Work plan for hand surgery nursing 1
It’s 20xx, and the new year is a year full of challenges, opportunities and pressures. It is a very important year for our department. We will closely focus on the hospital work policy and the work plan of the nursing department, conscientiously perform our duties, and formulate the department's annual nursing work plan as follows:
1. Do a good job in training the department's nursing staff , Strengthen the quality training of department nursing staff.
General nursing staff should realize that "congenital deficiencies" have become the driving force rather than the resistance for our continuous study, and establish the spirit of self-improvement, advancement, and diligent study of professional knowledge. Only by accumulating knowledge through hard study can we improve own quality and business capabilities. Only then can we gradually transform the current nursing team, which is dominated by college degrees, into a nursing team dominated by undergraduates. The Nursing Department will adopt multiple channels to provide learning opportunities for nursing staff.
1. Encourage middle-aged and young nurses to participate in self-study, and encourage nursing staff to participate in undergraduate and postgraduate nursing studies. In two years, there will be 5 people in the department with undergraduate degrees.
2. Ask the nurses questions during nursing rounds, covering basic theoretical knowledge, specialist theoretical knowledge, nosocomial infection knowledge, etc. Use the Kechen Meeting to ask questions about the hospital's core nursing system so that every nurse can master it proficiently and implement it conscientiously.
3. According to the arrangement of the hospital and the nursing department, there is an opportunity to select and send key nursing personnel to short-term nursing knowledge training courses inside and outside the province to study, focusing on the advancement of management knowledge and specialist knowledge.
4. Insist on holding monthly nursing knowledge, new business and new technology, and professional technical training in the department. Each month, there will be 1-2 business studies within the department, 1 nursing ward round, 1-2 operational trainings, etc. The nursing department focuses on standardizing nursing rounds and improving the quality of ward rounds to improve professional knowledge and practical capabilities. Senior nurses should strengthen emergency and first aid training. Set an example for junior nurses at work, teach by words and deeds, and carry forward the fine style of unity and cooperation in neurosurgery.
2. Conduct regular and irregular nursing quality inspections to maintain continuous improvement of nursing quality.
1. Give full play to the role of the nursing quality control team and conduct quality inspections every week so that problems can be discovered, corrected and dealt with in a timely manner.
2. Hold a nursing quality and safety management meeting once a month. Comprehensively analyze the feedback information from the first-level quality control quality inspection, head nurse quality inspection, second-level quality control quality inspection, and third-level quality control quality inspection, find the reasons, formulate practical rectification measures, and check the implementation of rectifications. The department will report the inspection results, criticize, educate and appropriately punish comrades who often have problems, and praise and reward those who have done well.
3. Do a good job in morning and evening care, and ensure basic care is in place. Keep the patient bed unit clean and tidy, and the environment warm and comfortable.
4. Strictly implement the bedside handover system and make specific reports to the off-duty nurse when handing over the shift.
5. Strictly implement the responsibilities of staff at all levels. The head nurse or responsible team leader inspects the work quality of the hygienists twice a week to keep the ward clean and tidy; conducts patient satisfaction surveys once a month to ensure service quality.
6. Timely evaluation of electronic medical records, the head nurse insists on checking once a week, corrects problems in a timely manner and notifies the responsible nurse to prevent similar problems from happening again.
7. Strengthen hospital infection control. Strictly abide by the implementation of disinfection and isolation, and do a good job in monitoring the environmental hygiene of the ward. The results should meet the standards. At the same time, carry out regular disinfection, terminal disinfection and daily disinfection. Used items should be disinfected according to handling principles, and disposable items should be managed, used, and disposed of as required.
3. Organize general nursing staff to seriously study the nursing quality control evaluation standards revised in 20xx.
Nursing quality control standards include: nursing management quality control evaluation standards, nursing safety quality control evaluation standards, nursing service quality control evaluation standards, clinical nursing (basic nursing, hierarchical nursing, specialist nursing, critical care, hospital Infection control, etc.) 4 aspects of quality control evaluation standards.
4. Nursing safety is the focus of nursing management.
The nursing safety work is unremitting, everyone performs their duties, and checks are carried out at all levels to effectively manage nursing safety, reduce medical disputes and hidden dangers, and ensure the safety of patients in medical treatment.
