First, political and ideological aspects.
Actively carry out the annual activities of medical quality management benefit, adhere to the concept of patient-centered and quality-centered nursing service, adapt to the new situation of health reform and social development, actively participate in various political activities, take serving the people and contributing to society as the purpose, take patient satisfaction as the standard, and serve the people wholeheartedly.
Second, enhance legal awareness.
Seriously study the Regulations on Handling Medical Accidents and its laws and regulations, attend two study classes, actively participate in the training and teaching of the Regulations on Repairing Medical Accidents organized by hospitals, and organize head nurses and nursing staff to study many times, so that nursing staff can realize that the establishment of socialist market economic system, the improvement of legal system and the enhancement of people's legal consciousness have become people's knowledge. The concept of modern nursing quality is to satisfy patients in all directions and in the whole process, which makes people put forward higher and newer requirements for medical care services, thus enriching legal knowledge, enhancing safety protection awareness, making nurses know the usage of the law and reducing the occurrence of medical accidents according to law.
Third, standardize the nursing work system
Deepen health reform and implement new regulations on handling medical accidents. The new situation, such as carrying out the overall target management responsibility system and carrying out the annual activity of medical quality management benefit, has put forward higher requirements for nursing work. Therefore, the nursing department seriously organizes to study the new regulations, learn the management methods of nurses, and strictly implement the practice of unregistered nurses. According to the experience of mental health center, xx People's Hospital and xx People's Hospital, combined with the actual situation of our hospital, 23 nursing work systems were re-improved and revised, and 25 job responsibilities of nurses at all levels were defined. Standardize 17 nursing operation procedures and revise the quality assessment standards of head nurses and nurses. Evaluation standard of holistic nursing quality (office, quality inspection department, general affairs department, etc.). ) make nursing work have rules to follow and laws to follow, and gradually make nursing work institutionalized, standardized, standardized and scientific management.
Fourth, do a good job in nurses' personal work plan, strengthen professional study, and strive to improve the quality of nursing team.
1, strengthen nurses' professional ethics education and courtesy service, adhere to civilized language and implement it in every nursing post. Dignified working hours, neat clothes, no off-the-shoulder, no heavy makeup, no high heels, no loud shoes, courtesy, kind attitude and standardized language. A training course for psychiatric nurses was held, and a training course on nurse etiquette was held in April. Please ask the teacher of xx Hotel for guidance. And selected 1 1 nurses to participate in the city nurse etiquette competition, and achieved excellent results (the nursing department and 1 1 team members sacrificed holidays to work overtime), showing the elegant demeanor of nurses in the Third Hospital and winning glory for the Third Hospital.
2. Strengthen the education of love and dedication, implement the service concept of "patient-centered, quality-centered", improve the overall quality and emergency ability of nurses, and increase the patient satisfaction to 97.6% throughout the year.
3. Strengthen business learning. The nursing department organizes 36-hour business lectures every month, and the head nurse actively and seriously teaches, which has achieved satisfactory results. The department insisted on business study once a month, asking questions at the morning meeting once a week, insisting on nursing rounds for critically ill patients, strengthening the three basics training for nursing staff, and organizing two technical operation examinations, all of which achieved excellent results, and the qualified rate reached 100%.
4, send nursing staff to go out for further study ***4 people, and the head nurse attends classes for 3 times * * * for 22 people.
5. Encourage on-the-job nursing staff to attend nursing college. At present, there are 58 college graduates and 22 undergraduates, which has improved the overall level.
6, driven by the head nurse, nurses and above constantly sum up experience, actively write papers, incomplete statistics, * * * write 36 papers, published in provincial and municipal magazines and exchanged at academic conferences 2 1 article.
Five, strengthen nursing quality management, improve nursing quality and efficient service.
It is fully explained that nursing work is an important part of hospital work and another wheel to ensure medical safety and quality service from the aspects of nursing staff proportion, work nature and personnel distribution. Therefore, it is particularly important to strengthen nursing quality management and improve nursing quality. The head nurses in all departments have strict management and are handsome everywhere. Since the implementation of the comprehensive target responsibility system, they have worked overtime and taken the lead. Give full play to the bridge role among nurses, patients and leaders, and make great contributions to ensuring efficient and high-quality service of hospital nursing work.
