In order to improve the theoretical and operational level of each nurse, the nursing department conducts theoretical and operational examinations every month, setting high standards for their work. Work attitude should be correct, "the doctor is the heart of parents". I take it as my duty to do everything possible to alleviate the pain of patients. I hope all patients can recover as soon as possible, so every time I enter the ward, I spare no effort to encourage them with limited time, patiently help them understand the disease and establish confidence in overcoming it. I felt very happy when I saw the patient recover.
Nursing is a noble and sacred cause, and I am proud to be a member of the team of nurses. In the future work, I will redouble my efforts to make my due contribution to the nursing cause of mankind! In the coming 20xx year, I will continue to carry forward the spirit of medical teaching in the past year. I want to do my job well, be anxious about the patient's urgency and be responsible for the patient. Never make the patient's condition worse because of me. I should be absolutely responsible for my work. This is the minimum work that a good nurse should do to save lives. As a nurse, I am always aware of the heavy responsibility on my shoulders. I won't discredit the hospital, it will only inspire me to work harder. I will also be strict with myself in my life, and I believe that I will serve with my heart and be skilled. Nursing is a fine art, and only excellent nursing staff can provide high-quality and efficient nursing services. Therefore, in order to improve the quality of nursing, oncology department has carried out a series of activities to actively improve the professional quality of nursing staff.
In order to adapt to the continuous development of nursing career, each department has put forward higher requirements in the monthly nursing business study and ward round, not only to have new content to learn, but also to show it in the form of multimedia and communicate in the form of explanation; Nursing staff, regardless of age, are required to make multimedia courseware by themselves, familiarize themselves with the contents of the courseware in their spare time, and then discuss it at nursing meetings. After long-term efforts, every nursing staff in oncology department can independently make multimedia courseware, and their ability of explanation and communication has also been greatly improved.
Although a series of training and learning need to spend a lot of energy and time, training and learning have improved the quality of nursing staff in departments, strengthened their ability to deal with clinical events and provided better services for patients. All ordinary nurses actively participated without any complaints. Everyone's heart is the same: we are willing to pay time and energy for better service.
Blink of an eye, it's the end of the year. Looking back on my work in the post of head nurse this year, I have many feelings in my heart. The work since 20xx is summarized as follows:
First, strict management and effective coordination
Over the past year, under the leadership of the nursing department and the director of the department, we have been strict with ourselves from all aspects, taken the lead in doing well the work of the department, especially the nursing work, boldly managed, and conscientiously implemented the work system of the hospital and the department, ensuring the steady progress of the work of the department. Actively cooperate with the director to do a good job in medical coordination and guide everyone to do a good job in medical communication; Find and solve some frictions and contradictions in time, enhance the cohesion of the department, and make the Chinese medicine department a warm family; Let doctors and nurses work in a state of physical and mental pleasure, and also create a warm and harmonious hospitalization environment for patients.
Second, pay close attention to nursing business training
As a comprehensive department of integrated traditional Chinese and western medicine, our department is faced with many miscellaneous diseases, many intractable diseases and weak nursing specialty. Correspondingly, among 12 nurses in Chinese medicine, only 1 graduated from the nursing college of integrated traditional Chinese and western medicine, and the rest graduated from the nursing major of western medicine, and only learned the basic knowledge of Chinese medicine at school; With the continuous development of the training of "specialist nurses" in western medicine, the characteristics and advantages of specialist nurses are becoming more and more obvious. Traditional Chinese medicine nurses have no specific professional knowledge and development direction, which affects the enthusiasm of this group and the stability of the team to a certain extent, and also has a negative impact on the quality of nursing work in wards. In view of this reality, I decided decisively: start from me and train all the staff. Through the combination of business lectures and business rounds, department directors and doctors participated in the training of common diseases in internal medicine, including respiration, circulation, digestion and nervous system, systematic training of basic knowledge and common skills of traditional Chinese medicine, and even training of conservative treatment and nursing knowledge of some general surgery and orthopedic diseases. After a year of systematic training, the assessment results show that nurses have a comprehensive understanding of the common diseases of the above systems, which not only improves their professional and technical level, but also greatly enhances their confidence in their own and departmental development. Since then, I have adopted the daily strengthening method, constantly combined with the existing cases in the ward to strengthen the trained knowledge, and finally built a nursing team with excellent skills and Chinese medicine characteristics.
