Chapter One: Summary of Head Nurses' Monthly Work
First, seriously implement the nursing rules and regulations.
Strictly implement the system, improve the quality of nursing and ensure medical safety.
1, the nursing department has repeatedly defined the job responsibilities of nurses at all levels, such as nurses on duty and visiting nurses, to prevent patients from changing infusion bottles and pulling out needles by themselves.
2. Implement the physical examination system: (1) The head nurse participates in the whole class's medical examination twice a week and keeps records; (2) nursing operation strictly implements three checks and seven pairs; (3) Fill in the infusion card, and there are no major nursing mistakes in the past year.
3, conscientiously implement the surgical nursing routine and microsurgical nursing routine, adhere to fill in all kinds of information and data register, equipped with five kinds of nursing operation disposal plate.
4, supervise the implementation of bedside shift system and morning care, to prevent the occurrence and development of complications.
Second, improve the management level of head nurses.
1. Adhere to the record and assessment of the Head Nurse Manual: the head nurse is required to submit the Manual to the Nursing Department for assessment before the 5th of each month, and supervise the implementation according to the annual plan, quarterly arrangement and monthly plan of the department, and monitor the implementation effect. The head nurse summarizes the monthly work in order to sum up experience and improve the management level and efficiency.
2. Adhere to the system of regular meeting of head nurses: hold a regular meeting of head nurses once a week according to the level of doctors, arrange the focus of this week's work, summarize the shortcomings in last week's work, and put forward corresponding improvement measures. Learning and education network collects and sorts out the feedback of nursing quality control inspection status to head nurses, and learns the management information of head nurses.
3, check the quality of nursing every month, timely feedback, and constantly improve the management ability of the head nurse.
4. Organize head nurses to study and visit abroad, learn the management and technical experience of advanced units, and expand their knowledge: organize head nurses to participate in international advanced nursing classes, and share them with all nurses after the study.
Third, strengthen the construction of morality and style of nursing staff.
1, continue to implement the provisions of the code of conduct for nurses, and implement the civilized language of nurses in daily work.
2. Organize all nurses to participate in etiquette training this month.
3. Carry out health education and investigate the satisfaction of inpatients with nursing service, and the results are all above 95%. Put forward rectification measures for nursing problems existing in satisfaction survey, and select the best nurse.
4. Pre-service professional ethics education, rules and regulations, code of conduct education, basic nursing knowledge and nursing technology operation assessment are carried out for practice nurses, and only those who pass the examination can take up their posts.
Fourth, improve the professional level of nursing staff.
1. Conduct "three basics" training for on-the-job personnel, organize theoretical examinations, and carry out skills training activities.
2, cooperate with the medical department, hire experts to teach, impart surgical knowledge, improve professional knowledge.
3, each department weekly morning exercises, basic theoretical knowledge and surgical knowledge.
4, "March 8th Women's Day" held a nursing skill operation competition, which was selected and rewarded respectively.
5, strengthen the nursing of critically ill patients, adhere to the bedside shift system and morning care.
6. Insist on nursing rounds: conduct nursing rounds in three wards in turn every month to discuss nursing diagnosis and nursing implementation, so as to improve professional level.
From July to June, 165438+ 10, pre-job training was given to nurses who entered the hospital this year. The content is basic nursing and specialized nursing knowledge, and each head nurse is organized to give lectures to improve the teaching level of head nurses.
8. There are 5 nurses in the whole hospital who take the nursing college exam and 4 nurses who take the nursing college correspondence course.
Five, strengthen the management of hospital infection
1, strictly implement the disinfection and isolation system formulated by the hospital infection management team.
2. All departments insist on air bacteria culture in the treatment room and dressing room of the ward every month, and conduct secondary air bacteria culture in high-risk departments such as operating room and outpatient operating room to ensure that the "surgical incision" is not infected.
3, the department insisted on weekly ultraviolet disinfection of the treatment room and locker room, recorded, ultraviolet lamp dust removal, anhydrous alcohol disinfection, recorded, monthly monitoring of ultraviolet intensity.
4. After the disposable articles are used, all wards, operating rooms and consulting rooms shall be disfigured, soaked and concentrated in time, and regularly inspected and urged, and the concentration of various disinfectant shall be regularly detected and checked.
5. The treatment room and dressing room in each ward can insist on mopping the floor with disinfectant (1: 500 disinfectant) twice a day, and regularly mop the floor with disinfectant (1: 500 disinfectant) for final disinfection (clean the bedside table and wipe it with disinfectant).
6, operating room strictly implement infection management system, aseptic package built-in chemical indicator card.
7. The supply room has established a disinfection monitoring record book, and regularly monitors various disinfection items.
Six, nursing staff should complete the nursing work well.
