, establish a traceability system.
The head nurse and quality control team 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 corrective measures.
Fourth, strengthen the "three basics" training plan to improve the overall quality of nursing staff.
1. Ask questions every morning, including basic theoretical knowledge, specialized theoretical knowledge, nosocomial infection knowledge, etc.
2, every quarter for specialist emergency plan demonstration, familiar with the use of first aid equipment and instruments.
3. In the morning, the responsible nurse will collect the undergraduate medication instructions and explain the pharmacological effects and precautions.
4, and ask questions about the core system of the hospital, so that every nurse can master and implement it seriously.
5, often review the risk plan of nursing emergencies, improve the emergency ability of nurses.
Five, according to the requirements of the hospital actively do a good job in the nursing work.
1, designated personnel to do a good job of health education and follow-up after discharge.
2. Organize patients and their families to give lectures irregularly, and teach rehabilitation knowledge and family nursing knowledge, so as to improve patients' quality of life.
3. Do a good job in screening and data statistics.
Model essay on hospital nursing work plan II
First, the doctor's advice:
(1) Nurses should be familiar with the system of checking doctor's orders, carry out the doctor's orders in time, strictly implement the "three checks, eight pairs and one attention" in medication, injection and infusion, and make timely and complete records.
(2) Nurses always check doctor's advice 1 time every day, and head nurses always check doctor's advice 1 time every week, with records.
(3) After receiving the doctor's advice, the nurse in charge of the class shall promptly notify the treatment nurse to implement it and sign the doctor's advice. The treatment nurse should tick the treatment list after dispensing, and record the execution time, number of drops, tick and signature after the treatment nurse's orders are executed.
(4) Blood transfusion patients should strictly implement the check and blood transfusion monitoring system.
(5) Make nursing marks according to the doctor's advice.
Second, the condition observation:
(1) Nurses are familiar with the graded nursing system, and regularly patrol patients according to the nursing level, so as to achieve "three timeliness" (timely report to doctors, timely cooperation and timely and accurate records).
(2) Whether the content of succession is complete. The bedside shift of critically ill patients should be handed over to treatment, medication, illness, skin, infusion and drainage.
(3) The nurses in the main class master the "eight knowns" of patients in intensive care and first-class nursing (name, diagnosis, main points of observation, diagnosis and nursing measures, self-care ability, sleep, diet and nutrition status, health guidance).
Third, the basic nursing:
(1) Inpatients should change sheets and quilts once a week, and the bed unit should be changed on the day of operation. If there is blood pollution, it should be replaced in time.
(2) Morning care: tidy up the bed unit, change the sheets and quilt cover when necessary, and give the patients with abdominal surgery a semi-lying position (the nurse should raise the bedside appropriately). If necessary, assist the patient in cleaning. Check the fixing of each pipeline and the completion of treatment. Ask about sleep, pain and night ventilation, and understand the recovery and activity of intestinal function.
(3) Night care: Arrange and straighten out various pipelines to provide oral care for patients who can't take care of themselves. For patients with postoperative pain, attention should be paid to keeping the ward quiet so as to fall asleep and urging visitors to leave the hospital as soon as possible. Pay attention to the temperature change in the ward and lower the doors and windows appropriately.
(4) Dietary care: according to the doctor's advice, give dietary guidance and inform them of their diet range. For patients with enteral nutrition, nurses should give guidance on diet, preparation, hygiene, temperature and speed. Observe the patient's reaction after eating.
(5) Excretion nursing: do a good job in incontinence nursing, promptly urge to change wet clothes and keep the skin clean and dry. Exercise of bladder function for patients with indwelling catheter.
(6) Preoperative care: give psychological support to the patients undergoing surgery, and explain the operation knowledge, operation cooperation and matters needing attention after operation. Inform the preoperative fasting time and the necessity of quitting smoking and drinking. Do a good job of preoperative guidance, such as coughing effectively, taking a deep breath, patting the back, defecating in bed, etc. Prepare the skin if necessary.
(7) Postoperative care: prepare anesthesia bed, and give ECG monitoring and oxygen inhalation according to the doctor's advice. Mark all kinds of pipelines and fix them properly to ensure that the pipelines are in place and unimpeded. Observe the changes of the disease closely and make records. If there is any abnormality, report it to the doctor in time.
(8) Lying position nursing: Choose a suitable lying position according to the condition, and guide and assist patients in bed rest activities and limb function exercise. Turn over as needed, pat your back, assist in expectoration, and give sputum suction when necessary to guide effective cough. Strengthen the patrol of high-risk patients with pressure ulcer, and take effective preventive measures in time when there is pressure ulcer alarm. Prevent falling out of bed and injury.