Third, try cultural management and strive to make characteristics.
Years of experience as a head nurse have made me deeply realize that it is important for a team to standardize its behavior, but it is more important to change its thinking and sublimate its inner world, so that the external cause of "head nurse management" can play a role through the internal cause of "personal quality" of nurses. To this end, I have taken a series of measures: on the nurses' shift schedule, I will send them a life and workplace sentiment every week; Hold a small blackboard newspaper of "Angel Heart Talk"; Use the morning meeting to tell them some inspirational, philosophical and other short stories to arouse their thinking about life and career. In a subtle way, the humanistic quality of our Chinese medicine nurses has been greatly improved. Finally, a virtuous chain of "I use humanistic knowledge to change nurses-nurses manage themselves effectively-improve the quality of nursing work" was created. In recent years, not only the construction of TCM nursing culture is flourishing, but also all the work objectives are successfully completed. In the previous provincial and municipal inspections, our Chinese medicine department was famous for its charging standards, and every time we welcomed the charging inspection, we did not lose a point to the hospital. In the evaluation and inspection of professional ethics, Chinese medicine health education and nursing service have been affirmed and praised by participating experts.
Fourth, pay attention to service details and improve patient satisfaction.
For example, in terms of health education for patients, most departments rely solely on oral education by nurses, but through long-term observation, I found a drawback: nurses talk less, the content is incomplete, and they talk more, because time is limited, they can speak quickly and have no focus, so that patients can't remember at all. To this end, I made an outline of the content of admission education as the content of oral education for nurses, and input the details into the computer. After the general education, the nurses sent detailed information to the patients, which played a very good role. Similarly, there are "propaganda of nasal feeding knowledge", "retention method of sputum culture specimens" and "precautions for retention of urine culture specimens". This kind of oral and written publicity not only helps patients to master it, but also saves nurses a lot of time, so it is well received by everyone.
Five, continuous learning and summary, improve their own quality.
As the saying goes, it takes hard work to strike while the iron is hot. While doing a good job in nursing management in departments, we should persist in learning new knowledge, constantly sum up clinical nursing experience and improve our comprehensive quality. 20xx took the psychological counselor exam in May, hoping to get the third-level psychological counselor certificate in August. Over the past year, he has published 3 academic papers and 1 poem/kloc-0 in national and provincial magazines, and 2 papers in the journal of our college.
Shortcomings and efforts of intransitive verbs
Although, in retrospect, I can say without shame: I didn't waste any time; Facing my patients and my department, I can also say frankly that I have been working hard for you! However, facing myself, I know there are still many shortcomings in my work. For example, scientific research is an important driving force for the progress and development of nursing work, but the nursing scientific research projects in our Chinese medicine department are still blank; For another example, sometimes, the requirements are too strict, and I have even seen the tears and helplessness of nurses. Therefore, looking forward to the future, I am full of confidence in the work of head nurses in the new year. As a head nurse, my efforts are: 1, striving for a breakthrough in nursing scientific research; 2. Combine leniency with severity to make your management style more mature.
Summary of nursing annual work II. With the goal of "doing a better job", I have cultivated a sense of innovation and completed my work actively and successfully. I hope all patients can recover soon, so every time I enter the ward, I spare no effort to encourage them with limited time, patiently help them understand their illness, establish confidence in overcoming the disease, and silently pray for their early recovery. Love your job, be able to treat every job correctly and seriously, devote yourself to your work, serve everyone enthusiastically, abide by labor discipline seriously, ensure attendance on time, have a high attendance rate, make effective use of working time, stick to your post, need to work overtime on time, and ensure that the work can be completed on time.
Of course, I still have some shortcomings to improve. For example, in study, sometimes I feel impetuous, I feel that I have too much to learn, and I am impetuous, especially when I encounter setbacks, and I can't handle it calmly. At work, sometimes the standard is low. Although I can basically perform my duties and obligations, my initiative needs to be further improved, which is what I need to improve and improve in the future.