1. Supplement and improve nursing safety management measures, do a good job in pre-job training for nursing staff at all levels, inspect safety work regularly and irregularly, and insist that the head nurse or responsible team leader conduct ward rounds once a month and before holidays Safety inspections and mid-section inspections.
2. The head nurse should do a good job in micro-management. Adhere to the shift handover of narcotic drugs, rescue drugs and supplies, keep rescue equipment in functional condition, and maintain a 100% good rate of rescue supplies. Pay close attention to the link monitoring of nursing staff, the link monitoring of patients, the link monitoring of time and the link monitoring of nursing operations.
(1) Monitoring of nursing staff: Strengthen the management of newly transferred, newly graduated, intern nurses and nurses with thoughts and emotions, and ensure key explanations, key follow-ups, and key ward rounds.
(2) Monitoring of patients: New admissions, newly transferred patients, critically ill patients, post-surgery patients, and patients with potential risks of medical disputes must be supervised, inspected and monitored.
(3) Time monitoring: Supervision and management must be strengthened during holidays, weekends, busy work, fatigue-prone times, and night shift handovers.
(4) Monitoring of nursing operations: infusion, blood transfusion, various allergy tests, preparation before surgery, etc. Although it is daily work, if a problem occurs, it is a matter of life and death, and it should be the focus of monitoring in nursing management.
5. Strengthen nursing management and rationally utilize human resources.
1. The ratio of nurses in our department does not meet the requirements, and there are few nurses. The workload is heavy, and the head nurse should reasonably allocate human resources according to the patient situation and nursing workload of the department, and arrange shifts flexibly to increase the number of people working during peak periods. General nursing staff should be on call when work needs it. To provide patients with satisfactory nursing services in both quality and quantity.
2. Nursing managers should enhance their awareness of business management. The head nurse should work with the department director to think of ways to change the department's income structure. When implementing department cost accounting, the head nurse is both a decision-maker and a participant. She should conduct careful and accurate statistics on department material cost accounting, achieve planning and control, accounting and analysis, and gradually explore the regularity of department cost consumption. , making the department's medical costs reasonable and scientific, low-cost and effective; it not only reduces patient burden, but also increases social benefits, improves economic benefits, and increases personal income.
6. Strengthen scientific research awareness and improve nursing scientific research capabilities.
1. Actively create conditions for senior nurses, create a good academic atmosphere, and strive to publish high-level papers. Aim to publish at least one cn-level article this year.
2. Adopt an incentive mechanism and give priority to nurses who have published academic papers in magazines or communicated at conferences when selecting outstanding nurses and year-end awards.
Work plan for hand surgery nursing Part 2
The high-quality nursing service work in xx is based on the "high-quality nursing service" activity carried out last year, in order to further deepen the "high-quality nursing service" The connotation of the work is based on the theme of "improving professional quality and optimizing nursing services" and taking the "Second Class A review" as an opportunity to improve service levels, continuously improve the quality of nursing, and strictly implement the full-process quality management of each nursing work, that is, the foundation Quality, link quality, final quality, link quality is the focus. Based on summarizing the experience of carrying out "Quality Nursing Service" activities in the previous year, the 20xx "Quality Nursing Service" work plan was specially formulated.
1. Guiding ideology:
Our department will be guided by the scientific outlook on development, deepen the service concept of "patient-centered", and take the "Class II A review" as an opportunity to With the theme of "improving professional quality and optimizing nursing services", we strive to provide patients with seamless, continuous, safe, high-quality and satisfactory nursing services.
2. The work goal is to take patient satisfaction as the overall goal
Lay a solid foundation, consolidate the results, take the patient's requirements as the starting point of the work, take patient satisfaction as the end point of the work, and fully implement the patient-centered Provide various nursing services for the center. Further deepen high-quality nursing services, enhance service connotation, and continuously improve nursing quality.
3. Work measures
1. Revise various systems and standards and continue to improve and revise our hospital’s rules and regulations, work responsibilities, work processes, disease care routines, and clinical care service specifications. and standards. Continue to improve and revise quality control inspection standards and methods, improve the reporting and supervision system of adverse nursing events, and strengthen the management of critically ill patients.
2. Comprehensively improve professional quality and optimize nursing services
(1) Strengthen the training of basic theoretical knowledge to improve the comprehensive quality and professional ability of nursing staff. Starting from the "Three Basics and Three Stricts", a monthly business training is organized, covering basic theories of traditional Chinese and Western medicine, specialist nursing, laws and regulations, and service awareness, to strengthen the implementation of basic nursing and graded nursing and ensure quality.
