First, seriously implement the rules and regulations.

Strict implementation of rules and regulations is the fundamental guarantee to improve nursing quality and ensure medical safety.

1, the nursing department reiterated the responsibilities of nursing staff at all levels, clarified the post responsibility system and nursing work system for nurses on duty and visiting nurses, and put an end to the bad phenomenon of patients changing infusion bottles and pulling needles by themselves.

2, adhere to the inspection system:

(1) requires the class to check the doctor's advice, and the head nurse participates in the total check 1-2 times a week and records it;

(2) Nursing operation requires three checks and seven pairs;

(3) Insist on filling in the infusion card, and no major nursing mistakes have occurred in the past year.

3, conscientiously implement the orthopedic nursing routine and microsurgical nursing routine, adhere to fill in all kinds of information and data register, equipped with five types of surgical disposal tray.

4, adhere to the bedside shift system and morning care, to prevent the occurrence of complications.

Second, improve the management level of head nurses.

1. Adhere to the record and assessment of the head nurse's handbook: require the head nurse's handbook to be submitted to the nursing department for assessment before the 5th day of each month, and supervise the implementation according to the annual plan, seasonal arrangement and monthly plan formulated by the head nurse, and monitor the implementation effect, and require the head nurse to summarize the monthly work so as to sum up experience and carry out the work.

2. Adhere to the regular meeting system of head nurses: according to the requirements of grade hospitals, hold a regular meeting of head nurses once a week, with the contents as follows: arrange the focus of this week's work, summarize the advantages and disadvantages of last week's work, put forward corresponding rectification measures, feed back the nursing quality control inspection to the head nurses, and learn the relevant materials of head nurses' management.

3, check the quality of nursing every month, and timely feedback, and constantly improve the management level of the head nurse.

4. Organize head nurses to study abroad, learn from the advanced experience of brother units, and expand their knowledge: at the end of May, head nurses from three wards were selected to participate in the new international nursing progress class, and reported to all nurses after the study.

Third, strengthen the construction of medical ethics of nursing staff.

1, continue to carry out the code of conduct for nurses, and carry out 50 civilized expressions for nurses in daily work.

2. Organize all nurses to attend etiquette training in Wenling Hotel and Wanchang Hotel in June, 165438+ 10 respectively.

3. Continue to carry out health education and issue satisfaction questionnaires to inpatients. The results of satisfaction surveys (regular or irregular evaluations) are all above 95%. In addition, corrective measures were put forward for the problems existing in the satisfaction survey, and the best nurses were selected.

4, the department held a symposium on a regular basis every month, solicit opinions from patients, to meet the demands of patients to the maximum extent.

5. Carry out pre-job professional ethics education, rules and regulations, nurse code of conduct education and basic nursing knowledge, specialist knowledge and nursing technology operation assessment for newly assigned nurses, and those who pass the examination will be given posts.

Fourth, improve the professional quality of nursing staff.

1. Conduct "three basics" training for on-the-job personnel and organize theoretical examinations.

2, cooperate with the medical department, hire experts to teach, teach orthopedics, internal medicine, surgery knowledge, in order to improve professional knowledge.

3. Each department asks questions 1-2 times a week in the morning, and the content is basic theoretical knowledge and orthopedic knowledge.

4. A nursing technical operation competition (aseptic operation) was held on March 8th Women's Day, and the first prize (,second prize (,Tang,) and third prize () were awarded respectively.

5.65438+At the beginning of February, the nursing department conducted a nursing technical operation examination for the nurses in the whole hospital:

Examination of nurses in ward: intravenous infusion and oxygen inhalation; Examination of nurses in emergency room: cardiopulmonary resuscitation, oxygen inhalation and gastric lavage; Examination of nurses in operating room: intravenous infusion and aseptic operation.

6, strengthen the nursing of critically ill patients, adhere to the bedside succession system and morning care.

7. Insist on nursing rounds: conduct nursing rounds in three wards in turn every month to discuss nursing diagnosis and nursing measures to improve professional quality.

8.165438+1October 9-June, 9 nurses who entered the hospital this year were given pre-job training on basic nursing and specialized nursing knowledge, and each head nurse was organized to have a class to improve their teaching ability.

9. There are 5 nurses in the whole hospital who take the self-taught examination for nursing specialty and 3 nurses who take the correspondence course for nursing specialty.

Five, strengthen the management of hospital infection.

1, strictly implement the disinfection and isolation system formulated by the hospital management leading group.

2. Each department insists on monthly air culture in the ward treatment room and dressing room, and secondary air culture in summer in high-risk departments such as operating room and outpatient operating room, which ensures the good effect of aseptic incision without infection.

3. The department insists on ultraviolet disinfection of the treatment room and locker room every month, and make records. The ultraviolet lamp tube is dusted with anhydrous alcohol every week, and recorded, and the ultraviolet intensity is monitored every two months.

4. After the disposable articles are used, all wards, operating rooms and emergency rooms can be damaged, soaked, concentrated and inspected regularly. Regularly detect and check the concentration of various disinfectants, and insist on one bed, one middle school, one morning and one wet sweep.

5. The treatment room and dressing room in each ward can insist on mopping the floor with disinfectant (1: 400 disinfectant) twice a day, and regularly mop the floor with disinfectant (1: 400 disinfectant) for final disinfection (clean the bedside table and wipe it with disinfectant).

6, operating room, strict implementation of hospital dyeing management requirements, aseptic package with chemical indicators.

7. The supply room has established a disinfection project monitoring record book, and regularly monitors each disinfection project.

Six, nursing staff to better complete the nursing work.

1, adhere to the patient-centered, quality-centered, and provide quality services for patients, and carry out patient-centered health education in depth. Through the distribution of health education manuals and the words and deeds of nurses, patients are familiar with the knowledge of disease prevention, rehabilitation and related medical care, nursing and self-care.

In February and August, the holistic nursing mode was carried out in the third ward. Nurses in the third ward not only teach patients knowledge of disease prevention and rehabilitation, but also go deep into the ward to talk with patients.

3. 2357 cases were hospitalized, 25 cases were observed/kloc-0, and 2380 cases were operated in operating room. Emergency nurses provide full service for emergency patients, including escorting patients to take photos, doing B-ultrasound, doing electrocardiogram, accompanying patients to the hospital and sending them to the operating room. There are fixed nurses on duty and visiting nurses in all three wards, so that patients get thoughtful service.

4. Nurses in the whole hospital wrote 30 nursing papers, including the 3rd National Orthopedic Nursing Academic Exchange 1 article, 3 academic exchanges in Taizhou, and 2 academic exchanges in the 2nd National Contemporary Nurses1article.

Seven, the existing problems:

1, the quality of individual nurses is not high, and the concept of sterility is not strong.

2. Holistic nursing is still in the exploratory stage, and nursing writing is not standardized.

3, due to the shortage of nursing staff, basic nursing is not in place, such as first-class nursing patients can not get the service of first-class nurses, second only to daily work.

4. Ward management is not satisfactory.

Over the past year, due to the dean's attention, support and help, nursing work has made some achievements in nursing quality and professional ethics construction, but there are also some shortcomings that need to be further improved.