Over the past year, I thank the hospital leaders and head nurses for their education, guidance, criticism and help, and my colleagues for their concern and support. Looking back on the past, there have been many advances and improvements, but there are also some shortcomings; Looking forward to the future, we should carry forward our own advantages and overcome our own shortcomings. Contribute to the bright future of the hospital!
Summary of nursing annual work. The sun and the moon alternate, and the years are like songs. Our work has gone through 20xx years. This year, under the leadership and strong support of the nursing department, we closely focused on the working principle of "patient-centered, quality-centered", combined with the actual work of the department, further improved the workflow of the department, refined management, conscientiously implemented various work systems, and gradually improved the quality of nursing. Now we summarize as follows:
First, strengthen ward management, consolidate basic nursing and create a good medical environment for patients.
This year, our department strengthened ward management, paid attention to morning and evening nursing, ensured that the bed sheets were flat and wrinkle-free, ensured that the bed sheets and bedding were free of blood and stains, and changed with the dirty, and formulated a system of changing the bed sheets every Monday to ensure that each patient's bed unit was flat, clean and comfortable. To achieve "three deficiencies" and "six net"; And insist on cleaning the vulva for the parturient until leaving the hospital to ensure that the patient is clean and pollution-free.
Second, with the development of high-quality nursing service in our hospital this year, combined with the actual situation of our department, we will formulate high-quality nursing measures from the following aspects.
1, change the service concept. In the department, Director Liu often emphasizes that our nursing work is service work. We should renew our ideas and provide good service. In the service, we should not only use civilized language, but also be enthusiastic and cordial. Therefore, in practical work, we not only call gynecological patients "aunts" and "mother-in-law", but also regard obstetric patients as "darlings".
2. Change the organizational structure. In April this year, the department implemented responsible nursing, and divided the wards into A 1 and A2 two responsibility districts, with two responsible nurses respectively. The nurse in charge is responsible for observing the patient's condition, implementing therapeutic nursing, health education, psychological nursing and life nursing, realizing all-round nursing, ensuring that the nurse in charge manages the beds in place and the responsibility lies with people, greatly changing the limitations of the previous functional nursing system and trying to provide quality services for patients in their posts.
3. Change the planning mode. In order to adapt to the frequent surgical handover at noon and reduce the pressure of nursing work at noon, the original mode of one nurse working from 8 am to 4 pm was changed to the mode of two responsible nurses working from 8 am to 4 pm, which reduced the intermediate handover and ensured the nursing safety.
Third, strengthen the continuing education of nurses and cultivate specialized nursing talents.
At the beginning of this year, we made a talent training plan for this major, including in-class study and off-campus study to participate in training courses, and all of them have completed the training plan.
In-department learning is to use the morning meeting every day to strengthen the training of basic nursing, nursing routine, health education and other nursing knowledge and techniques, and constantly improve the professional knowledge level of nurses in departments. I went out to train a specialist nurse in obstetrics this year, and I can work independently.
In addition, there are one-to-one nursing teachers for new nurses to adapt to their jobs as soon as possible, actively encourage nurses who have worked for more than one year to continue their studies, and allow them to learn by themselves in various forms to improve their academic qualifications. This year, two nurses got university degrees, and the head nurse got the title of nurse in charge.
Fourth, strictly implement the core system to reduce the occurrence of nursing errors.
1, strict bedside shift, insist on sorting out and registering the diagnosis, treatment and operation of all hospitalized patients every night shift, make the morning shift more meticulous and rigorous, and check the basic nursing situation at any time, point out the existing problems and correct them in time to ensure the safety of patients.
2. Improve the nursing inspection system. In view of the irregular stop of doctor's orders in our department, a double BANCHA checking system is specially designed, that is, after checking the doctor's orders in the day shift and general affairs every afternoon, check the doctor's orders with the midwife again in the evening, thus avoiding the phenomenon of missed inspection and repeated execution.
The fifth is to innovate the service form, so that patients can really feel our care and care.
In order to enhance the connotation of high-quality nursing service in our department, we have formulated some new service measures, so that patients can truly feel our medical services and taste our high quality, such as:
1, I applied to the hospital for an induction cooker to provide convenience for the parturient.
2. In the care of newborns, not only the mother-infant sharing room is strictly implemented, but also the daily bathing is completed. During the hospitalization, the midwife personally feeds the newborn and changes diapers.