Six, do a good job in personal work plan, and strive to do a good job in hospital infection management.
Before there was an infection department in our hospital, the nursing department tried its best to do a good job in nursing, strictly implemented disinfection, sterilization and isolation measures, and paid close attention to the aseptic technical operation of nursing staff, so as to achieve one needle and one tube per person. Pay close attention to the management and monitoring of the operating room, supply room, disinfection and sterilization, and conduct air culture in the treatment room and locker room of each department once a month. Strict management of disposable medical supplies, disposable sterile syringes, blood transfusions, infusion sets, etc. After use, disinfection, disfigurement and incineration shall be managed and registered by special personnel. The nursing department monitors and records the intensity of ultraviolet lamps in various departments of the hospital every quarter, and stops using them if they are unqualified, so as to reduce iatrogenic infection.
Summary 2 of nurses' personal work fully shows that nursing work is an important part of hospital work and another wheel to ensure medical safety and quality service, so nursing quality is closely related to the rise and fall of medical disputes. It is particularly important to strengthen nursing quality management and improve nursing quality. The head nurses in all departments have strict management and are handsome everywhere. Since the implementation of the comprehensive target responsibility system, they have worked overtime, taking the lead and being a good red housekeeper. Give full play to the bridge role among nurses, patients and leaders, and make great contributions to ensuring efficient and high-quality service of hospital nursing work.
Strengthen quality control, strictly implement the system and check carefully. Dean Cai, director of the nursing department, irregularly checks and supervises the work quality of each department once a week, closely cooperates with the quality inspection department, comprehensively checks the nursing work once a month and gives timely feedback, and the head nurse checks and records the work quality of each department 2 ~ 4 times a week.
Strengthen the management of critically ill patients. Nurses should be proficient in nursing first aid technology, rescue procedures and the use of rescue medical equipment, which improves the success rate of rescue of critically ill patients. There is a special person responsible for the management of emergency medical devices, and the intact rate of "four decisions" and "three timely" emergency medical devices reaches 100.
Strictly implement the check system and nursing operation procedures, reduce the occurrence of errors and accidents, strengthen basic nursing, so that the qualified rate of basic nursing basically reaches 100, and the incidence of bedsore is zero.
Strengthen ward management, make the nursing unit clean and tidy, and strive to create a clean, tidy, quiet and comfortable rest environment for patients under the poor external environment.
Carry out holistic nursing in depth, give full play to the subjective initiative of the responsible nurse, carefully check and organize the head nurses in the whole hospital to make rounds with each other, especially strengthen the work of admission introduction, discharge guidance, nursing plan, implementation of nursing measures, and investigation of patients' satisfaction with the responsible nurse, which greatly enhances the sense of responsibility of nurses.
Strengthen the management of writing quality of nursing documents, and the head nurse earnestly conveys, helps and guides young nurses to improve the quality of nursing medical records. The qualified rate of nursing forms reached 97. 19.
The nursing department carefully organized the nursing safety work meeting, summarized, analyzed and found the shortcomings and hidden dangers of all subjects in the hospital, strengthened the nursing safety management, prevented unburned, and made the nursing work in place with high rate.
Summary of personal work of nurses 3 Since the beginning of this year, under the correct leadership of the nursing department and the first department of surgery in the hospital, I have worked hard, served enthusiastically and strictly implemented various nursing work norms, and achieved certain results. However, I have settled down to seriously review, and now I will report my work in the past year as follows.
First, strengthen business study and constantly improve their comprehensive quality.
Over the past year, I have strengthened professional ethics education and firmly established the idea of loving and serving the people, thus truly cultivating my moral quality. In my usual work, I pay attention to civilized and polite service, adhere to civilized language, and establish the image of "angels in white" in the eyes of the people with dignified appearance, polite attitude and standardized language. At the same time, according to the arrangement of the head nurse in the department, I actively study the weekly nursing regulations, work overtime and recite them every day after work, so as to achieve accurate memory and combine them with practical work, which has made great progress and improvement in many aspects.