(2) Improve the practical working ability of clinical nurses and train the backbone of specialist nursing.
(3) Strengthen nursing professional technical operation training. Firmly master basic nursing skills and consolidate basic skills. At the same time, organize nurse skill operation competitions to further strengthen training and improve clinical nursing skill operation levels, thereby improving nursing services.
(4) Strengthen the study of nurses’ etiquette standards.
(5) Various forms of learning and training are adopted to improve the professional quality of nursing staff in the hospital and improve the nurses' ability to observe the condition, implement nursing measures, and record nursing documents.
3. Strengthen management to ensure nursing safety
(1) Strengthen the management of key patient links, such as patient transfer, handover, pressure sores, etc., and establish and improve the nursing process and management evaluation program. Grasp key links such as nurse handover and monthly nursing rounds, and strengthen nursing management to ensure the achievement of goals.
(2) Strengthen nursing safety monitoring and management, organize departments to conduct monthly inspections of nursing safety hazards, analyze and discuss the causes of nursing errors and nursing errors, analyze the causes of occurrence, lessons to be learned, and propose preventive measures and improvement measures.
(3) Strengthen department management. Conduct irregular spot checks on the department's ward management, basic nursing, nursing safety, medical record writing, nurse instrumentation, disinfection and isolation every week, point out existing problems immediately and provide feedback within a time limit, and summarize them at the monthly nurse work meeting ;Conduct quality control on high-quality nursing wards
4. Consolidate basic nursing care
Effectively provide basic nursing care to make nursing work more standardized. Keep the hospital bed clean, odor-free, and stain-free, with items neatly arranged and standardized. The number of infusion drops is consistent with the doctor's instructions. Frequently inspect the infusion patients, be good at observing patients, and solve problems in a timely manner.
Work plan for hand surgery nursing Part 3
1. 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. Continuously strengthen nursing safety education, make safe nursing one of the regular themes of the nurses’ regular meetings every Friday, promptly remind them of unsafe factors at work, and propose corrective measures to eliminate nursing errors inside and outside the hospital. Discuss and draw lessons from examples, so that nursing staff can fully understand error factors, new situations, and new characteristics, learn lessons from them, and keep the safety alarm bell ringing.
2. Implement various rules and regulations, conduct regular and irregular inspections, supervise medical and education network collection and arrangement, and have supervision and inspection records.
3. Strengthen risk management in key links, such as night shifts, mid-day shifts, holidays, etc. Implement apn shift scheduling and flexible shift scheduling to reduce the frequency of shift handovers, reduce loopholes in work, reasonably match young nurses and old nurses on duty, and at the same time pay attention to cultivating nurses' independent spirit when on duty independently.
4. Strengthen key management: such as handover of seriously ill patients, pressure ulcer prevention, blood transfusion, special medication, patient pipeline management, and assessment of existing and potential patient risks.
5. Strengthen the care of key patients: such as surgical patients, critically ill patients, and elderly patients. During the morning meeting or shift handover, the above-mentioned patients will be the focus of discussion during the shift handover, and the existing and potential risks of the patients will be affected. Assess the risks, achieve a certain level of awareness, and attract the attention of each class.
6. Management of key employees: such as intern nurses, rotation nurses and new nurses, etc., provide them with legal awareness education, improve their anti-risk awareness and ability, and make it clear to students that they can only work under the supervision of teachers. Patient care can only be provided under the guidance or supervision of the patient. At the same time, nurses with clinical experience, strong sense of responsibility and nurse qualifications are designated as teaching teachers to cultivate students' communication skills, clinical operation skills, etc.
7. Further standardize the writing of nursing documents to reduce safety hazards, pay attention to the existing problems in nursing documents at this stage, and make records "objective, true, accurate, timely and complete" to avoid irregular writing, such as typos and alterations. Unclearness, inconsistency, and inconsistency with doctor's records, etc., standardize and normalize nursing documents.
8. Improve the nursing emergency risk plan, pay attention to cultivating the emergency response ability of nurses in daily work, and prepare for every emergency work, such as blood transfusion, infusion reaction, special liquid, drug leakage, sudden power outage, etc. A retrospective evaluation is required to draw lessons from the experience and improve the nurse's ability to respond to emergencies.