3. Strengthen the follow-up after discharge, timely understand the nursing problems encountered by patients, parturients and newborns after discharge, conduct telephone consultation, and come to the hospital for examination in time for special problems. This year's telephone follow-up was 22 1 person, which was widely praised by patients and their families.
Six, strengthen the management of delivery room, and actively control hospital infection.
In strict accordance with the management standards of key departments of the hospital, standardize various emergency procedures and emergency plans, add special drugs for obstetric emergency in emergency vehicles, implement various disinfection and isolation systems, strengthen infection monitoring, and improve the quality inspection standards of delivery rooms. Midwives' meetings were held regularly to feed back the problems existing in the work, carefully summarize and analyze them, formulate the next rectification measures, and carry out follow-up inspection of quality defects, which improved midwives' quality awareness and management awareness and successfully passed the obstetric nursing quality inspection.
After nearly a year's study, I seriously studied the Regulations on Handling Medical Accidents and its laws and regulations, actively participated in the medical treatment learning activities organized by the hospital, enriched my legal knowledge and enhanced my awareness of self-protection of safety regulations. Under the active and strict guidance of the head nurse, I have made great progress and improvement in many aspects. The following is a summary of my work this year.
First, down-to-earth, starting from the basic work of nursing
First of all, the staff of the department are relatively young, lacking work experience and specialized knowledge. In order to improve the quality of nursing service, we should start with the basic nursing work, strictly implement the ward round procedure and the handover system, take morning nursing and handover as the communication platform, carry out in-depth and meticulous specialist health knowledge education and humanized communication, effectively improve patients' satisfaction and achieve good results. At the same time, the implementation of the core system will be the focus of this year's assessment, and one will be assessed every week to gradually standardize the workflow. In addition, to improve service quality, we should start with improving work details.
Second, pay attention to the implementation of the system and clarify the division of work.
The work is detailed, the division of labor is implemented, and the responsible nurses and quality inspectors are responsible for writing documents. The three-level quality control mode, in which the bed nurse is responsible for filling in the medical record, the responsible nurse is in charge of management and the quality inspector is in charge of quality control, effectively controls the writing errors and irregular writing, and improves the writing quality. The discussion on holidays, the rescue of medicines, the lectures of interns, and the business study are all responsible for people, so that everyone has something to do, everyone is responsible, and everyone participates in department management, which effectively improves everyone's enthusiasm.
Third, strict delivery room management, complete the layout transformation.
Strengthen the management of delivery room, print the common emergency procedures of obstetrics, post them on the inner wall of delivery room, strengthen the operation procedures, implement the wristband identification system, strictly implement the wristband wearing work of newborns, establish the delivery room handover process and supervise the implementation, effectively strengthen the safety management of pregnant women and newborns, improve the vaccine reporting and checking procedures, and strengthen vaccine management. In addition, according to the acceptance standard of management year, the delivery room was improved again, disinfection supplies were configured, and the positions of waiting room, isolation delivery room and isolation delivery room were adjusted to meet the standard requirements.
In one year's work, I can always love my post and be dedicated, implement the service concept of "patient-centered, patient-centered", and improve my own quality and emergency ability. Of course, I found that there are still some shortcomings that need to be improved. In my work, sometimes the standard is not high. Although I can basically perform my duties and obligations, my actions have been further improved, which I need to improve and strengthen in the future.
Summary of nursing annual work. The nurses in the office class sincerely receive the newly admitted children, send them to bed, and take the initiative to give their families admission education and health education.
The responsible nurse is required to communicate with the children's families every day, including health education, understanding the prognosis of the children's illness, life needs, the effect and reaction after taking the medicine, etc. Nurse-patient communication can shorten the distance between nurses and patients, and it is the prerequisite and necessary condition for doing all kinds of nursing work well.
Seriously implement the notification procedures before and after clinical treatment, respect the family members' right to know, and relieve their concerns.
Hold a symposium on holidays every month, distribute patient satisfaction questionnaires, praise and encourage nurses with high service quality, and criticize and educate nurses with poor service quality.
Regular and irregular nursing quality inspection, to maintain the continuous improvement of nursing quality.
