Operating room work is different from ward nursing work. There are 1 1 surgical specialties, with many kinds of operations and busy work. In the past, it was inevitable that the head nurse had to take part in the operation and manage the general affairs. Now it is divided into 9 specialties: thoracic surgery group, general surgery group, urology group, orthopedics group, neurosurgery group, obstetrics and gynecology group, plastic surgery group, ENT group and ophthalmology group. Nine teams are divided into three districts with three district heads. The heads of these groups are the nurse in charge or practical nurse, and the district heads are the senior group heads and the nurse in charge, which rotate once every six months, so that the group heads and district heads can participate in the management of the department. In other words, we will change the management from head nurse to three-level management of head nurse, district head and team leader. Organize a monthly spot check on the quality control work of the responsible person of the district and the core team of the department, and evaluate the work of the three districts and various professional groups. Usually the head nurse checks the work according to the quality control standard. When the head nurse is not in class, the district head is in charge.

1.2 quality control management method

In order to ensure the safety of patients' surgery, we should focus on surgery and ensure the level of double three. The first three levels are preoperative preparation, intraoperative cooperation and postoperative treatment:

(1) preoperative preparation should be closed, and "eight checks" should be done to check the patient's name, gender, department, surgical diagnosis, surgical name, surgical site, blood type and article preparation;

(2) intraoperative cooperation, to achieve three strict, that is, strict aseptic technology operating procedures, serious working conditions, to prevent errors and accidents;

(3) Post-operative treatment to achieve "three determinations", that is, determination, quantification and positioning. [Collected by Medical Education Network]

The last three levels are the three levels before operation:

(1) After the middle shift staff bring all patients into the operating room, the middle shift nurses check them one by one according to the notice and the shift schedule;

(2) The visiting nurse checks the medical records according to the operation notice, and checks the implementation of the preoperative doctor's orders;

(3) The head nurse checked again before operation. These three levels are mainly aimed at taking patients to the wrong operating room and opening the wrong knife.

1.3 working quality evaluation method

The quality spot check is mainly carried out by the head nurse or head nurse (or individual district head) every day according to the nurse's duties and quality standards, including disinfection and isolation, article rescue, the location of articles in the operating room, cleanliness and hygiene, and the duties of each shift. The next morning, the results of the spot check will be evaluated, and the well-managed district heads, team leaders and comrades who have completed their work will be praised and encouraged at the meeting; For the existing problems, the end of the month will be linked with personal care evaluation and monthly bonus.

1.4 reward and punishment measures

The well-managed district head will be rewarded with 3 points per month, the nurses with good post responsibilities in each class will be rewarded with 100% per month, and the nurses with poor work quality will be rewarded with less than 100% per month. At the end of the year, the team leader and team members who have completed the whole year's work will be rewarded (funds will be obtained from the director's fund). 10% of the bonus distribution scheme is title award and 90% is performance award. Whether the work is done well or not is reflected in the performance award. Deduct 1 point, that is, the bonus is 1%.

Deduction standard for organizational discipline: 0.5 points will be deducted for leaving early and being late for 5 minutes. The personnel on duty who stick to their posts and leave their posts without reason will be dealt with according to the seriousness of the case, and the patient's rescue will be delayed, and a bonus of 1 ~ 3 months will be deducted. Absenteeism 1d will deduct the bonus of the month.