Summary of quarterly nursing work in 223

Our work has been well received by patients and their families. No troublemakers, less troubles, more praise and more enthusiasm. The following is my summary of the nursing work in 223 for everyone, hoping to help everyone!

1

At the beginning of the year, under the leadership of the competent leader, 28 head nurses and deputy head nurses were announced and appointed respectively, which enabled 31 nursing units in three medical areas of the central hospital to operate normally, especially in the first quarter (2__), when there were many patients and the nursing workload was heavy, the nursing staff in the whole hospital adhered to the clinical front line, worked diligently and earnestly completed all items. Now briefly summarize the nursing work in the first quarter (2__):

1. Workload completed:

Actual hospitalization: __

Critical illness: __

Critical illness: __

Rescue: __

First-class nursing: __

2. In the first quarter (2__), comprehensive quality inspection was organized three times, with an average score of 97.85. Organize night rounds for 12 times, and timely feedback and rectification for existing problems.

Third, nursing safety management:

Because there are many and long holidays in this quarter (2__), the focus of safety work is on various inspections during the holidays. However, some departments still failed in supervision, and nursing errors caused nursing disputes due to inadequate nursing.

Fourth, insist on business study and implement the system of nursing rounds

Business study and nursing rounds were completed ***4 times in this quarter (2__), which played a guiding role in clinical practice.

V. Quality nursing service:

Due to the large number of patients and the relative shortage of nursing staff in this quarter (2__), quality nursing service cannot be fully put in place, and the coverage is maintained in the original departments, and the departments that have been carried out have been tracked and supervised.

VI. Work to be further strengthened:

1. Strengthen the quality control of nursing links, timely feedback and rectification;

2. Through the activity of "Operation Skills Competition of Nursing Technology", it set off the climax of nurses in the whole hospital to study business and practice skills hard, and comprehensively improved the quality of nurses. Selected articles of nursing quarterly work summary in 223 2

1. Highlights:

1. ICU nursing record specification.

Second, there are problems

System problems:

1. Hemodialysis risk assessment table, and the risk factor assessment option "pressure sore" is misspelled "pressure hemorrhoid".

2, vitamin B1, doctors have skin test options when prescribing, and vitamin B1 prescribed in allergy drug management has skin test results, and the skin test results are marked negative by doctors themselves.

3. The pediatric nursing record sheet has no date and time after turning the page.

Problems to be standardized:

1. Incision drainage (the doctor has not recorded the amount), and whether the 24-hour incision drainage needs to be recorded on the body temperature sheet.

2. Record the 24-hour urine volume only once per shift. Do you need to record it on time?

3. For the management of allergic drugs, whether the information in the remarks column needs to be marked with the position+name (the ward is not uniform), and whether the skin test position is marked with "R, L", "left, right" or "left hand and right hand".

4. There was no record when the patient was admitted to the hospital. One week after admission, the skin was abnormal, and the nursing record sheet only wrote the skin condition. Is it necessary to observe and record the patient's basic condition?

Personality problems:

(1) First nursing evaluation form:

1. The patient's consciousness was vague, and the nurse was accompanying him. He was admitted to the hospital on May 28th, and the notice of hospitalization and the first nursing evaluation form were not signed by the patient (the doctor needed to sign them) (Acupuncture and Massage Department).

2. Notice of admission: The nurse did not sign and the time (orthopedics department).

3. evaluate the missing items (hematology department).

4, the evaluation is not accurate (surgery, encephalopathy).

(2) Temperature list:

1. Missed drawing and wrong drawing of vital signs (infectious diseases department, spleen and stomach department, orthopedics department, cardiology department, pulmonary sugar department, oral otolaryngology department, obstetrics department).

2. Misdrawing pain score (infection department, surgery department, burn department, critical care medicine department).

3, missed urine (gynecology).

4. Missing tongue coating pulse (gynecology).

5. Missing body weight (Infectious Diseases Department).

6. Missing stool (infectious diseases, pulmonary sugar and surgery).

(3) medical advice list:

1. The parts not marked in the skin test (infection department, surgery department, hematology department, pediatrics department, neonatal ward).

2. The results of skin test were not marked (external three subjects).

(4) nursing record sheet:

1. After the gastric tube is pulled out, the situation of the gastric tube is still fed back (infection department).

2. Blood sugar leakage records (infection department and surgery department).

3. The observation record of illness is not accurate (acupuncture and massage department, gynecology department).

4. Record typos (Department of Encephalopathy and Pediatrics).

5. After special medication, the observation records are not standardized (surgery, orthopedics, critical care medicine).