Second, work hard and finish the task on time.
With the goal of "doing a better job", I have cultivated a sense of innovation, actively and successfully completed my work, received every patient seriously, treated every patient as my friend and relative, and always put myself in others' shoes and considered their sufferings. Do a good job in writing medical documents, learn the writing standards of department documents, and write ordinary care records, nursing records of critically ill patients and rescue records. Abide by rules and regulations, love my job, be able to treat every job correctly and seriously, be enthusiastic about serving everyone, seriously observe labor discipline, ensure attendance on time, have a high attendance rate, have no holidays all year round, make effective use of working hours, stick to my post, need to work overtime on time, and ensure that the work can be completed on time.
Third, there are problems.
First, the consciousness of serving patients wholeheartedly is not strong, and there is a lack of humanistic care, impatience and hot and cold phenomena in work;
Second, the working methods are sometimes not appropriate and strategic enough, which is manifested in the lack of calm thinking, lack of attention to details and empathy when dealing with some problems;
Third, they are not active in their work. They are only satisfied with the tasks assigned by the leaders. They are not good at thinking and thinking. They often wait for the instructions of the leaders and say step by step, without doing the work solidly, deeply and carefully.
Fourth, the next step.
1, strengthen the awareness of "learning" and improve the overall quality. In the future, I will further correct my learning attitude, improve my learning methods, integrate theory with practice, and grasp the key points of my study. Make time to implement and apply what you have learned; Through learning, improve your skills and abilities, improve your professional quality, and pay attention to combining with your own practice and applying it to practical work.
2. Strengthen the awareness of "service" and improve service quality. As a hospital nurse, you should know that everything you say and do represents the image of the hospital, start from every detail, work hard, always think about patients, do a good job of caring for patients, strive for Excellence, pursue first-class work quality, do a good job in every job and make your due contribution to the development of the hospital.
3. Strengthen the "post" awareness and improve work efficiency. In the future, we should base ourselves on our posts, further enhance our professionalism and sense of responsibility, be strict with ourselves, take the hospital's rules and regulations as the criterion, be strict with ourselves at all times, treat personal gains and losses correctly, be indifferent to fame and fortune, do things in a low profile, do things in a high profile, be diligent and conscientious, and do a good job in nursing wholeheartedly.
In short, in the face of the new situation, new tasks and new requirements, I will further emancipate my mind, cheer up my spirit, carry forward my achievements, overcome my shortcomings, accomplish various tasks well, and strive to make greater contributions to the development of traditional Chinese medicine in our county.
Summary of Personal Work of Nurses In the past 41 years, under the leadership of the nursing department, under the professional guidance of the head nurse, under the supervision of various quality control teams, and with the concerted efforts of Qi Xin, the sisters of general nurses, we have gone through a busy year of xxx and successfully completed the work plan at the beginning of the year. The work of our department in xxx is summarized as follows:
First, grow up at work.
Looking back on the past year, the busy figures of nurses and sisters are shaking in front of their eyes from time to time, and they want to say too much. I know it is not appropriate to write a summary in a concise way, and it is not appropriate to mix personal feelings, but at this moment, I still want to show the leaders the real performance of everyone, especially the growth process of young nurses.
1. working attitude: the average age of nurses and shift nurses in our department is 23-25 years, and the working time is basically 1-2 years. They are young and junior. Zhang Jie, the oldest nurse in day shift, is 50 years old this year. Only one nurse is in charge. Without intermediate strength, echelon construction can't keep up. The task of bringing the old and the new must be undertaken by the only nurse in charge and my head nurse. The head nurse is called the manager in Hong Kong and the housekeeper in the Mainland. Even if the door lock was broken and the toilet was blocked, she called the head nurse to solve the problem. These routine work takes up more than half of the time, plus the quality control work of Corey and the hospital, there is really not much time to bring new people. Most of them use bedside handover time and ward round time to ask targeted questions to new nurses, and then make some appropriate expansion and explain some professional knowledge. Our capable nurses have contributed to other levels of training and nursing teaching. Fortunately, nurses have a positive working attitude and a strong desire to learn, and never care about personal gains and losses. The little sisters cooperated tacitly. As long as the job requires, there are no conditions, whether it is business studies in Corey or college, to ensure that they will arrive as soon as they receive the notice. Be able to correctly understand and accept the criticism and correction of superior leaders.
