Through pre-job standardized training for new nurses, they can adapt to the role of nurses as soon as possible, be competent in various nursing tasks, standardize nursing behaviors, improve the quality of nursing services, meet the nursing needs of patients, and adapt to modern times. nursing development.

Method: Develop various training plans. Newly recruited nurses will receive pre-job training as planned, and a rotation assessment system will be adopted within six months.

Results: Through pre-job standardized training, nurses’ service awareness has been enhanced, and their “three basics” abilities, learning abilities, operational skills and specialist nursing abilities have been improved.

Conclusion: Pre-job training for new nurses can enable them to have good professional ethics and service awareness, improve the theoretical level, technical level and comprehensive ability of nurses, and improve the professional quality of nurses.

1. Training objects

From April 20XX to April 20XX, our hospital recruited 68 new college students and nursing school graduates who are engaged in nursing work.

2. Training methods

1. Establish a standardized training system:

(1) Organize new nurses to learn the hospital’s rules and regulations.

(2) The basic theory and technical operation level of newly graduated nurses must meet the prescribed standards before taking up their posts.

(3) Implement a rotation system within one year to cultivate general nursing talents.

(4) A dedicated person from the Nursing Department is in charge, and will go to the department from time to time to conduct random inspections and assess professional capabilities.

(5) For each department, the teaching teacher will fill in an appraisal, spot check, assessment results, appraisal records and personal assessment files.

(6) Before appointment, the Nursing Department will organize a theoretical examination and a technical operation examination (theoretical score is 85 points and the operation score is above 90 points). A paper will be written based on the examination results and clinical practice. Only those who meet the standards can be officially appointed.

2. Learn relevant nurse etiquette: Organize and watch the video of "Nurses' Code of Conduct" so that they can understand the effects of neat appearance, beautiful language, kind attitude, skilled operating techniques, and thoughtful service on the treatment and recovery of patients. Invite the head nurses and senior nurses of various departments in our hospital to explain the communication skills and language skills commonly used in nursing work, the language requirements for nurses, language accomplishment, civilized language when treating patients, and standardize services to stimulate their enthusiasm for learning and work. .

3. Study relevant laws and regulations: Organize and study the "Nursing Regulations", "Nurses Management Measures of the People's Republic of China", "Hospital Infection Management Standards", "Medical Waste Management Measures" and "Accident Handling Implementation Rules", etc., and become familiar with patient hospitalization Legal knowledge such as the right to know, the right to choose, the right to safety, the right to be respected, and the right to copy medical records. Familiar with the business and the relationship between France and Germany, so as to take precautions before they happen, and give explanations based on the actual situation of the hospital and relevant data and examples accumulated over the years. Make them realize that laws and regulations are the lifeline of medical work. Any omissions and mistakes in work will not only aggravate the condition and even endanger the patient's life, but will also have an immeasurable impact on the hospital, departments and parties, and even bear responsibilities. Legal liability. Through learning, they can improve their legal concepts and standardize their professional behavior.

4． Strictly abide by the rules and regulations: Organize and study various rules and regulations, as well as job responsibility system, relevant hospital regulations and work systems, and "Medical Nursing Technical Operation Routine" as the main content, fully understand the rigor of nursing work, and require nurses to follow the continuous development of medical reform In-depth, examine daily nursing work from a legal perspective, pay special attention to potential legal issues in the work, and explain in simple terms the positive and negative experiences and lessons learned in actual work, so that new nurses can strictly abide by various rules and regulations. , further recognizing that various nursing rules and regulations are effective measures to ensure the quality of nursing care and must be strictly followed.