(9) Familiar with the nursing routine of common diseases and frequently-occurring diseases, skilled and accurate in technical operation, and strict in technical operation procedures.
(10) Strictly check the collected test specimens, select appropriate containers, place them in a qualified environment and send them for inspection in time to ensure that the samples are safe and intact, and the labels are correct and clear.
(1 1) Various drainage devices should be replaced, cleaned and dumped in time. The patient has a long-term indwelling gastric tube and urinary tube, which are replaced once a week.
(12) Infusion patients should achieve "four promptness" (timely treatment, timely patrol observation, timely treatment when problems are found, timely fluid infusion, timely needle withdrawal) and "six promptness" (inform the name of each bottle of medicine, the number of infusion drops, the time required for each bottle of medicine infusion, the effective time of some medicines after entering the human body, and adverse drug reactions) to prevent patients and their families from changing fluids.
(13) The measures to prevent patients from pressure ulcers were implemented, and no pressure ulcers occurred.
(14) hospitalized patients should achieve "three short nails and short beard" and "six clean" (skin, hands and feet, mouth, hair, anus and perineum).
(15) For critically ill, surgical, transferred-in and transferred-out patients, the handover shall be conducted in strict accordance with the work specifications, and records shall be made.
(16) Do a good job of handing over precious drugs and articles, and make records.
(17) Do a good job in safety management, patrol the ward in time, and use restraint belts, guardrails and other protective measures for critically ill and restless patients.
(18) Provide health guidance according to the patient's condition and recovery, such as check-out procedures, postoperative precautions, diet and functional exercise.
(19) distribute the patient satisfaction questionnaire and listen to the opinions and suggestions of patients during hospitalization.
(20) do a good job in hospital registration.
(2 1) After discharge, the patient's label will be cancelled.
Model essay on hospital nursing work plan III
20____, on the basis of summarizing the experience of "quality nursing service" in the previous year, in order to further deepen the connotation of nursing work, improve the level of nursing service and continuously improve the quality of nursing, we strive to provide patients with continuous, seamless, high-quality and thoughtful nursing service. A 20-year nursing work plan is specially formulated:
First, strengthen the construction of core system and implement nursing safety measures.
1, strictly implement the core nursing system, especially the implementation of ten core nursing systems, such as nursing quality management system, check system, handover system, nursing adverse event reporting system, graded nursing system, nursing safety management system and critically ill patient rescue system, and go deep into departments to conduct strict inspection, spot check and on-site inspection on the implementation of the system. Share the defects of nursing adverse events in the whole hospital, combine typical cases of nursing adverse events, closely link with work practice, organize discussions, find out the reasons, learn lessons and put forward rectification measures. Strengthen the implementation of the core system of medical safety and various nursing operation norms, processes and routines. Focus on supervision, inspection and monitoring of newly admitted patients, newly transferred patients, critically ill patients, bedridden patients and patients with potential risks of medical disputes.
2, irregular nursing safety hidden trouble investigation, found the problem, handle in time. Link management of patients: establish and improve the evaluation system of patient transport, handover and pressure sore nursing management. Link management of nurses: focus on explaining and carefully guiding newly transferred nurses and nurses with thoughts and emotions.
3, strengthen the responsibility of safety management, put an end to major mistakes and accidents. Spot-check departments in ward management, basic nursing, nursing safety, medical record writing, disinfection and isolation, etc., immediately point out the existing problems and make rectification within a time limit.
4, improve the patient medication, blood transfusion, treatment, specimen collection, perioperative management, safety management and other key aspects of the emergency plan, each department reported in line with the characteristics of undergraduate course room emergency plan exercise plan, nursing department once a month, spot checks as planned.
5, the implementation of high-risk patients risk assessment records, key link handover records. The nursing department re-standardizes relevant systems, processes, preventive measures, evaluation and report forms for high-risk patients, and regularly checks the implementation; Re-establish handover records between wards, between emergency departments and wards, between wards and ICU, and between operating rooms and wards.
6, process, regular safety warning education for nursing staff.
Second, change the concept of nursing and improve the quality of service
1, continue to further promote quality care. Further expand the coverage of quality nursing service, vigorously promote the quality nursing service in outpatient and emergency departments, operating rooms and hemodialysis rooms when the coverage rate of quality nursing service wards reaches 100%, continue to deepen the service concept of "patient-centered" and implement the overall nursing responsibility system. Nurses use professional knowledge and skills to provide patients with medical care, disease observation, health guidance, rehabilitation promotion, psychological care, discharge follow-up and other services, reflecting humanistic care.