2. Be patient-centered, promote humanized services, strengthen nurse-patient communication, improve patient satisfaction, and avoid nursing disputes.
1. The nurse in charge receives the patient sincerely, sends the patient to the bedside, and actively conducts health education for patients entering and leaving the hospital.
2. Strengthen service awareness education, improve the concept of humanized active service, and add health education day to the basic care day on Tuesday, and provide educational guidance and safety precautions for each shift at any time.
3. Establish health education prescriptions, issue nurse-patient contact cards, hold monthly work break symposiums, solicit opinions from patients and their families, and praise, criticize and educate nurses with good and bad service quality.
Three. Establish inspection, evaluation, and feedback systems, and set up a traceability system. The head nurse and the quality control team often go deep into the ward to inspect, supervise, and evaluate. The evaluation method involves on-site assessment of nurses and patients, checking records, listening to doctors' opinions, discovering problems in nursing work, and improving corrective measures.
Work plan for hand surgery nursing Part 4
1. Strictly implement the responsibility system for overall nursing care
(1) Flexible shift scheduling is implemented in the ward, such as night shift, During mid-shift, holidays, etc., reduce the frequency of shift handovers, reduce loopholes in work, reasonably match young nurses and old nurses on duty, and at the same time pay attention to cultivating nurses' independent spirit when on duty independently.
(2) Based on the concept of high-quality nursing services, the ward has 2 responsible team leaders and 2 to 3 bed responsible nurses, each responsible nurse caring for 10 patients. Responsible nurses provide patients with continuous and full-process work from admission to discharge, including various treatment administration, condition observation, basic care and health education, and provide high-quality nursing services. Critically ill patients, patients at high risk for complications after major surgery, and those at high risk for complications are handled by senior responsible nurses.
(3) Fully perform the duties of a nurse.
Integrate basic care, condition observation, treatment, communication and health guidance to provide patients with comprehensive, full-course and continuous care services. Closely observe the patient's condition, communicate with doctors and patients in a timely manner, provide health education and rehabilitation guidance to patients, and provide psychological care.
(4) Clinical nursing services fully reflect the characteristics of the specialty, enrich the service content based on the characteristics of the department, provide patients with humanized nursing services, ensure patient safety, and promote patient recovery.
2. Strengthen nursing safety management and improve nursing risk prevention measures
(1) Strengthen the care of key patients: such as surgical patients, critically ill patients, and elderly patients, during morning meetings or handovers When taking over the shift, the above-mentioned patients will be the focus of discussion during the shift, and the existing and potential risks of the patients will be assessed to achieve a comprehensive understanding and attract the attention of each shift. Carry out handover of seriously ill patients, pressure ulcer prevention, blood transfusion, special medication, patient pipeline management, and assessment of existing and potential patient risks.
(2) Further standardize the writing of nursing documents, reduce potential safety hazards, pay attention to the existing problems in nursing documents at this stage, and make records "objective, true, accurate, timely and complete" to avoid irregular writing, such as typos, Unclear erasures, inconsistencies, and inconsistencies with doctors’ records make nursing documents standard and standardized.
(3) Improve the nursing emergency risk plan, and pay attention to cultivating the emergency response capabilities of nurses in daily work. For each emergency work, such as blood transfusion, infusion reaction, special liquids, drug leakage, sudden power outage, etc., Retrospective evaluations must be made to learn lessons and improve nurses' ability to respond to emergencies.
(4) Strengthen nursing safety monitoring and management, organize departments to conduct monthly inspections of nursing safety hazards, analyze and discuss the causes of nursing errors and nursing errors, analyze the causes of occurrence, lessons to be learned, and propose preventive measures and improvement measures.
(5) Strengthen department management. The department conducts irregular spot checks every week on ward management, basic nursing, nursing safety, medical record writing, nurse instrumentation, disinfection and isolation, etc., points out existing problems immediately and provides feedback within a time limit, and conducts summary inspections at the monthly nurse work meeting. ;Conduct quality control on high-quality nursing wards. 3. Comprehensively improve professional quality and optimize nursing services
(1) Strengthen the "three basics" training plan to improve the comprehensive quality and professional capabilities of nursing staff.