Give full play to the role of nursing quality control team, conduct quality inspection every week, find problems in time, correct and deal with them in time.
The feedback information of quality control team, head nurse's quality inspection and nursing department's quality inspection is comprehensively analyzed every month to find out the reasons, formulate feasible rectification measures and check the implementation of rectification.
Strictly implement the training plan of "three basics and three strictness" to improve the overall quality of nursing staff.
According to the three basics and three strictness training plan, nurses at all levels are trained, and theoretical examinations and technical operation examinations are organized every month.
Ask questions to nurses during nursing rounds, including basic theoretical knowledge, professional theoretical knowledge, nosocomial infection knowledge, etc.
Use the morning meeting to ask questions about the core system of hospital nursing, so that every nurse can master and implement it skillfully.
Cooperate with the overall work of the hospital and conscientiously complete all mandatory tasks.
Cooperate with the information center to do a good job of training and coordination before and after the departure of the nurse station network.
In the future, we will strive to take a new step, recognize the situation clearly, unify our thinking, build our personal image, department image and hospital brand, start from ourselves, set high standards and strict requirements, establish the idea of "prospering and humiliating the hospital", change our service concept and strengthen our service consciousness. We firmly believe that with the strong support of leaders at all levels, the correct leadership of hospitals and nursing departments, and the joint efforts of general nurse Qi Xin, we will be able to complete all the work and make children and parents really feel at ease and satisfied.
Summary of nursing annual work 5 In order to make the leaders of Civil Affairs Bureau better understand and guide the work of Xinkang Pension Service Center, the progress in the past few months is reported as follows, including center planning, main work, typical services and difficult problems.
I. Central planning
Establish development goals: grasp the needs, provide services, pay attention to practical results, and let the elderly live a secure and dignified life; Implement policies, innovate, create characteristics, and create provincial-level brand pension demonstration institutions.
The service idea is clear: the center takes the elderly family as the basic service unit, relies on the family (family members) and the community, effectively uses the service resources purchased by the government, sets up a high-quality professional service team, and works closely with the community to provide services, so as to improve the professional level and service effect of community home-based care services.
Straighten out the service relationship:
With the elderly: based on the needs of the elderly and family support, the elderly and family fully participate;
With the community: give full play to their respective advantages and resources, work closely with the community and carry out effective services;
With the government: Only by making good use of the service resources purchased by the government can we really solve the problem of social pension.
Standardize service process: the center has established a standardized service process, and established a relationship-demand assessment-service design-service implementation-effect evaluation-follow-up.
Establish a professional team: the center has established a professional work team to provide services. At present, there are 0/5 staff members, including 2 managers, 3 social workers, 2 rehabilitation workers, 6 aged care workers, accounting 1 person and chef 1 person.
Second, the main work
1, center construction, solid foundation
In terms of facilities, in Yingpan Street community with a building area of 200㎡, funds have been invested in decoration and equipment purchase, electric fans and televisions have been installed, tables and chairs, drinking fountains, newspaper racks, bookcases and training rooms have been equipped, floors have been laid, outdoor fitness equipment has been added, and various fire and electricity prevention facilities are readily available, which can accommodate dozens of people at the same time. In terms of system, management system, service guide, job responsibilities of domestic servants, job responsibilities of full-time volunteers, activity room system for the elderly, medical and health room system, volunteer service visit system, etc. It has been improved, and the family-based pension network system has been initially established and improved.
2, study hard and accumulate a lot of money.
In the past four months, in order to explore home-based aged care services and create characteristic aged care services, the center staff visited various home-based aged care centers in Changsha in advance, and learned about various service modes of home-based aged care in other provinces and cities and abroad through various ways, especially the characteristics of home-based aged care services in Hong Kong, Shanghai and other home-based aged care service centers. According to the resource advantages of this district and this center, we will plan hard and gradually build our own unique old-age service. The management of the center went to the Social Work Department and Rehabilitation Department of Changsha Civil Affairs College to study and inspect, and invited staff training.
3. Staff training and team building
Xinkang Pension Service Center and Changsha Sunshine New Youth Vocational and Technical School have implemented full-time nursing staff training according to the syllabus since 20xx1October 30, and organized 46 laid-off and unemployed people to carry out unified and professional home nursing training, 120 class hours. After the training, 95% of the students passed the unified examination, and professional qualification certificates were issued in a unified way, which laid a solid foundation for the development of senior care services for the elderly.