2. Continuously improve the quality of nursing service. Establish and improve the mechanism of nursing quality control and continuous improvement, clarify the key indicators of nursing quality control, and establish a regular monitoring and feedback system to continuously improve the quality of nursing and ensure the safety of patients.
3. Improve the level of nursing service. Through medical association, counterpart support and on-the-job training, we will strengthen the training of nurses and improve their nursing service ability, especially health management, aged care, rehabilitation promotion and continuous nursing. Gradually improve the incentive mechanism, tilt towards clinical nurses in performance distribution, professional title promotion, education and training, and mobilize the enthusiasm of nurses.
Three, strictly implement the overall nursing responsibility system, strengthen the construction of nurses.
1, deepen the hierarchical use of nurses, assign responsible nurses according to the patient's condition, nursing difficulty and technical requirements, and the critically ill patients are responsible by nurses with high seniority and strong ability, reflecting the corresponding energy levels. To establish a graded management system for nurses in line with the characteristics of nursing work. The hierarchical management of nurses is organically combined with the salary distribution and promotion of nurses, so as to clarify the career development path of nurses and broaden the career development space of nurses.
2. Establish a nurse training mechanism to improve professional quality and ability. Establish a "demand-oriented, post-oriented ability as the core" nurse training system. Focus on strengthening the training of new nurses, specialist nurses, nursing managers and midwives. Nurses' training should be guided by post demand and post ability, highlight professional connotation, pay attention to practical ability, improve humanistic quality and effectively improve nursing professional quality and service ability to meet the needs of clinical nursing development.
3. Clinical nursing service fully embodies the characteristics of specialty, and continues to select excellent nurses to study in the field of specialty nursing urgently needed in clinic, and gradually develops the team of specialty nurses. Establish a management system for specialized nurses, and clarify their job responsibilities and service areas. Strengthen the training of specialized nurses and continuously improve the level of specialized nursing. Enrich the service connotation according to the characteristics of the department, provide humanized nursing service for patients, ensure the safety of patients and promote their rehabilitation.
4. Continue to carry out specialist group, nutrition nursing group, intravenous infusion therapy nursing group, quality control circle nursing group and wound ostomy nursing group. Under the leadership of the nursing department, we will continue to carry out quality intervention on patients in the whole hospital, organize and participate in professional and technical work in the specialized field of our hospital, formulate various nursing work standards and nursing quality evaluation standards in our hospital, organize team members to participate in in in-hospital nursing consultation at any time, improve the quality of nursing consultation, and organize regular teaching, training and scientific research on nursing theory and practice.
5. Strengthen patient health education: evaluate the performance of high-quality nursing services, adhere to the principles of objectivity, fairness and openness, and assign them to front-line nurses to arouse their enthusiasm.
Fourth, strengthen the training of three basics and three strictness to improve the quality of nursing.
1, strengthen the training of basic theoretical knowledge, including basic theory, specialized nursing, laws and regulations, service awareness, etc. Strengthen the training of nursing technology operation, and comprehensively improve the comprehensive quality and professional ability of nursing staff according to the training items stipulated by nurses' post skills.
2, department nurses in accordance with the requirements of grading training, explain business knowledge every week, learn from each other. There are study notes and papers twice a month in the department, and those who fail will have to take a make-up exam.
3. Make use of the morning meeting to ask questions about the core system of hospital nursing, so that every nurse can master and seriously implement it. Regularly review the knowledge of nursing emergency risk plan, and conduct simulation exercises to improve nurses' emergency ability.
4, first-aid technical drills every month, master the use of first-aid equipment and instruments.
Five, in accordance with the spirit of the superior documents, continue to do a good job in supporting township hospitals.
Strengthen communication with township health centers, understand the existing practical difficulties and projects that need support, and the nursing department makes a work plan, implements the responsibility to people, advances as planned, and regularly feeds back the work results.
Six, actively cooperate with the medical association, strengthen exchanges and cooperation with superior hospitals.
We should carry out cooperation and exchanges with higher-level hospitals in the nursing field in an all-round, multi-level and multi-channel way, learn and draw lessons from advanced nursing concepts, practical experience, education and management, and strengthen exchanges and cooperation in nursing staff training, business technology and management in accordance with the requirements of the Detailed Rules for the Implementation of Evaluation Standards for Tertiary General Hospitals, so as to achieve experience sharing and mutual benefit.