(2) Study the "Basic Nursing Service Projects for Inpatients", "Basic Nursing Service Work Standards", and "Common Clinical Nursing Technical Service Standards"
(3) Organize all nurses every month Conduct various forms of learning and training such as business learning, critical patient care discussions, case rounds, and educational rounds to improve the professional quality of nursing staff in the hospital and improve the nurses' ability to observe conditions, implement nursing measures, and record nursing documents.
(4) Improve the practical working ability of clinical nurses and train the backbone of specialist nursing.
(5) Simplify the morning collective shift handover and strengthen the content of bedside shift handover. Using the bedside handover time, the head nurse and senior nurses explain the bedside specialist theoretical knowledge on the nursing problems of first-level nursing and critically ill patients, and take effective intervention measures.
(6) Supervise nursing staff to conscientiously implement nursing routines, nursing systems, nursing operating procedures and disease observation, and conduct regular first aid technical drills so that every nurse can master the use of first aid drugs and equipment. 4. Take patient satisfaction as the overall goal and deepen high-quality nursing services
Be patient-centered, promote humanized services, strengthen nurse-patient communication, improve patient satisfaction, and avoid nursing disputes.
(1) The nurse in charge receives the patient sincerely, sends the patient to the bedside, and takes the initiative to educate the patient on their health when entering and leaving the hospital.
(2) Strengthen service awareness education, improve the concept of humanized active service, and add health education days to basic care days on Wednesdays and Sundays, and provide educational guidance and safety precautions for each shift at any time.
(3) Hold monthly work break symposiums to solicit opinions from patients and their families, and praise, criticize and educate nurses with good or bad service quality.
5. Strengthen hospital infection knowledge training to prevent and control the occurrence of nosocomial infection
1. Conduct hospital infection knowledge learning once a month.
2. Sterile items should be placed separately from non-sterile items. After use, sterile items should be promptly marked with the opening time and disinfected regularly; the nurse in charge of the treatment class will inspect and disinfect the items every day. Work.
3. Medical waste is placed separately, and the nurse on duty will check it every day before leaving get off work, and supervise the nursing staff to clean up the waste on a daily basis; there are disinfection monitoring nurses who regularly conduct education work in the department.
4. The disinfection monitoring nurse is responsible for monitoring the concentration of disinfectant solution, air culture, surface culture, etc. and records them in a timely manner. The head nurse supervises the inspection results from time to time, and promptly formulates relevant nursing measures for unqualified inspection results to ensure nursing safety.
Work plan for hand surgery nursing Part 5
1. Under the leadership of the department director and the nursing department, be fully responsible for the administrative management and nursing quality management of the delivery room.
2. In accordance with the quality management requirements of the Nursing Department and Obstetrics Department, be responsible for formulating and organizing the implementation of nursing care, regularly or irregularly supervising and inspecting the implementation of various regulations, job responsibilities of each shift, and the implementation of various nursing technical operating specifications. , and summarize and comment in a timely manner to continuously improve the quality of care.
3. According to the work tasks of the delivery room and the specific situation of the midwives, optimize the combination of nursing forces, conduct scientific and reasonable shift arrangements, and formulate the job responsibilities of each shift.
4. Organize business learning and professional skills training, regularly ask questions or use other forms of assessment, and do a good job in reward and punishment assessment.
5. Supervise all personnel to strictly implement disinfection, isolation and aseptic operations, regularly conduct bacterial culture on the air, objects and staff's hands in the sterile area of ??the delivery room as planned and required, and identify the disinfection effect.
6. Timely communicate the work requirements of the nursing department, supervise and guide all work in the delivery room, host morning meetings, understand the work situation of the middle and night shifts, and inspect the work situation of the middle and night shifts and holidays from time to time.
7. Participate in and organize the rescue work of critically ill patients and the discussion of difficult and critical cases, and understand the requirements of doctors at all levels for nursing work.
8. Do a good job in the management of various items, instruments and first aid supplies in the delivery room, designate a dedicated person to take charge, ensure supply, conduct regular inspections, and keep records.
9. Coordinate the working relationship between department staff and doctors, office staff and other department personnel, communicate with each other, and obtain timely support and cooperation.
10. Do a good job in monthly business statistics and accurately fill in and check various reports. Major problems that occur at work should be analyzed, identified, and summarized in a timely manner, and effective preventive measures should be put forward.