Nurses' working attitude is also reflected in obedience to distribution. In April this year, during the 100-day national security inspection, the most serious illness occurred in our department. In order to support icu work, the best nurses in our department are seconded to icu to support the work of brother departments. The mobile ward was established, and in less than a month, two nurses came to our department. At the same time, another head nurse was transferred to orthopedics, and there was another person in our department, so we couldn't be on duty independently! The shortage of manpower can be imagined, but our nurses have no complaints, taking the deployment of superior personnel as their mission, and they have done it: the enemy is at present, and the overall situation is the most important! All staff have given up their rest time, and those who work overtime can complete the work tasks of this shift. During this period, the most serious patients in the A-stream ward were transferred to our ward after the A-stream was ruled out, and they were seriously ill one after another. Angels are tired and haggard, and sometimes night nurses work 16 hours to get home safely from work! I am always ready: whenever young nurses encounter technical problems, whenever they receive a call for help, they will go to the department immediately.
This year, our hospital implemented the paid vacation system, which is good news for employees, but it is a problem for department managers. In addition to annual leave, there are three people in our department taking wedding leave this year, plus sick leave, seconded personnel and newcomers who can't be on duty independently. Let me make a preliminary statistics: it is equivalent to one and a half people who have been resting for a year, but our patients have increased by more than 300 people compared with last year. The workload can be imagined! In the second half of this year, when our new ward was renovated and moved, the director was not there. I'm really afraid that Corey will make a mistake in an extraordinary period-how to move this house has opened my mind! In those days, I couldn't sleep every day, sleeping like an open eye. Our nurse is really cute. During the two days of moving, I went to the department: seeing things, moving things, following cars, putting things away and being on duty. Just like moving to your own home, you don't ask for leave with me when you are sick, and you insist on going to work for fear that I will get angry in a hurry, so that all our patients can arrive at the new ward safely.
Thank you for your efforts. There has not been an accident or complaint in the past year, which is very valuable for a large department with many serious illnesses and rapid patient turnover!
2, three basics and three strictness: When it comes to this topic, the mood is always very complicated. Everyone actively participated in the theoretical study and technical examination organized by hospitals, nursing departments and departments. It's just that every time I greet the examination, I look at the helpless eyes of the children, as if my nerves are going to collapse, which makes me the head nurse particularly distressed! They are all afraid of affecting the acceptance and performance of hospitals and departments. Every time I see them like this, I comfort them: what to do is a matter of our ability, and no matter how hard we try. As long as we try our best, the leaders will understand and won't blame you. Paying so much attention to inspection shows that we are serious and responsible for the hospital. Relax, we are the seven fairies! But to tell the truth: as far as technical operation is concerned, the nurses are doing well, but as far as theoretical knowledge and the ability to meet the examination are concerned, young nurses are definitely not dominant. I am really not sure! However, after this year's efforts, everyone's progress is still obvious: in the first quarter, four people failed in the theoretical examinations of major subjects; Now, one and a half years failed the theoretical examination, and the passing rate is still improving; And this year, four nurses in our department were selected by the hospital assessment team to teach nurses in the hospital, which gave great encouragement to young nurses! As for the training times of "three basics and three strictness", I think the accurate figures are definitely false, and they are counted according to the plan at the beginning of the year. I think our training is going on anytime and anywhere, and it is impossible to count them. "One-on-one" make-up classes are also common, so I don't count this number. I don't think it has any practical significance.
