Summary of annual work of head nurses in 2020
It has been more than a year since I was appointed as the head nurse of the ward. Now I will make a summary of my work this year, and I urge you to give me your valuable opinions and suggestions. The following is my personal year-end summary.
To tell the truth, when I first took over the ward, I felt a heavy burden on my shoulders and felt unprecedented pressure in my heart.
First, because I have not participated in nursing management and have no practical experience in management;
Secondly, I feel at a loss in the face of the diversity of patients in general wards, the complexity of their illness, the harsh ward environment and the imbalance of nurse-patient ratio. There is a saying that "the road is made by people". With the help of the dean and the leaders of the nursing department, I turned pressure into motivation and worked out a practical plan step by step.
First of all, according to the number of existing nursing staff in the department, make a reasonable division of labor and arrangement, summarize the post responsibility system and weekly and monthly work priorities of head nurses in each class into a table, clearly mark it, require everyone to be familiar with it and carry out irregular assessment to ensure clear rewards and punishments, fairness and justice; In addition, make some reasonable adjustments and improvements to the departmental infrastructure under the existing conditions;
Third, emergency medical equipment and sterile articles were supplemented and standardized management was carried out;
Fourthly, according to the characteristics and existing conditions of our department, ward management has been reasonably improved and standardized; Implement the responsibility system of environmental sanitation responsibility area and implement it to individual workers;
Fifth, deepen safety management, strengthen safety awareness and do a good job in safety nursing. Safety nursing is an important part of psychiatric nursing, and it is also an important link for nurses to care for patients with mental disorders. Affected by the illness, patients with mental disorders often have special behaviors such as impulsiveness, wounding, self-injury, destroying things and running away. Careless nursing staff will have accidents and even endanger their lives.
Therefore, good safety nursing can not only ensure the safety of both nurses and patients, but also improve the quality of medical care. Therefore, every on-the-job worker should master the illness, respect the patient, understand the patient's psychological changes, attach importance to psychological care and mental care, patrol the ward closely, strictly implement various nursing routine systems, and strengthen the safety management of various facilities, articles and their families in the ward.
Six, understand the new trend of the development of nursing discipline, regularly organize nursing staff to learn business, strengthen three basic training, learn new business, new knowledge and new technology, and strive to improve the professional level of every nursing staff to keep up with the needs of the times. I conduct case nursing rounds at least once a month in the department, strengthen the business study of the department, organize nursing staff to conduct business study in the department and the hospital on a regular basis, as well as the three-basic theory examination and operation training;
Seventh, strengthen the communication between nurses and patients, organize regular work and rest forums, listen to the suggestions of patients and their families, so as to carry out and improve nursing work, really think about what patients think and worry about what patients are anxious about;
Finally, the head nurse is the financial manager of the department, and should carry forward the traditional virtues of thrift and eliminate waste; I ask all medical staff to start from saving every kilowatt hour, every drop of water and every piece of paper, and start from me, strictly control the expenditure of departments, criticize all waste phenomena in time, and supplement them with economic penalties when necessary. Although this may offend some people, I know it is necessary for head nurses to strengthen economic accounting, reduce medical and nursing costs, and pay attention to economic benefits and medical and nursing effects.
In addition, I know that under the current competitive situation, only by studying, studying and studying again can I adapt myself to the tide of competition and reform. During these months, I have continuously improved my professional level and political quality, participated in the 2020 nursing college entrance examination, and was admitted to the nursing major of _ _ Medical University.
Although the work is ordinary and hard, I gave up a lot of time to reunite with my family and children. Once there are critically ill patients in the ward, I always feel a little unsafe even at home. Fortunately, with the help and support of the leaders of the hospital and nursing department, the work gradually showed results, which was well received by patients and their families and recognized by leaders and colleagues. I know this is just the beginning, and there is still a long way to go. I firmly believe that as long as I keep working hard, dedicate my passion to the hospital and spread my love to the hearts of every patient, I will definitely carry out the work of the general ward better.
Summary of the annual work of head nurses in 2020 II
Over the past year, with the care and support of hospital leaders and nursing department, general nurses have followed the service tenet of "service with smile and service with touch" advocated by the hospital, carried out various nursing work around the nursing management objectives and work plans formulated at the beginning of the year, and strictly carried out the implementation of various plans. Within one year, all work indicators basically reached the target requirements. The nursing work of neurosurgery this year is reported as follows:
First, pay attention to the training of nursing staff, and the quality of nursing staff has generally improved.