1, adhere to the purpose of "patient-centered, quality-centered, and provide quality services for patients", and actively carry out "unaccompanied pilot" wards. Nurses at all levels have given great support and made a lot of efforts. High-quality nursing service has been well received by patients. Distribute health education manuals to patients, encourage nurses to set an example, and let patients basically master the knowledge of disease prevention, rehabilitation and related medical care, nursing and self-care.
The above is a summary of the nursing work of the head nurse in orthopedics. Thanks to the instructions of leaders at all levels and the strong support of nurses.
Chapter II: Summary of Head Nurses' Monthly Work
Time flies, three years, looking back, I feel a lot; The work since 2007 is summarized as follows:
First, strict management and effective coordination
In the past three years, 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 department work. 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 the nurses in 12, only one graduated from the nursing college of integrated traditional Chinese and western medicine, and the rest (including myself as a head nurse) graduated from western medicine nursing, and only learned the basic knowledge of traditional 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 2009, TCM health education and nursing services were affirmed and praised by experts attending the meeting.
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 will talk quickly and have no focus, so that patients can't remember why at all. I made an outline of the content of admission education as the content of oral education for nurses, and put it out in detail. 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. In 2008-2009, he participated in the training of international psychological counselors in Dutch Xike, and took the psychological counselor exam in May of October 20 10/0. I hope to get a third-level psychological counselor certificate in August. In 2008-2009, he actively participated in departmental scientific research projects and participated in Henan PICC qualification training class on 20 10; In recent three years, he has published three academic papers and four comprehensive articles in national and provincial magazines, and two poems and essays 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, my efforts are: 1, striving for a breakthrough in nursing research; 2. Combine leniency with severity to make your management style more mature.
Chapter III: Summary of nurses' monthly work.
Summary of Nurses' Work In the past three months, with the words and deeds, care and training of hospital leaders and head nurses, and the support and help of colleagues, I have continuously strengthened my ideological and political study, continuously improved my work, and successfully completed various tasks. My personal ideological and political quality and professional work ability have made some progress, which has laid a good foundation for my future work and study. The work and research are summarized as follows:
First, political thought:
Adhere to the concept of patient-centered and quality-centered nursing service, adapt to the new nursing model and the new situation of social development, actively participate in various political activities, take serving patients and contributing to society as the purpose, take patient satisfaction as the standard, and serve patients wholeheartedly.
Second, enhance legal awareness:
Seriously studying the Nurse Law and its laws and regulations has made me realize that with the improvement of the legal system and the enhancement of the legal concept, it has become common sense for people to act according to law and safeguard their legitimate rights and interests according to law. The concept of modern nursing quality is to satisfy patients in all directions and in the whole process, which is the demand for higher and newer medical nursing services. This requires me to enrich my legal knowledge, enhance my awareness of safety protection, let nurses know the usage of the law and reduce the occurrence of medical accidents according to law.
Third, work and study:
At work, strictly abide by the rules and regulations of hospitals and departments, strictly implement the check system and nursing operation procedures, implement the system, reduce the occurrence of errors and accidents, strictly implement aseptic operation, and ensure the safety of pregnant women and newborns. Carry out the service concept of "patient-centered, quality-centered", serve politely, adhere to civilized language, and implement it in every post in the work. Dignified working hours, neat dress, courtesy, friendliness and standardization.
Seriously pass on, help and guide young nurses, do a good job of nurses, and strive to improve the writing quality of nursing medical records and the qualified rate of nursing forms; In view of shortcomings and mistakes, carefully summarize, analyze and find out hidden dangers in work, so as to nip in the bud.
In the process of work (in the operating room), I deeply feel my own shortcomings and know little about various infectious diseases, so I obviously feel the urgency of strengthening my own study and improving my own quality. First, learn from books, insist on squeezing out a certain amount of time every day to enrich yourself and absorb all kinds of "nutrition" extensively; Second, learn from colleagues around you, always maintain a modest and prudent attitude of asking for advice, and take the initiative to ask for advice from colleagues; Third, learn from practice, apply what you have learned to practical work, examine what you have learned in practice, find out the shortcomings, improve yourself, and prevent and overcome the tendency of superficial knowledge.
I always remind myself that we should constantly strengthen ideological and moral cultivation and the exercise of personality quality, enhance the sense of dedication, and take selflessness as the focus of personality training. Not affected by some bad social atmosphere, start from small things; Be strict with yourself, be loyal to your duties, prevent delay, and firmly establish the purpose of serving patients wholeheartedly.
The above is a summary of my three months' work in the hospital. These days, I deeply feel the positive vitality of the hospital, full of confidence in the future, and willing to contribute my meager strength to XX Hospital. Please give supervision and support to leaders and colleagues!
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