4, thorough investigation, classification and filing.
The center signed cooperation agreements with 9 streets in Kaifu District, and reached friendly cooperative relations with various communities, and conducted a unified door-to-door investigation on 244 elderly people who met the standards in Kaifu District, and classified and filed. Among them, 76 elderly people were unable to provide services due to demolition and death, and 14 elderly people needed follow-up because they were not at home. They signed a service agreement for the remaining 156 elderly people, and got a comprehensive understanding of their physical condition, family status and practical difficulties. Organize and summarize the survey results and register and classify them. Low-income elderly, widowed elderly, empty nesters and disabled elderly will be our key service targets; In the process of understanding, the staff patiently and responsibly explained the nature of home-based care services and the basic situation of the center to the first old man in detail. Most old people expressed their expectations of our service. In the process of finding out the service, the staff of the center learned about the usual living habits of the elderly through various resources such as their communities, relatives and neighbors, which laid a good foundation for future service.
5. Sign agreements and provide services.
The center began to provide services for the elderly in 65438+February, serving the elderly who meet the free service standards in nine streets of Kaifu District 106 people, and the service time was 1654. Five hours.
The main services provided by the center for the elderly are: spiritual comfort, rehabilitation health care, personal care, food delivery service, household cleaning, home appliance maintenance, entertainment activities and so on. Some elderly people have serious health problems, such as being ill in bed for many years, and the service is very challenging; Old people are deaf and dumb, and communication is inconvenient; The elderly are mentally abnormal, and the safety of the staff is not guaranteed. However, with the cooperation of the community and the streets, the staff of our center worked hard to overcome the difficulties and provide satisfactory services for the elderly in their later years, which truly realized the service tenet of "Let the elderly live with dignity and security" that our center has been striving for.
Third, typical service.
In the past two months' practical service, the staff made a lot of visits, walked into the real life of the elderly in the community, saw the hardships and difficulties of the elderly's life, and understood the mission and responsibility of their work. The center and staff tried their best to solve the difficulties for the elderly, and many touching bits and pieces emerged.
1. The center provides services for the elderly who are not up to standard in Yanwachi community. The situation of the elderly is special, and they will not reach 60 until 20xx 1.3. But the old man is very poor, and now he is seriously bedridden, incontinent and unattended. Under the coordination of the community, the center sent five staff members to the door to thoroughly clean the elderly and clean all the dirty clothes and quilts. And launched a caring neighbor, Grandma Zhou, to send a quilt to the elderly and look at the brand-new home and fresh and clean clothes. The old man took the hand of the center staff and asked expectantly when he would come again.
Chen Qinglin, a staff member of the center, heard that the old man had a bad appetite. When he came home from work, he personally made chopped peppers, roasted peppers and radish strips and sent them to Tan Juying's home in Jianghe Xuanyuandian Community in Liansheng Street Community.
It's cold, I haven't seen the sun for a long time. When Yang Xinhui, a staff member of the center, provided services for the elderly, he saw the dirty clothes and quilts piled up on the elderly, and took the initiative to ask the elderly to take their clothes to their home to sober up, clean them and dry them for the elderly.
4. Cui, an old man in Xiyuan community, has no money to see a doctor because of a cold and cough. He Le, a staff member of the center, took the initiative to buy cold medicine for the elderly at his own expense. The old man He in the Lotus Pond community had a sore face and bought safflower oil for the old man.
5. Xiong Juzhen, an old man in Xuanyuandian community, was bedridden due to illness. The food he ate was leftovers from the neighbor's relief. The old man didn't want to eat for more than a week, and he was moldy. After the staff came to the door, they found that they had taken the initiative to send hot meals and hot dishes to the elderly since the 8 th, and they were ready to send them directly to the elderly regardless of the wind and rain until he fully recovered.
6. The recreation room of the center is open from June 5th to 10. Every day, the old people nearby come to the center for free entertainment, playing cards, playing chess, reading books, reading newspapers and chatting, which enriches the lives of the old people and solves their loneliness.