Standardize the training of nurses at all levels according to the training plan of "one subject and one specialty", strengthen the training of nurses at all levels, and meet the quality requirements in monthly evaluation and quarterly evaluation. Ask questions every morning, including basic theoretical knowledge, nosocomial infection knowledge and specialized knowledge, to promote everyone's learning and progress. Further improve and strengthen the study of nursing documents and pressure sore evaluation repeatedly, and apply it to practical work, evaluate every patient at risk of pressure sore, sum up experience and lessons, so that the clinical nursing ability of general nurses has been significantly improved. Organize general nurses to meet every week to study the core nursing system of the hospital, participate in many cultural and artistic activities organized by the hospital, and strengthen the study of nursing-related laws and regulations. People who actively participated in the activities organized by the college also gave convenient consideration to the scheduling and won many honors for Corey.
The training of first aid techniques has been strengthened, so that every nurse can master the techniques of cardiopulmonary cerebral resuscitation skillfully, and the common technical operations such as sputum suction and oxygen inhalation have been trained, and the specialized first aid techniques have been significantly improved. Strengthen the cultivation of nursing talents, create good conditions for the growth of nursing talents, send undergraduate nurses to specialized hospitals like Tiantan for study, and bring back new nursing techniques and new management concepts from other hospitals, thus effectively promoting the development of various departments. Nurses at all levels participated in the theoretical examination, hospital knowledge examination and technical operation examination organized by departments and hospitals, with a participation rate of 100% and a passing rate of 100%.
Second, patient-centered, strengthen nurse-patient communication
Nurses in charge of patients with mild illness and elective surgery can warmly receive patients and send them to the bedside, and actively introduce ward environment, schedule, rules and regulations and attending doctors to patients or their families to understand their psychological state and needs after admission. Emergency and critically ill patients can be rescued quickly, which can alleviate their pain, comfort patients and their families and alleviate their fears. Provide all kinds of convenience for patients in life, listen to the opinions of patients and caregivers on nursing services extensively, find out the reasons for existing problems, put forward rectification measures and make timely rectification.
Third, improve nursing rules and regulations and operational procedures, and strengthen nursing risk management.
This paper lists the characteristics of several cases of nursing risks in neurosurgery and the corresponding protective measures, and organizes general nurses to analyze, discuss and learn. Nurses carry out safety awareness education every week, find out unsafe factors in their work, put forward rectification measures, eliminate errors and hidden dangers of accidents, conscientiously implement various nursing rules and regulations and operating procedures, give full play to the supervisory role of department heads, and regularly and irregularly check the implementation of various nursing systems.
Fourth, the writing of nursing documents should be accurate, objective and continuous.
Nursing documents, namely legal documents, are the objective basis for judging medical disputes. They should be considered comprehensively in the writing process, which can objectively, truly, accurately, timely and completely reflect the changes of patients' condition, constantly strengthen the significance of formal writing of nursing documents, make every nurse correct his writing attitude, and strengthen supervision and inspection at the same time, check whether there are any defects in the records of the previous shift in each shift, and the head of the nursing document group regularly takes the lead in checking cases. Head nurses regularly and irregularly check the writing and signing of nursing documents and temporary doctor's orders, timely review the discharge medical records, timely correct the problems found, analyze the quality of nursing documents every month, put forward rectification measures for existing problems, and continuously monitor them.
Fifth, standardize ward management and establish a people-oriented hospital environment.
Ventilate the ward regularly every day, keep the ward quiet, clean and fresh, provide safe and effective protective measures for patients with consciousness disorder, implement post responsibility system, care patients according to grade nursing standards, implement health education, strengthen basic nursing and case nursing for critically ill patients, and meet the reasonable needs of patients and their families.
Six, the first aid items intact rate reached 100%.
Cross-management of first-aid articles shall be conducted by specialized personnel once a day, and the head nurse shall conduct weekly inspection and spot check at any time to ensure that first-aid articles are always in an emergency state.
Seven, according to the hospital infection management standards
Strengthen the management of medical waste, improve the management system of medical waste, organize the classified treatment process of medical waste, and carry out special evaluation. The part-time monitoring nurses in the hospital infection group can perform their duties seriously, so that the monitoring indicators of hospital infection can meet the quality standards.
Eight, there are still many shortcomings in the work.