5. Standardize operating skills:

(1) Organize to watch the video of "Three Bases and Three Stricts" Basic Nursing Technology Operations;

(2) Invite the technical operation experts of our hospital to conduct operation demonstrations;

(3) Conduct training on basic operations commonly used in clinical practice. The Nursing Department arranges XX nursing operation items, focusing on mastering the principles of aseptic technical operation, cardiopulmonary resuscitation technology and other operations. Strictly require aseptic operation and wear Masks and gloves, keeping your clothes clean, no jewelry, no high heels, no nail polish are the minimum requirements. Practice each item repeatedly, and everyone will pass the test and reach the standard. Through intensive training, they have mastered the requirements and standards of nursing operation technology, which also enables us to have a certain understanding of the operation level of new nurses, laying a solid foundation for clinical work.

6. Standardize copywriting standards: earnestly and comprehensively study the rules and assessment standards for nursing document writing, the handover system, the checking system, the hierarchical nursing system, and the rules for writing nursing medical records, so that they can adapt to the work environment as soon as possible after taking up their posts and do their jobs well.

7. Carry out department rotation and assessment:

(1) Rotate departments according to the actual situation of the hospital. Generally, it is a clinical department. Each department lasts for 3 months. A dedicated person from the nursing department is responsible for the administrative management. The head nurse and teachers of the ward always manage the evaluation and monitoring to ensure the smooth completion of the work.

(2) After the department rotation is completed, the Nursing Department will organize a training and assessment team to conduct a summary assessment. Based on the assessment scores and department assessment results, outstanding, qualified, and unqualified personnel will be selected. Those who are outstanding and qualified will be hired, and those who fail will be retrained and re-evaluated. Those who are still unqualified will be advised to return by the hospital.

3. Effects

Our hospital has passed two years of standardized training for new nurses, and a total of 68 nurses participated. Through two years of planned, targeted and step-by-step training of the training subjects, the comprehensive quality of the training subjects has been comprehensively improved. Among them, 32 nurses have won the nursing theory and technical operation examinations and assessment excellence awards held in the hospital.

1. Enhanced service awareness. Through professional ethics training and related nursing concept training, the improvement of the overall quality of nurses is promoted. During the training process, we have carried out the concept of humanized service throughout, highlighting the characteristics and characteristics of each department, "people-oriented, caring for life, caring for health, and dedicated to patients", which has enhanced the active service awareness of the training subjects.

2. Improved professional knowledge and hands-on ability. During the standardized training process, we focus on improving the nursing professional knowledge and operational skills of the trainees. The training content ranged from basic to complex, with detailed and step-by-step instructions (more lectures, more questions, more practice), which enabled them to have a solid grasp of the basic skills of nursing, stimulated the new nurses' enthusiasm for learning, improved their professional techniques and operational skills, and enhanced their Comprehensive ability to analyze and solve problems.

3. Improved work ability and learning ability. Through the constant teaching, help and guidance of clinical tutors, they will continue to learn new knowledge in actual work, be good at thinking, have the courage to explore, and combine basic care with patient needs, thereby providing better services to patients.

4. Meets clinical nursing needs. In clinical nursing work, nurses who have received standardized training are diligent with their mouths, hands, and legs. Their full enthusiasm for work has won praises from head nurses, teachers, and patients, and met the needs of clinical nursing work.

5. Improved nurses’ awareness of protection. The importance of protection requires that protection education and training should run through all stages of a nurse's growth, from school internship, from pre-job to career. By studying laws and regulations such as the "Nursing Regulations", nurses' awareness of self-protection has been improved.

In the current situation of rapid development of medical science and technology, and the increasing competition mechanism and disputes brought about by medical and health reform, the standardization of pre-job training is an essential task, and the various regulations of the hospital The system and operating routines are gradually improved and summarized through years of experience and lessons. Standardizing pre-job training will help improve the quality of nurses, ensure the safety of medical care during hospitalization, ensure the quality of care, and prevent the occurrence of medical disputes. Make new nurses fully realize that only by mastering rich theoretical knowledge, skilled operating skills, and strictly abiding by various rules and regulations can they do their job well and lay a solid foundation for becoming an excellent nursing worker in the future, thereby improving the overall quality of their work. The quality of the overall nursing team.