3. Understand the content of the core system in practice: Many new nurses don't understand the meaning of "system" and only stay at the level of rote memorization. I don't know its binding function and guiding function, but I have mastered it mechanically. This year, I changed my way. The content of administrative rounds is mainly to check the implementation of the core system in my work. Then explain the problem and learn to use it. This way has changed the way of thinking of nurses. This year, after the three pamphlets "Standards and Norms of Nursing Work in Liaoning Province" were issued, new contents such as "Wrist Band Marking System" were added, which made the work more interesting.
Second, enhance legal awareness.
Nursing risk management is an important part of nursing management. This year, we have spent more energy and time in this regard. Because there are many new nurses, I am most afraid of the situation that "newborn calves are not afraid of tigers". In order to cultivate strict work habits for them, members of the quality control team strengthened quality control, nip in the bud, and implemented the rectification measures of "rewarding the excellent and punishing the poor". Those who make mistakes and fail the exam will be disqualified from selecting excellent nurses. In view of the practical experience of department management and my participation in the quality control of hospital form group, I have written two papers on the writing of nursing medical records this year: the writing of nursing medical records from the inversion of burden of proof has been published in the national core journals, and the article "Application of nursing procedures in the writing of nursing medical records" has been recommended to the academic paper center of local medical association. In this paper, I mentioned some problems that were not mentioned in the writing standard. If I can get the approval of my colleagues, it will be an innovation and gain in this respect in the past year. Nursing medical record is an important legal document, which is related to the result of proof. "Pressure sore" itself is a nursing defect. How to prevent and treat it? As the head of the "pressure sore" management team, I contacted the relevant departments of internal and surgical departments in time. The leaders of the nursing department have also invested a lot of energy in this area, which has made our nursing concepts in this area constantly updated and methods increased, and achieved good results. Over the past year, there has been no case of pressure sore in our department, which came in from the hospital. Through careful nursing, it has also improved. This is a rare achievement for a large department with so many bedridden patients like us!
Only with specific norms and requirements can nurses have guidelines. Only when nurses know what is right can they make fewer mistakes! It sounds like nonsense, but it is my experience and summary in the past year. Our nurses lack legal knowledge, so they lack legal awareness. Therefore, "learning" is very necessary. Hold a branch once a month to analyze the existing problems and hidden dangers, which greatly improves the legal awareness of nurses. They often feel suddenly enlightened: alas, if this happens, the consequences will be so serious! The spirit of prudence and independence has increased, and the children have grown up. Over the past year, our department has not had a dispute or an appeal, which is really gratifying!
Thirdly, humanistic care is reflected in the works.
The satisfaction rate of patients exists in the process of nurse-patient communication to a great extent. Many nurse-patient disputes emphasize an attitude problem. Professional emotion requires us to "empathize". We put this work into the work of "health education". When explaining health knowledge to patients and their families, we should pay attention to "people-oriented", communicate in many ways and pay attention to effect evaluation. If the effect is achieved, patients will feel your sincerity and gain their cooperation and trust. Over the past year, the coverage rate of health education has been 100%, and the effect is satisfactory. Nurse-patient communication is good, humanistic care is reflected in the work, and the ward is always filled with a harmonious atmosphere.
Fourth, ward management
I think there are relatively many problems in this respect. Because in the nurse's mind, ward management is the head nurse's job, which has little to do with himself and ignores this responsibility. So once the head nurse is away on holidays and weekends, the ward is particularly messy. The newly promulgated "Standards and Norms of Nursing Work in Liaoning Province" clearly points out that the handover and successor * * * patrol the wards to be clean, quiet and safe! This tells nurses that nurses' participation in ward management is the content and requirement of the handover system. This work will be put forward as the focus of next year's work in the plan, and specific work requirements will be put forward for nurses.
Xxx years, with our sweat, bearing our harvest, leaving us far behind. Over the past year, we have made some achievements, which are inseparable from the leadership and guidance of the nursing department. We still have many shortcomings, but we are not proud or discouraged. Everyone is already planning a work plan for the coming year. In 20xx, we will take our nursing work to a new level with better working conditions, higher working enthusiasm and more reasonable working scheme!