Basic nursing care is not in place, depending on the family members of patients. The sanitary treatment of newly admitted patients in individual shifts is not timely, and patients are uncomfortable lying down. Ward management needs to be improved, patients bring more items, and the items are placed in confusion. Individual nurses don't have a strong aseptic concept, don't wear masks during aseptic operation, and have a poor awareness of occupational exposure protection. Sometimes domestic waste and medical waste are mixed together. The active learning atmosphere is not strong enough, especially the enthusiasm of young nurses to learn professional knowledge is not high; There is not enough academic atmosphere, only one academic paper. There are some defects in the writing of nursing documents, such as omission, omission and lack of continuity in content. Health education is not deep enough and lacks dynamic continuity.
Summary of Head Nurses' Work in 2020 III
As time goes by, the year is over. In the past year's work, we have made greater progress. Our hospital moved to a new location, and the development of the hospital has made a qualitative leap. At the same time, the work of the nursing department in our hospital has also achieved good development. These are the results of our continuous efforts! The work of one year is summarized as follows:
First, check and evaluate regularly to improve the quality of nursing.
Quality management is the eternal theme of the hospital, and regular inspection is the guarantee to improve the quality of nursing. In order to improve the quality of nursing, the nursing department, on the basis of summing up previous work experience, re-planned the nursing accounts of various departments and re-formulated practical inspection and assessment rules, focusing on monthly inspection and conducting irregular spot checks and mutual inspections on the basis of quarterly general inspection. The pass rate is above 95%. In basic management and quality control, head nurses in all departments can give full play to the role of leading group members in quality control, and make monthly plans, weekly arrangements, daily priorities and month-end summaries according to the work arrangements of nursing department.
In the quality management of basic nursing, we should strictly implement nursing operation norms, strengthen inspection and ensure implementation. The nursing department insists on twice-weekly nursing quality inspection, analyzes the reasons for the deficiencies in the inspection in detail, and strengthens the service consciousness and quality consciousness of nursing staff through in-depth and meticulous ideological education. Formulate practical improvement measures. Timely improve the weak links in the work.
The second is to strengthen ideological education and create a "pragmatic and efficient, United and forge ahead" working atmosphere.
In the form of ideological education, we should give full play to the exemplary leading role of outstanding nursing staff in various departments, organize learning in various departments from time to time, strengthen employees' awareness of law, service and quality, and strengthen the comprehensive management of basic nursing quality, link quality and terminal quality. I can be strict with myself, do a good job in ward management and logistics service with excellent work style and tenacious work spirit, and provide high-quality nursing service for clinical frontline with love and strong sense of responsibility, with positive results.
We fully feel the warm service of nurses, and in the face of patients' panic, we provide first-class nursing service with a smile to alleviate it; In the face of the patient's situation, they use patience to influence, and their calm attitude of saving critically ill patients makes us moved and gratified.
Third, take patients as the center, advocate humanized service and strengthen nurse-patient communication.
In order to meet the needs of medical services, create a high-level service concept and humanistic care, establish a good social image, and promote the sustained and stable development of the hospital, our hospital adheres to patient-centered, provides warm and thoughtful humanized services for patients on the basis of respect, understanding and care for patients, respects patients' personal dignity, attaches importance to patients' personality and psychological needs, satisfies patients' physical and psychological needs to the maximum extent, and provides quality services for patients through convenience, rapidity and enthusiasm.
Advocate humanized service, improve the concept of humanized service, start from the characteristics and personality of the clients, carry out nursing service, take respecting patients, serving patients, adapting to the development of the times and the needs of modern life as the starting point, and constantly improve service measures. First of all, the nurse in charge should warmly receive the patients, send them to the bedside, and take the initiative to introduce the ward environment, schedule, rules and regulations, attending doctors, etc. Timely issue nurse-patient contact cards to patients or their families to understand the psychological state and needs of patients after admission. Secondly, explain the special medication, diet, various inspection precautions, operation purpose, general operation process, lying position, catheter placement precautions, extubation time, etc., to comfort and encourage patients and try their best to solve their worries.
Summary of Head Nurses' Annual Work in 2020 IV
Over the past year, under the correct leadership of the hospital party and government leading group and the nursing department, and under the professional guidance of the department director, the outpatient nursing work was carried out in accordance with the nursing work plan of the nursing department and departments. The nursing work in the past 20 years is summarized as follows:
I. Completion of workload.
In the past year, * * * completed more than 26,000 triage visits, assisted outpatient surgery and surgical dressing change for 65,438+002 visits, and conducted blood gas analysis for 8,700 visits.