6. The record is inconsistent with the doctor's advice (cardiology, pediatrics).

7. There is no record or observation record of curative effect after appropriate techniques of traditional Chinese medicine (acupuncture and massage, surgery, stomatology, otolaryngology, obstetrics).

8. There is no observation record after critical value treatment (hematology department).

9. The frequency of observation of seriously ill patients is lacking (pulmonary sugar department).

(5) nursing plan list:

1. No dynamic adjustment (infection department, surgery department, surgery department).

2. Nursing measures were not included in the plan (Department 2).

3. Diagnosis of missed filling (Spleen and Stomach Department).

(6) Special area:

1. Hemodialysis room: The risk assessment form, doctor's orders and blood purification records are written as required.

2. Operating room: various forms are written in a standardized way. Some patients are selected for pre-operation and post-operation visits, and the patients will sign after the post-operation visits.

The surgical safety checklist and the surgical patient's handover sheet are kept with the patient's medical record and filled in completely.

The contents of preoperative visit include vital signs, allergic history, skin and five results. Summary of nursing quarterly work in 223 3

Complete the following work according to the seasonal plan:

On the first, fifth and twelfth day of the International Nurses' Day, cooperate with the higher authorities to complete various activities and select the best ones first.

1. Take an active part in job skills competitions. At the beginning of April, in order to cooperate with the post skill competition organized by the superior department, the nursing department decided that Zhang Xinyu in the operating room and Yao Chunhong in the second surgical ward would go out to participate in the competition through the recommendation of all subjects and the selection of the whole hospital. Among them, Zhang Xinyu won the title of "Expert in Nursing Operation" and Yao Chunhong won the Excellence Award.

2. The hospital held the activity of evaluating first and selecting the best. Wang Xiaobin, a nurse in the second ward of internal medicine, was recommended by the hospital and was named "Double Hundred" medical staff in Taiyuan. On May X, our hospital held a commendation and symposium on Nurses' Day, which commended and rewarded outstanding nurses or head nurses such as Wen Xing, Wang Hong and Li Jie, and called on the nurses in the hospital to learn from the advanced ones.

Second, under the overall deployment of the hospital, the "Dimethyl" grade re-inspection was carried out in cooperation with the higher authorities.

1. According to the evaluation standard of "Dimethyl" in 2 years, the nursing work was sorted out. Four nursing work systems were revised, 21 nursing work systems, responsibilities and processes were added, and 13 nursing qualifications and job requirements were added. Other necessary materials of the nursing department were improved, and the necessary materials of various subjects were guided and inspected in the next tour, which ensured the timely completion of the materials of various subjects and the implementation of various systems.

2. In order to consolidate nurses' theoretical knowledge of three basics and operational technical level, nurses under the age of 45 have been given three theoretical closed-book examinations since March, with the "three basics" training topic (nursing booklet) edited by the Health Department of Shanxi Province as the main content, interspersed with hospital sense and some legal knowledge, and the nurses have been given theoretical intensive examinations; The operation cooperated with the advancing speed of the "Ermei" office, and made a spot check on the first-aid operation of 2__ version of cardiopulmonary resuscitation for nurses in the whole hospital, and asked the head nurses of all departments to strengthen the operation examination of nursing staff in combination with the characteristics of their own departments to ensure the proficiency of nursing operation. Through the above efforts, the "three basics" score in the acceptance process of "Dimethyl" was ensured.

in March and June, the problems existing in experts' acceptance were actively rectified, which solved the problems of bedside handover, medication before blood transfusion, drawing times of temperature list and so on in critically ill patients in our hospital. The patients' falls and bed falls were managed separately from adverse events, which made the nursing work in our hospital more standardized.

3. While actively preparing for the "Dimethyl" work, I completed the following daily work.

1. Insist on business study and nursing rounds. In view of the weak links existing in the hospital, relevant studies were carried out, such as hospital sense training, new progress in nursing of craniocerebral injury, standardized writing of nursing documents and existing problems, nursing safety and risk prevention, etc. Operation trained nurses in cardiopulmonary resuscitation (CPR), sputum aspiration, and the use of restraint bands by the Dongfeng of nursing competition, which achieved the purpose of updating knowledge and guiding clinical practice. Nursing rounds were completed four times: administrative rounds in ICU, a retrospective case discussion, an acute myocardial infarction in ward one, and a brainstem infarction patient in ward two. Through timely rounds and case discussions, the work was guided in business and the implementation of some work was supervised.