Part 2: Training Plan for New Nurses

In order to ensure that new nurses can successfully adapt to clinical nursing work after taking up their posts, they must comply with relevant nursing laws and regulations, nursing work systems, diagnosis and treatment nursing standards and operations To ensure the quality and safety of nursing care, this training plan is specially formulated.

1. This training plan is formulated based on the "Shenzhou Traditional Chinese Medicine Hospital Pre-job Training Plan".

2. Training objectives

1. Consolidate their professional thinking and become familiar with job responsibilities and nursing work systems.

2. Combining the "three foundations" (i.e. basic theory, basic knowledge, and basic skills) with clinical practice.

3. Be proficient in basic nursing operation techniques, and be familiar with specialist nursing theories, nursing requirements and nursing techniques.

4. Master the key points of observation of obstetric and gynecological diseases.

5. Master the administration methods, common dosages and toxic reactions of the main drugs for the treatment of obstetric and gynecological diseases.

3. Training teachers and training objects Training teachers: Zhang Juncai, Wang Yukun Participants: all new nurses

4. Training content

1. Regular reinforcement Various medical and nursing rules and regulations, nosocomial infection management requirements, job responsibilities, and language and behavioral norms for nursing staff.

2. Professional quality training

2.1 Be familiar with the nursing routine of critical and severe patients in obstetrics and gynecology, basic nursing theory, specialist nursing theory, new nursing business and new technology.

2.2 Master the routine care of obstetrics and gynecology specialist diseases.

2.3 Master the general nursing routine of obstetrics and gynecology.

2.4 Be familiar with the use of ECG monitors, infusion pumps, infrared therapy devices, Doppler fetal heart rate monitors, and simple respirators.

2.5 Master the dosage and toxic reactions of commonly used drugs in obstetrics and gynecology; master the writing of nursing documents, and master cardiopulmonary and cerebral resuscitation first aid techniques.

3. On-the-job training: After admission, a dedicated teacher will provide on-the-job training.

5. Training measures

1. The head nurse should introduce the environment, rules and regulations and various work responsibilities.

2. The head nurse should work out a specific training plan for each nurse.

3. Encourage self-study and participation in various nursing college degree studies.

4. Senior nurses will teach, help and guide.

5. Supervise participation in various continuing education activities organized by the hospital.

6. Supervise to participate in the department’s business learning, business rounds and nursing case discussions.

7. Conduct technical operation assessment, theoretical examination, and nosocomial infection knowledge assessment every quarter.

8. During the training period, new nurses will hold regular symposiums to understand their living and working conditions.

6. Assessment and evaluation

1. After the training, everyone must take the theoretical examination and operational assessment. Those who fail will be trained for a limited time, and they will not be able to work independently until they pass.

2. After the training, write a summary of the training and promise whether you will obey the work arrangements of the department, whether you can focus on work, and whether you have the confidence and ability to work independently.

3. The department conducts summary evaluations on a regular basis.

Part 3: Training plan for new nurses

1. Training content and arrangements for continuing education for nursing staff at all levels:

1. Monthly centralized organization One time to study nursing business, and the rest of the time to focus on self-study.

2. Organize nursing rounds once a month.

3. Conduct a monthly nursing basic theoretical knowledge examination; organize a monthly nursing technical operation assessment.

4. Participate in various academic lectures and three basic theoretical examinations and practical examinations organized by the hospital.

5 Earnestly study the core nursing system and 50 nursing technical operations as well as surgical nursing routines.

2. Training requirements for nursing staff at all levels based on different seniority:

(1) Training plan for new nursing staff:

1 Requirements : Focus on basic clinical nursing skills, and also learn specialized nursing knowledge and techniques. Ability to master basic nursing operations.

2 Training objectives:

(1) Strengthen professional ethics education, establish professional thinking, strict quality requirements, strengthen the quality training of nurses, and develop a good work style.