Second, strengthen the monitoring of nursing quality, so as to continuously improve the quality of outpatient nursing.
1. Implementing the post responsibility system: At the beginning of the year, according to the specific conditions of outpatient service, the post responsibilities and working standards of outpatient nursing staff in each shift were re-formulated, so that nursing staff can do their jobs in strict accordance with the norms and strictly implement the responsibility system of asking first and then welcoming. At the same time, actively respond to the city's health creation work, and strictly implement the pre-inspection and sub-inspection workflow. Guard against mistakes and accidents.
2. Carefully organize nursing staff to learn the new nursing quality inspection and grading standards in our hospital, so that each nurse can understand and master the grading standards, enhance the awareness of nurses' active participation in quality management, and conduct nursing quality control evaluation every month. In view of the wide distribution of outpatient departments and the difficulty in monitoring the quality of nursing, departments conduct self-examination 4-8 times a month irregularly, point out problems in time and make rectification within a time limit, so as to continuously improve the quality of nursing in departments.
3. Strengthen the management of first-aid articles: a special person will conduct a comprehensive inspection once a week, and the head nurse will conduct weekly inspection and spot check at any time to ensure that first-aid articles are always in an emergency state, and the intact rate of first-aid articles is 100%.
4. Strengthen the supervision of disinfection and isolation: through organizing study, according to the requirements of disinfection and isolation regulations, nurses can master the principle of disinfection and isolation, nurses in hospital departments can conscientiously perform their duties, actively check and supervise technical operation procedures, and make the control indicators of hospital infection meet the requirements of quality standards.
Third, strengthen link quality management to ensure nursing safety.
1, monthly nursing safety hazards investigation, strengthen nursing operation control, find safety hazards, point them out in time, analyze the reasons, and implement corrective measures. Encourage nurses to actively report nursing adverse events, organize nurses to carry out safety education focusing on patient safety management and nursing emergency plan once a month, and enhance nurses' awareness of nursing safety.
2, strengthen the observation of outpatients, found that the condition changes, timely report, timely treatment.
3. Strengthen the reasonable scheduling on holidays and weekends, and implement flexible scheduling to meet the needs of patients. The head nurse and quality controller go to the department for inspection and guidance from time to time to ensure nursing safety.
Fourthly, strengthening the training and on-the-job education of nursing staff has improved the overall quality of nursing staff.
1, conduct a hierarchical nursing business study for the nursing staff in the department once a month to further improve the theoretical level of the nursing staff.
2. Carefully organize different levels of nursing staff to participate in the "three basics" training and assessment in departments and hospitals, and strengthen the training and assessment of standardized nursing staff; Theoretical examination, operation skill training and assessment were conducted for 6 times, and the pass rate was 100%.
3. Strengthen the training of first aid skills, and constantly improve the technical level and emergency ability of nursing staff in departments. During 20__ years, the training and assessment of nursing staff in learning nursing emergency plan, cardiopulmonary resuscitation, oxygen inhalation and simple respirator were strengthened, and the pass rate of assessment was 100%.
4. Encourage nurses to participate in on-the-job continuing education. In 20 years, a nurse obtained the learning opportunity of online education in Shandong University.
Summary of Head Nurses' Annual Work in 2020 V
Time flies, three years have passed, looking back, I feel a lot in my heart. The work since 20__ years is summarized as follows:
First, strict management and effective coordination.
In the past 20__ 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 systems 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 departments, and make Chinese medicine departments become 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. Accordingly, only one nurse in Chinese medicine graduated from the Nursing College of Integrated Traditional Chinese and Western Medicine, and the rest (including my head nurse) 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 internal medicine 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. The health education and nursing service of Chinese medicine has won the affirmation and praise of the participating experts in the 20-year professional ethics evaluation and inspection.
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.
I participated in the _ international psychological counselor training and took the psychological counselor exam in _, hoping to get the third-level psychological counselor certificate in _. Actively participate in departmental scientific research projects and participate in _ provincial PICC qualification training courses; In the past three years, he has published _ academic papers and _ comprehensive articles in provincial magazines and _ poems and _ essays in the journal of our college.
Sixth, the shortcomings and the direction of efforts.
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, strive for a breakthrough in nursing scientific research.
2. Combine leniency with severity to make your management style more mature.
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