2. The satisfaction survey of inpatients in the second quarter was completed, and the existing problems were actively rectified.

in March and June, the hospital set up a centralized cleaning supply room. According to the working standards of the supply room, the new head nurse was instructed to set up the whole chapter, and the trial operation began on June X. Now all the work is being actively improved.

4. Completed the rotation arrangement for 34 nursing interns in secondary vocational schools such as Taiyuan Health School, Shanxi Staff Medical College, Jinzhong Health School and Xinzhou Health School. In the first quarter of 223, the nursing department completed the following work according to the plan:

1. Statistics of workload completion:

Statistics of daily bed occupancy:

2. Nursing organization and management

(1) Nursing management documents such as nursing work plan, training plan and quality control management plan for 2__ _ years were drawn up.

(2) Head nurses' meetings are held regularly every month.

Third, nursing manpower management

(1) One new nurse and one resigned, and three assistant nurses, including Liu Tingting and Gao Chengling, were assessed in theory and operation, and the nurses who put in files were assessed in a centralized interview.

(2) From January to March, I completed the in-hospital professional training for nurses in the whole hospital, including the training of Observation and Nursing of Anaphylactic Shock, Nursing Safety Management, Clinical Blood Transfusion Management, Nurses' Professional Literacy and Communication Skills, and Nursing Emergency Plan and Process. Through the training of nursing staff, junior nurses have mastered emergency treatment and specialized knowledge.

(3) Head nurses and nursing backbones were sent to participate in off-campus training twice, which involved "Improving Nursing Quality Management" and "Standardized Training of Hospital Infection Control and Disinfection Technology".

IV. Nursing Quality and Safety Work

(

1) From January to March, according to the nursing quality management plan of our hospital, the nursing department conducted a comprehensive quality control inspection on the nursing quality of the whole hospital. The inspection of various nursing quality is as follows:

1. The average score of comprehensive quality management in wards is 96.75

2. The average pass rate of basic nursing is 98.__

3. The average score of special and first-class nursing is 98.__

4. The average score of writing nursing documents is 98.1

5. The intact rate of first-aid articles is 99.4%.

(2) nursing safety management has been strengthened, and the registration and reporting of nursing adverse events in various wards have been significantly improved. In this quarter, the nursing adverse events in the whole hospital were analyzed and discussed, and appropriate preventive measures were taken.

(3) insisted on the head nurse's rounds every night, and timely fed back the existing problems to the department.

V. Shortcomings

(1) Due to some objective factors, it is difficult to make in-depth progress in pediatric quality nursing service.

(2) Individual nurses' awareness of quality and risk is weak, and communication services need to be strengthened.

2 _ _-4 _ _ 223 Nursing Quarterly Work Summary Selected Articles 5

In 2 # #, with the care and support of the hospital party committee and the hospital department, and with the concerted efforts of nursing colleagues, the nursing department paid close attention to the target plan formulated at the beginning of the year, earnestly implemented it, successfully completed all tasks, and won unanimous praise from the inspection team experts in the year-end medical quality inspection. The nursing work for the whole year is summarized as follows:

1. Take patients as the center, advocate humanized service, and strengthen nurse-patient communication

In order to meet the needs of medical services, create a high-level service concept and humanistic care, establish a good social image, and promote the sustained and stable development of the hospital, our hospital insists on taking patients as the center, and provides warm and thoughtful humanized service for patients on the basis of respecting, understanding and caring for patients. Respecting patients' personal dignity, attaching importance to patients' personality and psychological needs, in order to meet patients' physiological and psychological needs to the greatest extent, and providing patients with quality services conveniently, quickly, enthusiastically and thoughtfully, fundamentally embodies the patient-centered service purpose.

advocate humanized service, improve the concept of humanized service, start from the characteristics and personality of the clients, carry out nursing service, respect and serve the patients, conform to the development of the times and the needs of modern life, and constantly improve service measures. First of all, the nurse in charge should warmly receive the patients, send them to the bedside, actively introduce the ward environment, schedule, rules and regulations, attending doctors, etc. to the patients or their families, and timely issue nurse-patient contact cards to understand the psychological state and needs of the patients after admission. Secondly, explain the special drugs, the types of diet, various inspection precautions, the purpose of the operation, the general process of the operation, the lying position, the attention points of placing the pipe and the time of extubation, comfort and encourage the patients, and do their best to solve the worries of the patients. Third, provide standardized services, so as to "deliver the medicine to your hands, take care of the entrance, and then go after taking it", and put the family service into your work, comforting patients with loving family, enhancing patients' confidence in overcoming the disease and promoting early recovery.

strengthening nurse-patient communication is