(2) Study the various rules and regulations in the hospital and relevant laws and regulations.

(3) Combine it with clinical practice to do a good job in "three basics" training and master various nursing operating procedures.

(4) Clarify clinical nursing work procedures and responsibilities of nurses in each shift.

(5) Learn specialist nursing theories and skills. Familiar with nursing routines for common diseases in general surgery and orthopedics.

(6) Learn to provide health education to patients and implement holistic care.

(7) Master the writing of nursing documents and be proficient in filling in and writing various nursing documents.

(8) Master single-hands cardiopulmonary resuscitation.

3 Training plan:

(1) Encourage self-study. Participate in business studies organized within the hospital and department and complete annual continuing education credits. Complete 1-2 reading notes every month.

(2) Senior nurses will teach, help and guide.

(3) Training in practice: Use nursing business rounds and morning meeting questions to strengthen basic skills training and systematic theoretical learning through practical business guidance.

(4) Conduct technical operations, nursing theory knowledge assessment and hospital sense knowledge assessment from time to time. The assessment content is 50 items of knowledge related to nursing operations and three basic knowledge.

(1) Training plan for nursing staff 1-5 years after graduation:

1 Training objectives:

(1) Consolidate professional thinking and strict quality requirements , improve the quality of nurses.

(2) Combining it with clinical practice and doing a good job in "three basics" training. On the basis of proficiency in basic knowledge and skills, further learn and become proficient in specialist knowledge and skills (including specialist disease knowledge, disease care points, use of specialist instruments, medication precautions and common adverse reactions, etc.).

(3) Be proficient in writing nursing documents.

(5) Provide comprehensive health education and implement holistic care for patients.

(6) Conduct technical operation assessment, nursing theory knowledge assessment and hospital sense knowledge assessment every month.

(7) Be proficient in 50 nursing technical operations.

3 Training plans and methods:

(4) Encourage self-study. Participate in business studies within the hospital and department and complete annual continuing education credits. Focuses on nursing knowledge and skills for specialized diseases.

(5) Senior nurses will teach, help and guide.

(6) Use nursing business rounds and practical business guidance to strengthen basic skills training and systematic theoretical learning.

(4) Conduct monthly technical operation assessment, nursing theoretical knowledge assessment and hospital sense knowledge assessment. The exam content consists of 50 items of knowledge related to nursing operations and three basic knowledge.

(2) Training plan for nursing staff who have worked for more than 5 years

1 Training objectives:

(1) Proficient in basic nursing and specialist nursing techniques, and master critical care Patient care and various first aid techniques.

(2) Master new technologies and new knowledge in the specialty, be able to use nursing theories, techniques and nursing procedures to provide overall physical and mental care to patients, become the backbone of the ward and consciously improve education, management and scientific research capabilities .

(3) Able to participate in teaching and learning for nursing students, participate in scientific research and summarize experience or write papers.

(4) Able to participate alone in the rescue and cooperation of critically ill patients.

2 Training plans and methods:

(1) Encourage self-study.

(2) Participate in business learning within the hospital and department, and complete annual continuing education credits. Focus on professional, teaching, management and scientific research content. (3) Participate in ward teaching. Do a good job in teaching junior nurses and internship nurses, influence other nurses with a good professional image and correct nursing behaviors, and do a good job of teaching, helping and leading.

(4) Participate in scientific research and summarize experience or write papers. Those above the level of supervisory nurse publish one paper every year. The deputy chief nurse launches a three-new nursing project every year.

(5) Conduct monthly technical operation assessment, nursing theoretical knowledge assessment and hospital sense knowledge assessment. Examinations are conducted every quarter based on the learning content within the hospital and departments.

Three selected 1-2 nursing staff will be sent to higher-level hospitals or outside the province for study and training, to learn new nursing technologies and new businesses, and to carry out three new projects to improve nursing levels and nursing concepts.